SYK 10K 12.31.2014
 
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_______________________________________________________________________
FORM 10-K
_______________________________________________________________________
ý
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2014
OR
o
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number: 000-09165
_______________________________________________________________________
 
STRYKER CORPORATION
(Exact name of registrant as specified in its charter)
_______________________________________________________________________
Michigan
 
38-1239739
(State of incorporation)
 
(I.R.S. Employer Identification No.)
2825 Airview Boulevard, Kalamazoo, Michigan
 
49002
(Address of principal executive offices)
 
(Zip Code)
Registrant’s telephone number, including area code: (269) 385-2600
_______________________________________________________________________
 Securities registered pursuant to Section 12(b) of the Act:
Title of each class
 
Name of each exchange on which registered
Common Stock, $.10 par value
 
New York Stock Exchange
Securities registered pursuant to Section 12(g) of the Act: None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    YES  ý      NO  o
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act.    YES  o       NO  ý
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    YES  ý       NO  o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).     YES  ý       NO  o
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of large "accelerated filer," "accelerated filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act.
Large accelerated filer  ý
  
Accelerated filer  o
Non-accelerated filer  o
  
Smaller reporting company  o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    YES  o       NO  ý
Based on the closing sales price of June 30, 2014, the aggregate market value of the voting stock held by non-affiliates of the registrant was approximately $29,425,287,926. The number of shares outstanding of the registrant’s common stock, $.10 par value, was 378,749,951 at January 31, 2015.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the proxy statement to be filed with the U.S. Securities and Exchange Commission relating to the 2015 Annual Meeting of Shareholders (the 2015 proxy statement) are incorporated by reference into Part III.
 



STRYKER CORPORATION 2014 Form 10-K



TABLE OF CONTENTS
 
 
 
 
PART I
 
Item 1.
Business
1

Item 1A.
Risk Factors
4

Item 1B.
Unresolved Staff Comments
6

Item 2.
Properties
6

Item 3.
Legal Proceedings
7

Item 4.
Mine Safety Disclosures
7

 
 
PART II
 
Item 5.
Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
7

Item 6.
Selected Financial Data
8

Item 7.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
9

Item 7A.
Quantitative and Qualitative Disclosures About Market Risk
16

Item 8.
Financial Statements and Supplementary Data
17

 
Report of Independent Registered Public Accounting Firm on Consolidated Financial Statements
17

 
Consolidated Statements of Earnings
18

 
Consolidated Statements of Comprehensive Income
18

 
Consolidated Balance Sheets
19

 
Consolidated Statements of Shareholders’ Equity
20

 
Consolidated Statements of Cash Flows
21

 
Notes to Consolidated Financial Statements
22

Item 9.
Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
34

Item 9A.
Controls and Procedures
34

Item 9B.
Other Information
35

 
 
PART III
 
Item 10.
Directors, Executive Officers and Corporate Governance
35

Item 11.
Executive Compensation
35

Item 12.
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
35

Item 13.
Certain Relationships and Related Transactions, and Director Independence
35

Item 14.
Principal Accounting Fees and Services
35

 
 
PART IV
 
Item 15.
Exhibits, Financial Statement Schedules
36

 










STRYKER CORPORATION 2014 Form 10-K

PART I

ITEM 1.
BUSINESS.
General
Stryker Corporation is one of the world's leading medical technology companies, with 2014 revenues of $9,675 and net earnings of $515. Stryker's products include implants used in joint replacement and trauma surgeries; surgical equipment and surgical navigation systems; endoscopic and communications systems; patient handling and emergency medical equipment; neurosurgical, neurovascular and spinal devices; as well as other medical device products used in a variety of medical specialties.
Stryker was incorporated in Michigan in 1946 as the successor company to a business founded in 1941 by Dr. Homer H. Stryker, a prominent orthopaedic surgeon and the inventor of several orthopaedic products. In the United States, most of our products are marketed directly to doctors, hospitals and other healthcare facilities. Internationally, our products are sold in over 100 countries through company-owned sales subsidiaries and branches as well as third-party dealers and distributors.
As used herein, and except where the context otherwise requires, "Stryker," "we," "us," and "our" refer to Stryker Corporation and its consolidated subsidiaries.
Business Segments and Geographic Information
In December 2014 we changed the name of our Reconstructive business segment to Orthopaedics. This change did not change the composition of any of our business segments and had no financial impact.
We segregate our reporting into three reportable business segments: Orthopaedics, MedSurg, and Neurotechnology and Spine. Financial information regarding our reportable business segments and certain geographic information is included under "Results of Operations" in Item 7 of this report and Note 12 to the Consolidated Financial Statements in Item 8 of this report.
Net sales by reportable segment over the last three years were:
 
2014
 
2013
 
2012
Orthopaedics
$
4,153

43
%
 
$
3,949

44
%
 
$
3,823

44
%
MedSurg
3,781

39
%
 
3,414

38
%
 
3,265

38
%
Neurotechnology and Spine
1,741

18
%
 
1,658

18
%
 
1,569

18
%
Total
$
9,675

100
%
 
$
9,021

100
%
 
$
8,657

100
%
Orthopaedics
Orthopaedics products consist primarily of implants used in hip and knee joint replacements and trauma and extremities surgeries. We bring patients and physicians advanced implant designs and specialized instrumentation that make orthopaedic surgery and recovery simpler, faster and more effective. We support surgeons with the technology and services they need as they develop new surgical techniques.
Stryker is one of five leading competitors globally for joint replacement and trauma products; the other four are Zimmer Holdings, Inc. (Zimmer), DePuy Synthes Company, a subsidiary of Johnson & Johnson, Biomet, Inc. and Smith & Nephew plc (Smith & Nephew).
 
The composition of net sales of Orthopaedics products over the last three years was:
 
2014
 
2013
 
2012
Knees
$
1,396

34
%
 
$
1,371

35
%
 
$
1,356

35
%
Hips
1,291

31
%
 
1,272

32
%
 
1,233

32
%
Trauma and Extremities
1,230

30
%
 
1,116

28
%
 
989

26
%
Other
236

5
%
 
190

5
%
 
245

7
%
Total
$
4,153

100
%
 
$
3,949

100
%
 
$
3,823

100
%
In September 2014 we acquired certain assets of Small Bone Innovations, Inc. (SBi) for an aggregate purchase price of approximately $358. SBi products are designed and promoted for upper and lower extremity small bone indications, with a focus on small joint replacement.
In December 2013 we acquired MAKO Surgical Corp. (MAKO). The acquisition of MAKO, combined with our strong history in joint reconstruction, capital equipment (operating room integration and surgical navigation) and surgical instruments, will help further advance the growth of robotic arm assisted surgery. Our combined expertise offers the potential to simplify joint reconstruction procedures, reduce variability and enhance the surgeon and patient experience.
In March 2013 we acquired Trauson Holdings Company Limited (Trauson). The acquisition of Trauson enhances our product offerings, primarily within our Orthopaedics segment, broadens our presence in China and enables us to expand into the fast growing value segment of the emerging markets.
In 2013 we launched the Tritanium Cementless Baseplate for our Triathlon Knee Arthroscopy (TKA) system, which combines biologic fixation with Triathlon’s kinematics to provide surgeons with a superior option for cementless TKA. We also launched the Secur-Fit Advanced Femoral Hip Stem, which facilitates the accurate restoration of biomechanics when used with our new and unique Stryker Orthopaedics Modeling and Analytics system.
In 2012 we voluntarily recalled our Rejuvenate and ABG II Modular-Neck hip stems and terminated global distribution of these hip products. We notified healthcare professionals and regulatory bodies of this recall, which was taken due to potential risks associated with fretting and/or corrosion that may lead to adverse local tissue reactions. In November 2014 we entered into a Settlement Agreement (the “Settlement Agreement”) to compensate eligible United States patients who had surgery to replace their Rejuvenate and ABG II modular-neck hip stems, known as a "revision surgery", prior to November 3, 2014. To date we have recorded charges to earnings totaling $1,534 ($1,713 before $179 of third party insurance recoveries) representing the actuarially determined low end of the range of probable loss to resolve this entire matter globally. It is expected that a majority of the payments under the Settlement Agreement will be made by the end of 2015. See Note 7 to the Consolidated Financial Statements in Item 8 of this report for further information.
In 2012 we launched Accolade II, the first hip stem with a Morphometric Wedge design, an evolution of the tapered wedge stem.
MedSurg
MedSurg products include surgical equipment and surgical navigation systems (Instruments); endoscopic and communications systems (Endoscopy); patient handling and emergency medical equipment (Medical); and reprocessed and remanufactured medical devices (Sustainability) as well as other medical device products used in a variety of medical specialties.


1
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Stryker is one of four market leaders in Instruments, competing principally with Zimmer, Medtronic plc. and ConMed Linvatec, Inc., a subsidiary of CONMED Corporation (ConMed Linvatec) globally. In Endoscopy, we compete with Smith & Nephew Endoscopy, ConMed Linvatec, Inc., Arthrex, Inc., Karl Storz GmbH & Co. and Olympus Optical Co. Ltd. Our primary competitor in Medical is Hill-Rom Holdings, Inc.
The composition of net sales of MedSurg products over the last three years was:
 
2014
 
2013
 
2012
Instruments
$
1,424

38
%
 
$
1,269

37
%
 
$
1,261

39
%
Endoscopy
1,382

37
%
 
1,222

36
%
 
1,111

34
%
Medical
766

20
%
 
710

21
%
 
691

21
%
Sustainability
209

5
%
 
213

6
%
 
202

6
%
Total
$
3,781

100
%
 
$
3,414

100
%
 
$
3,265

100
%
In January 2015 we announced the asset acquisition of privately-held CHG Hospital Beds, Inc. ("CHG") in an all cash transaction. CHG, headquartered in London, Ontario, Canada, manufactures and markets low-height hospital beds and related accessories across Canada, and in the United States and the United Kingdom.
In April 2014 we acquired Berchtold Holding, AG (Berchtold), a privately-held business with operations in Germany and the United States, for an aggregate purchase price of approximately $184. Berchtold sells surgical tables, equipment booms and surgical lighting systems. In March 2014 we acquired Patient Safety Technologies, Inc. (PST), for an aggregate purchase price of $120. PST conducts its business through its wholly owned subsidiary, SurgiCount Medical, Inc. PST’s proprietary Safety-Sponge® System and SurgiCount 360™ compliance software help prevent Retained Foreign Objects in the operating room. Other business acquisitions in 2014 include the acquisition of Pivot Medical, Inc. (Pivot), which develops and sells innovative products for hip arthroscopy.
In March 2013 we received a warning letter from the United States Food and Drug Administration (FDA) concerning quality system observations made during an inspection and citing us for failing to notify the FDA of a product recall and for marketing devices, including certain of our Neptune Waste Management Systems, without a required 510(k) clearance. We were notified in January 2014 that the actions taken to address issues raised in the warning letter were sufficient and no further corrective actions related to the warning letter were required.
In December 2013 we received 510(k) clearance to market a modified Neptune 2 Waste Management System. The Neptune 2 Waste Management System mitigates risks to healthcare workers by eliminating harmful exposure to fluids and smoke in the operating room. This constantly closed system collects surgical waste and disposes of it without exposing the operator to contact with infectious fluids and surgical plumes.
In 2012 we launched System 7, the next generation of heavy duty surgical power tools. These tools are used in total joint procedures, such as hip and knee replacements, and offer the latest in advanced cutting technology. We also launched the 1488 HD 3-Chip Endoscopic Camera System, which utilizes advanced CMOS technology and premium optics to provide a clear bright image designed to enhance patient outcomes. In addition, we launched Power-LOADTM, our cot fastener system that lifts and lowers the cot into and out of ambulances, thereby reducing spinal loads and the risk of cumulative trauma injuries to emergency responders.
 
Neurotechnology and Spine
Our Neurotechnology and Spine products include both neurosurgical and neurovascular devices. Our neurotechnology offering includes products used for minimally invasive endovascular techniques; a comprehensive line of products for traditional brain and open skull base surgical procedures; orthobiologic and biosurgery products, including synthetic bone grafts and vertebral augmentation products; and minimally invasive products for the treatment of acute ischemic and hemorrhagic stroke. We also develop, manufacture and market spinal implant products including cervical, thoracolumbar and interbody systems used in spinal injury, deformity and degenerative therapies.
Our primary competitors in Neurotechnology are Medtronic, including Covidien, which was recently acquired by Medtronic, and Johnson & Johnson. We are one of five market leaders in Spine, along with Medtronic Sofamor Danek, Inc. (a subsidiary of Medtronic), DePuy Synthes (a subsidiary of Johnson & Johnson), Nuvasive, Inc. and Globus Medical, Inc.
The composition of net sales of Neurotechnology and Spine products over the last three years was:
 
2014
 
2013
 
2012
Neurotechnology
$
1,001

57
%
 
$
915

55
%
 
$
842

54
%
Spine
740

43
%
 
743

45
%
 
727

46
%
Total
$
1,741

100
%
 
$
1,658

100
%
 
$
1,569

100
%
In 2012 we received 510(k) clearance to market the Trevo® Pro Retriever, our next generation clot removal technology that utilizes proprietary Stentriever® Technology for optimized clot integration and retrieval in patients experiencing acute ischemic stroke. In addition, we received 510(k) clearance to market our Trevo® ProVEUTM Retriever, the first clot removal device fully visible during the procedure for precise positioning within the clot and optimized clot retrieval in patients experiencing acute ischemic stroke.
Geographic Areas
In 2014 approximately 68.0% of our revenues were generated from customers in the United States. Additional geographic information is included under "Results of Operations" in Item 7 of this report and Note 12 to the Consolidated Financial Statements in Item 8 of this report.
Raw Materials and Inventory
Raw materials essential to our business are generally readily available from multiple sources. Substantially all products we manufacture are stocked in inventory, while certain MedSurg products are assembled to order. The dollar amount of backlog orders at any given time is not considered material to an understanding of our business taken as a whole.
Patents and Trademarks
Patents and trademarks are significant to our business to the extent that a product or an attribute of a product represents a unique design or process. Patent protection of such products restricts competitors from duplicating these unique designs and features. We seek to obtain patent protection on our products whenever appropriate for protecting our competitive advantage. As of December 31, 2014 we owned approximately 1,900 United States patents and approximately 3,400 international patents.
Seasonality
Our business is generally not seasonal in nature; however, the number of Orthopaedics implant surgeries is generally lower during the summer months and sales of capital equipment are generally higher in the fourth quarter.


2
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Competition
In all of our product lines we compete with local and global companies located throughout the world. Competition exists in all product lines without regard to the number and size of the competing companies involved. The development of new and innovative products is important to our success in all areas of our business and competition in research, involving the development and the improvement of new and existing products and processes, is particularly significant. The competitive environment requires substantial investments in continuing research and in maintaining sales forces.
The principal factors that we believe differentiate us in the highly competitive product categories in which we operate and enable us to compete effectively include our commitment to innovation and quality, service and reputation. We believe that our competitive position in the future will depend to a large degree on our ability to develop new products and make improvements to existing products.
Product Development
Most of our products and product improvements have been developed internally at research facilities in the United States, Ireland, Puerto Rico, Germany, Switzerland, India and France. We also invest through acquisitions in technologies developed by third parties that have the potential to expand the markets in which we operate. We maintain close working relationships with physicians and medical personnel in hospitals and universities who assist us in product development efforts. The total costs of research, development and engineering activities were $614, $536, and $471 in 2014, 2013 and 2012, respectively.
Regulation
Our businesses are subject to varying degrees of governmental regulation in the countries in which we operate, and the general trend is toward increasingly stringent regulation.
In the United States, the Medical Device Amendments of 1976 to the Federal Food, Drug and Cosmetic Act and its subsequent amendments, and the regulations issued and proposed thereunder, provide for regulation by the FDA of the design, manufacture and marketing of medical devices, including most of our products. Many of our new products fall into FDA classifications that require notification submitted as a 510(k) and review by the FDA before we begin marketing them. Certain of our products require extensive clinical testing, consisting of safety and efficacy studies, followed by pre-market approval (PMA) applications for specific surgical indications.
The FDA's Quality System regulations set forth standards for our product design and manufacturing processes, require the maintenance of certain records and provide for inspections of our facilities by the FDA. There are also certain requirements of state and local and foreign governments that must be complied with in the manufacture and marketing of our products.
The member states of the European Union (EU) have adopted the European Medical Device Directives that form a single set of medical device regulations for all EU member countries. These regulations require companies that wish to manufacture and distribute medical devices in EU member countries to meet certain quality system requirements and obtain CE marking for their products. We have authorization to apply the CE marking to substantially all of our products. In addition, we comply with the unique regulatory requirements of each of the countries in Europe and other countries in which we market our products.
Initiatives sponsored by government agencies, legislative bodies and the private sector to limit the growth of healthcare expenses
 
generally and hospital costs in particular, including price regulation and competitive pricing, are ongoing in markets where we do business. It is not possible to predict at this time the long-term impact of such cost containment measures on our future business. In addition, business practices in the healthcare industry have come under increased scrutiny, particularly in the United States, by government agencies and state attorneys general, and resulting investigations and prosecutions carry the risk of significant civil and criminal penalties.
Employees
At December 31, 2014, we had approximately 26,000 employees worldwide. Certain international employees are covered by collective bargaining agreements. We believe that we maintain positive relationships with our employees worldwide.
Executive Officers of the Registrant
The names and ages of our executive officers as of January 31, 2015 and certain information about them are:
Name
Age
 
First Became an Executive Officer
Kevin A. Lobo
49
Chairman, President and Chief Executive Officer
2011
Steven P. Benscoter
47
Vice President, Human Resources
2012
William E. Berry Jr.
49
Vice President, Corporate Controller and Principal Accounting Officer
2014
Lonny J. Carpenter
53
Group President, Global Quality and Operations
2008
David K. Floyd
54
Group President, Orthopaedics
2012
Michael D. Hutchinson
44
General Counsel
2014
William R. Jellison
57
Vice President and Chief Financial Officer
2013
Katherine A. Owen
44
Vice President, Strategy and Investor Relations
2007
Bijoy S.N. Sagar
46
Vice President, Chief Information Officer
2014
Timothy J. Scannell
50
Group President, MedSurg and Neurotechnology
2008
Ramesh Subrahmanian
53
Group President, International
2011
Each of our executive officers was elected by our Board of Directors to serve in the office indicated until the first meeting of the Board of Directors following the annual meeting of shareholders in 2015 or until a successor is chosen and qualified or until his or her resignation or removal. Each of our executive officers has held the position above or has served Stryker in various executive or administrative capacities for at least five years, except for Mr. Lobo, Mr. Berry, Mr. Jellison, Mr. Sagar, Mr. Subrahmanian and Mr. Floyd. Prior to joining Stryker in April 2011, Mr. Lobo held a variety of senior level leadership roles for the previous nine years at Johnson & Johnson, most recently as Worldwide President of Ethicon Endo-Surgery. Prior to joining Stryker in August 2011, Mr. Berry served for two years as Assistant Corporate Controller for Whirlpool Corporation, the world's leading manufacturer and marketer of major home appliances, and before that held a variety of senior finance roles at Delphi Automotive and Federal Mogul Corporation, both global automotive parts manufacturers. Prior to joining Stryker in April 2013, Mr. Jellison was Senior Vice President and Chief Financial Officer at Dentsply International, the world's largest manufacturer of professional dental products, and before that held a variety of senior level leadership roles over a 15-year period at Dentsply. Prior to joining Stryker in May 2014, Mr. Sagar served


3
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

as the Chief Information officer for Merck Millipore, and before that as Global Head of Information Systems and a member of the divisional board for the chemicals division of Merck KGaA. Prior to joining Stryker in September 2011, Mr. Subrahmanian was the Senior Vice President & President, Asia Pacific Human Health with Merck & Co. Inc. Prior to joining Stryker in November 2012, Mr. Floyd was the Chief Executive Officer for OrthoWorx and held a variety of senior level leadership roles with DePuy (a division of Johnson & Johnson), Abbott Spine, AxioMed Spine, and Centerpulse Orthopaedics.
Available Information
Our main corporate website address is www.stryker.com. Copies of our Quarterly Reports on Form 10-Q, Annual Reports on Form 10-K and Current Reports on Form 8-K filed or furnished to the United States Securities and Exchange Commission (SEC) will be provided without charge to any shareholder submitting a written request to our Corporate Secretary at our principal executive offices. All of our SEC filings are also available free of charge on our website within the "For Investors - SEC Filings & Ownership Reports" link as soon as reasonably practicable after having been electronically filed or furnished to the SEC. All SEC filings are also available at the SEC's website at www.sec.gov.
ITEM 1A.
RISK FACTORS.
This report contains statements referring to us that are not historical facts and are considered "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These statements, which are intended to take advantage of the "safe harbor" provisions of the Reform Act, are based on current projections about operations, industry conditions, financial condition and liquidity. Words that identify forward-looking statements include words such as "may," "could," "will," "should," "possible," "plan," "predict," "forecast," "potential," "anticipate," "estimate," "expect," "project," "intend," "believe," "may impact," "on track," and words and terms of similar substance used in connection with any discussion of future operating or financial performance, an acquisition or our businesses. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. Those statements are not guarantees and are subject to risks, uncertainties and assumptions that are difficult to predict. Therefore, actual results could differ materially and adversely from these forward-looking statements. Some important factors that could cause our actual results to differ from our expectations in any forward-looking statements include the risks discussed below.
Our operations and financial results are subject to various risks and uncertainties that could adversely affect our business, cash flows, financial condition and results of operations. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial may also materially and adversely affect our business, cash flows, financial condition or results of operations.
LEGAL AND REGULATORY RISKS
The impact of United States healthcare reform legislation on our business remains uncertain. In 2010 federal legislation to reform the United States healthcare system was enacted into law. The legislation is far-reaching and is intended to expand access to health insurance coverage and improve the quality and reduce the costs of healthcare over time. Its provisions become effective at various dates and there are many programs and requirements for which the details have not been determined. We expect the law will have a significant impact upon various aspects of our business operations. Among other things, the law imposed a 2.3 percent
 
excise tax on Class I, II and III medical devices that applies to United States sales of a majority of our medical device products. Other provisions of this legislation, including Medicare provisions aimed at improving quality and decreasing costs, comparative effectiveness research, an independent payment advisory board, and pilot programs to evaluate alternative payment methodologies, could meaningfully change the way healthcare is developed and delivered. Further, we cannot predict what other healthcare programs and regulations will be ultimately implemented at the federal or state level or the effect of any future legislation or regulation in the United States on our business and results of operations
We may be adversely affected by product liability claims, unfavorable court decisions or legal settlements. Our business exposes us to potential product liability risks that are inherent in the design, manufacture and marketing of medical devices, many of which are intended to be implanted in the human body for long periods of time or indefinitely. We are currently defendants in a number of product liability matters, including those relating to our Rejuvenate and ABGII Modular-Neck hip stems discussed in Note 7 to the Consolidated Financial Statements in Item 8 of this report. These matters are subject to many uncertainties and outcomes are not predictable. In addition, we may incur significant legal expenses regardless of whether we are found to be liable. We are currently self-insured for product liability-related claims and expenses. The ultimate cost to us with respect to product liability claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows.
Intellectual property litigation and infringement claims could cause us to incur significant expenses or prevent us from selling certain of our products.  The medical device industry is characterized by extensive intellectual property litigation and, from time to time, we are the subject of claims by third parties of potential infringement or misappropriation.  Regardless of outcome, such claims are expensive to defend and divert the time and effort of management and operating personnel from other business issues.  A successful claim or claims of patent or other intellectual property infringement against us could result in our payment of significant monetary damages and/or royalty payments or negatively impact our ability to sell current or future products in the affected category.
Dependence on patent and other proprietary rights and failing to protect such rights or to be successful in litigation related to such rights may impact offerings in our product portfolios. Our long-term success largely depends on our ability to market technologically competitive products. If we fail to obtain or maintain adequate intellectual property protection, such a failure could allow others to sell products that compete with offerings in our product portfolio. Also, our issued patents are subject to claims concerning priority, scope and other issues, and currently pending or future patent applications may not result in issued patents.
We are subject to extensive governmental regulations relating to the manufacturing, labeling and marketing of our products. Substantially all of our products are subject to regulation by the FDA and other governmental authorities in the United States and internationally. The process of obtaining regulatory approvals to market a medical device can be costly and time consuming and approvals might not be granted for future products on a timely basis, if at all. We have ongoing responsibilities under FDA regulations with respect to our products and facilities and are subject to periodic inspections by the FDA to determine compliance with the quality system and medical device reporting regulations and other requirements. If we fail to fully comply with applicable regulatory requirements, we may be subject to a range of sanctions, including


