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Stryker

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FY2020 Annual Report · Stryker
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2020
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number: 001-13149

STRYKER CORPORATION
(Exact name of registrant as specified in its charter)

Michigan
(State of incorporation)

2825 Airview Boulevard,

Kalamazoo,

Michigan

(Address of principal executive offices)

38-1239739
(I.R.S. Employer Identification No.)

49002
(Zip Code)

(269) 385-2600

(Registrant’s telephone number, including area code)

Title of each class
Common Stock, $.10 Par Value
1.125% Notes due 2023
0.250% Notes due 2024
2.125% Notes due 2027
0.750% Notes due 2029
2.625% Notes due 2030
1.000% Notes due 2031

Securities registered pursuant to Section 12(b) of the Act:
Trading Symbol(s)
SYK
SYK23
SYK24A
SYK27
SYK29
SYK30
SYK31

Name of each exchange on which registered
New York Stock Exchange
New York Stock Exchange
New York Stock Exchange
New York Stock Exchange
New York Stock Exchange
New York Stock Exchange
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 ☒    No ☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act.    Yes ☐ No ☒
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 ☒    No ☐
Indicate  by  check  mark  whether  the  registrant  has  submitted  electronically  every  Interactive  Data  File  required  to  be  submitted  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  such
files).    Yes ☒    No ☐
Indicate  by  check  mark  whether  the  registrant  is  a  large  accelerated  filer,  an  accelerated  filer,  a  non-accelerated  filer,  a  smaller  reporting  company,  or  an
emerging growth company. See definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule
12b-2 of the Exchange Act.

Large accelerated filer

Non-accelerated filer

☒
☐

Accelerated filer

Small reporting company

☐
☐

Emerging growth company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended  transition period for complying with any new or
revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.    ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control
over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C.7262(b)) by the registered public accounting firm that prepared or issued its
audit report.                                ☒
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    Yes ☐    No ☒
The  aggregate  market  value  of  the  voting  stock  held  by  non-affiliates  of  the  registrant  was  approximately  $63,413,151,504  at  June  30,  2020.  There  were
376,200,942 shares outstanding of the registrant’s common stock, $0.10 par value, on January 31, 2021.

DOCUMENTS INCORPORATED BY REFERENCE
Portions of the proxy statement to be filed with the U.S. Securities and Exchange Commission relating to the 2021 Annual Meeting of Shareholders (the 2021
proxy statement) are incorporated by reference into Part III.

  
STRYKER CORPORATION 2020 FORM 10-K

TABLE OF CONTENTS

PART I
Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

PART II
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.

Item 9.
Item 9A.
Item 9B.

PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

PART IV
Item 15.
Item 16.

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Selected Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data

Report of Independent Registered Public Accounting Firm
Consolidated Statements of Earnings
Consolidated Statements of Comprehensive Income
Consolidated Balance Sheets
Consolidated Statements of Shareholders’ Equity
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements

Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accounting Fees and Services

Exhibits, Financial Statement Schedules
Form 10-K Summary

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STRYKER CORPORATION 2020 FORM 10-K

PART I

ITEM 1.

BUSINESS.

Stryker  Corporation  (Stryker  or  the  Company)  is  one  of  the  world's  leading
medical technology companies and, together with its customers, is driven to
make  healthcare  better.  The  Company  offers  innovative  products  and
services  in  Orthopaedics,  Medical  and  Surgical,  and  Neurotechnology  and
Spine that help improve patient and hospital outcomes.

Our core values guide our behaviors and actions and are fundamental to how
we execute our mission.

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 medical products. Our products are sold
in over 75 countries through company-owned subsidiaries and branches, as
well as third-party dealers and distributors, and include implants used in joint
replacement  and  trauma  surgeries;  Mako  Robotic-Arm  Assisted  technology;
 and  surgical  navigation  systems;  endoscopic  and
surgical  equipment
communications  systems;  patient  handling,  emergency  medical  equipment
and  intensive  care  disposable  products;  neurosurgical,  neurovascular  and
spinal  devices;  as  well  as  other  products  used  in  a  variety  of  medical
specialties. In the United States most of our products are marketed directly to
doctors, hospitals and other healthcare facilities.
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

 MedSurg  and  Neurotechnology  and  Spine.

