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Stryker (SYK) investor relations material
Stryker Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Achieved outstanding Q4 and full-year 2025 results, with organic sales growth of 11% for Q4 and 10.3% for the year, surpassing $25 billion in sales.
Double-digit organic sales growth across Neurocranial, Endoscopy, Instruments, and Trauma and Extremities businesses globally.
U.S. organic sales growth was 11.2%, and international organic sales growth was 7.5%, led by emerging markets, South Korea, and Japan.
Adjusted operating income margin expanded by 100 bps to 30.2% in Q4 and 26.3% for the year, marking a second consecutive year of at least 100 basis points of adjusted operating margin expansion.
Strategic initiatives included new business units, active M&A, and specialized sales force splits, fueling growth and innovation.
Financial highlights
Q4 organic sales growth of 11% compared to 10.2% in Q4 2024; full-year organic sales growth of 10.3%.
Adjusted EPS for Q4 was $4.47, up 11.5% year-over-year; full-year adjusted EPS was $13.63, up 11.8%.
Adjusted gross margin for Q4 was 65.2%, 10 basis points lower year-over-year due to tariffs, offset by business mix and cost improvements.
Adjusted operating margin reached 30.2% of sales, 100 basis points higher than Q4 2024.
Year-to-date cash from operations was $5 billion, up $802 million from 2024, with free cash flow at 81% of adjusted net earnings.
Outlook and guidance
2026 organic net sales growth expected in the range of 8%-9.5%.
Adjusted net earnings per share guidance for 2026 is $14.90-$15.10.
Modestly positive price impact and slightly favorable foreign exchange expected in 2026.
Full-year tariff impacts for 2026 projected at $400 million, with $200 million incremental over 2025.
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Frequently asked questions
A Pioneer in Medical Technologies
Stryker Corporation is an American medical technology company listed on the NYSE. Headquartered in Kalamazoo, Michigan, the company's operations extend across the globe, serving customers in over 100 countries. Stryker was founded in 1941 by Dr. Homer Stryker, an orthopedic surgeon from Michigan, the company has anchored its reputation on its range of medical devices. Stryker's products encompass a vast segment with everything from orthopedic implants to surgical instruments, and even hospital beds.
Building Upon Dr. Stryker’s Legacy
Dr. Homer Stryker's initial inventions, such as the mobile hospital bed and the turning frame, set the stage for the company's trajectory. Over the years, Stryker Corporation expanded its portfolio, venturing into various medical specialties, such as neurotechnology, spinal surgery, and endoscopy. Strategic acquisitions have played a crucial role in Stryker's growth and the company has absorbed various businesses within the industry, diversifying and expanding its portfolio. When looking at publicly traded peers to Stryker we find names like Medtronic and Abbott Laboratories as well as numerous divisions of massive international corporations such as GE.
Three Focus Areas
Stryker's products can be broadly categorized into three major sectors: Orthopedics, MedSurg, and Neurotechnology & Spine.
The Orthopedics division focuses on joint replacements, trauma and extremities, and other orthopedic surgeries. Products like hip and knee joint replacements and bone cement fall under this bracket.
MedSurg encompasses a wider spectrum. This category includes surgical equipment, navigation systems, patient-handling solutions, and emergency medical equipment. Noteworthy mentions include the power tools for precise bone surgeries and the 1588 AIM camera system for endoscopic surgeries.
The Neurotechnology & Spine department designs and manufactures equipment for the intricacies of neuro and spine surgeries. This division offers products like the Neuroform Atlas Stent System for brain aneurysm treatment and the LITe Decompression System for spine surgeries.
Dedicated Research and Development
Behind Stryker's extensive product portfolio lies its steadfast commitment to research and development. The company continually invests in R&D, ensuring its products not only meet but often exceed industry standards. This commitment to innovation is evident in the company's historically consistent rollout of advanced medical devices, many of which have been firsts in their respective fields.
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