4
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

warning letters, product recalls, the suspension of product manufacturing, monetary fines and criminal prosecution.
We are subject to federal, state and foreign healthcare regulations, including fraud and abuse laws, as well as anti-bribery laws, and could face substantial penalties if we fail to fully comply with such regulations and laws. Our relationship with healthcare professionals, such as physicians, hospitals and those that may market our products, are subject to scrutiny under various state and federal laws often referred to collectively as healthcare fraud and abuse laws. In addition, the United States and foreign government regulators have increased the enforcement of the Foreign Corrupt Practices Act and other anti-bribery laws. These laws are broad in scope and are subject to evolving interpretation, which could require us to incur substantial costs to monitor compliance or to alter our practices if we are found not to be in compliance. We also must comply with a variety of other laws which protect the privacy of individually identifiable healthcare information and impose extensive tracking and reporting related to all transfers of value provided to certain healthcare professionals. Violations of these laws may be punishable by criminal or civil sanctions, including substantial fines, imprisonment and exclusion from participation in governmental healthcare programs.
MARKET RISKS
Macroeconomic developments could negatively affect our ability to conduct business in affected regions. Financial difficulties experienced by our customers, including distributors, and suppliers could result in product delays and inventory issues; risks to accounts receivable could also include delays in collection and greater bad debt expense.
Exposure to exchange rate fluctuations on cross border transactions and translation of local currency results into United States dollars. We report our financial results in United States Dollars and approximately one-third of our revenues are denominated in foreign currencies, including the Euro, the British Pound, and the Japanese Yen. Cross border transactions, both with external parties and intercompany relationships, result in increased exposure to foreign exchange effects. Our results of operations and, in some cases, cash flows, have been and may in the future be adversely affected by movements in foreign exchange rates. While we implement currency hedges to partially reduce our exposure to changes in foreign currency exchange rates; our hedging strategies may not be successful, and our unhedged exposures continue to be subject to currency fluctuations. In addition, the weakening or strengthening of the United States dollar results in favorable or unfavorable translation effects when the results of our foreign locations are translated into United States dollars for inclusion in our consolidated financial statements and results.
BUSINESS AND OPERATIONAL RISKS
Cost containment measures in the United States and other countries resulting in pricing pressures could have a negative impact on our future operating results. Initiatives sponsored by government agencies, legislative bodies and the private sector to limit the growth of healthcare costs, including price regulation and competitive pricing, are ongoing in markets where we do business. Pricing pressure has also increased in our markets due to continued consolidation among healthcare providers, trends toward managed care, the shift towards governments becoming the primary payers of healthcare expenses, and government laws and regulations relating to sales and promotion, reimbursement and pricing generally. Reductions in reimbursement levels or coverage for our products or other cost containment measures, including any that reduce medical procedure volumes, could unfavorably affect our future operating results.
 
We may be unable to effectively develop and market products against the products of our competitors in a highly competitive industry. Our present or future products could be rendered obsolete or uneconomical by technological advances by our competitors. Competitive factors include price, customer service, technology, innovation, quality, reputation and reliability. Our competition may respond more quickly to new or emerging technologies, undertake more extensive marketing campaigns, have greater financial, marketing and other resources or be more successful in attracting potential customers, employees and strategic partners. Given these factors, we cannot guarantee that we will be able to continue our level of success in the industry.
Competition in the development and improvement of new and existing products is particularly significant and results from time to time in product obsolescence. The markets in which we operate are highly competitive, and new products and surgical procedures are introduced on an ongoing basis. Such marketplace changes may cause some of our products to become obsolete. If actual product life cycles, product demand or acceptance of new product introductions are less favorable than projected by management, a higher level of inventory write downs may result.
We may be unable to maintain adequate working relationships with healthcare professionals. We seek to maintain close working relationships with respected physicians and medical personnel in hospitals and universities who assist in product research and development. We rely on these professionals to assist us in the development of proprietary products and product improvements to complement and expand our existing product lines. If we are unable to maintain these relationships, our ability to develop, market and sell new and improved products could decrease.
We are subject to additional risks associated with our extensive international operations. We develop, manufacture and distribute our products throughout the world. Our international operations are subject to a number of additional risks and potential costs, including changes in foreign medical reimbursement policies and programs, unexpected changes in foreign regulatory requirements, differing local product preferences and product requirements, diminished protection of intellectual property in some countries, trade protection measures and import or export licensing requirements, difficulty in staffing and managing foreign operations, political and economic instability. Our results of operations and/or financial condition could be adversely impacted if we are unable to successfully manage these and other risks of international operations in an increasingly volatile environment.
We may be unable to capitalize on previous or future acquisitions. In addition to internally developed products, we rely upon investment in new technologies through acquisitions. Investments in medical technology are inherently risky, and we cannot guarantee that any acquisition will be successful or will not have a material unfavorable impact on us. These risks include the activities required to integrate new businesses, which may result in the need to allocate more resources to integration and product development activities than originally anticipated, diversion of management time, which could adversely affect management's ability to focus on other projects, the inability to realize the expected benefits, savings or synergies from the acquisition, the loss of key personnel of the acquired company, and exposure to unexpected liabilities of the acquired company. In addition, we cannot be certain that the businesses we acquire will become profitable or remain so, which may result in unexpected impairment charges.


5
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

We may record future goodwill impairment charges related to one or more of our business units, which could materially adversely impact our results of operations. We perform our annual impairment test for goodwill in the fourth quarter of each year, or more frequently if indicators are present or changes in circumstances suggest that impairment may exist. In evaluating the potential for impairment we make assumptions regarding revenue projections, growth rates, cash flows, tax rates, and discount rates. These assumptions are uncertain and by nature may vary from actual results. A significant reduction in the estimated fair values could result in impairment charges that could materially affect our results of operations.
Our results of operations could be negatively impacted by future changes in the allocation of income to each of the income tax jurisdictions in which we operate. We operate in multiple income tax jurisdictions both in the United States and internationally. Accordingly, our management must determine the appropriate allocation of income to each jurisdiction based on current interpretations of complex income tax regulations. Income tax authorities regularly perform audits of our income tax filings. Income tax audits associated with the allocation of income and other complex issues, including inventory transfer pricing and cost sharing, product royalty and foreign branch arrangements, may require an extended period of time to resolve and may result in significant income tax adjustments. If changes to the income allocation are required between jurisdictions with different income tax rates, the related adjustments could have a material unfavorable impact on our results of operations.
Failure of a key information technology system, process or site could have a material adverse impact on our business. We rely extensively on information technology systems to conduct business. These systems include, but are not limited to, ordering and managing materials from suppliers, converting materials to finished products, shipping products to customers, processing transactions, summarizing and reporting results of operations, complying with regulatory, legal or tax requirements, providing data security and other processes necessary to manage our business. If our systems are damaged or cease to function properly due to any number of causes, ranging from catastrophic events to power outages to security breaches, and our business continuity plans do not effectively compensate on a timely basis, we may suffer interruptions in our operations.
A breach of information security, including a cybersecurity breach or failure of one or more key information technology systems, networks, processes, associated sites or service providers could have a material adverse impact on our business or reputation. We rely extensively on information technology (IT) systems, networks and services, including internet sites, data hosting and processing facilities and tools and other hardware, software and technical applications and platforms, some of which are managed, hosted, provided and/or used by third-parties or their vendors, to assist in conducting our business. Numerous and evolving cybersecurity threats, including advanced persistent threats, pose a potential risk to the security of our IT systems, networks and services, as well as the confidentiality, availability, integrity of our data and our responsibilities to governments. We have made investments seeking to address these threats, including monitoring of networks and systems, hiring of experts, employee training and security policies for employees and third-party providers. However, because the techniques used in these attacks change frequently and may be difficult to detect for periods of time, we may face difficulties in anticipating and implementing adequate preventative measures. If the IT systems, networks or service providers we rely upon fail to function properly, or if we or one of
 
our third-party providers suffer a loss or disclosure of our business or stakeholder information, due to any number of causes, ranging from catastrophic events or power outages to improper data handling or security breaches, and our business continuity plans do not effectively address these failures on a timely basis, we may be exposed to reputational, competitive and business harm as well as litigation and regulatory action. The costs and operational consequences of responding to breaches and implementing remediation measures could be significant.
We may be unable to attract and retain key employees. Our sales, technical and other key personnel play an integral role in the development, marketing and selling of new and existing products. If we are unable to recruit, hire, develop and retain a talented, competitive work force, we may not be able to meet our strategic business objectives.
ITEM 1B.
UNRESOLVED STAFF COMMENTS.
None.
ITEM 2.
PROPERTIES.
The following are our principal manufacturing locations as of December 31, 2014
Location
 
Segment
 
Approximate Square Feet
 
Owned/
Leased
Portage, Michigan
 
M
 
1,027,000

 
Owned
Changzhou, China
 
O, NS
 
625,000

 
Owned
Mahwah, New Jersey
 
O
 
531,000

 
Owned
Arroyo, Puerto Rico
 
M
 
220,000

 
Leased
San Jose, California
 
M
 
185,000

 
Leased
Kiel, Germany
 
O
 
173,000

 
Owned
Suzhou, China
 
O, NS
 
160,000

 
Owned
Carrigtwohill, Ireland
 
M, O
 
154,000

 
Owned
Lakeland, Florida
 
M
 
153,000

 
Leased
Selzach, Switzerland
 
O
 
137,000

 
Owned
Limerick, Ireland
 
O
 
130,000

 
Owned
Freiburg, Germany
 
O
 
123,000

 
Owned
Flower Mound, Texas
 
M
 
114,000

 
Leased
Carrigtwohill, Ireland
 
NS
 
110,000

 
Leased
Phoenix, Arizona
 
M
 
100,000

 
Leased
Cestas, France
 
NS
 
91,000

 
Owned
Neuchatel, Switzerland
 
NS
 
88,000

 
Owned
Limerick, Ireland
 
O
 
78,000

 
Leased
Ft. Lauderdale, Florida
 
O, NS
 
78,000

 
Leased
Malvern, Pennsylvania
 
O
 
65,000

 
Leased
Mountain View, California
 
M, NS
 
62,000

 
Leased
Fremont, California
 
M, NS
 
50,000

 
Leased
Guayama Puerto Rico
 
M
 
46,000

 
Leased
Cestas, France
 
NS
 
35,000

 
Leased
Freiburg, Germany
 
M, O
 
34,000

 
Leased
Stetten, Germany
 
O
 
33,000

 
Owned
Rennes, France
 
O
 
31,000

 
Leased
West Valley, Utah
 
O, NS
 
29,000

 
Leased
Tokyo, Japan
 
M
 
11,000

 
Leased
 
 
 
 
 
 
 
O = Orthopaedics M = MedSurg NS = Neurotechnology and Spine
Our corporate headquarters is located in Kalamazoo, Michigan, in a 75,000 square foot owned facility. In addition, we maintain administrative and sales offices and warehousing and distribution facilities in multiple countries. We believe that our properties are suitable and adequate for the manufacture and distribution of our products.


6
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

ITEM 3.
LEGAL PROCEEDINGS.
We are involved in various proceedings, legal actions and claims arising in the normal course of business, including proceedings related to product, labor and intellectual property, and other matters that are more fully described in Note 7 to the Consolidated Financial Statements in Item 8 of this report; this information is incorporated herein by reference.
ITEM 4.
MINE SAFETY DISCLOSURES.

Not applicable.

PART II
ITEM 5.
MARKET FOR THE REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES.

Our common stock is traded on the New York Stock Exchange under the symbol SYK. Quarterly stock price and dividend information for the years ended December 31, 2014 and 2013 were as follows:
2014 Quarter Ended
 
Mar 31
 
Jun 30
 
Sep 30
 
Dec 31
Dividends declared per share of common stock
 
$
0.305

 
$
0.305

 
$
0.305

 
$
0.345

Market price of common stock:
 
 
 
 
 
 
High
 
83.86

 
86.93

 
85.91

 
98.24

Low
 
74.02

 
75.78

 
78.91

 
77.87

2013 Quarter Ended
 
Mar 31
 
Jun 30
 
Sep 30
 
Dec 31
Dividends declared per share of common stock
 
$
0.265

 
$
0.265

 
$
0.265

 
$
0.305

Market price of common stock:
 
 
 
 
 
 
High
 
66.92

 
70.00

 
71.94

 
75.55

Low
 
55.24

 
63.35

 
63.71

 
66.93


Our Board of Directors considers payment of cash dividends at each of its quarterly meetings. On January 31, 2015, there were 3,285 shareholders of record of our common stock.
In December of 2012 and 2011, we announced that our Board of Directors had authorized us to purchase up to $405 and $500, respectively, of our common stock (the 2012 and 2011 Repurchase Programs, respectively). The manner, timing and amount of purchases is determined by management based on an evaluation of market conditions, stock price and other factors and is subject to regulatory considerations. Purchases are to be made from time to time in the open market, in privately negotiated transactions or otherwise.
Shares repurchased under the share repurchase programs are available for general corporate purposes, including offsetting dilution associated with stock option and other equity-based employee benefit plans.  During the year ended December 31, 2014 we repurchased 1.3 million shares at a cost of $100 under the 2011 Repurchase Program. As of December 31, 2014, the maximum dollar value of shares that may yet be purchased under the 2011 Repurchase Program was $178. We have not made any repurchases pursuant to the 2012 Repurchase Program in 2014.
 
The activity pursuant to the 2011 Repurchase Program for the three months ended December 31, 2014 is summarized as follows:
Period
Total
Number
of Shares
Purchased
Average Price
Paid
Per Share
Total 
Number of
Shares 
Purchased as
Part of Publicly
Announced Plan
Maximum Dollar Value of Shares that may yet be Purchased Under the Plan
10/1/2014-10/31/2014

$


$
178

11/1/2014-11/30/2014



178

12/1/2014-12/31/2014



178

Total

$


 
The following graph compares our total returns (including reinvestments of dividends) against the Standard & Poor’s (S&P) 500 Index and the S&P 500 Health Care Index. The graph assumes $100 (not in millions) invested on December 31, 2009 in our Common Stock and each of the indices.
Company / Index
2009
2010
2011
2012
2013
2014
Stryker Corporation
100.00
107.89
101.29
113.54
158.16
201.50
S&P 500 Index
100.00
115.06
117.49
136.30
180.44
205.14
S&P 500 Health Care Index
100.00
102.90
116.00
136.75
193.45
242.46


7
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

ITEM 6.
SELECTED FINANCIAL DATA.

Selected financial data for each of the five years ended December 31, 2014 is as follows: 
CONSOLIDATED OPERATIONS
 
2014
 
2013
 
2012
 
2011
 
2010
Net sales
 
$
9,675

 
$
9,021

 
$
8,657

 
$
8,307

 
$
7,320

Cost of sales
 
3,291

 
2,977

 
2,781

 
2,811

 
2,286

Gross profit
 
6,384

 
6,044

 
5,876

 
5,496

 
5,034

Research, development and engineering expenses
 
614

 
536

 
471

 
462

 
394

Selling, general and administrative expenses
 
3,575

 
3,492

 
3,367

 
3,226

 
2,831

Recall charges, net of insurance recoveries
 
761

 
622

 
174

 

 

Intangibles amortization
 
188

 
138

 
123

 
122

 
58

 
 
5,138

 
4,788

 
4,135

 
3,810

 
3,283

Operating income
 
1,246

 
1,256

 
1,741

 
1,686

 
1,751

Other income (expense)
 
(86
)
 
(44
)
 
(36
)
 

 
(22
)
Earnings before income taxes
 
1,160

 
1,212

 
1,705

 
1,686

 
1,729

Income taxes
 
645

 
206

 
407

 
341

 
456

Net earnings
 
$
515

 
$
1,006

 
$
1,298

 
$
1,345

 
$
1,273

 
 
 
 
 
 
 
 
 
 
 
PER SHARE DATA
 
 
 
 
 
 
 
 
 
 
Net earnings per share of common stock:
 
 
 
 
 
 
 
 
 
 
Basic
 
$
1.36

 
$
2.66

 
$
3.41

 
$
3.48

 
$
3.21

Diluted
 
$
1.34

 
$
2.63

 
$
3.39

 
$
3.45

 
$
3.19

Dividends per share of common stock:
 
 
 
 
 
 
 
 
 
 
Declared
 
$
1.26

 
$
1.10

 
$
0.90

 
$
0.75

 
$
0.63

Paid
 
$
1.22

 
$
1.06

 
$
0.85

 
$
0.72

 
$
0.60

Average number of shares outstanding—in millions:
 
 
 
 
 
 
 
 
 
 
Basic
 
378.5

 
378.6

 
380.6

 
386.5

 
396.4

Diluted
 
382.8

 
382.1

 
383.0

 
389.5

 
399.5

 
 
 
 
 
 
 
 
 
 
 
CONSOLIDATED FINANCIAL POSITION
 
 
 
 
 
 
 
 
 
 
Cash, cash equivalents and current marketable securities
 
$
5,000

 
$
3,980

 
$
4,285

 
$
3,418

 
$
4,380

Accounts receivable—net
 
1,572

 
1,518

 
1,430

 
1,417

 
1,252

Inventory—net
 
1,588

 
1,422

 
1,265

 
1,283

 
1,057

Property, plant and equipment—net
 
1,098

 
1,081

 
948

 
888

 
798

Capital expenditures
 
233

 
195

 
210

 
226

 
182

Depreciation and amortization
 
586

 
511

 
486

 
481

 
410

Total assets
 
17,713

 
15,743

 
13,206

 
12,146

 
10,895

Accounts payable
 
329

 
314

 
288

 
345

 
292

Total debt
 
3,973

 
2,764

 
1,762

 
1,768

 
1,021

Shareholders’ equity
 
8,595

 
9,047

 
8,597

 
7,683

 
7,174

Net cash provided by operating activities
 
1,782

 
1,886

 
1,657

 
1,434

 
1,547

 
 
 
 
 
 
 
 
 
 
 
OTHER DATA
 
 
 
 
 
 
 
 
 
 
Number of shareholders of record
 
3,305

 
3,612

 
4,258

 
4,508

 
4,586

Approximate number of employees
 
26,000

 
25,000

 
22,000

 
21,000

 
20,000






8
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

ITEM 7.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
ABOUT STRYKER
Stryker is one of the world's leading medical technology companies, with 2014 revenues of $9,675 and net earnings of $515. We offer a diverse array of innovative medical technologies, including reconstructive, medical and surgical, and neurotechnology and spine products to help people lead more active and more satisfying lives.
In the United States, most of our products are marketed directly to doctors, hospitals and other healthcare facilities. In general, we maintain separate dedicated sales forces for each of our principal product lines to provide focus and a high level of expertise to each medical specialty served. Internationally our products are sold in over 100 countries through company-owned sales subsidiaries and branches as well as third-party dealers and distributors. Our business is generally not seasonal in nature; however, the number of Orthopaedics implant surgeries is generally lower during the summer months and sales of capital equipment are generally higher in the fourth quarter.
At the heart of what we do and believe is making healthcare better. We do this by collaborating with our customers to develop innovative products and services that ultimately improve the lives of our patients. We express this through our mission statement:
"Together with our customers,
we are driven to make healthcare better."
We believe our success in the highly competitive product categories in which we operate depends to a large degree on our ability to develop new products and make improvements to existing products. We are committed to internal innovation to develop products and services that improve outcomes and deliver greater cost savings and efficiencies and to augment our efforts with focused acquisitions. Our success further depends on the ability of our people to execute effectively, every day.
Our goal is to drive sales growth at the high-end of the MedTech industry and maintain our capital allocation strategy that prioritizes:
1.
Acquisitions
2.
Dividends
3.
Share repurchases
 
Overview of 2014
In 2014 we achieved sales growth of 7.3% in line with our ongoing goal to grow organic sales at the high-end of the MedTech industry. Excluding the impact of acquisitions, sales grew 5.8% in constant currency. We converted our sales growth into a 5.3% growth in adjusted net earnings per diluted share (See page 12 for a reconciliation of reported net earnings per diluted share to adjusted net earnings per diluted share). We continued our capital allocation strategy by investing $916 in acquisitions, paying $462 in dividends to our shareholders and using $100 for share repurchases.
In November 2014 we entered into a Settlement Agreement to compensate eligible United States patients who had "revision surgery" to replace their Rejuvenate Modular-Neck hip stem and/or ABG II Modular-Neck hip stem.
In September 2014 we acquired the assets of Small Bone Innovations, Inc. (SBi) for an aggregate purchase price of approximately $358. SBi products are designed and promoted for upper and lower extremity small bone indications, with a focus on small joint replacement.
In July 2014 we established a European regional headquarters in the Netherlands. We believe that this increased presence will strengthen our brand in Europe, support the growth of our global business, provide operational efficiencies and simplify our customers’ experience.
In April 2014 we acquired Berchtold Holding, AG (Berchtold), a privately-held business with operations in Germany and the United States, for an aggregate purchase price of approximately $184. Berchtold sells surgical tables, equipment booms and surgical lighting systems.
In March 2014 we acquired Patient Safety Technologies, Inc. (PST), for an aggregate purchase price of $120. PST conducts its business through its wholly owned subsidiary, SurgiCount Medical, Inc. PST’s proprietary Safety-Sponge® System and SurgiCount 360™ compliance software help prevent retained foreign objects in the operating room. Other business acquisitions in 2014 include the acquisition of Pivot Medical, Inc, which develops and sells innovative products for hip arthroscopy.