We  segregate  our  operations  into  three  reportable  business  segments:
Orthopaedics,
 Financial
information  regarding  our  reportable  business  segments  and  certain
geographic  information  is  included  under
 "Consolidated  Results  of
Operations" in Item 7 of this report and Note 14 to our Consolidated Financial
Statements.
Net Sales by Reportable Segment

2020

2019

2018

Orthopaedics
MedSurg
Neurotechnology and Spine

$

4,959 
6,400 
2,992 

34 % $
45 
21 

5,252 
6,492 
3,140 

35 % $
44 
21 

4,991 
6,045 
2,565 

37 %
44 
19 

Total

Orthopaedics

$ 14,351 

100 % $ 14,884 

100 % $ 13,601 

100 %

Orthopaedics  products  consist  primarily  of  implants  used  in  total  joint
replacements,  such  as  hip,  knee  and  shoulder,  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.  The  Mako  Robotic-Arm  Assisted  Surgical
System was designed to help surgeons provide patients with a personalized
surgical  experience  based  on  their  specific  diagnosis  and  anatomy.  The
Mako  System  currently  offers  three  applications  supporting  Partial  Knee,
Total Hip and Total Knee procedures. Mako is the only robotic-arm assisted
technology  enabled  by  3D  CT-based  pre-operative  planning,  and  with
AccuStop™  haptic  technology,  Mako  provides  surgeons  the  ability  to  know
more about their patients' anatomy so they can cut less in bone preparation
and implant placement with intra-operative haptic guidance.

Stryker  is  one  of  four  leading  global  competitors  for  joint  replacement  and
trauma and extremities products and robotics; the other three being Zimmer
Biomet  Holdings,  Inc.  (Zimmer),  DePuy  Synthes  (a  Johnson  &  Johnson
company) and Smith & Nephew plc (Smith & Nephew).
Composition of Orthopaedics Net Sales

Knees
Hips
Trauma and Extremities
Other

Total

2020

2019

2018

$

$

1,567 
1,206 
1,722 
464 

4,959 

32 % $
24 
35 
9 

100 % $

1,815 
1,383 
1,639 
415 

5,252 

35 % $
26 
31 
8 

100 % $

1,701 
1,336 
1,580 
374 

4,991 

34 %
27 
32 
7 

100 %

 Wright

 develops,

 and  navigation  systems  (Instruments),

In 2020 we completed the acquisition of Wright Medical Group N.V. (Wright)
for  an  aggregate  purchase  price  of  $4.1  billion  ($5.6  billion  including
convertible  notes).
 manufactures  and  markets  a
complementary  product  portfolio  of  surgical  solutions  for  upper  extremities
(shoulder,  elbow,  wrist  and  hand),  lower  extremities  (foot  and  ankle)  and
biologics.  The  Wright  acquisition  enhances  our  global  market  position  in
trauma  and  extremities,  providing  opportunities  to  advance  innovation  and
reach more patients.
MedSurg
MedSurg  products  include  surgical  equipment,  patient  and  caregiver  safety
technologies,
 endoscopic  and
communications systems (Endoscopy), patient handling, emergency medical
equipment  and  intensive  care  disposable  products  (Medical),  reprocessed
and  remanufactured  medical  devices  (Sustainability)  and  other  medical
device products used in a variety of medical specialties.
Stryker is one of five leading global competitors in Instruments; the other four
being  Zimmer,  Medtronic  plc.,  Johnson  &  Johnson  and  ConMed  Linvatec,
Inc. (a subsidiary of CONMED Corporation). In Endoscopy we compete with
Smith  &  Nephew,  ConMed  Linvatec,  Arthrex,  Inc.,  Karl  Storz  GmbH  &  Co.,
Olympus  Optical  Co.  Ltd.  and  STERIS  plc.  In  Medical  our  primary
competitors  are  Hill-Rom  Holdings,  Inc.,  Zoll  Medical  Corporation,  Medline
Industries and Ferno-Washington, Inc.
Composition of MedSurg Net Sales

Instruments
Endoscopy
Medical
Sustainability

Total

2020

2019

2018

$

$

1,863 
1,763 
2,524 
250 

6,400 

29 % $
28 
39 
4 

100 % $

1,959 
1,983 
2,264 
286 

6,492 

30 % $
31 
35 
4 

100 % $

1,822 
1,846 
2,118 
259 

6,045 

30 %
31 
35 
4 

100 %

In  2020  Instruments  launched  a  new  system  of  corded  power  tools  for
conducting  small  bone  orthopaedic  procedures  and  Zipline  Medical  (2019
acquisition)  single  use,  surgical  site  closure  devices  that  are  utilized  across
multiple  procedures,  including  orthopaedic  arthroplasty,  where  it  provides
improved outcomes.

