v3.26.1
Revenue Recognition
6 Months Ended
Jun. 30, 2026
Revenue Recognition [Abstract]  
Revenue Recognition REVENUE RECOGNITION
Our policies for recognizing sales have not changed from those
described in our Annual Report on Form 10-K for 2025.
We disaggregate our net sales by business and geographic
location for each of our segments as we believe it best depicts
how the nature, amount, timing and certainty of our net sales and
cash flows are affected by economic factors.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
the orthopaedic instruments portfolio (Orthopaedic Instruments)
from Instruments with Other Orthopaedics. In addition, Neuro
Cranial and the spine enabling technologies portfolio (Enabling
Technologies) from Other Orthopaedics were combined with the
remaining Instruments business to align with our internal
reporting structure. Ortho Tech includes sales related to
Orthopaedic Instruments of $523 and $501 and Other
Orthopaedics of $194 and $148 for the three months 2026 and
2025. For the six months 2026 and 2025 Ortho Tech includes
sales related to Orthopaedic Instruments of $1,012 and $985 and
Other Orthopaedics of $351 and $281. Instruments includes
sales related to Neuro Cranial of $681 and $616 and Enabling
Technologies of $28 and $34 for the three months 2026 and
2025. For the six months 2026 and 2025 Instruments includes
sales related to Neuro Cranial of $1,287 and $1,179 and
Enabling Technologies of $54 and $63. We have reflected these
changes in all historical periods presented.
Net Sales by Business
Three Months
Six Months
2026
2025
2026
2025
MedSurg and Neurotechnology:
Instruments
$1,003
$918
$1,923
$1,756
Endoscopy
1,004
899
1,872
1,766
Medical
1,122
990
2,024
1,935
Vascular
496
498
1,013
904
$3,625
$3,305
$6,832
$6,361
Orthopaedics:
Knees
$693
$640
$1,363
$1,279
Hips
479
466
939
909
Trauma and Extremities
1,072
957
2,107
1,902
Ortho Tech
717
649
1,363
1,266
Spinal Implants
3
5
5
$171
$2,964
$2,717
$5,777
$5,527
Total
$6,589
$6,022
$12,609
$11,888
Net Sales by Geography
Three Months
Six Months
2026
2025
2026
2025
United States
$4,959
$4,554
$9,435
$8,994
International
1,630
1,468
3,174
2,894
Total
$6,589
$6,022
$12,609
$11,888
Costs to Obtain or Fulfill a Contract
We typically do not incur costs to fulfill a contract before a
product or service is provided to a customer due to the nature of
our products and services. Our costs to obtain contracts are
typically in the form of sales commissions paid to employees or
third-party agents. Certain sales commissions paid to employees
prior to recognition of sales are recorded as deferred contract
costs. We expense sales commissions associated with obtaining
a contract at the time of the sale or as incurred as the
amortization period is generally less than one year. These costs
have been presented within selling, general and administrative
expenses. On June 30, 2026 and December 31, 2025 deferred
contracts costs recorded in our Consolidated Balance Sheets
were not significant.
Contract Assets and Liabilities
Our contract assets primarily relate to conditional rights to
consideration for work completed but not billed at the reporting
date. On June 30, 2026 and December 31, 2025 contract assets
recorded in our Consolidated Balance Sheets were not
significant.
Our contract liabilities arise as a result of consideration received
from customers at inception of contracts for certain businesses or
where the timing of billing for services precedes satisfaction of
our performance obligations. This occurs primarily when payment
is received upfront for certain multi-period extended service
contracts. Our contract liabilities of $997 and $1,024 on June 30,
2026 and December 31, 2025 are classified within accrued
expenses and other liabilities and other noncurrent liabilities in
our Consolidated Balance Sheets based on the timing of when
we expect to complete our performance obligations.
Changes in contract liabilities during the six months 2026 were as
follows:
June 30
2026
Beginning contract liabilities
$1,024
Revenue recognized from beginning of year contract liabilities
(537)
Net advance consideration received during the period
510
Ending contract liabilities
$997
Transfers and Servicing of Financial Assets
We sell certain customer lease agreements and the related
leased assets to third-party financial institutions to accelerate our
cash collection cycle. The lease receivables are sold without
recourse and are derecognized from our Consolidated Balance
Sheets at the time of sale. Under the terms of our arrangements,
we collect lease payments on behalf of the financial institutions
but maintain no other form of continuing involvement. Sales of
these lease agreements are classified as operating activities in
our Consolidated Statements of Cash Flows. Fees earned for our
servicing activities are immaterial. Revenue related to customer
lease agreements sold under these arrangements represented
less than 4% of our total revenue for the three and six months
2026 and 2025.