RESULTS OF OPERATIONS
Consolidated results of operations:
Years Ended December 31,
 
Percentage Change
 
2014
2013
2012
 
2014/2013
2013/2012
Net Sales
$9,675
$9,021
$8,657
 
7.3

4.2

Gross Profit
6,384
6,044
5,876
 
5.6

2.9

Research, development and engineering expenses
614
536
471
 
14.6

13.8

Selling, general and administrative expenses
4,336
4,114
3,541
 
5.4

16.2

Intangibles amortization
188
138
123
 
36.2

12.2

Other income (expense)
(86)
(44)
(36
)
 
95.5

22.2

Income taxes
645
206
407
 
213.1

(49.4
)
Net Earnings
$515
$1,006
$1,298
 
(48.8
)
(22.5
)
Diluted Net Earnings per share
$1.34
$2.63
$3.39
 
(49.0
)
(22.4
)
Adjusted Net Earnings per share (1)
$4.73
$4.49
$4.30
 
5.3

4.4


9
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Geographic and segment net sales:
 
 
 
Percentage Change
 
 
 
 
2014/2013
 
2013/2012
 
 
Years Ended December 31,
 
 
 
Constant
Currency
 
 
 
Constant
Currency
 
 
2014
 
2013
 
2012
 
Reported
 
 
Reported
 
Geographic sales:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
United States
 
$
6,558

 
$
5,984

 
$
5,658

 
9.6
 
9.6
 
5.8
 
5.8
International
 
3,117

 
3,037

 
2,999

 
2.6
 
5.7
 
1.3
 
6.0
Total net sales
 
$
9,675

 
$
9,021

 
$
8,657

 
7.3
 
8.3
 
4.2
 
5.9
Segment sales:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Orthopaedics
 
$
4,153

 
$
3,949

 
$
3,823

 
5.2
 
6.3
 
3.3
 
5.4
MedSurg
 
3,781

 
3,414

 
3,265

 
10.8
 
11.7
 
4.6
 
5.5
Neurotechnology and Spine
 
1,741

 
1,658

 
1,569

 
5.0
 
6.2
 
5.6
 
7.7
Total net sales
 
$
9,675

 
$
9,021

 
$
8,657

 
7.3
 
8.3
 
4.2
 
5.9

Net sales increased 7.3% in 2014. In 2014 net sales grew by 7.8% as a result of increased unit volume and changes in product mix and 2.5% due to acquisitions and were negatively impacted by 2.0% due to changes in price and 1.0% due to the unfavorable impact of foreign currency exchange rates. Excluding the impact of acquisitions, net sales increased 5.8% in constant currency. Net sales increased primarily due to higher shipments of instruments products, trauma and extremities products, endoscopy products, neurotechnology products, medical products, and the impact of acquisitions.
Net sales increased 4.2% in 2013. In 2013 net sales grew by 6.5% as a result of unit volume and changes in product mix and 0.8%
 
due to acquisitions and were negatively impacted by 1.4% due to changes in price and 1.6% due to the unfavorable impact of foreign currency exchange rates. Excluding the impact of acquisitions, 2013 net sales increased 5.1% in constant currency. Net sales increased primarily due to higher shipments of trauma and extremities products, neurotechnology products, hips and endoscopy products.
In the United States net sales increased 9.6% in 2014 after increasing 5.8% in 2013. In constant currency, International sales increased 5.7% in 2014 after increasing 6.0% in 2013.


Supplemental geographical sales growth information
 
 
 
Percentage Change
 
 
 
Percentage Change
 
Years Ended December 31,
 
 
U.S.
International
 
Years Ended December 31,
 
 
U.S.
International
 
2014
2013
As Reported
Constant Currency
As Reported
As Reported
Constant Currency
 
2013
2012
As Reported
Constant Currency
As Reported
As Reported
Constant Currency
Orthopaedics
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Knees
1,396

1,371

1.8
 %
2.7
 %
4.3
 %
(3.5
)%
(0.7
)%
 
1,371

1,356

1.1
 %
2.6
 %
3.4
 %
(3.3
)%
1.1
 %
Hips
1,291

1,272

1.5
 %
2.7
 %
6.1
 %
(4.2
)%
(1.4
)%
 
1,272

1,233

3.2
 %
6.0
 %
7.2
 %
(1.4
)%
4.5
 %
Trauma and Extremities
1,230

1,116

10.2
 %
11.4
 %
14.8
 %
5.1
 %
7.7
 %
 
1,116

989

12.8
 %
15.1
 %
18.4
 %
7.2
 %
11.8
 %
 Other
236

190

24.0
 %
25.2
 %
37.4
 %
(7.6
)%
(3.7
)%
 
190

245

(22.5
)%
(20.9
)%
(19.7
)%
(28.3
)%
(23.4
)%
ORTHOPAEDICS
4,153

3,949

5.2
 %
6.3
 %
9.4
 %
(1.1
)%
1.7
 %
 
3,949

3,823

3.3
 %
5.4
 %
6.2
 %
(0.6
)%
4.4
 %
MedSurg
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Instruments
1,424

1,269

12.2
 %
13.1
 %
14.8
 %
5.7
 %
8.8
 %
 
1,269

1,261

0.6
 %
1.9
 %
0.7
 %
0.6
 %
5.1
 %
Endoscopy
1,382

1,222

13.1
 %
14.2
 %
13.3
 %
12.6
 %
16.2
 %
 
1,222

1,111

10.0
 %
11.0
 %
11.4
 %
6.5
 %
9.9
 %
Medical
766

710

7.9
 %
8.8
 %
9.3
 %
2.2
 %
6.7
 %
 
710

691

2.8
 %
3.1
 %
3.4
 %
0.3
 %
2.0
 %
   Sustainability
209

213

(1.9
)%
(1.9
)%
(1.8
)%
nm

nm

 
213

202

5.6
 %
5.6
 %
5.8
 %
nm

nm

MEDSURG
3,781

3,414

10.8
 %
11.7
 %
11.7
 %
7.9
 %
11.5
 %
 
3,414

3,265

4.6
 %
5.5
 %
5.2
 %
2.9
 %
6.4
 %
Neurotechnology and Spine
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Neurotechnology
1,001

915

9.4
 %
10.9
 %
11.2
 %
6.7
 %
10.4
 %
 
915

842

8.7
 %
11.4
 %
11.2
 %
5.1
 %
11.8
 %
Spine
740

743

(0.4
)%
0.3
 %
(1.6
)%
2.5
 %
5.2
 %
 
743

727

2.1
 %
3.4
 %
1.8
 %
2.9
 %
7.2
 %
NEUROTECHNOLOGY AND SPINE
1,741

1,658

5.0
 %
6.2
 %
5.0
 %
5.1
 %
8.5
 %
 
1,658

1,569

5.6
 %
7.7
 %
6.4
 %
4.3
 %
10.0
 %
nm = not meaningful
Orthopaedics Net Sales
Orthopaedics net sales in 2014 increased 5.2%, primarily due to a 6.2% increase in unit volume and changes in product mix and 3.0% due to acquisitions. Net sales were negatively impacted by 2.9% due to changes in price and 1.1% due to the unfavorable impact of foreign currency exchange rates. In constant currency, net sales increased by 6.3% in 2014, primarily due to increases in trauma and extremities products and the impact of acquisitions. Net sales in 2013 increased 3.3%, primarily due to a 7.9% increase in unit
 
volume and changes in product mix and 1.4% due to acquisitions. Net sales were negatively impacted by 2.4% due to changes in price and 2.1% due to the unfavorable impact of foreign currency exchange rates. Excluding the impact of acquisitions, net sales increased by 5.4% in constant currency in 2013, primarily due to increases in trauma and extremities products and hips.


10
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

MedSurg Net Sales
MedSurg net sales in 2014 increased 10.8%, primarily due to a 9.5% increase in unit volume and changes in product mix and 3.0% due to acquisitions, and were negatively impacted by 0.8% due to changes in price and 0.9% due to the unfavorable impact of foreign currency exchange rates. In constant currency, net sales in 2014 increased 11.7%, led by higher shipments of instruments products and medical products and the impact of acquisitions; these higher shipments were partially offset by lower shipments of sustainability products. Net sales in 2013 increased 4.6%, primarily due to a 3.8% increase in unit volume and changes in product mix and were negatively impacted by 0.9% due to the unfavorable impact of foreign currency exchange rates. The effect of pricing was not significant. In constant currency, net sales in 2013 increased 5.5%, led by higher shipments of endoscopy products.
Neurotechnology and Spine Net Sales
Neurotechnology and Spine net sales in 2014 increased 5.0%, primarily due to an 8.1% increase in unit volume and changes in product mix and 0.5% due to acquisitions, and were negatively impacted by 2.4% due to changes in price and 1.2% due to the unfavorable impact of foreign currency exchange rates. In constant currency net sales in 2014 increased 6.2% led by higher shipments of neurotechnology products. Net sales in 2013 increased 5.6%, primarily due to an 8.8% increase in unit volume and changes in product mix and 0.9% due to acquisitions, and were negatively impacted by 2.0% due to changes in price and 2.1% due to the unfavorable impact of foreign currency exchange rates. Excluding the impact of acquisitions, net sales in 2013 increased 6.8% in constant currency, due to higher shipments of neurotechnology products.
Consolidated Cost of Sales
Cost of sales increased 10.5% in 2014 to 34.0% of sales compared to 33.0% in 2013. Cost of sales as a percentage of sales was adversely impacted by changes in selling prices for our products, unfavorable product mix and by the unfavorable effect of foreign currency exchange rates. Our product mix was unfavorable due to the impact of recent acquisitions and strong MedSurg sales. Cost of sales in 2014 and 2013 includes an additional cost of $27 and $28, respectively, related to inventory that was "stepped up" to fair value following acquisitions; $1 and $11, respectively in restructuring related charges; and $7 in 2013 for disgorgement of profits associated with a legal settlement. Cost of sales increased 7.0% in 2013 to 33.0% of sales compared to 32.1% in 2012. Cost of sales in 2012 includes an additional cost of $18 related to inventory that was "stepped up" to fair value following acquisitions and $5 in restructuring related costs.
Research, Development and Engineering Expenses
Research, development and engineering expenses represented 6.3% of sales in 2014 compared to 5.9% in 2013 and 5.4% in 2012. The increased spending levels in 2014 and 2013 were driven by the impact of acquisitions and by the timing of projects and our continued investment in new technologies.
Selling, General and Administrative Expenses
Selling, general and administrative expenses increased 5.4% in 2014 and represented 44.9% of sales compared to 45.6% in 2013 and 40.9% in 2012, driven by strong sales growth and cost improvement efforts. These expenses included $75 and $70 in 2014 and 2013, respectively, of acquisition and integration related charges; $116 and $52, respectively, of restructuring related charges, $761 and $622, respectively, related to the Rejuvenate, ABG II and Neptune recalls; $62 in 2013 related to regulatory and legal matters; $25 in 2013 representing a donation to an educational
 
institution. Excluding the impact of these charges, selling, general and administrative expenses were 35.0% of sales in 2014 compared to 36.4% in 2013.
Other Income (Expense)
Other expense increased by $42 in 2014 after increasing by $8 in 2013. Net expense in 2014 increased primarily due to higher interest expense from the $1,000 senior unsecured notes issued in May 2014, partially offset by lower interest expense due to favorable tax audit resolutions. Net expense in 2013 increased due to lower income from interest and marketable securities, offset by hedge gains and lower interest expense. The decrease in interest expense was due to favorable tax audit resolutions in multiple jurisdictions, partially offset by higher interest expense on borrowings.
Income Taxes
Our effective income tax rate on earnings was 55.6%, 17.0% and 23.9% in 2014, 2013 and 2012, respectively. The effective income tax rate for 2014 includes the tax impacts of the establishment of a European regional headquarters and a cash repatriation to the United States planned for 2015. The effective income tax rate for 2013 includes income tax benefits relating to favorable audit resolutions in multiple jurisdictions. The effective income tax rate for 2012 includes the net impact of effective settlement of all tax matters through 2004 relating to two German subsidiaries, and adjustment of the estimate of foreign tax credits to the amount shown on the tax return as filed.  
The American Taxpayer Relief Act of 2012 (the Act) was signed on January 2, 2013. The Act provided numerous tax provisions for corporations including an extension of the research tax credit and an extension of certain provisions for companies with significant international operations. The provisions originally expired at December 31, 2011 but were retroactively extended through December 31, 2013. In 2013 we recorded tax benefits of $13 related to the 2012 research tax credit and other provision of the Act.
Net Earnings
Net earnings in 2014 decreased 48.8% to $515 compared to 2013. Basic net earnings per share in 2014 decreased 48.9% to $1.36, and diluted net earnings per share in 2014 decreased 49.0% to $1.34 compared to 2013, respectively. Foreign currency had a negative impact on our diluted net earnings per share in 2014 of approximately $0.14. Net earnings in 2013 decreased 22.5% to $1,006 compared to 2012. Basic net earnings per share in 2013 decreased 22.0% to $2.66, and diluted net earnings per share in 2013 decreased 22.4% to $2.63 compared to 2012, respectively.
Reported net earnings in 2014 includes charges for the Rejuvenate, ABG II and Neptune recalls, acquisition and integration related charges, and additional cost of sales for inventory sold that was "stepped up" to fair value related to acquisitions, restructuring related charges and benefits associated with the resolution of certain tax matters. Excluding the impact of these items, adjusted net earnings(1) in 2014 increased 5.6% to $1,810 after increasing 4.0% in 2013. Adjusted diluted net earnings per share(1) in 2014 increased 5.3% to $4.73 after increasing 4.4% in 2013.
(1)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 in constant currency; percentage organic sales growth; adjusted gross profit; cost of sales excluding specified items; adjusted selling, general and administrative expenses; adjusted amortization of intangible assets; adjusted operating income; adjusted effective income tax rate; adjusted net earnings; and adjusted diluted net earnings per share (EPS). We believe that


11
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

these non-GAAP 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 year results at prior year average foreign currency exchange rates. To measure percentage organic sales growth, we remove the impact of changes in foreign currency exchange rates and acquisitions that 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. These adjustments are irregular in timing, may not be indicative of our past and future performance and are therefore excluded to allow investors to better understand underlying operating trends.
The following are examples of the types of adjustments that may be included in a period:
1.
Acquisition and integration related costs. Costs related to integrating recently acquired businesses and specific costs related to the consummation of the acquisition process.
2.
Amortization of intangible assets. Periodic amortization expense related to purchased intangible assets.
 
3.
Restructuring related charges. Costs associated with focused workforce reductions, other restructuring activities and long-lived asset impairments.
4.
Rejuvenate and recall matters. Our best estimate of the minimum of the range of probable loss to resolve certain product recalls.
5.
Regulatory and legal matters. Our best estimate of the minimum of the range of probable loss to resolve certain regulatory matters and other legal settlements.
6.
Tax matters. Certain significant and discrete tax items and adjustments to interest expense related to the settlement of certain tax matters.
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, cost of sales, selling, general and administrative expenses, amortization of intangible assets, operating income, effective income tax rate, net earnings and diluted net earnings per 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 at the end of the discussion of Results of Operations 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: adjusted gross profit; adjusted selling, general and administrative expense; adjusted operating income; adjusted other income/(expense); adjusted net earnings; adjusted effective tax rate; and adjusted diluted net earnings per share; with the most directly comparable GAAP financial measures:

Year Ended December 31, 2014
Gross Profit
Selling, General & Administrative Expenses
Intangible Amortization
Operating Income
Net Earnings
Effective Tax Rate
Diluted EPS
AS REPORTED
$
6,384

$
4,336

$
188

$
1,246

$
515

55.6
 %
$
1.34

Acquisition and integration related charges
 
 
 
 
 
 
 
    Inventory stepped up to fair value
27



27

15

0.5

0.04

    Other acquisition and integration related

(75
)

75

50

0.7

0.13

Amortization of intangible assets


(188
)
188

133

1.1

0.35

Restructuring related charges
1

(116
)

117

78

1.1

0.20

Rejuvenate and other recall matters

(761
)

761

628

(3.1
)
1.65

Tax matters




391

(33.6
)
1.02

ADJUSTED
$
6,412

$
3,384

$

$
2,414

$
1,810

22.3
 %
$
4.73

Year Ended December 31, 2013
Gross Profit
Selling, General & Administrative Expenses
Intangible Amortization
Operating Income
Net Earnings
Effective Tax Rate
Diluted EPS
AS REPORTED
$
6,044

$
4,114

$
138

$
1,256

$
1,006

17.0
 %
$
2.63

 Acquisition and integration related charges
 
 
 
 
 
 
 
    Inventory stepped up to fair value
28



28

21

0.1

0.06

    Other acquisition and integration related

(70
)

70

51

0.3

0.13

Amortization of intangible assets


(138
)
138

98

0.4

0.26

Restructuring related charges
11

(52
)

63

46

0.3

0.12

Rejuvenate and other recall matters

(622
)

622

460

2.0

1.20

Regulatory and legal matters
7

(62
)

69

63

(0.6
)
0.17

Donations

(25
)

25

15

0.3

0.04

Tax matters




(46
)
2.9

(0.12
)
ADJUSTED
$
6,090

$
3,283

$

$
2,271

$
1,714

22.7
 %
$
4.49


12
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Year Ended December 31, 2012
Gross Profit
Selling General and Administrative Expenses
Intangible Amortization
Operating Income
Net Earnings
Effective Tax Rate
Diluted EPS
AS REPORTED
$
5,876

$
3,466

$
123

$
1,741

$
1,298

23.9
 %
$
3.39

Acquisition and integration related charges
 
 
 
 
 
 
 
    Inventory stepped up to fair value
18



18

13


0.03

    Other acquisition and integration related

(37
)

37

24

0.3

0.06

Amortization of intangible assets


(123
)
123

88

0.3

0.23

Restructuring related charges
5

(75
)

80

59

0.1

0.15

Rejuvenate and other recall matters

(174
)

174

133


0.35

Regulatory and legal matters

(33
)

33

33

(0.5
)
0.09

ADJUSTED
$
5,899

$
3,147

$

$
2,206

$
1,648

24.1
 %
$
4.30

The weighted-average basic and diluted shares outstanding used in the calculation of these non-GAAP financial measures are the same as the weighted-average shares outstanding used in the calculation of the reported per share amounts.