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

1

 
STRYKER CORPORATION 2020 FORM 10-K

In 2020 Medical launched the ProCuity Bed Series, connected and scalable
beds  for  all  patient  care  environments  with  wireless  and  advanced  fall
prevention technologies, the first smart bed series to market.

 procedures;

Neurotechnology and Spine
Neurotechnology  and  Spine  products  include  neurosurgical,  neurovascular,
craniomaxillofacial and spinal implant devices. Our neurotechnology offering
includes  products  used  for  minimally  invasive  endovascular  techniques;  a
comprehensive  line  of  products  for  traditional  brain  and  open  skull  based
surgical
 including
synthetic  bone  grafts  and  vertebral  augmentation  products;  and  minimally
invasive  products  for  the  treatment  of  acute  ischemic  and  hemorrhagic
stroke. The Craniomaxillofacial implant offering includes cranial, maxillofacial,
and chest wall devices as well as dural substitutes and sealants. Our spinal
implant  offering  includes  cervical  and  thoracolumbar  systems  that  include
fixation,  minimally  invasive,  and  interbody  systems  used  in  spinal  injury,
complex spine and degenerative therapies.

 orthobiologic  and  biosurgery  products,

Stryker  is  one  of  five  leading  global  competitors  in  Neurotechnology;  the
other  four  being  Medtronic,  Johnson  &  Johnson,  Terumo  Corporation  and
Penumbra, Inc. Stryker is one of five leading global competitors in Spine; the
other four being Medtronic Sofamor Danek, Inc. (a subsidiary of Medtronic),
DePuy Synthes, Nuvasive, Inc. and Globus Medical, Inc.
Composition of Neurotechnology and Spine Net Sales
2019

2020

2018

Neurotechnology
Spine

Total

$

$

1,945 
1,047 

2,992 

65 % $
35 

1,983 
1,157 

63 % $
37 

1,737 
828 

68 %
32 

100 % $

3,140 

100 % $

2,565 

100 %

In  2020  Stryker  received  Food  and  Drug  Administration  (FDA)  pre-market
approval  (PMA)  for  the  next  generation  Surpass  Evolve™  Flow  Diverter  to
treat  unruptured  large  and  giant  wide-neck  intracranial  aneurysms.  In
addition,  Stryker  received  China  National  Medical  Products  Administration
(NMPA)  approval  for  the  Surpass  Streamline™  Flow  Diverter.  These  two
devices further expand our commercial footprint into the global flow diversion
market.
In 2020 Stryker received FDA PMA of its Neuroform Atlas™ Stent System for
the treatment of wide-neck intracranial aneurysms in conjuction with embolic
detachable  coils  in  the  posterior  circulation  of  the  neurovasculature.  The
Neuroform  Atlas™  device  was  previously  approved  for  the  anterior
circulation.  Neuroform  Atlas™  Stent  System  has  also  been  approved  and
has launched in China.
Also  in  2020  Stryker  launched  the  next  generation  Trevo  product  and  line
extensions of numerous Access products.
Raw Materials and Inventory
Raw materials essential to our business are generally readily available from
multiple sources; however, certain of our raw materials are currently sourced
from single suppliers. Substantially all products we manufacture are stocked
in inventory, while certain MedSurg products are assembled to order.
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.
On December 31, 2020 we owned approximately 4,045 United

 States patents and approximately 6,407 patents in other countries.
Seasonality
Our  business  is  generally  not  seasonal  in  nature;  however,  the  number  of
orthopaedic  implant  surgeries  is  typically  lower  in  the  summer  months,  and
sales  of  capital  equipment  are  generally  higher  in  the  fourth  quarter.  The
dollar amount of customer backlog orders at any given time is not meaningful
to an understanding of our business taken as a whole.

