v3.26.3
Revenue Recognition
9 Months Ended
Sep. 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 $535 and $492 and Other
Orthopaedics of $219 and $159 for the three months 2026 and
2025. For the nine months 2026 and 2025 Ortho Tech includes
sales related to Orthopaedic Instruments of $1,547 and $1,477
and Other Orthopaedics of $570 and $440. Instruments includes
sales related to Neuro Cranial of $670 and $637 and Enabling
Technologies of $28 and $45 for the three months 2026 and
2025. For the nine months 2026 and 2025 Instruments includes
sales related to Neuro Cranial of $1,957 and $1,816 and
Enabling Technologies of $82 and $108. We have reflected these
changes in all historical periods presented.
Net Sales by Business
Three Months
Nine Months
2026
2025
2026
2025
MedSurg and Neurotechnology:
Instruments
$996
$949
$2,919
$2,705
Endoscopy
1,021
896
2,893
2,662
Medical
1,081
985
3,105
2,920
Vascular
566
525
1,579
1,429
$3,664
$3,355
$10,496
$9,716
Orthopaedics:
Knees
$635
$628
$1,998
$1,907
Hips
453
457
1,392
1,366
Trauma and Extremities
1,010
960
3,117
2,862
Ortho Tech
754
651
2,117
1,917
Spinal Implants
4
6
9
$177
$2,856
$2,702
$8,633
$8,229
Total
$6,520
$6,057
$19,129
$17,945
Net Sales by Geography
Three Months
Nine Months
2026
2025
2026
2025
United States
$4,950
$4,571
$14,385
$13,565
International
1,570
1,486
4,744
4,380
Total
$6,520
$6,057
$19,129
$17,945
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 September 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 September 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 $960 and $1,024 on
September 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 nine months 2026 were
as follows:
September 30
2026
Beginning contract liabilities
$1,024
Revenue recognized from beginning of year contract liabilities
(615)
Net advance consideration received during the period
551
Ending contract liabilities
$960
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 nine months
2026 and 2025.