FINANCIAL CONDITION AND LIQUIDITY
We believe our financial condition continues to be of high quality, as evidenced by our ability to generate substantial cash from operations and ready access to capital markets at competitive rates.
Operating cash flow provides the primary source of cash to fund operating needs and capital expenditures. Excess operating cash is used first to fund acquisitions to complement our portfolio of businesses. Other discretionary uses include dividends and share repurchases. As necessary, we may supplement operating cash flow with debt to fund these activities. Our overall cash position shows our strong business results and a global cash management strategy that takes into account liquidity management, economic factors and tax considerations.
Operating Activities
Operating cash flow was $1,782 in 2014, a decrease of 5.5% and resulted primarily from net earnings adjusted for non-cash items (recall charges, depreciation and amortization, share-based compensation, sale of inventory "stepped up" to fair value at acquisition and deferred income taxes). In addition, the increase in taxes payable was primarily due to the timing of tax payments associated with tax liabilities arising from the establishment of a European regional headquarters. These increases were partially offset by higher levels of inventory and accounts receivable. The net of accounts receivable, inventory and accounts payable resulted in the consumption of $249 of cash in 2014. Inventory days on hand increased by eight days compared to 2013 as inventory grew to support higher sales and acquisitions, while accounts receivable days sales outstanding decreased by one day compared to 2013.
Operating cash flow was $1,886 in 2013, an increase of 13.8%, and resulted primarily from net earnings adjusted for non-cash items (depreciation and amortization, share-based compensation, sale of inventory "stepped up" to fair value at acquisition and deferred income taxes), along with a decrease of $278 in cash paid for income taxes, associated with the timing of cash payments as well as favorable tax audit resolutions in multiple jurisdictions. The net of accounts receivable, inventory and accounts payable consumed $165 of cash in 2013. Inventory days on hand improved by 1 day due to continued focus on improved inventory management; accounts receivable days sales outstanding remained consistent with 2012.
Investing Activities
Net investing activities resulted in cash consumption of $1,878, $2,217 and $736 in 2014, 2013 and 2012, respectively, primarily due to acquisitions and capital spending.
Acquisitions. Acquisitions resulted in cash consumption of $916 in 2014 and $2,320 in 2013. In 2014 the cash consumed was primarily for SBi, Berchtold, PST and Pivot. In 2013 cash consumed was primarily for Trauson and MAKO. Cash consumed in 2012 of
 
$154 was primarily associated with the acquisition of Surpass Medical Ltd.
Capital Spending. We manage capital spending to support our business growth. Capital expenditures, primarily to support integration of acquisitions, information technology infrastructure upgrades, capacity expansion, new product introductions, innovation and cost savings, were $233, $195 and $210 in 2014, 2013 and 2012, respectively.
Financing Activities
Dividend Payments. Dividends paid per common share increased 15.1% to $1.22 per share in 2014, and increased 24.7% to $1.06 per share in 2013. As a result of the annual increase in dividends paid per share, total dividend payments to common shareholders were $462, $401 and $324 in 2014, 2013 and 2012, respectively.
Short-Term and Long-Term Debt. We maintain debt levels we consider appropriate after evaluating a number of factors, including cash flow expectations, cash requirements for ongoing operations, investment and financing plans (including acquisitions and share repurchase activities) and overall cost of capital.
Net proceeds from borrowings were $1,159 and $1,005 in 2014 and 2013, respectively. In 2014 the proceeds were primarily from the public offerings of notes and commercial paper, and proceeds in 2013 were primarily from public offerings of notes. Refer to Note 8 in the Notes to the Consolidated Financial Statements for further information.
Total debt was $3,973 and $2,764 in 2014 and 2013, respectively.
Share Repurchases. The total use of cash for share repurchases was $100, $317 and $108 in 2014, 2013 and 2012, respectively.
Liquidity
Our cash, cash equivalents and marketable securities were $5,000 and $3,980 at December 31, 2014 and 2013, respectively, and our current assets exceeded current liabilities by $5,209 and $5,678 at December 31, 2014 and 2013, respectively. We anticipate being able to support our short-term liquidity and operating needs, including settlements related to the Rejuvenate and ABG II recalls, from a variety of sources, including cash from operations, commercial paper and existing credit lines. In the past we have also raised funds in the capital markets and may continue to do so from time to time in the future. We have strong short-term and long-term debt ratings that we believe should enable us to refinance our debt as it becomes due.
Should additional funds be required we had approximately $1,289 of borrowing capacity available under all of our existing credit facilities at December 31, 2014.
At December 31, 2014, approximately 68% of our consolidated cash, cash equivalents and marketable securities were held outside of the United States. During the third quarter of 2014 we announced


13
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

that we plan to repatriate approximately $2,000 in total of cash from outside of the United States in 2015. The remainder of the funds outside of the United States are considered indefinitely reinvested to be used to expand operations either organically or through acquisitions outside the United States.
We continually evaluate our receivables, particularly in Spain, Portugal, Italy and Greece (the Southern European Region). The total net receivables from the Southern European Region were approximately $154 and $199 at December 31, 2014 and 2013, respectively, including approximately $78 and $103 of sovereign receivables in 2014 and 2013, respectively. We believe that our current reserves related to receivables are adequate and any additional credit risk associated with the Southern European Region is not expected to have a material adverse impact on our financial position or liquidity. We currently do not have any investments in the sovereign debt instruments of the Southern European Region.  Any non-sovereign exposure in these countries in our investment portfolio is considered immaterial. 
Guarantees and Other Off-Balance Sheet Arrangements
We do not have guarantees or other off-balance sheet financing arrangements, including variable interest entities, of a magnitude that we believe could have a material impact on our financial condition or liquidity.
CONTRACTUAL OBLIGATIONS AND FORWARD-LOOKING CASH REQUIREMENTS
As further described in Note 7 to the Consolidated Financial Statements, as of December 31, 2014 we have recorded charges to earnings totaling $748 representing the minimum of the range of probable loss to resolve the Rejuvenate and ABG II recalls. Based on the information that has been received, the actuarially determined range of probable loss to resolve this matter is estimated to be approximately $1,534 ($1,713 before $179 of third-party insurance recoveries) to $2,453.  The final outcome of this matter is dependent on many variables that are difficult to predict.  The ultimate cost to entirely resolve this matter may be materially different than the amount of the current estimate and could have a material adverse effect on our financial position, results of operations and cash flows. We are not able to reasonably estimate the future periods in which payments will be made.
As further described in Note 11 to the Consolidated Financial Statements, as of December 31, 2014 our defined benefit pension plans were underfunded by $260, of which approximately $250 related to plans outside the United States. Due to the rules affecting tax-deductible contributions in the jurisdictions in which the plans are offered and the impact of future plan asset performance, changes in interest rates and potential changes in legislation in the United States and other foreign jurisdictions, we are not able to reasonably estimate, beyond 2014, the amounts that may be required to fund defined benefit pension plans.
As further described in Note 10 to the Consolidated Financial Statements, as of December 31, 2014 we have recorded a liability for uncertain income tax positions of $315. Due to uncertainties regarding the ultimate resolution of income tax audits, we are not able to reasonably estimate the future periods in which any income tax payments to settle these uncertain income tax positions will be made.
Our future contractual obligations for agreements with initial terms greater than one year, including agreements to purchase materials in the normal course of business, are:
 
 
Payment Period
 
Total
 
Less than 1 year
 
1-3 years
 
3-5 years
 
After 5 years
 
Short-term and long-term debt
$
3,979

 
$
727

 
$
750

 
$
600

 
$
1,902

 
Unconditional purchase obligations
1,056

 
697

 
238

 
120

 
1

 
Operating leases
216

 
60

 
78

 
44

 
34

 
Contributions to defined benefit plans
19

 
19

 

 

 

 
Other
94

 
13

 
17

 
9

 
55

 
 
$
5,364

 
$
1,516

 
$
1,083

 
$
773

 
$
1,992

 
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
In preparing our financial statements in accordance with accounting principles generally accepted in the United States, there are certain accounting policies that may require a choice between acceptable accounting methods or may require substantial judgment or estimation in their application. These include inventory reserves, income taxes, acquisitions, goodwill and intangible assets, and legal and other contingencies. We believe these accounting policies and the others set forth in Note 1 to the Consolidated Financial Statements should be reviewed as they are integral to understanding our results of operations and financial condition.
Inventory Reserves
We maintain reserves for excess and obsolete inventory resulting from the potential inability to sell certain products at prices in excess of current carrying costs. We make estimates regarding the future recoverability of the costs of these products and record provisions based on historical experience, expiration of sterilization dates and expected future trends. If actual product life cycles, product demand or acceptance of new product introductions are less favorable than projected by management, additional inventory write downs may be required, which could unfavorably affect future operating results.
Income Taxes
Our annual tax rate is determined based on our income, statutory tax rates and the tax impacts of items treated differently for tax purposes than for financial reporting purposes. Tax law requires certain items be included in the tax return at different times than the items are reflected in the financial statements. Some of these differences are permanent, such as expenses that are not deductible in our tax return, and some differences are temporary and reverse over time, such as depreciation expense. These temporary differences create deferred tax assets and liabilities.
Deferred tax assets generally represent the tax effect of items that can be used as a tax deduction or credit in future years for which we have already recorded the tax benefit in our income statement. Deferred tax liabilities generally represent tax expense recognized in our financial statements for which payment has been deferred, the tax effect of expenditures for which a deduction has already been taken in our tax return but has not yet been recognized in our financial statements or assets recorded at fair value in business combinations for which there was no corresponding tax basis adjustment.
Inherent in determining our annual tax rate are judgments regarding business plans, tax planning opportunities and expectations about future outcomes. Realization of certain deferred tax assets is dependent upon generating sufficient taxable income in the appropriate jurisdiction prior to the expiration of the carryforward periods. Although realization is not assured, management believes it is more likely than not that our deferred tax assets, net of valuation allowances, will be realized.


14
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

We operate in multiple jurisdictions with complex tax policy and regulatory environments. In certain of these jurisdictions, we may take tax positions that management believes are supportable but are potentially subject to successful challenge by the applicable taxing authority. These differences of interpretation with the respective governmental taxing authorities can be impacted by the local economic and fiscal environment. We evaluate our tax positions and establish liabilities in accordance with the applicable accounting guidance on uncertainty in income taxes. We review these tax uncertainties in light of changing facts and circumstances, such as the progress of tax audits, and adjust them accordingly. We have a number of audits in process in various jurisdictions. Although the resolution of these tax positions is uncertain, based on currently available information, we believe that it is more likely than not that the ultimate outcomes will not have a material adverse effect on our financial position, results of operations or cash flows.
Because there are a number of estimates and assumptions inherent in calculating the various components of our tax provision, certain changes or future events, such as changes in tax legislation, geographic mix of earnings, completion of tax audits or earnings repatriation plans, could have an impact on those estimates and our effective tax rate.
Acquisitions, Goodwill and Intangibles, and Long-Lived Assets
We account for acquired businesses using the purchase method of accounting. Under the purchase method, our financial statements include the operations of an acquired business starting from the completion of the acquisition. In addition, the assets acquired and liabilities assumed are recorded at the date of acquisition at their respective estimated fair values, with any excess of the purchase price over the estimated fair values of the net assets acquired recorded as goodwill.
Significant judgment is required in estimating the fair value of intangible assets and in assigning their respective useful lives. Accordingly, we typically obtain the assistance of third-party valuation specialists for significant items. The fair value estimates are based on available historical information and on future expectations and assumptions deemed reasonable by management but are inherently uncertain. We typically use an income method to estimate the fair value of intangible assets, which is based on forecasts of the expected future cash flows attributable to the respective assets. Significant estimates and assumptions inherent in the valuations reflect a consideration of other marketplace participants and include the amount and timing of future cash flows (including expected growth rates and profitability), the underlying product or technology life cycles, the economic barriers to entry and the discount rate applied to the cash flows. Unanticipated market or macroeconomic events and circumstances may occur that could affect the accuracy or validity of the estimates and assumptions.
Determining the useful life of an intangible asset also requires judgment. With the exception of certain trade names, the majority of our acquired intangible assets (e.g., certain trademarks or brands, customer and distributor relationships, patents and technologies) are expected to have determinable useful lives. Our assessment as to the useful lives of these intangible assets is based on a number of factors including competitive environment, market share, trademark and/or brand history, underlying product life cycles, operating plans and the macroeconomic environment of the countries in which the trademarks or brands are sold. Our estimates of the useful lives of determinable-lived intangibles are primarily based on these same factors. Determinable-lived intangible assets are amortized to expense over their estimated useful life.
 
In certain of our acquisitions, we acquire in-process research and development (IPRD) intangible assets. IPRD is considered to be an indefinite-lived intangible asset until such time as the research is completed (at which time it becomes a determinable-lived intangible asset) or determined to have no future use (at which time it is impaired).
The value of indefinite-lived intangible assets and goodwill is not amortized but is tested at least annually for impairment. Our impairment testing for goodwill is performed separately from our impairment testing of indefinite-lived intangibles. We perform our annual impairment test for goodwill in the fourth quarter of each year. We have adopted the provisions of Accounting Standards Update (ASU) No. 2011-08, Intangibles - Goodwill and Other: Testing Goodwill for Impairment, which permits us to consider qualitative indicators of the fair value of a reporting unit when it is unlikely that a reporting unit has impaired goodwill. In certain circumstances, we may also utilize a discounted cash flow analysis that requires certain assumptions and estimates be made regarding market conditions and our future profitability. In those circumstances we test goodwill for impairment by reviewing the book value compared to the fair value at the reporting unit level. We test individual indefinite-lived intangibles by reviewing the individual book values compared to the fair value. We determine the fair value of our reporting units and indefinite-lived intangible assets based on the income approach. Under the income approach, we calculate the fair value of our reporting units and indefinite-lived intangible assets based on the present value of estimated future cash flows. Considerable management judgment is necessary to evaluate the impact of operating and macroeconomic changes and to estimate future cash flows to measure fair value. Assumptions used in our impairment evaluations, such as forecasted growth rates and cost of capital, are consistent with internal projections and operating plans. We believe such assumptions and estimates are also comparable to those that would be used by other marketplace participants.
We did not recognize any impairment charges for goodwill during the years presented, as our annual impairment testing indicated that all reporting unit goodwill fair values exceeded their respective recorded values. Future changes in the judgments, assumptions and estimates that are used in our impairment testing for goodwill and indefinite-lived intangible assets, including discount and tax rates and future cash flow projections, could result in significantly different estimates of the fair values. A significant reduction in the estimated fair values could result in impairment charges that could materially affect our financial statements.
We review our other long-lived assets for indicators of impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The evaluation is performed at the lowest level of identifiable cash flows, which is at the individual asset level or the asset group level. The undiscounted cash flows expected to be generated by the related assets are estimated over their useful life based on updated projections. If the evaluation indicates that the carrying amount of the assets may not be recoverable, any potential impairment is measured based upon the fair value of the related assets or asset group as determined by an appropriate market appraisal or other valuation technique. Assets classified as held for sale, if any, are recorded at the lower of carrying amount or fair value less costs to sell.
Legal and Other Contingencies
We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of business, including proceedings related to product, labor and intellectual property, and other matters that are more fully described in Note 7 to the


15
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Consolidated Financial Statements. The outcomes of these matters will generally not be known for prolonged periods of time. In certain of the legal proceedings, the claimants seek damages, as well as other compensatory and equitable relief, that could result in the payment of significant claims and settlements and/or the imposition of injunctions or other equitable relief. For legal matters for which management has sufficient information to reasonably estimate our future obligations, a liability representing management's best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within the range is not known, for the resolution of these legal matters is recorded. The estimates are based on consultation with legal counsel, previous settlement experience and settlement strategies. If actual outcomes are less favorable than those projected by management, additional expense may be incurred, which could unfavorably affect future operating results. We are currently self-insured for product liability-related claims and expenses. The ultimate cost to us with respect to product liability claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows.
NEW ACCOUNTING PRONOUNCEMENTS
In May 2014 the FASB issued Accounting Standard Update (ASU) No. 2014-09, Revenue from Contracts with Customers, which supersedes and replaces nearly all currently-existing guidance under United States Generally Accepted Accounting Principles related to revenue recognition including related disclosure requirements. This guidance will be effective for us beginning January 1, 2017. We have not yet completed an assessment of the impact that adoption of this guidance will have on our consolidated financial statements.
OTHER INFORMATION
Hedging and Derivative Financial Instruments
We sell our products throughout the world. As a result, our financial results could be significantly affected by factors such as weak economic conditions or changes in foreign currency exchange rates. Our operating results are primarily exposed to changes in exchange rates among the United States dollar; European currencies, in particular the euro, Swiss franc and the British pound; the Japanese yen; the Australian dollar; and the Canadian dollar. We develop and manufacture products in the United States, China, France, Germany, Ireland, Puerto Rico and Switzerland and incur costs in the applicable local currencies. This worldwide deployment of facilities serves to partially mitigate the impact of currency exchange rate changes on our cost of sales.
We enter into designated and non-designated forward currency exchange contracts to mitigate the impact of currency fluctuations on transactions denominated in nonfunctional currencies, thereby limiting risk that would otherwise result from changes in exchange rates. These nonfunctional currency exposures principally relate to intercompany receivables and payables arising from intercompany purchases of manufactured products. The periods of the forward currency exchange contracts correspond to the periods of the exposed transactions, with realized gains and losses included in the measurement and recording of transactions denominated in the nonfunctional currencies. All forward currency exchange contracts are recorded at their fair value each period, with resulting gains (losses) for non-designated forward contracts and any ineffectiveness measured on designated forward currency exchange contracts included in our Consolidated Statements of Earnings. For derivative instruments that are designated and qualify as a cash flow hedge, the effective portion of the gain or loss on the derivative is reported as a component of accumulated other
 
comprehensive income, and reclassified into earnings in the same period during which the hedged transaction affects earnings.
The estimated fair value of forward currency exchange contracts represents the measurement of the contracts at month-end spot rates as adjusted by current forward points. A hypothetical 10% change in foreign currencies relative to the United States dollar would change the December 31, 2014 fair value by approximately $79. We are exposed to credit loss in the event of nonperformance by counterparties on our outstanding forward currency exchange contracts, but we do not anticipate nonperformance by any of our counterparties.
We have certain investments in net assets in international locations that are not hedged. These investments are subject to translation gains and losses due to changes in foreign currency exchange rates. For 2014 the strengthening of foreign currencies relative to the United States dollar increased the value of these investments in net assets and the related foreign currency translation adjustment loss in shareholders' equity by $(440) to $(134), from $306 as of December 31, 2013.
ITEM 7A.
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We consider our material area of market risk exposure to be exchange rate risk. Quantitative and qualitative disclosures about exchange rate risk are included in the "Other Information" section of Management's Discussion and Analysis of Financial Condition in Item 7, under the caption "Other Information - Hedging and Derivative Financial Instruments."
  


16
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

ITEM 8.
FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM ON CONSOLIDATED FINANCIAL STATEMENTS
The Board of Directors and Shareholders of Stryker Corporation:

We have audited the accompanying consolidated balance sheets of Stryker Corporation and subsidiaries as of December 31, 2014 and 2013, and the related consolidated statements of earnings and comprehensive income, shareholders' equity, and cash flows for each of the three years in the period ended December 31, 2014. Our audits also included the financial statement schedule listed in the Index at Item 15(a). These financial statements and schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Stryker Corporation and subsidiaries at December 31, 2014 and 2013, and the consolidated results of their operations and their cash flows for each of the three years in the period ended December 31, 2014, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Stryker Corporation's internal control over financial reporting as of December 31, 2014, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) and our report dated February 12, 2015 expressed an unqualified opinion thereon.

/s/    ERNST & YOUNG LLP
Grand Rapids, Michigan
February 12, 2015



17
 
 

STRYKER CORPORATION 2014 Form 10-K

Stryker Corporation and Subsidiaries

CONSOLIDATED STATEMENTS OF EARNINGS
 
 
Years Ended December 31,
 
 
2014
 
2013
 
2012
Net sales
 
$
9,675

 
$
9,021

 
$
8,657

Cost of sales
 
3,291

 
2,977

 
2,781

Gross profit
 
6,384

 
6,044

 
5,876

Research, development and engineering expenses
 
614

 
536

 
471

Selling, general and administrative expenses
 
3,575

 
3,492

 
3,367

Recall charges, net of insurance recoveries
 
761

 
622

 
174

Intangible asset amortization
 
188

 
138

 
123

Total operating expenses
 
5,138

 
4,788

 
4,135

Operating income
 
1,246

 
1,256

 
1,741

Other income (expense), net
 
(86
)
 
(44
)
 
(36
)
Earnings before income taxes
 
1,160

 
1,212

 
1,705

Income taxes
 
645

 
206

 
407

Net earnings
 
$
515

 
$
1,006

 
$
1,298

 
 
 
 
 
 
 
Net earnings per share of common stock:
 
 
 
 
 
 
  Basic net earnings per share of common stock
 
$
1.36

 
$
2.66

 
$
3.41

  Diluted net earnings per share of common stock
 
$
1.34

 
$
2.63

 
$
3.39

 
 
 
 
 
 
 
Weighted-average shares outstanding—in millions:
 
 
 
 
 
 
Basic
 
378.5

 
378.6

 
380.6

Net effect of dilutive employee stock options
 
4.3

 
3.5

 
2.4

Diluted
 
382.8

 
382.1

 
383.0

Anti-dilutive shares excluded from the calculation of net effect of dilutive employee stock options
 

 

 
6.4


CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
 
 
Years Ended December 31,
 
 
2014
 
2013
 
2012
Net earnings
 
$
515

 
$
1,006

 
$
1,298

Other comprehensive income (loss), net of tax
 
 
 
 
 
 
  Marketable securities
 
3

 
(4
)
 
4

  Pension plans
 
(55
)
 
20

 
(69
)
  Unrealized gains on designated hedges
 
6

 
7

 

  Financial statement translation
 
(440
)
 
80

 
50

Total other comprehensive (loss) income, net of tax
 
(486
)
 
103

 
(15
)
Comprehensive income
 
$
29

 
$
1,109

 
$
1,283


See accompanying notes to Consolidated Financial Statements.

18
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Stryker Corporation and Subsidiaries

CONSOLIDATED BALANCE SHEETS
 
 
December 31,
 
2014
 
2013
ASSETS
 
 
 
 
Current assets
 
 
 
 
Cash and cash equivalents
 
$
1,795

 
$
1,339

Marketable securities
 
3,205

 
2,641

Accounts receivable, less allowance of $59 ($72 in 2013)
 
1,572

 
1,518

Inventories
 
 
 
 
Materials and supplies
 
248

 
227

Work in process
 
88

 
85

Finished goods
 
1,252

 
1,110

Total inventories
 
1,588

 
1,422

Deferred income taxes
 
989

 
880

Prepaid expenses and other current assets
 
524

 
535

Total current assets
 
9,673

 
8,335

Property, plant and equipment
 
 
 
 
Land, buildings and improvements
 
678

 
686

Machinery and equipment
 
1,919

 
1,811

Total property, plant and equipment
 
2,597

 
2,497

Less accumulated depreciation
 
1,499

 
1,416

Net property, plant and equipment
 
1,098

 
1,081

Other assets
 
 
 
 
Goodwill
 
4,186

 
3,844

Other intangibles, net
 
2,018

 
1,989

Other
 
738

 
494

Total assets
 
$
17,713

 
$
15,743

 
 
 
 
 
LIABILITIES AND SHAREHOLDERS' EQUITY
 
 
 
 
Current liabilities
 
 
 
 
Accounts payable
 
329

 
314

Accrued compensation

597

 
535

Income taxes

333

 
131

Dividend payable

131

 
115

Accrued recall expenses
 
1,593

 
772

Accrued expenses and other liabilities

754

 
765

Current maturities of debt

727

 
25

Total current liabilities

4,464

 
2,657

Long-term debt, excluding current maturities
 
3,246

 
2,739

Other liabilities

1,408

 
1,300

Shareholders' equity
 
 
 
 
Common stock, $0.10 par value:
 
 
 
 
  Authorized: 1 billion shares, outstanding: 378 million shares (378 million in 2013)
 
38

 
38

Additional paid-in capital
 
1,252

 
1,160

Retained earnings
 
7,559

 
7,617

Accumulated other comprehensive income
 
(254
)
 
232

Total shareholders' equity
 
8,595

 
9,047

Total liabilities & shareholders' equity
 
$
17,713

 
$
15,743


See accompanying notes to Consolidated Financial Statements.