Competition

In  each  of  our  product  lines  we  compete  with  local  and  global  companies.
The development of new and innovative products is important to our success
in  all  areas  of  our  business.  Competition  in  research  involving  the
development and improvement of new and existing products and processes
is  particularly  significant.  The  competitive  environment  requires  substantial
investments in continuing research and maintaining sales forces.

We  believe  our  commitment  to  innovation,  quality  and  service  and  our
reputation  differentiates  us  in  the  highly  competitive  product  categories  in
which we operate and enables us to compete effectively. 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.
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.  Certain  of  our
products  also  fall  under  the  FDA's  drug  classification,  as  well  as  other  FDA
classifications.
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,  local  and  foreign  governments  that  must
be complied with in the manufacture and marketing of our products.

 EU  member  countries.

The  member  states  of  the  European  Union  (EU)  adopted  the  European
Medical  Device  Directives,  which  form  a  single  set  of  medical  device
regulations  for  all
 These  regulations  require
companies  that  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, the EU enacted the EU Medical
Device  Regulation  (EU  MDR)  in  May  2017  with  an  effective  date  of  May
2021,  which  imposes  stricter  requirements  for  the  marketing  and  sale  of
medical  devices,  including  in  the  areas  of  clinical  evaluation  requirements,
quality systems, labeling and post-market surveillance. More recently, a free
trade  agreement  was  executed  between  the  UK  and  the  EU  that  became
effective  January  1,  2021.  A  gap  analysis  and  compliance  plan  is  being
implemented to ensure compliance and minimize business

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

2

 
STRYKER CORPORATION 2020 FORM 10-K

disruption.  Finally,  we  are  required  to  comply  with  the  unique  regulatory
requirements of each country within which we market and sell our products,
including  China,  whose  National  Medical  Products  Administration  (NMPA)
has recently promulgated more stringent regulatory requirements.

Initiatives  to  limit  the  growth  of  general  healthcare  expenses  and  hospital
costs are ongoing in the markets in which we do business. These initiatives
are  sponsored  by  government  agencies,  legislative  bodies  and  the  private
sector and include price regulation and competitive pricing. 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  are  scrutinized,  particularly  in  the  United  States,  by
federal  and  state  government  agencies.  The  resulting  investigations  and
prosecutions carry the risk of significant civil and criminal penalties.

Environment

We  are  subject  to  various  rules  and  regulation  in  the  United  States  and
internationally related to the protection of human health and the environment.
Our operations involve the use of substances regulated under environmental
laws,  primarily  in  manufacturing  and  sterilization  processes.  We  believe  our
policies,  practices  and  procedures  are  properly  designed  to  comply,  in  all
material respects, with applicable environmental laws and regulations. We do
not  expect  compliance  with these  requirements  to  have  a material  effect  on
purchases  of  property,  plant  and  equipment,  cash  flows,  net  earnings  or
competitive position.
Employees
On  December  31,  2020  we  had  approximately  43,000  employees  globally,
with  approximately  24,000  employees  in  the  United  States.  Our  talented
employees  are  an  integral  reason  for  our  standing  as  one  of  the  world's
leading  medical  technology  companies  where,  together  with  our  customers,
we  are  driven  to  make  healthcare  better.  Our  company  values  of  integrity,
accountability, people and performance are a key component of that mission.
As  one  of  our  core  values,  we  recognize  that  we  must  and  will  continue  to
focus on our people.
Our success is dependent on our ability to attract the best talent that reflects
our  diverse  communities.  To  do  so,  we  continue  to  focus  on  the  basics  of
creating  a  great  workplace.  We  believe  in  attracting  the  right  people,
maintaining  and  building  employee  engagement
 and  developing  our
employees. We believe when people are able to do what they do best, they
will  look  forward  to  coming  to  work  and  in  turn,  will  deliver  great  business
results.  Stryker  is made  up  of  hardworking,  results-oriented  people  who  are
driven to go above and beyond for our customers.
Our  leadership  team  and  Board  of  Directors  receive  regular  updates  on  our
people and culture strategy and provide feedback on our strategy and goals,
including  alignment
 peer  benchmarking  and
stakeholder feedback.
Employee Development
Employee development at Stryker is extensive and exists at all levels of the
organization,  including  company-wide  training  on  our  Code  of  Conduct,  job-
related  technical  training  and  management  and  leadership  training.  Our
development programs include on-the-job learning, coaching and mentoring,
management  and  leadership  development  courses,  team  building  and
collaboration training and immersive experiences with expert partners.
We  encourage  all  employees  to  establish  individual  development  plans,  in
partnership  with  their  manager,  to  help  employees  gain  the  needed
development experience to grow their careers.

 to  mission  and  values,

 Employee Engagement
An  engaged  workplace  culture  that  drives  performance  and  business
outcomes  is  central  to  our  mission.  Listening  to  and  learning  from  our
employees  forms  the  foundation  of  an  engaging  culture.  More  than  90%  of
our  global  employees  participate  in  our  annual  engagement  survey,  which
provides a valued platform for listening and allows us to take action based on
the feedback collected.

We supplement our annual engagement  survey with targeted pulse surveys
to gather feedback on topics relevant to the current climate. Additionally, we
establish  forums  for  collecting  qualitative  feedback  to  gain  insights  and
identify actions we can take to ensure all employees feel included, engaged
and able to achieve their full potential.

We also provide tools and resources that enable managers and teams to act
on the insights we gain from our surveys and to drive employee engagement
and strong business outcomes.
Diversity, Equity and Inclusion (DE&I)

An essential part of our culture is respecting each individual’s strengths and
values.  Building  on  this  foundation,  we  are  focused  on  maintaining  an
inclusive,  engaging  work  environment  and  prioritizing  DE&I  in  keeping  with
our values of integrity and people, and we continue to integrate this strategy
with  our  efforts  to  attract,  develop  and  retain  a  diverse  workforce.  Key
components of our overall DE&I strategy include:

• Strengthen the diversity of our workforce: We are committed to recruiting
and  hiring  top  talent
 providing  targeted
development  for  under-represented  talent  and  further  integrating  DE&I
into our policies, processes and practices.

 backgrounds,

 from  all

• Advance a culture of inclusion, engagement and belonging: We focus on
establishing  an  equitable  culture  that  removes  barriers,  engages  talent
from  different  backgrounds  and  inspires  employees  to  reach  their  full
potential.  Our  current  efforts  are  focused  on  advancing  our  employee
resources groups, educating our employees on DE&I and continuing our
work to build inclusive leadership capabilities.

• Maximize  the  power  of  inclusion  to  drive  innovation  and  growth:  We
leverage  our  talent  to  create  diverse  teams  to  solve  complex  problems
and leverage diverse inputs to advance our mission of making healthcare
better.

Attracting and Hiring

We  understand  that  every  employee  drives  our  success.  We  focus  on
attracting, identifying and selecting strong candidates who will be successful
at Stryker and ensuring that each person we hire brings the talent, expertise
and passion we need to continue to be successful.
Competitive Pay and Benefits
Our compensation and benefits programs are designed to attract and retain
top  talent  and  to  incentivize  performance  and  alignment  to  our  mission  and
values.
We  offer  market-competitive  base  pay  and  benefits  to  our  employees  in
countries  around  the  world.  We  regularly  evaluate  our  compensation  and
benefit  offerings  and  levels,  using  recognized  outside  consulting  firms  to
ensure fairness and competitiveness in our offerings.

Most of our employees also have variable components to their compensation
packages  that  reward  employees  based  on  individual,  business  unit  and/or
company-wide performance.

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

3

 
STRYKER CORPORATION 2020 FORM 10-K

Information about our Executive Officers
As of January 31, 2021

Name

Age

Title

First Became an
Executive Officer

Kevin A. Lobo
Yin C. Becker

William E. Berry Jr.