19
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Stryker Corporation and Subsidiaries

CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
 
 
Common
Stock
 
Additional
Paid-In
Capital
 
Retained
Earnings
 
Accumulated
Other
Comprehensive
Income (Loss)
 
Total
Balances at January 1, 2012
 
$
38

 
$
1,022

 
$
6,479

 
$
144

 
$
7,683

Net earnings
 
 
 
 
 
1,298

 
 
 
1,298

Other comprehensive loss
 
 
 
 
 
 
 
(15
)
 
(15
)
Issuance of 1.5 million shares of common stock under stock option and benefit plans, including $28 excess income tax benefit
 
 
 
7

 
 
 
 
 
7

Repurchase and retirement of 2.1 million shares of common stock
 


 
(6
)
 
(102
)
 
 
 
(108
)
Share-based compensation
 
 
 
75

 
 
 
 
 
75

Cash dividends declared of $0.9025 per share of common stock
 
 
 
 
 
(343
)
 
 
 
(343
)
Balances at December 31, 2012
 
38

 
1,098

 
7,332

 
129

 
8,597

Net earnings
 
 
 
 
 
1,006

 
 
 
1,006

Other comprehensive income
 
 
 
 
 
 
 
103

 
103

Issuance of 2.1 million shares of common stock under stock option and benefit plans, including $47 excess income tax benefit
 
 
 
(1
)
 
 
 
 
 
(1
)
Repurchase and retirement of 4.8 million shares of common stock
 
 
 
(13
)
 
(304
)
 
 
 
(317
)
Share-based compensation
 
 
 
76

 
 
 
 
 
76

Cash dividends declared of $1.10 per share of common stock
 
 
 
 
 
(417
)
 
 
 
(417
)
Balances at December 31, 2013
 
38

 
1,160

 
7,617

 
232

 
9,047

Net earnings
 
 
 
 
 
515

 
 
 
515

Other comprehensive loss
 
 
 
 
 
 
 
(486
)
 
(486
)
Issuance of 2.2 million shares of common stock under stock option and benefit plans, including $59 excess income tax benefit
 
 
 
19

 
 
 
 
 
19

Repurchase and retirement of 1.3 million shares of common stock
 
 
 
(4
)
 
(96
)
 
 
 
(100
)
Share-based compensation
 
 
 
77

 
 
 
 
 
77

Cash dividends declared of $1.26 per share of common stock
 
 
 
 
 
(477
)
 
 
 
(477
)
Balances at December 31, 2014
 
$
38

 
$
1,252

 
$
7,559

 
$
(254
)
 
$
8,595


See accompanying notes to Consolidated Financial Statements.

20
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Stryker Corporation and Subsidiaries

CONSOLIDATED STATEMENTS OF CASH FLOWS
 
 
Years Ended December 31,
 
 
2014
 
2013
 
2012
Operating activities
 
 
 
 
 
 
Net earnings
 
$
515

 
$
1,006

 
$
1,298

Adjustments to reconcile net earnings to net cash provided by operating activities:
 
 
 
 
 
 
Depreciation
 
190

 
169

 
154

Amortization of intangible assets
 
188

 
138

 
123

Share-based compensation
 
77

 
76

 
75

Gross recall charges
 
940

 
622

 
174

Sale of inventory stepped up to fair value at acquisition
 
27

 
28

 
18

Deferred income tax benefit
 
60

 
23

 
(39
)
Changes in operating assets and liabilities, net of effects of acquisitions:
 
 
 
 
 
 
Accounts receivable
 
(89
)
 
(89
)
 
(20
)
Inventories
 
(173
)
 
(77
)
 
18

Accounts payable
 
13

 
1

 
(48
)
Accrued expenses and other liabilities
 
92

 
41

 
9

Recall related payments
 
(98
)
 
(6
)
 
(3
)
Income taxes
 
133

 
(124
)
 
(159
)
Other
 
(93
)
 
78

 
57

Net cash provided by operating activities
 
1,782

 
1,886

 
1,657

Investing activities
 
 
 
 
 
 
Acquisitions, net of cash acquired
 
(916
)
 
(2,320
)
 
(154
)
Purchases of marketable securities
 
(4,365
)
 
(4,558
)
 
(3,480
)
Proceeds from sales of marketable securities
 
3,636

 
4,856

 
3,108

Purchases of property, plant and equipment
 
(233
)
 
(195
)
 
(210
)
Net cash used in investing activities
 
(1,878
)
 
(2,217
)
 
(736
)
Financing activities
 
 
 
 
 
 
Proceeds from borrowings
 
1,601

 
369

 
178

Payments on borrowings
 
(1,428
)
 
(355
)
 
(182
)
Proceeds from issuance of long-term debt, net
 
986

 
991

 

Dividends paid
 
(462
)
 
(401
)
 
(324
)
Repurchase and retirement of common stock
 
(100
)
 
(317
)
 
(108
)
Other financing
 
32

 
13

 
(13
)
Net cash provided by (used in) financing activities
 
629

 
300

 
(449
)
Effect of exchange rate changes on cash and cash equivalents
 
(77
)
 
(25
)
 
18

Change in cash and cash equivalents
 
456

 
(56
)
 
490

Cash and cash equivalents at beginning of year
 
1,339

 
1,395

 
905

Cash and cash equivalents at end of year
 
$
1,795

 
$
1,339

 
$
1,395

 
 
 
 
 
 
 
Supplemental cash flow disclosure:
 
 
 
 
 
 
Cash paid for income taxes, net of refunds
 
$
437

 
$
321

 
$
599

 
 
 
 
 
 
 

See accompanying notes to Consolidated Financial Statements.


21
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 - SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations: Stryker Corporation (the "Company," "we," "us," or "our") is one of the world's leading medical technology companies. Our products include implants used in joint replacement and trauma surgeries; surgical equipment and surgical navigation systems; endoscopic and communications systems; patient handling and emergency medical equipment; neurosurgical, neurovascular and spinal devices; as well as other medical device products used in a variety of medical specialties.
Basis of Presentation and Consolidation: The Consolidated Financial Statements include the Company and its subsidiaries. All significant intercompany accounts and transactions are eliminated in consolidation. We have no material interests in variable interest entities and none that require consolidation. Certain prior year amounts have been reclassified to conform with the presentation of our consolidated statements of earnings in 2014.
Use of Estimates: Preparation of financial statements in conformity with accounting principles generally accepted in the United States (GAAP) requires management to make estimates and assumptions that affect the amounts reported in the Consolidated Financial Statements and accompanying disclosures. These estimates are based on management's best knowledge of current events and actions we may undertake in the future. Estimates are used in accounting for, among other items, pensions, stock options, valuation of acquired intangible assets, useful lives for depreciation and amortization of long-lived assets, future cash flows associated with impairment testing for goodwill, indefinite-lived intangible assets and other long-lived assets, excess and obsolete inventory, deferred tax assets and liabilities, uncertain income tax positions and contingencies. Actual results may ultimately differ from estimates.
Revenue Recognition: Sales are recognized when revenue is realized or realizable and has been earned. Our policy is to recognize revenue when title to the product, ownership and risk of loss transfer to the customer, which can be on the date of shipment, the date of receipt by the customer or, for most orthopaedics products, when we receive appropriate notification that the product has been used or implanted. A provision for estimated sales returns, discounts, rebates and other sales incentives is recorded as a reduction of net sales in the same period that the revenue is recognized. Shipping and handling costs charged to customers are included in net sales.
Cost of Sales: Cost of sales is primarily comprised of direct materials and supplies consumed in the manufacture of product, as well as manufacturing labor, depreciation expense and direct overhead expense necessary to acquire and convert the purchased materials and supplies into finished product. Cost of sales also includes the cost to distribute products to customers, inbound freight costs, warehousing costs and other shipping and handling activity.
Research, Development and Engineering Expenses: Research and development costs are charged to expense as incurred. Costs include research, development and engineering activities relating to the development of new products, improvement of existing products, technical support of products and compliance with governmental regulations for the protection of customers and patients. Costs primarily consist of salaries, wages, consulting and depreciation and maintenance of research facilities and equipment.
Selling, General and Administrative Expenses: Selling, general and administrative expense is primarily comprised of selling expenses, marketing expenses, administrative and other indirect overhead costs, amortization of loaner instrumentation,
 
depreciation and amortization expense of non-manufacturing assets and other miscellaneous operating items.
Currency Translation: Financial statements of subsidiaries outside the United States generally are measured using the local currency as the functional currency. Adjustments to translate those statements into United States dollars are recorded in other comprehensive income (OCI). Transactional exchange gains and losses are included in earnings.
Cash Equivalents: Highly liquid investments with remaining stated maturities of three months or less when purchased are considered cash equivalents and recorded at cost.
Marketable Securities: Marketable securities consist of marketable debt securities, certificates of deposit and mutual funds. Mutual funds are acquired to offset changes in certain liabilities related to deferred compensation arrangements and are expected to be used to settle these liabilities. Pursuant to our investment policy, all individual marketable security investments must have a minimum credit quality of single A (per Standard & Poor’s and Fitch) and A2 (per Moody’s Corporation) at the time of acquisition, while the overall portfolio of marketable securities must maintain a minimum average credit quality of double A (per Standard & Poor’s and Fitch) or Aa (per Moody’s Corporation). In the event of a rating downgrade below the minimum credit quality subsequent to purchase, the marketable security investment is evaluated to determine the appropriate action to take to minimize the overall risk to our marketable security investment portfolio. Our marketable securities are classified as available-for-sale and trading securities.
Accounts Receivable: Accounts receivable consists of trade and other miscellaneous receivables. An allowance is maintained for doubtful accounts for estimated losses in the collection of accounts receivable. Estimates are made regarding the ability of customers to make required payments based on historical credit experience and expected future trends. Accounts receivable are written off when all reasonable collection efforts are exhausted.
Inventories: Inventories are stated at the lower of cost or market, with cost generally determined using the first-in, first-out (FIFO) cost method. For excess and obsolete inventory resulting from the potential inability to sell specific products at prices in excess of current carrying costs, reserves are maintained to reduce current carrying cost to market prices.
Financial Instruments: Our financial instruments consist of cash, cash equivalents, marketable securities, accounts receivable, other investments, accounts payable, debt and foreign currency exchange contracts. With the exception of our long-term debt, which is discussed in further detail in Note 8, our estimates of fair value for financial instruments approximate their carrying amounts as of December 31, 2014 and 2013.
All marketable securities are recognized at fair value. Adjustments to the fair value of marketable securities that are classified as available-for-sale are recorded as increases or decreases, net of income taxes, within accumulated other comprehensive income (AOCI) in shareholders’ equity and adjustments to the fair value of marketable securities that are classified as trading are recorded in earnings. The amortized cost of marketable debt securities is adjusted for amortization of premiums and discounts to maturity computed under the effective interest method. Such amortization is included in other income (expense) along with interest and realized gains and losses. The cost of securities sold is determined by the specific identification method.


22
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

We review declines in the fair value of our investments classified as available-for-sale for impairment to determine whether the decline in fair value is an other-than-temporary impairment. The resulting losses from other-than-temporary impairments of available-for-sale marketable securities are included in earnings.
Derivatives: All derivatives are recognized at fair value and reported on a gross basis. We enter into forward currency exchange contracts to mitigate the impact of currency fluctuations on transactions denominated in nonfunctional currencies, thereby limiting our risk that would otherwise result from changes in exchange rates. These nonfunctional currency exposures principally relate to intercompany receivables and payables arising from intercompany purchases of manufactured products. The periods of the forward currency exchange contracts correspond to the periods of the exposed transactions, with realized gains and losses included in the measurement and recording of transactions denominated in the nonfunctional currencies. All forward currency exchange contracts are recorded at their fair value each period, with resulting gains (losses) included in earnings.
Forward currency exchange contracts designated as cash flow hedges are designed to hedge the variability of cash flows associated with forecasted transactions denominated in a foreign currency that will take place in the future. Changes in value of derivatives designated as cash flow hedges are recorded in AOCI on the consolidated balance sheets until earnings are affected by the variability of the underlying cash flows. At that time, the applicable amount of gain or loss from the derivative instrument that is deferred in shareholders’ equity is reclassified into earnings and is included in other income (expense) or cost of goods sold in the consolidated statements of earnings, depending on the underlying transaction that is being hedged. We report our derivative instruments on a gross basis.
Interest rate derivative instruments designated as fair value hedges are being used to manage the exposure to interest rate movements and to reduce borrowing costs by converting fixed-rate debt into floating-rate debt. Under these agreements, we agree to exchange, at specified intervals, the difference between fixed and floating interest amounts calculated by reference to an agreed-upon notional principal amount.
Property, Plant and Equipment: Property, plant and equipment is stated at cost. Depreciation is generally computed by the straight-line method over the estimated useful lives of three to 30 years for buildings and improvements and three to ten years for machinery and equipment.
Goodwill and Other Intangible Assets: Goodwill represents the excess of purchase price over fair value of tangible net assets of acquired businesses at the acquisition date, after amounts allocated to other identifiable intangible assets. Factors that contribute to the recognition of goodwill include securing synergies that are specific to our business and not available to other market participants and are expected to increase revenues and profits; acquisition of a talented workforce; cost savings opportunities; the strategic benefit of expanding our presence in core and adjacent markets; and diversifying our product portfolio.
The fair values of other identifiable intangible assets are primarily determined using the income approach. Other intangible assets include, but are not limited to, developed technology, customer and distributor relationships (which reflect expected continued customer or distributor patronage) and trademarks and patents. Intangible assets with determinable useful lives are amortized on a straight-line basis over their estimated useful lives of four to 40 years. Certain acquired trade names are considered to have indefinite lives and
 
are not amortized, but are assessed annually for potential impairment as described below.
In certain of our acquisitions, we acquire in-process research and development (IPRD) intangible assets. IPRD is considered to be an indefinite-lived intangible asset until such time as the research is completed (at which time it becomes a determinable-lived intangible asset) or determined to have no future use (at which time it is impaired).
Goodwill, Intangibles and Long-Lived Asset Impairment Tests: We perform our annual impairment test for goodwill in the fourth quarter of each year. We consider qualitative indicators of the fair value of a reporting unit when it is unlikely that a reporting unit has impaired goodwill. In certain circumstances, we may also utilize a discounted cash flow analysis that requires certain assumptions and estimates be made regarding market conditions and our future profitability. Indefinite-lived intangible assets are also tested at least annually for impairment by comparing the individual carrying values to the fair value.
We review long-lived assets for indicators of impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The evaluation is performed at the lowest level of identifiable cash flows. Undiscounted cash flows expected to be generated by the related assets are estimated over the asset's useful life based on updated projections. If the evaluation indicates that the carrying amount of the asset may not be recoverable, any potential impairment is measured based upon the fair value of the related asset or asset group as determined by an appropriate market appraisal or other valuation technique. Assets classified as held for sale are recorded at the lower of carrying amount or fair value less costs to sell.
Share-Based Compensation: We utilize share based compensation in the form of stock options, restricted stock units (RSUs) and performance-based restricted stock units (PSUs). Compensation expense is recognized in the Consolidated Statements of Earnings based on the estimated fair value of the awards at grant date. Compensation expense recognized reflects an estimate of the number of awards expected to vest after taking into consideration an estimate of award forfeitures based on actual experience and is recognized on a straight-line basis over the requisite service period, which is generally the period required to obtain full vesting. Management expectations related to the achievement of performance goals associated with PSU grants is assessed regularly and that assessment is used to determine whether PSU grants are expected to vest. If performance-based milestones related to PSU grants are not met or not expected to be met, any compensation expense recognized to date associated with grants that are not expected to vest will be reversed.
Income Taxes: Deferred income tax assets and liabilities are determined based on differences between financial reporting and income tax bases of assets and liabilities and are measured using the enacted income tax rates in effect for the years in which the differences are expected to reverse. Deferred income tax benefits generally represent the change in net deferred income tax assets and liabilities during the year. Other amounts result from adjustments related to acquisitions as appropriate.
We operate in multiple income tax jurisdictions both within the United States and internationally. Accordingly, management must determine the appropriate allocation of income to each of these jurisdictions based on current interpretations of complex income tax regulations. Income tax authorities in these jurisdictions regularly perform audits of our income tax filings. Income tax audits associated with the allocation of this income and other complex issues, including inventory transfer pricing and cost sharing, product


23
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

royalty and foreign branch arrangements, may require an extended period of time to resolve and may result in significant income tax adjustments if changes to the income allocation are required between jurisdictions with different income tax rates.
New Accounting Pronouncements Not Yet Adopted: In May 2014, the FASB issued Accounting Standard Update (ASU) No. 2014-09, Revenue from Contracts with Customers, which supersedes and replaces nearly all currently-existing United States GAAP revenue recognition guidance including related disclosure requirements. This guidance will be effective for us beginning January 1, 2017. We have not yet completed our assessment of the impact that adoption of this guidance will have on our financial statements.
NOTE 2 - ACCUMULATED OTHER COMPREHENSIVE INCOME (AOCI)
Changes in and reclassifications out of AOCI, net of tax, for the years ended December 31, 2014 and 2013 were:
 
2014
 
2013
Marketable Securities - Beginning
$

 
$
4

Other comprehensive income (OCI)
12

 
16

Income tax expense on OCI
(2
)
 
1

Reclassifications out of AOCI into:
 
 
 
     Cost of sales

 

     Other (income) expense
(9
)
 
(21
)
     Income tax expense (benefit)
2

 

Total other comprehensive income
3

 
(4
)
Marketable Securities - Ending
$
3

 
$

 
 
 
 
Pension Plans - Beginning
$
(81
)
 
$
(101
)
Other comprehensive income (OCI)
(72
)
 
30

Income tax expense on OCI
22

 
(15
)
Reclassifications out of AOCI into:
 
 
 
     Cost of sales
(6
)
 
7

     Other (income) expense

 

     Income tax expense (benefit)
1

 
(2
)
Total other comprehensive income
(55
)
 
20

Pension Plans - Ending
$
(136
)
 
$
(81
)
 
 
 
 
Hedges - Beginning
$
7

 
$

Other comprehensive income (OCI)
10

 
8

Income tax expense on OCI
(4
)
 
4

Reclassifications out of AOCI into:
 
 
 
     Cost of sales
(1
)
 
(9
)
     Other (income) expense

 

     Income tax expense (benefit)
1

 
4

Total other comprehensive income
6

 
7

Hedges - Ending
$
13

 
$
7

 
 
 
 
Financial Statement Translation - Beginning
$
306

 
$
226

Other comprehensive income (OCI)
(440
)
 
80

Financial Statement Translation - Ending
$
(134
)
 
$
306

 
 
 
 
AOCI - Beginning
$
232

 
$
129

Other comprehensive income (OCI)
(490
)
 
134

Income tax expense on OCI
16

 
(10
)
Reclassifications out of AOCI into:
 
 
 
     Cost of sales
(7
)
 
(2
)
     Other (income) expense
(9
)
 
(21
)
     Income tax expense (benefit)
4

 
2

Total other comprehensive income
(486
)
 
103

AOCI - Ending
$
(254
)
 
$
232


 
NOTE 3 - FAIR VALUE MEASUREMENTS
Financial assets and liabilities carried at fair value are classified and disclosed in one of the following three categories:
Level 1
Quoted market prices in active markets for identical assets or liabilities.
Level 2
Observable market-based inputs or unobservable inputs that are corroborated by market data.
Level 3
Unobservable inputs reflecting our assumptions or external inputs from active markets.
When applying fair value principles in the valuation of assets and liabilities, we are required to maximize the use of quoted market prices and minimize the use of unobservable inputs. We calculate the fair value of our Level 1 and Level 2 instruments based on the exchange traded price of similar or identical instruments, where available, or based on other observable inputs. There were no significant transfers into or out of Level 1 or Level 2 that occurred between December 31, 2014 and December 31, 2013. The fair value of our Level 3 assets and liabilities are calculated as the net present value of expected cash flows based on externally provided or obtained inputs. Certain Level 3 assets may also be based on sale prices of similar assets. Our fair value calculations take into consideration our credit risk and that of our counterparties. Should a counterparty default, our maximum exposure to loss is the asset balance of the instrument. We did not change our valuation techniques used in measuring the fair value of any financial assets and liabilities during the year.
Our valuation of our assets and liabilities measured at fair value at December 31, 2014 and 2013 is:
 
2014
2013
Cash and cash equivalents
$
1,795

$
1,339

Trading marketable securities
80

72

Level 1 - Assets
1,875

1,411

Available-for-sale marketable securities
 
 
Corporate and asset-backed debt securities
1,525

1,177

Foreign government debt securities
726

845

United States agency debt securities
382

211

United States treasury debt securities
474

350

Certificates of deposit
110

53

Other
12

5

Total available-for-sale marketable securities
3,229

2,641

Foreign currency exchange forward contracts
32

25

Interest rate swap asset
10


Level 2 - Assets
3,271

2,666

Total assets measured at fair value
$
5,146

$
4,077

 
 
 
Deferred compensation arrangements
$
80

$
72

Level 1 - Liabilities
80

72

Foreign currency exchange forward contracts
12

2

Level 2 - Liabilities
12

2

Contingent consideration
 
 
     Beginning Balance
59

103

     Losses (Gains) included in earnings
4

(5
)
     Settlements
(15
)
(39
)
Ending Balance
48

59

Level 3 - Liabilities
48

59

Total liabilities measured at fair value
$
140

$
133



24
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

The cost and estimated fair value of available-for-sale marketable securities at December 31, 2014 by contractual maturity are:
 
2014
 
Cost
Estimated Fair Value
Due in one year or less
$
430

$
430

Due after one year through three years
2,502

2,505

Due after three years
294

294

Summary of marketable securities:
December
December
 
2014
2013
 
Amortized Cost
Available-for-sale marketable securities:
 
 
  Corporate and asset-backed debt securities
$
1,523

$
1,177

  Foreign government debt securities
725

846

  United States agency debt securities
382

211

  United States treasury debt securities
474

350

  Certificates of deposit
110

53

  Other
12

5

 
Gross Unrealized Gains
  Corporate and asset-backed debt securities
$
3

$
1

  Foreign government debt securities
2


  United States agency debt securities


  United States treasury debt securities


  Certificates of deposit


  Other


 
Gross Unrealized Losses
  Corporate and asset-backed debt securities
$
(1
)
$
(1
)
  Foreign government debt securities
(1
)
(1
)
  United States agency debt securities