Glenn S. Boehnlein
M. Kathryn Fink

Robert S. Fletcher
Viju S. Menon

55
57

55

59
51

Chairman and Chief Executive Officer
Vice President, Communications, Public
Affairs and Corporate Marketing
Vice President, Corporate Controller and
Principal Accounting Officer
Vice President, Chief Financial Officer
Vice President, Chief Human Resources
Officer
Vice President, Chief Legal Officer

50
53 Group President, Global Quality and

2011
2016

2014

2016
2016

2019
2018

Operations
President and Chief Operating Officer

56

2008

Timothy J. Scannell
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  2021  or  until  a  successor  is  chosen
and qualified or until his or her resignation or removal. Each of our executive
officers  held  the  position  above  or  served  Stryker  in  various  executive  or
administrative  capacities  for  at  least  five  years,  except  for  Mr.  Fletcher  and
Mr.  Menon.  Prior  to  joining  Stryker  in  April  2019,  Mr.  Fletcher  held  various
legal  leadership  roles  with  Johnson  &  Johnson  for  the  previous  14  years,
most  recently  as  the  Worldwide  Vice  President,  Litigation.  Prior  to  joining
Stryker in April 2018, Mr. Menon held various senior supply chain leadership
roles with Verizon Communications Inc. during the previous eight years, most
recently as the Chief Supply Chain Officer.
Available Information

Our  main  corporate  website  address  is  www.stryker.com.  Copies  of  our
filings  with  the  United  States  Securities  and  Exchange  Commission  (SEC)
are  available  free  of  charge  on  our  website  within  the  "Investors  Relations"
section  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  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  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,"  "goal,"  "strategy"  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  discussed below that could materially and 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
not  to  be  material  may  also  materially  and  adversely  affect  our  business,
cash flows, financial condition or results of operations.

COVID-19 PANDEMIC RISKS

The  COVID-19  pandemic  has  materially  adversely  affected,  and  could
continue  to  materially  adversely  affect,  our  operations,  supply  chain,
manufacturing,  product  distribution  and  other  business  activities:  The
global  COVID-19  pandemic  has  led  to  severe  disruptions  in the  market  and
the  United  States  and  international  economies  that  may  continue  for  a
prolonged  duration  and  trigger  a  recession  or  a  period  of  economic
slowdown.  In  response,  various  governmental  authorities  and  private
enterprises  have  implemented,  and  may  continue  to  implement,  numerous
measures  to  contain  the  pandemic,  such  as  travel  bans  and  restrictions,
quarantines,  shelter-in-place orders and shutdowns.  A significant number of
our  global  suppliers,  vendors,  distributors  and  manufacturing  facilities  are
located  in  regions  that  have  been  affected  by  the  pandemic  and  those
operations  have  been,  and  could  continue  to  be,  materially  affected  by
restrictive government measures implemented in response to the pandemic.
As a result, some of our distributors and indirect channels have at times been
unable  to  distribute  our  products  or  provide  required  services.  Any  delay  or
shortage in the supply of components or materials or delay in delivering our
products  may  result  in  our  inability  to  satisfy  consumer  demand  for  our
products in a timely manner or at all, which could harm our reputation, future
sales and profitability.
In  addition,  the  pandemic  could  adversely  impact  our  ability  to  retain  key
employees  and  the  continued  service  and  availability  of  skilled  personnel
necessary to run our complex productions, as well as our executive officers
and  other  members  of
 third-party  suppliers,
manufacturers,  distributors  and  vendors.  To  the  extent  our  management  or
other personnel are impacted in significant numbers by the pandemic and are
not available to perform their job duties, we could experience delays in, or the
 research  and  product
suspension  of,
development
 development
 regulatory  work  streams,
programs  and  other  important  commercial  functions.  Moreover,  the  actions
we take to mitigate the effect of the pandemic on our workforce could reduce
the efficiency of our operations or prove insufficient. Further, our relationships
with  our  employees  may  be  disrupted  due  to  the  cost-saving  and  other
measures  implemented  in  response  to  the  COVID-19  pandemic,  including
employee  furloughs,  which  could  result  in  increased  employment  litigation
and claims for severance or other benefits tied to terminations or furloughs or
attempts to unionize portions of our workforce. The extent of the pandemic’s
effect  on  our  business  will  depend  on  future  developments,  including  the
 the  pandemic  and  the  successful
duration,
development,  distribution  and  acceptance  of  vaccines  for  COVID-19,  all  of
which  are  uncertain  and  difficult  to  predict.  We  are  not  able  at  this  time  to
estimate  with  certainty  the  effect  of  these  and  other  unforeseen  factors  on
our  business,  but  the  adverse  impact  on  our  business,  cash  flows,  financial
condition and results of operations could be material. A prolonged impact of
COVID-19  also  could  heighten  many  of  the  other  risks  described  in  this
report.
We  have  experienced,  and  may  continue  to  experience,  a  significant
and unpredictable need to adjust our operations as market demand for
certain of our products has shifted and continues to shift or as may be
mandated by