  United States treasury debt securities


  Certificates of deposit


  Other


 
Estimated Fair Value
  Corporate and asset-backed debt securities
$
1,525

$
1,177

  Foreign government debt securities
726

845

  United States agency debt securities
382

211

  United States treasury debt securities
474

350

  Certificates of deposit
110

53

  Other
12

5

Total available-for-sale marketable securities
$
3,229

$
2,641

Trading marketable securities
80

72

Total marketable securities
$
3,309

$
2,713

Reported as:
 
 
  Current assets-marketable securities
$
3,205

$
2,641

Current assets-prepaid expenses and other current assets
$
24

$

  Noncurrent assets-other
$
80

$
72

At December 31, 2014, $24 of interest receivable related to our marketable securities portfolio was recorded in "Prepaid expenses and other current assets." The estimated fair value of the liability for contingent consideration represents milestone payments for acquisitions. The fair value of the liability was estimated using a discounted cash flow technique. Significant unobservable inputs to this technique included our probability assessments of occurrence of triggering events, appropriately discounted considering the uncertainties associated with the obligation. We remeasure this liability each reporting period and record the changes in the fair value in general and administrative expense (for probability of
 
occurrence) and other income (expense) (for changes in time value of money) in earnings.
The fair value and probability assessments of occurrence of triggering events for contingent consideration fair value measurements classified in Level 3 at December 31, 2014 were:
 
 
Probability Range
Fair Value
 
Minimum
Maximum
Weighted Average
48
 
85
100
95
The unrealized losses on our available-for-sale marketable securities were primarily caused by increases in yields as a result of changing conditions in the global credit markets. While some of these investments have been downgraded by rating agencies since their initial purchase, less than 1% of our investments in available-for-sale marketable securities had a credit quality rating of less than single A (per Standard & Poors and Fitch) and A2 (per Moody's). Because we do not intend to sell the investments and it is not more likely than not that we will be required to sell the investments before recovery of their amortized cost basis, which may be maturity, we do not consider these investments to be other-than-temporarily impaired at December 31, 2014.
The gross unrealized losses and fair value of our investments with unrealized losses that are not deemed to be other-than-temporarily impaired, aggregated by investment category and length of time that the individual securities have been in a continuous unrealized loss position at December 31, 2014, are as follows:
 
Number of Investments
Fair Value
Unrealized Losses
Less than 12 months
 
 
 
  Corporate and Asset-Backed
716
$
1,515

$
(1
)
     Foreign Government
142
711

(1
)
     United States Agency
91
382


     Other
164
596


 
1,113
$
3,204

$
(2
)
Total
 
 
 
  Corporate and Asset-Backed
722
$
1,525

$
(1
)
     Foreign Government
147
726

(1
)
     United States Agency
91
382


     Other
164
596


 
1,124
$
3,229

$
(2
)
Interest and marketable securities income totaled $28, $24, and $47 in 2014, 2013, and 2012, respectively, and is included in other income (expense).
NOTE 4 - DERIVATIVE INSTRUMENTS
We use operational and economic hedges as well as foreign currency exchange forward contracts and interest rate derivative instruments to manage the impact of currency exchange on earnings and cash flow. At the inception of the forward contract, the derivative is designated as a cash flow hedge or is a free standing derivative. We do not enter into currency exchange derivative instruments for speculative purposes.
Derivative Instruments Not Designated as Hedges
Derivative forward contracts are used to offset our exposure to the change in value of specific foreign currency denominated assets and liabilities. These derivatives are not designated as hedges and, therefore, changes in the value of these forward contracts are recognized in earnings, thereby offsetting the current earnings effect of the related changes in value of foreign currency denominated assets and liabilities. The estimated fair value of our forward currency exchange contracts represents the measurement


25
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

of the contracts at month-end spot rates as adjusted by current forward points.
Cash Flow Hedges
We use a layered hedging program to hedge select anticipated foreign currency cash flows to reduce volatility in both cash flows and reported earnings. These foreign exchange contracts generally have maturities up to eighteen months. For derivative instruments that are designated and qualify as a cash flow hedge, the effective portion of the gain or loss on the derivative is reported as a component of AOCI and reclassified into other income (expense) or cost of sales within earnings in the same period during which the hedged transaction affects earnings. In 2013 a gain of $9 was reclassified from AOCI to earnings relating to the discontinuance of certain cash flow hedges, as we considered it probable that the original forecasted transactions would not occur. Cash flows associated with these hedges are included in cash from operations in the same category as the cash flows from the items being hedged.
The gross notional, maximum term and gross fair value amounts of foreign exchange forward contract derivatives designated and non-designated as hedging instruments are:
 
 
Designated
 
Non-Designated
 
Total
December 31, 2014
 
 
 
 
 
 
Gross Notional Amount
 
$
357

 
$
2,085

 
$
2,442

Maximum term in days
 
 
 
 
 
546

Fair Value
 
 
 
 
 
 
     Other Current Assets
 
$
18

 
$
12

 
$
30

     Other Noncurrent Assets
 
2

 

 
2

     Other Current Liabilities
 

 
12

 
12

 
 
$
20

 
$

 
$
20

December 31, 2013
 
 
 
 
 
 
Gross Notional Amount
 
$
344

 
$
2,000

 
$
2,344

Maximum term in days
 
 
 
 
 
546

Fair Value
 
 
 
 
 
 
     Other Current Assets
 
$
11

 
$
10

 
$
21

     Other Noncurrent Assets
 
1

 
3

 
4

     Other Current Liabilities
 
1

 
1

 
2

 
 
$
11

 
$
12

 
$
23

We are exposed to credit loss in the event of nonperformance by counterparties on our outstanding forward currency exchange contracts but do not anticipate nonperformance by any of our counterparties. Should a counterparty default, our maximum exposure to loss is the asset balance of the instrument.
Recognized foreign currency transaction gains (losses) included in earnings were:
Recorded In:
 
2014
2013
2012
Cost of goods sold
 
$
1

$

$

Other income (expense)
 
(8
)
3

(7
)
Total
 
$
(7
)
$
3

$
(7
)
At December 31, 2014 and December 31, 2013, pretax gains on derivatives designated as hedges of $15 and $12, which are recorded in AOCI, are expected to be reclassified to earnings during the next 12 months. This reclassification is primarily due to the sale of inventory that includes previously hedged purchases.
 
Fair Value Hedges
Interest rate derivative instruments designated as fair value hedges are being used to manage the exposure to interest rate movements and to reduce borrowing costs by converting fixed-rate debt into floating-rate debt. Under these agreements, we agree to exchange, at specified intervals, the difference between fixed and floating interest amounts calculated by reference to an agreed-upon notional principal amount.
At  December 31, 2014, we had interest rate swaps in gross notional amounts of $500 designated as fair value hedges of underlying fixed rate obligations representing a portion of our $600 senior unsecured notes due in 2024.  The market value of outstanding interest rate swap agreements at December 31, 2014 was a recognized gain of $10 which is recorded in other long-term assets with an offsetting recognized loss of $10 on the fair value of the underlying fixed rate obligation recorded in long-term debt in the consolidated balance sheet. No hedge ineffectiveness was recorded as a result of these fair value hedges in 2014.
NOTE 5 - ACQUISITIONS
2014 Acquisitions
During September 2014 we acquired the assets of Small Bone Innovations, Inc. (SBi) for an aggregate purchase price of approximately $358. SBi products are designed and promoted for upper and lower extremity small bone indications, with a focus on small joint replacement. The acquisition of the assets of SBi enhances our product offerings within our Orthopaedics segment. Intangible assets acquired with SBi will be amortized over a weighted-average life of 12 years.
In April 2014 we acquired Berchtold Holding, AG (Berchtold), a privately-held business with operations in Germany and the United States, for an aggregate purchase price of approximately $184. Berchtold sells surgical tables, equipment booms and surgical lighting systems. In March 2014 we acquired Patient Safety Technologies, Inc. (PST), for an aggregate purchase price of approximately $120. PST conducts its business through its wholly owned subsidiary, SurgiCount Medical, Inc. PST’s proprietary Safety-Sponge® System and SurgiCount 360™ compliance software help prevent Retained Foreign Objects in the operating room. In addition to the acquisition of Pivot Medical Inc., which develops and sells innovative products for hip arthroscopy, our other acquisitions are included in Other. These acquisitions enhance our product offerings within our MedSurg segment.
The purchase price allocations for the 2014 acquisitions were based upon preliminary valuations, and our estimates and assumptions are subject to change within the measurement period. Management is currently in the process of verifying data and finalizing information related to the 2014 acquisitions and the valuation and recording of identifiable intangible assets, deferred income taxes and the corresponding effect on the value of goodwill.
2013 Acquisitions
In December 2013 we acquired MAKO Surgical Corp. (MAKO) for an aggregate purchase price of approximately $1,677. The acquisition of MAKO, combined with our strong history in joint reconstruction, capital equipment (operating room integration and surgical navigation) and surgical instruments, will help further advance the growth of robotic assisted surgery. Our combined expertise offers the potential to simplify joint reconstruction procedures, reduce variability and enhance the surgeon and patient experience. The acquisition of MAKO enhances our product offerings within our Orthopaedics segment. Intangible assets acquired with MAKO will be amortized over a weighted-average life of 9 years.


26
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

In March 2013 we acquired Trauson Holdings Company Limited (Trauson) for an aggregate purchase price of approximately $751. The acquisition of Trauson enhances our product offerings, primarily within our Orthopaedics segment, broadens our presence in China and enables us to expand into the fast growing value segment of the emerging markets. Intangible assets acquired with Trauson will be amortized over a weighted-average life of 15 years, except for the trade name that is deemed to have an indefinite life.
For the MAKO and Trauson acquisitions, the measurement periods have been completed and revisions to our original estimates are included in the table below.
The effects of all the acquisitions described above are included in our Consolidated Financial Statements prospectively from the date of acquisition. Pro forma consolidated results of operations for 2014 and 2013 would not differ significantly as a result of these acquisitions.
The allocation of the purchase price to the acquired net assets of the acquisitions described above are as follows:
 
2014
 
SBi
Berchtold
PST
Other
Purchase price paid
$
358

$
184

$
120

$
216

Tangible assets acquired:
 
 
 
 
Cash

12



Inventory
34

22

7

5

Other assets
4

38

19

25

Liabilities
(2
)
(45
)
(33
)
(37
)
Intangible assets:
 
 
 
 
Customer relationship
19

11

33

5

Trade name

7



Developed technology & patents
82

32

26

115

IPRD



2

Goodwill
221

107

68

101

 
$
358

$
184

$
120

$
216

Goodwill acquired associated with the SBi acquisition in 2014 is deductible for tax purposes.
 
2013
 
MAKO
 
 
 
Original
Revised
 
Change
 
Trauson
Purchase price paid
$
1,679

$
1,677

 
$
(2
)
 
$
751

Tangible assets acquired:
 
 
 
 
 
 
Cash
56

56

 

 
98

Inventory
50

41

 
(9
)
 
43

Other assets
118

191

 
73

 
65

Liabilities
(277
)
(239
)
 
38

 
(87
)
Intangible assets:
 
 
 
 
 
 
Customer relationship
91

80

 
(11
)
 
112

 Trade name
24

4

 
(20
)
 
34

Developed technology & patents
231

213

 
(18
)
 
31

IPRD
169

171

 
2

 
5

Goodwill
1,217

1,160

 
(57
)
 
450

 
$
1,679

$
1,677

 
$
(2
)
 
$
751

NOTE 6 - GOODWILL AND OTHER INTANGIBLE ASSETS
We completed our annual impairment tests of goodwill in 2014 and 2013 and concluded in each year that no impairments exist. The changes in the net carrying value of goodwill by segment are as follows:
 
 
Orthopedics
MedSurg
Neurotechnology and Spine
Total
December 31, 2012
$
691

$
513

$
938

$
2,142

Goodwill acquired during the year
1,559

2

108

1,669

Foreign currency and other
(23
)
(9
)
65

33

December 31, 2013
$
2,227

$
506

$
1,111

$
3,844

Goodwill acquired during the year
243

231

23

497

Foreign currency and other
(84
)
(11
)
(60
)
(155
)
December 31, 2014
$
2,386

$
726

$
1,074

$
4,186

Measurement period adjustments that reflect changes to goodwill for acquisitions completed in a previous year are included in "Foreign currency translation effects & other."
The following is a summary of our other intangible assets:
 
Weighted Average Amortization Period (Years)
 
Gross
Carrying
Amount
 
Less
Accumulated
Amortization
 
Net
Carrying
Amount
Developed technologies
 
 
 
 
 
 
2014
13
 
$
1,468

 
466

 
1,002

2013
12
 
1,450

 
380

 
1,070

Customer relationships
 
 
 
 
 
 
2014
15
 
$
801

 
239

 
562

2013
17
 
677

 
189

 
488

Patents
 
 
 
 
 
 
2014
12
 
$
293

 
175

 
118

2013
13
 
238

 
190

 
48

Trademarks
 
 
 
 
 
 
2014
14
 
$
112

 
37

 
75

2013
14
 
127

 
34

 
93

In-process research and development
 
 
 
 
2014

 
$
201

 

 
201

2013

 
223

 

 
223

Other
 
 
 
 
 
 
 
2014
12
 
$
111

 
51

 
60

2013
13
 
118

 
51

 
67

Total
 
 
 
 
 
 
 
2014
13
 
$
2,986

 
968

 
2,018

2013
13
 
2,833

 
844

 
1,989

Amortization expense related to intangible assets was $188, $138 and $123 for 2014, 2013 and 2012, respectively.
The estimated amortization expense for each of the next five years is: 
 
2015
2016
2017
2018
2019
Estimated amortization expense
$
196

$
166

$
164

$
148

$
132

NOTE 7 - CONTINGENCIES AND COMMITMENTS
We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of business, including proceedings related to product, labor and intellectual property, and other matters that are more fully described below. The outcomes of these matters will generally not be known for prolonged periods of time. In certain of the legal proceedings, the claimants seek damages, as well as other compensatory and equitable relief, that could result in the payment of significant claims and settlements and/or the imposition of injunctions or other equitable relief. For legal matters for which management has sufficient information to


27
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

reasonably estimate our future obligations, a liability representing management's best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within the range is not known. The estimates are based on consultation with legal counsel, previous settlement experience and settlement strategies. If actual outcomes are less favorable than those estimated by management, additional expense may be incurred, which could unfavorably affect future operating results. We are currently self-insured for product liability-related claims and expenses. The ultimate cost to us with respect to product liability claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows.
In June 2012 we voluntarily recalled our Rejuvenate and ABG II Modular-Neck hip stems and terminated global distribution of these hip products. Product liability lawsuits relating to this voluntary recall have been filed against us. On November 3, 2014 we announced that we had entered into a settlement agreement to compensate eligible United States patients who had revision surgery to replace their Rejuvenate and/or ABG II Modular-Neck hip stem prior to that date. We continue to offer support for recall-related care and reimburse patients who are not eligible to enroll in the settlement program for testing and treatment services, including any necessary revision surgeries. In addition, some lawsuits will remain and we will continue to defend against them. Based on the information that has been received, the actuarially determined range of probable loss to resolve this entire matter on a global basis is estimated to be approximately $1,534 ($1,713 before $179 of third-party insurance recoveries) to $2,453.  In 2014, we recorded charges to earnings, net of insurance recoveries, of $748 representing the excess of the minimum of the range over the previously recorded reserves. The final outcome of this matter is dependent on many factors that are difficult to predict including the number of enrollees in the settlement program and total awards to them, the number and costs of patients not eligible for the settlement program who seek testing and treatment services and require revision surgery and the number and actual costs to resolve the remaining lawsuits. Accordingly, the ultimate cost to resolve this entire matter globally may be materially different than the amount of the current estimate and accruals and could have a material adverse effect on our financial position, results of operations and cash flows.
In 2010 we filed a lawsuit in federal court against Zimmer Holdings, Inc. (Zimmer), alleging that a Zimmer product infringed three of our patents. In 2013, following a jury trial favorable to us, the trial judge entered a final judgment that among other things, awarded us damages of $76 and ordered Zimmer to pay us enhanced damages. Zimmer appealed this ruling. In December 2014 the Federal Circuit affirmed the damages awarded to us, reversed the order for enhanced damages and remanded the issue of attorney fees to the trial court. We have filed for a petition for rehearing en banc on the issue of enhanced damages. Following the conclusion of the proceedings at the Federal Circuit, each party may seek Supreme Court review. We have not recorded a contingent gain related to this matter.
In April 2011 Hill-Rom Company, Inc. and affiliated entities (Hill-Rom) brought a lawsuit against us alleging infringement under United States patent laws with respect to nine patents related to electrical network communications for hospital beds. The case has been stayed with respect to six of the patents, which are currently under reexamination by the United States Patent Office. With respect to the three remaining patents, Hill-Rom appealed the trial court's grant of summary judgment in our favor and the Federal Circuit reversed the trial court's decision and remanded the matter for additional proceedings. The ultimate resolution of this suit
 
cannot be predicted and it is not possible at this time for us to estimate any probable loss or range of probable losses. However, the ultimate result could have a material adverse effect on our financial position, results of operations and cash flows.
Purchase Commitments and Operating Leases
We have purchase commitments for materials, supplies, services and property, plant and equipment as part of the normal course of business. In addition, we lease various manufacturing, warehousing and distribution facilities, administrative and sales offices as well as equipment under operating leases. Future commitments under these obligations and minimum lease commitments under these leases are:
 
2015
2016
2017
2018
2019
Thereafter
Purchase obligations
$
710

$
134

$
121

$
67

$
62

$
56

Minimum lease payments
60

45

33

25

19

34

Rent expense totaled $103, $100, and $98 in 2014, 2013 and 2012, respectively.
NOTE 8 - DEBT AND CREDIT FACILITIES
In August 2014 we amended and restated our Senior Unsecured Revolving Credit Facility. The principal changes were to increase the aggregate principal amount of the commitments to $1,250, to extend the maturity date to August 22, 2019 and to revise the definition of the consolidated Earnings Before Interest Taxes Depreciation and Amortization (EBITDA).
During 2014 we issued commercial paper under the commercial paper program. The program allows us to have a maximum of $1,250 in commercial paper outstanding, with maturities up to 397 days from the date of issuance. At December 31, 2014, outstanding commercial paper totaled $200, the weighted average original maturity of the commercial paper outstanding was approximately 62 days and the weighted average interest rate was 0.2%.
In May 2014 we sold $600 in senior unsecured notes due 2024 (2024 Notes) and $400 of senior unsecured notes due 2044 (2044 Notes). The 2024 Notes will bear interest at 3.375% per year and, unless previously redeemed, will mature on May 15, 2024. The 2044 Notes will bear interest at 4.375% per year and, unless previously redeemed, will mature on May 15, 2044.
Our debt is as follows:
 
December
 
December
 
 
 
 
2014
 
2013
Senior unsecured notes:
 
 
 
 
 
Rate
Due
 
 
 
 
 
3.00%
1/15/2015
 
$
500

 
$
500

 
2.00%
9/30/2016
 
750

 
749

 
1.30%
4/1/2018
 
598

 
598

 
4.375%
1/15/2020
 
498

 
498

 
3.375%
5/15/2024
 
605

 

 
4.10%
4/1/2043
 
395

 
394

 
4.375%
5/15/2044
 
398

 

Commercial paper
 
200

 

Other
 
29

 
25

 
Total debt
 
3,973

 
2,764

 
Less current maturities
 
(727
)
 
(25
)
 
Total long-term debt
 
$
3,246

 
$
2,739

Certain of our credit facilities require us to comply with financial and other covenants. We were in compliance with all covenants at December 31, 2014. We have lines of credit, issued by various financial institutions, available to fund our day-to-day operating needs. At December 31, 2014, we had $1,289 of borrowing capacity available under all of our existing credit facilities.The weighted


28
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

average interest rate, excluding required fees, for all borrowings was 2.9% at December 31, 2014.
At December 31, 2014, the total unamortized debt issuance costs incurred in connection with our outstanding notes were $21. The fair value of long-term debt (including current maturities and excluding the interest rate hedge) at December 31, 2014 and December 31, 2013 was $3,811 and $2,790, respectively. Substantially all of our long-term debt is classified within Level 1 of the fair value hierarchy because the fair value of the debt is estimated based on rates currently offered to us with identical terms and maturities, using quoted active market prices and yields, taking into account the underlying terms of the debt instruments.
Interest expense, including required fees incurred on outstanding debt and credit facilities, which is included in other income (expense), totaled $113, $83, and $63 in 2014, 2013 and 2012, respectively. Cash interest paid on debt, including required fees, was $102, $88, and $55 in 2014, 2013 and 2012, respectively.
NOTE 9 - CAPITAL STOCK
In December 2013 we declared a quarterly dividend of $0.305 per share, payable January 31, 2014 to shareholders of record at the close of business on December 31, 2013. In February 2014 we declared a quarterly dividend of $0.305 per share, payable April 30, 2014 to shareholders of record at the close of business on March 28, 2014. In April 2014 we declared a quarterly dividend of $0.305 per share, payable July 31, 2014 to shareholders of record at the close of business on June 28, 2014. In July 2014 we declared a quarterly dividend of $0.305 per share, payable October 31, 2014 to shareholders of record at the close of business on September 30, 2013. In December 2014 we declared a quarterly dividend of $0.345 per share, payable January 31, 2015 to shareholders of record at the close of business on December 31, 2014.
In December of 2012 and 2011, we announced that our Board of Directors had authorized us to purchase up to $405 and $500, respectively, of our common stock (the 2012 and 2011 Repurchase Programs, respectively). The manner, timing and amount of purchases is determined by management based on an evaluation of market conditions, stock price and other factors and is subject to regulatory considerations. Purchases are to be made from time to time in the open market, in privately negotiated transactions or otherwise.
During 2014 we repurchased 1.3 million shares at a cost of $100 under the 2011 Repurchase Program. We had made no repurchases pursuant to the 2012 Repurchase Program at December 31, 2014. Shares repurchased under the share repurchase programs are available for general corporate purposes, including offsetting dilution associated with stock option and other equity-based employee benefit plans.  At December 31, 2014, the maximum dollar value of shares that may be purchased under the authorized Repurchase Programs was $583.
Shares reserved for future compensation grants of Stryker common stock were 19 million and 23 million at December 31, 2014 and 2013. We have 0.5 million authorized shares of $1 par value preferred stock, none of which is outstanding.
Stock Options
We have long-term incentive plans from which we grant stock options to certain key employees and non-employee directors at an exercise price not less than the fair market value of the underlying common stock, which is the closing quoted price of our common stock on the day prior to the date of grant. The options are granted for periods of up to 10 years and become exercisable in varying installments.
 
We measure the cost of employee stock options based on the grant-date fair value and recognize that cost using the straight-line method over the period during which a recipient is required to provide services in exchange for the options, typically the vesting period. The weighted-average fair value per share of options granted during 2014, 2013 and 2012, estimated on the date of grant using the Black-Scholes option pricing model, was $15.80, $15.24, and $13.36, respectively. The fair value of options granted was estimated using the following weighted-average assumptions: 
 
 
2014
 
2013
 
2012
Risk-free interest rate
 
2.1
%
 
1.3
%
 
1.3
%
Expected dividend yield
 
1.8
%
 
1.9
%
 
1.5
%
Expected stock price volatility
 
20.2
%
 
27.9
%
 
27.6
%
Expected option life
 
7.1 years

 
7.1 years

 
7.1 years

The risk-free interest rate for periods within the expected life of options granted is based on the United States Treasury yield curve in effect at the time of grant. Expected stock price volatility is based on the historical volatility of our stock. The expected option life, representing the period of time that options granted are expected to be outstanding, is based on historical option exercise and employee termination data.
A summary of 2014 stock option activity is as follows: 
 
 
Shares (in millions)
 
Weighted
Average
Exercise Price
 
Weighted-Average
Remaining
Term
(in years)
 
Aggregate
Intrinsic  Value
Outstanding January 1
 
17.0

 
$
55.35

 
 
 
 
Granted
 
2.5

 
81.13

 
 
 
 
Exercised
 
(3.7
)
 
52.20

 
 
 
 
Canceled
 
(0.6
)
 
65.23

 
 
 
 
Outstanding December 31
 
15.2

 
$
59.97

 
5.6
 
$
524.2

Exercisable December 31
 
8.7

 
$
54.34

 
3.8
 
$
349.7

Options expected to vest
 
6.0

 
$
67.17

 
8.0
 
$
163.2

The aggregate intrinsic value, which represents the cumulative difference between the fair market value of the underlying common stock and the option exercise prices, of options exercised during the years ended December 31, 2014, 2013 and 2012 was $113, $97, and $52, respectively. Exercise prices for options outstanding at December 31, 2014 ranged from $38.71 to $81.14. At December 31, 2014, there was $64 of unrecognized compensation cost related to nonvested stock options granted under the long-term incentive plans; that cost is expected to be recognized over the weighted-average period of 1.5 years.
Restricted Stock Units (RSUs) and Performance Stock Units (PSUs)
We grant RSUs to key employees and non-employee directors and PSUs to certain key employees under our long-term incentive plans. The fair value of RSUs is determined based on the number of shares granted and the closing quoted price of our common stock on the day prior to the date of grant, adjusted for the fact that RSUs do not include anticipated dividends. RSUs generally vest in one-third increments over a three-year period and are settled in stock. PSUs are earned over a three-year performance cycle and vest in March of the year following the end of that performance cycle. The number of PSUs that will ultimately be earned is based on our performance relative to pre-established goals during that three-year performance cycle.
The fair value of PSUs is determined based on the closing quoted price of our common stock on the day prior to the date of grant. A summary of 2014 RSU and PSU activity is as follows: 


29
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

 
 
Shares
(in millions)
 
Weighted
Average
Grant date
Fair value
 
 
RSUs
 
PSUs
 
RSUs
 
PSUs
Nonvested at January 1
 
1.5

 
0.3

 
$
56.19

 
$
58.10

  Granted
 
0.6

 
0.1

 
76.61

 
81.14

  Vested
 
(0.7
)
 
(0.1
)
 
55.71

 
56.53

  Canceled
 
(0.1
)
 

 
63.45

 
57.12

Nonvested at December 31
 
1.3

 
0.3

 
$
65.04

 
$
66.18

At December 31, 2014 there was $45 of unrecognized compensation cost related to nonvested RSUs. That cost is expected to be recognized as expense over the weighted-average period of 0.9 years. The weighted-average grant date fair value per share of RSUs granted in 2014 and 2013 was $76.61 and $60.81, respectively. The fair value of RSUs vested in 2014 was $39. At December 31, 2014, there was $9 of unrecognized compensation cost related to nonvested PSUs; that cost is expected to be recognized as expense over the weighted-average period of one year.
Employee Stock Purchase Plans (ESPP)
Full- time and part-time employees may participate in our ESPP provided they meet certain eligibility requirements. The purchase price for our common stock under the terms of the ESPP is defined as 95% of the closing stock price on the last trading day of a purchase period. During 2014 and 2013, we issued 150,167 and 163,533 shares, respectively, under the ESPP.
NOTE 10 - INCOME TAXES
Earnings before income taxes consisted of: 
 
 
2014
 
2013
 
2012
United States
 
$
355

 
$
193

 
$
591

International
 
805

 
1,019

 
1,114

 
 
$
1,160

 
$
1,212

 
$
1,705

Income taxes consisted of:
 
 
2014
 
2013
 
2012
Current income tax expense
 
 
 
 
 
 
United States federal
 
$
213

 
$
79

 
$
227

United States state and local
 
26

 
29

 
41

International
 
346

 
75

 
178

Total current income tax expense
 
585

 
183

 
446

Deferred income tax expense (benefit)
 
 
 
 
 
 
United States federal
 
9

 
(52
)
 
(12
)
United States state and local
 
(16
)
 
(4
)
 
(9
)
International
 
67

 
79

 
(18
)
Total deferred income tax expense (benefit)
 
60

 
23

 
(39
)
Total income tax expense
 
$
645

 
$
206

 
$
407

 
 
 
 
 
 
 
Interest expense and penalties included in other income (expense)
 
$
8

 
$
12

 
$
(4
)
In 2014 we recorded the income tax impacts of the establishment of a European regional headquarters and a cash repatriation to the United States planned for 2015. In 2013 we recorded income tax benefits related to favorable audit resolutions in multiple jurisdictions. In 2014, 2013 and 2012, the United States federal deferred income tax expense (benefit) includes the utilization of net operating loss carryforwards of $78, $16 and $16, respectively.
 
Reconciliation of the United States federal statutory income tax rate to our effective income tax rate:
 
 
2014
 
2013
 
2012
United States federal statutory rate
 
35.0
%
 
35.0
 %
 
35.0
 %
Add (deduct):
 
 
 
 
 
 
United States state and local income taxes, less federal deduction
 
2.2

 
1.4

 
1.7

Foreign income tax at rates other than 35%
 
4.9

 
(13.7
)
 
(12.1
)
Tax related to repatriation of foreign earnings
 
10.1

 

 
(0.4
)
Other
 
3.4

 
(5.7
)
 
(0.3
)
 
 
55.6
%
 
17.0
 %
 
23.9
 %
Deferred income tax assets and liabilities:
 
 
December
 
 
2014
 
2013
Deferred income tax assets:
 
 
 
 
Inventories
 
$
585

 
$
607

Product related liabilities
 
167

 
67

Other accrued expenses
 
226

 
221

Depreciation and amortization
 
44

 
46

State income taxes
 
68

 
53

Share-based compensation
 
90

 
101

Net operating loss carryforwards
 
123

 
124

Other
 
143

 
107

Total deferred income tax assets
 
1,446

 
1,326

Less valuation allowances
 
(42
)
 
(39
)
Total deferred income tax assets after valuation allowances
 
1,404

 
1,287

Deferred income tax liabilities:
 
 
 
 
Depreciation and amortization
 
(666
)
 
(668
)
Undistributed earnings
 
(132
)
 
(16
)
Other
 
(54
)
 
(86
)
Total deferred income tax liabilities
 
(852
)
 
(770
)
Net deferred income tax assets
 
$
552

 
$
517

Reported as:
 
 
 
 
Current assets—Deferred income taxes
 
$
989

 
$
880

Noncurrent assets—Other
 
39

 
34

Current liabilities—Accrued expenses and other liabilities
 
(3
)
 

Noncurrent liabilities—Other liabilities
 
(473
)
 
(397
)
 
 
$
552

 
$
517

Accrued interest and penalties reported as accrued expenses and other liabilities
 
$
26

 
$
34

Net operating loss carryforwards totaling $376 at December 31, 2014 are available to reduce future taxable earnings of certain domestic and foreign subsidiaries. United States loss carryforwards of $288 expire between 2014 and 2033. International loss carryforwards of $88 expire beginning in 2014; however, some have no expiration. Of these carryforwards, $43 are subject to a full valuation allowance. We also have a tax credit carryforward of $31 with a full valuation allowance. These credits have no expiration; however, we do not anticipate generating income tax in excess of the credits in the foreseeable future.
No provision has been made for United States federal and state income taxes or international income taxes that may result from future remittances of the undistributed earnings of foreign subsidiaries that are determined to be indefinitely reinvested ($5,878 at December 31, 2014). Determination of the amount of any unrecognized deferred income tax liability on these is not practicable.


30
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

The changes in the amounts recorded for uncertain income tax positions are:
 
 
December
 
 
2014
 
2013
Balance at beginning of year
 
$
204

 
$
227

Increases related to current year income tax positions
 
133

 
22

Increases related to prior year income tax positions
 
23

 
56

Decreases related to prior year income tax positions:
 
 
Settlements and resolutions of income tax audits
 
(33
)
 
(37
)
Statute of limitations expirations
 
(1
)
 
(64
)
Foreign currency translation
 
(6
)
 

Other
 
(5
)
 

Balance at end of year
 
$
315

 
$
204

Reported as:
 
 
 
 
Current liabilities—Income taxes
 
$
3

 
$
10

Noncurrent liabilities—Other liabilities
 
312

 
194

 
 
$
315

 
$
204

Our income tax expense could have been reduced by $307 and $194 at December 31, 2014 and 2013, respectively, had these uncertain income tax positions been favorably resolved. It is reasonably possible that the amount of unrecognized tax benefits will significantly change due to one or more of the following events in the next twelve months: expiring statutes, audit activity, tax payments, competent authority proceedings related to transfer pricing or final decisions in matters that are the subject of controversy in various taxing jurisdictions in which we operate, including inventory transfer pricing and cost sharing, product royalty and foreign branch arrangements. We are not able to reasonably estimate the amount or the future periods in which changes in unrecognized tax benefits may be resolved; however, we do not anticipate any significant changes within the next twelve months. Interest and penalties incurred associated with uncertain tax positions are included in other income (expense).
In the normal course of business, income tax authorities in various income tax jurisdictions both within the United States and internationally conduct routine audits of our income tax returns filed in prior years.  These audits are generally designed to determine if individual income tax authorities are in agreement with our interpretations of complex income tax regulations regarding the allocation of income to the various income tax jurisdictions. Income tax years are open from 2010 through the current year for the United States federal jurisdiction; income tax years open for our other major jurisdictions range from 2005 through the current year.
NOTE 11 - RETIREMENT PLANS
Defined Contribution Plans
We provide certain employees with defined contribution plans. A portion of our retirement plan expense under the defined contribution plans is funded with Stryker common stock. The use of Stryker common stock represents a non-cash operating activity that is not reflected in the consolidated statements of cash flows.
 
 
2014
 
2013
 
2012
Plan expense
 
$
132

 
$
132

 
$
112

Expense funded with Stryker common stock
 
18

 
16

 
15

Stryker common stock held by plan
 
 
 
 
 
 
  Dollar amount
 
198

 
150

 
104

  Shares (in millions of shares)
 
2.1

 
2.0

 
1.9

  Value as a percentage of total plan assets
 
11
%
 
9
%
 
9
%
 
Defined Benefit Plans
Certain of our subsidiaries have both funded and unfunded defined benefit pension plans covering some or all of their employees. Substantially all of the defined benefit pension plans have projected benefit obligations in excess of plan assets.
Obligations and Funded Status
 
December
 
 
2014
 
2013
Funded status
 
 
 
 
Fair value of plan assets
 
$
310

 
$
281

Benefit obligations
 
570

 
456

Funded status
 
$
(260
)
 
$
(175
)
Reported as:
Current liabilities—accrued compensation
 
(1
)
 
(1
)
Noncurrent liabilities—other liabilities
 
(259
)
 
(174
)
Pre-tax amounts recognized in AOCI
 
 
 
 
Unrecognized net actuarial loss
 
$
(195
)
 
$
(115
)
Unrecognized prior service cost
 
15

 
12

 
 
$
(180
)
 
$
(103
)
The estimated net actuarial loss for the defined benefit pension plans to be reclassified from AOCI into net periodic benefit cost in 2015 is $9. We estimate that an immaterial amount of amortization of prior service cost and transition amount for the defined benefit pension plans will be reclassified from AOCI into net periodic benefit cost in 2014.
Pension plans with an accumulated benefit obligation in excess of plan assets had projected benefit obligations, accumulated benefit obligations and fair value of plan assets of $570, $533, and $310, respectively, at December 31, 2014 and $456, $427, and $281, respectively, at December 31, 2013.
Change in Benefit Obligations:
 
December
2014
 
2013
Beginning Projected benefit obligations
 
$
456

 
$
447

Service cost
 
26

 
30

Interest cost
 
13

 
13

Foreign exchange impact
 
(43
)
 
2

Employee contributions
 
6

 
6

Actuarial (gains) losses
 
134

 
(29
)
Plan amendments
 
(5
)
 
(1
)
Acquisitions
 
5

 

Benefits paid
 
(22
)
 
(12
)
Ending Projected benefit obligations
 
$
570

 
$
456

Ending Accumulated benefit obligations
 
$
533

 
$
427

 
 
 
 
 
Change in Plan Assets:
 
December
2014
 
2013
Beginning Fair value of plan assets
 
281

 
254

Actual return
 
46

 
11

Employer contributions
 
18

 
20

Employee contributions
 
6

 
6

Foreign exchange impact
 
(24
)
 
1

Acquisition
 
3

 

Benefits paid
 
(20
)
 
(11
)
Ending Fair value of plan assets
 
$
310

 
$
281



31
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

Components of Net Periodic Pension Cost
 
 
2014
 
2013
 
2012
Net periodic benefit cost:
 
 
 
 
 
 
Service cost
 
$
(26
)
 
$
(30
)
 
$
(21
)
Interest cost
 
(13
)
 
(13
)
 
(13
)
Expected return on plan assets
 
10

 
10

 
9

Amortization of prior service cost and transition amount
 
1

 
1

 
1

Recognized actuarial loss
 
(7
)
 
(8
)
 
(5
)
Net periodic benefit cost
 
(35
)
 
(40
)
 
(29
)
Changes in assets and benefit obligations recognized in OCI:
Net actuarial gain (loss)
 
(88
)
 
28

 
(87
)
Recognized net actuarial loss
 
7

 
8

 
5

Prior service cost and transition amount
 
4

 
(1
)
 

Total recognized in OCI
 
(77
)
 
35

 
(82
)
Total recognized in net periodic benefit cost and OCI
 
$
(112
)
 
$
(5
)
 
$
(111
)
 
 
 
 
 
 
 
Assumptions
 
 
 
 
 
 
Weighted-average rates used to determine net periodic benefit cost:
Discount rate
 
3.2
%
 
2.9
%
 
4.2
%
Expected return on plan assets
 
3.7
%
 
3.7
%
 
4.2
%
Rate of compensation increase
 
2.9
%
 
3.0
%
 
3.0
%
Weighted-average discount rate used to determine projected benefit obligations
 
2.0
%
 
3.2
%
 
2.9
%
Discount rate
The discount rates were selected using a hypothetical portfolio of high quality bonds at December 31 that would provide the necessary cash flows to match our projected benefit payments.
Expected return on plan assets
The expected return on plan assets is determined by applying the target allocation in each asset category of plan investments to the anticipated return for each asset category based on historical and projected returns.
Investment strategy
The investment strategy for our defined benefit pension plans is to meet the liabilities of the plans as they fall due and to maximize the return on invested assets within appropriate risk tolerances. The weighted-average target and actual allocation of plan assets by asset category is as follows:
 
Target
 
December
 
2014
 
2014
 
2013
Equity securities
30
%
 
30
%
 
34
%
Debt securities
50

 
48

 
46

Other
20

 
22

 
20

 
100
%
 
100
%
 
100
%
 
Valuation of Our Pension Plan Assets by Pricing Categories:
 
Level
 
2014
1
2
3
Total
Cash and cash equivalents
$
6

$

$

$
6

Equity securities
125



125

Corporate debt securities
121



121

Other
17

8

33

58

Total
$
269

$
8

$
33

$
310

2013
 
 
 
 
Cash and cash equivalents
$
10

$

$

$
10

Equity securities
94



94

Corporate debt securities
127

2


129

Other
18

8

22

48

Total
$
249

$
10

$
22

$
281

Our Level 3 pension plan assets (See Note 3 for an explanation of our fair value hierarchy) consist primarily of guaranteed investment contracts with insurance companies. The insurance contracts guarantee us principal repayment and a fixed rate of return. Our valuation of Level 3 assets is based on third-party actuarial valuations that are an estimation of the surrender value of the guaranteed investment contract between us and the insurance company. The surrender value equals the actuarial value of the notional investments underlying the guaranteed investment contract, using the actuarial assumptions as stated in the guaranteed investment contract.
Rollforward of Level 3 Pension Plan Assets
 
 
2014
 
2013
Balance at January 1
 
$
22

 
$
23

Actual return on plan assets held at the reporting date
 
11

 

Purchases, sales, and settlements
 

 
(1
)
Balance at December 31
 
$
33

 
$
22

We expect to contribute $19 to our defined benefit pension plans in 2015. The estimated future benefit payments by year based on expected future service as appropriate are: 
 
 
2015
 
2016
 
2017
 
2018
 
2019
 
2020-24
Expected benefit payments
 
$
15

 
$
15

 
$
15

 
$
15

 
$
15

 
$
81


NOTE 12 - SEGMENT AND GEOGRAPHIC DATA
In 2014 we changed the name of our Reconstructive business segment to Orthopaedics. The name change did not change the composition of any of our business segments and had no financial impact.
We segregate our operations into three reportable business segments: Orthopaedics, MedSurg, and Neurotechnology and Spine. The Orthopaedics segment includes reconstructive (hip and knee) and trauma implant systems as well as other related products. The MedSurg segment includes surgical equipment and surgical navigation systems (Instruments); endoscopic and communications systems (Endoscopy); patient handling and emergency medical equipment (Medical); and reprocessed and remanufactured medical devices (Sustainability) as well as other products.
The Neurotechnology and Spine segment includes neurovascular products, spinal implant systems and other related products. The Other category shown in the table below includes corporate and global operations administration, central research and development initiatives, interest expense, interest and marketable securities income and share-based compensation, which includes compensation related to both employee and director stock option,


32
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

restricted stock unit and performance stock unit grants. Certain prior year amounts have been reclassified to conform with the current year presentation of our segments.
Results for our reportable segments were:
 
2014
2013
2012
Orthopaedics
4,153

3,949

3,823

MedSurg
3,781

3,414

3,265

Neurotechnology & Spine
1,741

1,658

1,569

Net sales
$
9,675

$
9,021

$
8,657

Orthopaedics
319

273

271

MedSurg
113

84

85

Neurotechnology & Spine
134

135

122

Other
19

19

8

Depreciation and amortization
$
585

$
511

$
486

Orthopaedics
367

365

344

MedSurg
162

167

177

Neurotechnology & Spine
107

98

76

Other
(118
)
(127
)
(75
)
Income taxes (credit)
$
518

$
503

$
522

Orthopaedics
1,033

988

971

MedSurg
677

638

631

Neurotechnology & Spine
364

333

326

Other
(264
)
(245
)
(280
)
Segment net earnings (loss)
$
1,810

$
1,714

$
1,648

Less:
 
 
 
Acquisition & integration-related charges
(65
)
(72
)
(37
)
Amortization of intangible assets
(133
)
(98
)
(88
)
Restructuring related charges
(78
)
(46
)
(59
)
Rejuvenate and related charges
(628
)
(460
)
(133
)
Regulatory and legal matters

(63
)
(33
)
Donation

(15
)

Income tax related adjustments
(391
)
46


Net earnings
$
515

$
1,006

$
1,298

Total assets and capital spending by reportable segments were:
 
2014
2013
2012
Orthopaedics
8,600

6,675

3,654

MedSurg
5,626

3,382

2,996

Neurotechnology & Spine
3,772

3,147

2,600

Other
(285
)
2,539

3,956

Total assets
$
17,713

$
15,743

$
13,206

Orthopaedics
80

89

87

MedSurg
77

59

51

Neurotechnology & Spine
20

16

53

Other
56

31

19

Capital spending
$
233

$
195

$
210

Our reportable segments are business units that offer different products and services and are managed separately because each business requires different manufacturing, technology and marketing strategies. The accounting policies of the segments are the same as those described in the summary of significant accounting policies in Note 1 to the Consolidated Financial Statements.
We measure the financial results of our reportable segments using an internal performance measure that excludes acquisition and integration-related charges, restructuring related charges, reserves for certain product recall matters, reserves for certain legal and regulatory matters, a donation to an educational institution, and certain income tax adjustments. Identifiable assets are those assets used exclusively in the operations of each business segment or allocated when used jointly. Corporate assets are principally cash and cash equivalents, marketable securities and property, plant and equipment.
The countries in which we have local revenue generating operations have been combined into the following geographic areas: the United
 
States (including Puerto Rico); Europe, Middle East, Africa (EMEA); Asia Pacific; and other foreign countries, which include Canada and countries in the Latin American region. Sales are attributable to a geographic area based upon the customer’s country of domicile.
Net property, plant and equipment are based upon physical location of the assets. Geographic information follows: 
 
 
Net Sales
 
Net Property, Plant & Equipment
 
 
2014
2013
2012
 
2014
2013
United States
 
$
6,558

$
5,984

$
5,658

 
$
539

$
506

Europe, Middle East, Africa
 
1,371

1,316

1,266

 
417

446

Asia Pacific
 
1,368

1,319

1,336

 
119

122

Other foreign countries
 
378

402

397

 
23

7

 
 
$
9,675

$
9,021

$
8,657

 
$
1,098

$
1,081


NOTE 13 - SUMMARY OF QUARTERLY DATA (UNAUDITED)
 
 
2014 Quarter Ended
 
 
Mar 31
 
Jun 30
 
Sep 30
 
Dec 31
Net sales
 
$
2,305

 
$
2,363

 
$
2,389

 
$
2,618

Gross profit
 
1,536

 
1,555

 
1,567

 
1,726

Earnings before income taxes
 
107

 
167

 
425

 
461

Net earnings
 
70

 
128

 
57

 
260

Net earnings per share of common stock:
 
 
 
 
 
 
 
 
Basic
 
0.19

 
0.34

 
0.16

 
0.68

Diluted
 
0.18

 
0.33

 
0.16

 
0.67

Market price of common stock:
 
 
 
 
 
 
 
 
High
 
83.86

 
86.93

 
85.91

 
98.24

Low
 
74.02

 
75.78

 
78.91

 
77.87

Dividends declared per share of common stock
 
$
0.305

 
$
0.305

 
$
0.305

 
$
0.345

 
 
 
 
 
 
 
 
 
 
 
2013 Quarter Ended
 
 
Mar 31
 
Jun 30
 
Sep 30
 
Dec 31
Net sales
 
$
2,190

 
$
2,212

 
$
2,151

 
$
2,468

Gross profit
 
1,477

 
1,482

 
1,469

 
1,616

Earnings before income taxes
 
375

 
269

 
137

 
431

Net earnings
 
304

 
213

 
103

 
386

Net earnings per share of common stock:
 
 
 
 
 
 
 
 
Basic
 
0.80

 
0.56

 
0.27

 
1.02

Diluted
 
0.79

 
0.56

 
0.27

 
1.01

Market price of common stock:
 
 
 
 
 
 
 
 
High
 
66.92

 
70.00

 
71.94

 
75.55

Low
 
55.24

 
63.35

 
63.71

 
66.93

Dividends declared per share of common stock
 
$
0.265

 
$
0.265

 
$
0.265

 
$
0.305

The price quotations reported above were supplied by the New York Stock Exchange.


33
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

ITEM 9.
CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.
Not applicable. 
ITEM 9A.
CONTROLS AND PROCEDURES.
Evaluation of Disclosure Controls and Procedures—An evaluation of the effectiveness of the Company’s disclosure controls and procedures as of December 31, 2014 was carried out under the supervision and with the participation of the Company’s management, including the President and Chief Executive Officer and the Vice President and Chief Financial Officer (the Certifying Officers). Based on that evaluation, the Certifying Officers concluded that the Company’s disclosure controls and procedures are effective.
Changes in Internal Control Over Financial Reporting—There was no change to our internal control over financial reporting during the year ended December 31, 2014 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
MANAGEMENT'S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
The management of Stryker Corporation is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rule 13a-15(f). Stryker Corporation’s internal control system was designed to provide reasonable assurance to the Company's management and Board of Directors regarding the preparation and fair presentation of published financial statements.
Stryker Corporation’s management assessed the effectiveness of our internal control over financial reporting as of December 31, 2014. In making this assessment, we used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control-Integrated Framework. Based on that assessment, management concluded that our internal control over financial reporting is effective.
The internal controls over financial reporting of an acquired business are eligible for a one year exclusion as permitted by Securities and Exchange Commission Staff interpretive guidance. Accordingly, management's assessment of and conclusion on the effectiveness of internal control over financial reporting did not include the internal controls of Small Bone Innovations, Inc., Berchtold Holding, AG, Patient Safety Technology, Inc., and other 2014 acquisitions which are included in the December 31, 2014 consolidated financial statements of Stryker Corporation and subsidiaries. Assets and shareholders' equity excluded from management's assessment constitute 1.1% and 1.0% of total assets and shareholders' equity, respectively, as of December 31, 2014 and 1.2% and (2.2%) of revenues and net earnings, respectively, for the year then ended.
Stryker Corporation’s independent registered public accounting firm, Ernst & Young LLP, has issued an attestation report on the effectiveness of our internal control over financial reporting.
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM ON INTERNAL CONTROL OVER FINANCIAL REPORTING
THE BOARD OF DIRECTORS AND SHAREHOLDERS OF STRYKER CORPORATION:

 
We have audited Stryker Corporation and subsidiaries' internal control over financial reporting as of December 31, 2014, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). Stryker Corporation and subsidiaries' management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management's Report on Internal Control Over Financial Reporting. Our responsibility is to express an opinion on the Company's internal control over financial reporting based on our audit.
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company's internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company's assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
As indicated in the accompanying Management’s Report on Internal Control Over Financial Reporting, management’s assessment of and conclusion on the effectiveness of internal control over financial reporting did not include the internal controls of Small Bone Innovations, Inc., Berchtold Holding, AG, Patient Safety Technology, Inc., and other acquisitions which are included in the December 31, 2014 consolidated financial statements of Stryker Corporation and subsidiaries and constituted 1.1% and 1.0% of total assets and shareholders' equity, respectively, as of December 31, 2014 and 1.2% and (2.2%) of revenues and net earnings, respectively, for the year then ended. Our audit of internal control over financial reporting of Stryker Corporation and subsidiaries also did not include an evaluation of the internal control over financial reporting of Small Bone Innovations, Inc., Berchtold Holding, AG, Patient Safety Technology, Inc., and other acquisitions.


34
 
 

STRYKER CORPORATION 2014 Form 10-K

In our opinion, Stryker Corporation and subsidiaries maintained, in all material respects, effective internal control over financial reporting as of December 31, 2014, based on the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Stryker Corporation and subsidiaries as of December 31, 2014 and 2013 and the related consolidated statements of earnings and comprehensive income, shareholders' equity and cash flows for each of the three years in the period ended December 31, 2014 of Stryker Corporation and subsidiaries, and our report dated February 12, 2015 expressed an unqualified opinion thereon.
/s/    ERNST & YOUNG LLP

Grand Rapids, Michigan
February 12, 2015

ITEM 9B.
OTHER INFORMATION.
Not applicable.
PART III
ITEM 10.
DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE.
Information regarding regarding our executive officers appears under the caption "Executive Officers of the Registrant" in Part I, Item 1 of this report.
Information regarding our directors and certain corporate governance and other matters appearing under the captions "Information About the Board of Directors and Corporate Governance Matters," "Proposal 1—Election of Directors," and "Additional Information—Section 16(a) Beneficial Ownership Reporting Compliance" in the 2015 proxy statement is incorporated herein by reference.
The Corporate Governance Guidelines adopted by our Board of Directors, as well as the charters of each of the Audit Committee, the Governance and Nominating Committee and the Compensation Committee and the Code of Ethics applicable to the principal executive officer, principal financial officer and principal accounting officer or controller or persons performing similar functions are available, free of charge, under the "Investors—Corporate Governance" section of our website at www.stryker.com. Print copies of such documents are available, free of charge, upon written request sent to the Corporate Secretary of Stryker Corporation at 2825 Airview Boulevard, Kalamazoo, Michigan 49002.
ITEM 11.
EXECUTIVE COMPENSATION.

Information regarding the compensation of our management appearing under the captions "Compensation Discussion and Analysis," "Compensation Committee Report," "Executive Compensation" and "Compensation of Directors" in the 2015 proxy statement is incorporated herein by reference.


 
ITEM 12.
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS.
The information under the caption "Stock Ownership" in the 2015 proxy statement is incorporated herein by reference.
At December 31, 2014, we had an equity compensation plan under which options are granted at a price not less than fair market value at the date of grant and under which awards of restricted stock units (RSUs) and performance stock units have been made. Options and RSUs had also been awarded under a previous plan. These equity compensation plans were previously submitted to and approved by our shareholders. Additional information regarding our equity compensation plans appears in Note 1 and Note 9 to the Consolidated Financial Statements in Item 8 of this report. At December 31, 2014, we also had a stock performance incentive award program pursuant to which shares of our common stock have been and may be issued to certain employees with respect to performance. The status of these plans at December 31, 2014 follows: 
Plan Category
Equity compensation plans approved by shareholders
Number of shares of common stock to be issued upon exercise of outstanding options
16.9

Weighted-average exercise price of outstanding options
$
54.24

Number of shares of common stock remaining available for future issuance under equity compensation plans (excluding shares reflected in the first row)
23.0


ITEM 13.
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.
The information under the caption "Information About the Board of Directors and Corporate Governance Matters—Independent Directors" and "Information About the Board of Directors and Corporate Governance Matters—Certain Relationships and Related Party Transactions" in the 2015 proxy statement is incorporated herein by reference.
ITEM 14.
PRINCIPAL ACCOUNTING FEES AND SERVICES.
The information under the caption "Proposal 2—Ratification of Appointment of Our Independent Registered Public Accounting Firm" in the 2015 proxy statement is incorporated herein by reference.


35
 
 

STRYKER CORPORATION 2014 Form 10-K

PART IV
ITEM 15.
EXHIBITS, FINANCIAL STATEMENT SCHEDULES.
 
(a) 1.
Financial Statements
 
 
 
 
 
 
 
 
 
 
 
 
The following Consolidated Financial Statements are set forth in Part II, Item 8 of this report.
 
 
Report of Independent Registered Public Accounting Firm on Financial Statements
17

 
Consolidated Statements of Earnings for the Years Ended December 31, 2014, 2013 and 2012
18

 
Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2014, 2013 and 2012
18

 
Consolidated Balance Sheets as of December 31, 2014 and 2013
19

 
Consolidated Statements of Shareholders’ Equity for the Years Ended December 31, 2014, 2013 and 2012
20

 
Consolidated Statements of Cash Flows for the Years Ended December 31, 2014, 2013 and 2012
21

 
Notes to Consolidated Financial Statements
22

(a) 2.
Financial Statement Schedules
 
 
The consolidated financial statement schedule of Stryker Corporation and its subsidiaries is:
 
 
 
 
 
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS
 
 
 
 
 
 
Additions
 
Deductions
 
 
 
 
Description
 
Balance at
Beginning
of Period
 
Charged to
Costs &
Expenses
 
Uncollectible Amounts Written Off, Net of Recoveries
 
Effect of Changes in Foreign Currency Exchange Rates
 
Balance
at End
of Period
 
 
DEDUCTED FROM ASSET ACCOUNTS
 
 
 
 
 
 
 
 
 
 
 
 
Allowance for Doubtful Accounts:
 
 
 
 
 
 
 
 
 
 
 
 
Year ended December 31, 2014
 
$
72

 
$
(4
)
 
$
8

 
$
1

 
$
59

 
 
Year ended December 31, 2013
 
$
58

 
$
21

 
$
11

 
$
(4
)
 
$
72

 
 
Year ended December 31, 2012
 
$
56

 
$
10

 
$
8

 
$

 
$
58

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All other schedules for which provision is made in the applicable accounting regulation of the U.S. Securities and Exchange Commission are not required under the related instructions or are inapplicable and, therefore, have been omitted.
 
(a) 3.
Exhibits
 
 
 
 
 
 
 
 
 
 
 
 
A list of exhibits required to be filed as part of this report is set forth in the Exhibit Index, which immediately precedes such exhibits, and is incorporated herein by reference. These exhibits are available upon request to the Vice President, Corporate Secretary at 2825 Airview Boulevard, Kalamazoo, Michigan 49002.
 
(c)
Financial Statement Schedules
 
 
 
 
 
 
 
 
 
 
 
 
The response to this portion of Item 15 is submitted as a separate section of this Report. See Item 15(a)(2) above.

 


36
 
Dollar amounts in millions except per share amounts or as otherwise specified.

STRYKER CORPORATION 2014 Form 10-K

SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
Date: February 12, 2015 
 
STRYKER CORPORATION
 
/s/ WILLIAM R. JELLISON
William R. Jellison, Vice President, Chief Financial Officer
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on the date indicated above on behalf of the registrant and in the capacities indicated. 
 
 
 
/s/ KEVIN A. LOBO
 
/s/ WILLIAM R. JELLISON
Kevin A. Lobo, Chairman, President and Chief Executive Officer
 
William R. Jellison, Vice President, Chief Financial Officer
(Principal Executive Officer)
 
(Principal Financial Officer)
 
 
 
/s/ WILLIAM E. BERRY JR.
 
 
William E. Berry Jr., Vice President, Corporate Controller
 
 
(Principal Accounting Officer)
 
 
 
 
 
 
 
 
/s/ HOWARD E. COX JR.
 
/s/ ALLAN C. GOLSTON
Howard E. Cox, Jr.—Director
 
Allan C. Golston—Director
 
 
 
/s/ SRIKANT M. DATAR
 
/s/ WILLIAM U. PARFET
Srikant M. Datar, Ph.D.—Director
 
William U. Parfet—Director
 
 
 
/s/ ROCH DOLIVEUX
 
/s/ ANDREW K. SILVERNAIL
Roch Doliveux—Director
 
Andrew K. Silvernail —Director
 
 
 
/s/ LOUISE L. FRANCESCONI
 
/s/ RONDA E. STRYKER
Louise L. Francesconi—Director
 
Ronda E. Stryker—Director
 
 
 


37
 
 

STRYKER CORPORATION 2014 Form 10-K

FORM 10-K—ITEM 15(a) 3. and ITEM 15(c)
STRYKER CORPORATION AND SUBSIDIARIES
EXHIBIT INDEX 
Exhibit 3—
  
Articles of Incorporation and By-Laws
(i)
  
Restated Articles of Incorporation — Incorporated by reference to Exhibit 3.1 to our Form 10-K for the year ended December 31, 2012 (Commission File No. 00-09165).
(ii)
  
By-Laws — Incorporated by reference to Exhibit 3(ii) to our Form 8-K dated October 28, 2008 (Commission File No. 000-09165).
 
 
Exhibit 4—
  
Instruments defining the rights of security holders, including indentures—We agree to furnish to the Commission upon request a copy of each instrument pursuant to which long-term debt of Stryker Corporation and its subsidiaries not exceeding 10% of the total assets of Stryker Corporation and its consolidated subsidiaries is authorized.
(i)
  
Amended and Restated Credit Agreement, dated as of August 29, 2014, among Stryker Corporation and certain subsidiaries, as designated borrowers; the lenders party thereto; and JPMorgan Chase Bank, N.A., as administrative agent.—Incorporated by reference to Exhibit 4.1 to our Form 8-K dated September 3, 2014 (Commission File no. 000-09165).
(ii)
  
Indenture, dated January 15, 2010, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.1 to our Form 8-K dated January 15, 2010 (Commission File No. 000-09165).
(iii)
  
First Supplemental Indenture (including the form of 2015 note), dated January 15, 2010, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.2 to our Form 8-K dated January 15, 2010 (Commission File No. 000-09165).
(iv)
  
Second Supplemental Indenture (including the form of 2020 note), dated January 15, 2010, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.3 to our Form 8-K dated January 15, 2010 (Commission File No. 000-09165).
(v)
  
Third Supplemental Indenture (including the form of 2016 note), dated September 16, 2011, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.2 to our Form 8-K dated September 16, 2011 (Commission File No. 000-09165).
(vi)
 
Fourth Supplemental Indenture (including the form of 2018 note) dated March 25, 2013, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.2 to our Form 8-K dated March 25, 2013 (Commission File No. 000-09165).
(vii)
 
Fifth Supplemental Indenture (including the form of 2043 note) dated March 25, 2013, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.3 to our Form 8-K dated March 25, 2013 (Commission File No. 000-09165).
(viii)
 
Sixth Supplemental Indenture (including the form of 2024 note), dated May 1, 2014, between Stryker Corporation and U.S. Bank National Association.—Incorporated by reference to Exhibit 4.2 to the Company's Form 8-K dated May 1, 2014 (Commission File No. 000-09165).
(ix)
 
Seventh Supplemental Indenture (including the form of 2044 note), dated May 1, 2014, between Stryker Corporation and U.S. Bank National association.—Incorporated by reference to Exhibit 4.3 to the Company's Form 8-K dated May 1, 2014 (Commission File No. 000-09165).
 
  
 
Exhibit 10—
  
Material contracts
(i)*
  
2011 Long-Term Incentive Plan (as amended effective July 26, 2011)—Incorporated by reference to Exhibit 4(i) to Amendment No. 1 to our Registration Statement on Form S-8, File No. 333-179142 (Commission File No. 000-09165).
(ii)*
  
2006 Long-Term Incentive Plan (as amended effective February 8, 2011)—Incorporated by reference to Exhibit 10(i) to our Form 10-K for the year ended December 31, 2010 (Commission File No. 000-09165).
(iii)*
Form of grant notice and terms and conditions for stock options granted in 2015 under the 2011 Long-Term Incentive Plan.
(iv)*
Form of grant notice and terms and conditions for restricted stock units granted in 2015 under the 2011 Long-Term Incentive Plan.
(v)*
Form of grant notice and terms and conditions for performance stock units granted in 2015 under the 2011 Long-
Term Incentive Plan.

(vi)*
Form of grant notice and terms and conditions for stock options and restricted stock units granted in 2015 under the 2011 Long-Term Incentive Plan to non-employee directors.

(vii)*
 
Form of grant notice and terms and conditions for stock options granted in 2014 under the 2011 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(iii) to our Form 10-K for the year ended December 31, 2013 (Commission File No. 000-09165).
(viii)*
  
Form of grant notice and terms and conditions for restricted stock units granted in 2014 under the 2011 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(iv) to our Form 10-K for the year ended December 31, 2013. (Commission File No. 000-09165).
(ix)*
  
Form of grant notice and terms and conditions for performance stock units granted in 2014 under the 2011 Long-
Term Incentive Plan—Incorporated by reference to Exhibit 10(v) to our Form 10-K for the year ended December 31, 2013 (Commission File No. 000-09165).

(x)*
 
Form of grant notice and terms and conditions for stock options and restricted stock units granted in 2014 under the 2011 Long-Term Incentive Plan to non-employee directors.—Incorporated by reference to Exhibit 10.vi to our Form 10-K for the year ended December 31, 2013 (Commission File No. 000-09165).

38
 
 

STRYKER CORPORATION 2014 Form 10-K

(xi)*
  
Form of grant notice and terms and conditions for stock options granted in 2013 under the 2006 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(iii) to our Form 10-K for the year ended December 31, 2012 (Commission File No. 000-09165).
(xii)*
  
Form of grant notice and terms and conditions for restricted stock units granted in 2013 under the 2006 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(iv) to our Form 10-K for the year ended December 31, 2012 (Commission File No. 000-09165).
(xiii)*
  
Form of grant notice and terms and conditions for performance stock units granted in 2013 under the 2011 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(v) to our Form 10-K for the year ended December 31, 2012 (Commission File No. 000-09165).
(xiv)*
  
Form of grant notice and terms and conditions for stock options granted in 2012 under the 2006 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(i) to our Form 10-Q for the quarter ended March 31, 2012 (Commission File No. 000-09165).
(xv)*
  
Form of grant notice and terms and conditions for restricted stock units granted in 2012 under the 2006 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(ii) to our Form 10-Q for the quarter ended March 31, 2012 (Commission File No. 000-09165).
(xvi)*
  
Form of grant notice and terms and conditions for performance stock units granted in 2012 under the 2011 Long-Term Incentive Plan—Incorporated by reference to Exhibit 10(iii) to our Form 10-Q for the quarter ended March 31, 2012 (Commission File No. 000-09165).
(xvii)*
  
Supplemental Savings and Retirement Plan (as amended effective January 1, 1995)—Incorporated by reference to Exhibit 10(iii) to our Form 10-K for the year ended December 31, 1994 (Commission File No.000-09165).
 (xviii)
 
Stryker Corporation Executive Bonus Plan—Incorporated by reference to Exhibit 10.1 to our Form 8-K dated February 21, 2007 (Commission File No. 000-09165).
(xix)
 
Form of Indemnification Agreement for Directors—Incorporated by reference to Exhibit 10 (xiv) to our Form 10-K for the year ended December 31, 2008 (Commission File No. 000-09165).
(xx)
 
Form of Indemnification Agreement for Certain Officers—Incorporated by reference to Exhibit 10 (xv) to our Form 10-K for the year ended December 31, 2008 (Commission File No. 000-09165).
(xxi)
 
Agreement and Plan of Merger, dated September 25, 2013, by and among Stryker Corporation, Lauderdale Merger Corporation and MAKO Surgical Corp. — Incorporated by reference to Exhibit 2.1 of our Current Report on Form 8-K filed with the SEC on September 27, 2013 (Commission File No. 000-09165).
(xxii)
 
Letter Agreement between Stryker Corporation and William Jellison — Incorporated by reference to Exhibit 10.1 of our Current Report on Form 8-K filed with the SEC on April 11, 2013 (Commission File No. 000-09165).
(xxiii)
Settlement Agreement between Howmedica Osteonics Corp. and the counsel listed on the signature pages thereto, dated as of November 3, 2014 (Rejuvenate and ABF II Hip Implant Products Liability Litigation).
 
 
 
Exhibit 11—
  
Statement re: computation of per share earnings
(i)
  
Consolidated Statement of Earnings in Item 8 of this report.
 
 
Exhibit 21—
 
Subsidiaries of the registrant
(i)
List of Subsidiaries.
 
 
Exhibit 23—
 
Consent of experts and counsel
(i)
Consent of Independent Registered Public Accounting Firm.
 
 
Exhibit 31—
 
Rule 13a-14(a) Certifications
(i)
Certification by Principal Executive Officer of Stryker Corporation.
(ii)
Certification by Principal Financial Officer of Stryker Corporation.
 
 
Exhibit 32—
 
18 U.S.C. Section 1350 Certifications
(i)
Certification by Principal Executive Officer of Stryker Corporation.
(ii)
Certification by Principal Financial Officer of Stryker Corporation.
 
 
 
Exhibit 99—
  
Additional exhibits
(i)*
  
2008 Employee Stock Purchase Plan as amended on February 10, 2009—Incorporated by reference to Exhibit 99 (i) to our Form 10-K for the year ended December 31, 2008 (Commission File No. 000-09165).
 
 
Exhibit 101—
  
XBRL (Extensible Business Reporting Language) Documents
101.INS
  
XBRL Instance Document
101.SCH
  
XBRL Schema Document
101.CAL
  
XBRL Calculation Linkbase Document
101.DEF
  
XBRL Definition Linkbase Document
101.LAB
  
XBRL Label Linkbase Document
101.PRE
  
XBRL Presentation Linkbase Document
*
compensation arrangement
furnished with this Form 10-K

39