 our  manufacturing  operations,

 spread  and  intensity  of

 our  management

 activities,

 clinical

 team,

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

4

 
STRYKER CORPORATION 2020 FORM 10-K

governmental authorities in response to the COVID-19 pandemic: Some
of  our  products  are  particularly  sensitive  to  reductions  in  elective  medical
procedures.  Elective  medical  procedures  were  suspended,  especially  in  the
first and fourth quarters of 2020 and the first quarter of 2021, in many of the
markets  where  our  products  are  marketed  and  sold,  which  negatively
affected  our  business,  cash  flows,  financial  condition  and  results  of
operations. It is not possible to predict the exact timing of a broad resumption
of elective medical procedures and, to the extent individuals are required to
continue  to  de-prioritize,  delay  or  cancel  elective  procedures  as  a  result  of
the  COVID-19  pandemic  or  otherwise,  our  business,  cash  flows,  financial
condition and results of operations could be negatively affected.
In  addition,  our  products  in  certain  divisions,  such  as  Medical,  have
experienced,  and  could  continue  to  experience,  higher  demand  as  our
customers  focus  on  treating  COVID-19  patients.  Unpredictable  increases  in
demand  for certain  of our products  could exceed our capacity  to meet such
demand timely, which could adversely affect our customer relationships and
result  in  negative  publicity.  In  this  regard,  the  accelerated  development  and
production of products and services in an effort to address medical and other
requirements as a result of the pandemic could increase the risk of regulatory
enforcement actions, product defects or related claims.
Further, in an effort to increase the wider availability of needed medical and
other supplies and products in response to the pandemic, governments may
require  us  (such  as  under  the  United  States  Defense  Production  Act)  to
allocate  manufacturing  capacity  in  a  way  that  adversely  affects  our  regular
operations,  results  in  differential  treatment  of  customers  and/or  adversely
affects  our  reputation  and  customer  relationships.  It  is  also  possible  that
certain  of  our  operations  are  deemed  non-essential  and  thus  subject  to
suspension  or  other  restrictions  by  government  orders.  We  cannot  predict
how  these  changes  in  operations,  if  implemented,  would  affect  our  future
operations and commercial activities as the impact of the pandemic begins to
subside.

LEGAL AND REGULATORY RISKS
Current
 conditions  make  tax  rules  in
 economic  and  political
jurisdictions  subject  to  significant  change:  Our  future  results  of
operations could be affected by changes in the effective tax rate as a result
of changes in tax laws, regulations and judicial rulings. In December 2017 the
Tax Cuts and Jobs Act of 2017 was signed into law in the United States. We
are  continuing  to  evaluate  the  impact  of  tax  reform  as  new  guidance  and
regulations  are  published.  In  addition,  further  changes  in  the  tax  laws  of
foreign jurisdictions could arise, including as a result of the base erosion and
profit  shifting  (BEPS)  project  undertaken  by  the  Organisation  for  Economic
Cooperation  and  Development  (OECD).  The  OECD,  which  represents  a
coalition  of  member  countries,  has  issued  recommendations  that,  in  some
cases,  would  make  substantial  changes  to  numerous  long-standing  tax
positions and principles. These contemplated changes, to the extent adopted
by  OECD  members  and/or  other  countries,  could  increase  tax  uncertainty
and may adversely affect our provision for income taxes.

We 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.

The  impact  of  United  States  healthcare  reform  legislation  on  our
business remains uncertain: In 2010 the Patient Protection and Affordable
Care Act (ACA) was enacted. While the provisions of the ACA are intended
to  expand  access  to  health  insurance  coverage  and  improve  the  quality  of
healthcare  over  time,  other  provisions  of  the  legislation,  including  Medicare
provisions  aimed  at  decreasing  costs,  comparative  effectiveness  research,
an  independent  payment  advisory  board  and  pilot  programs  to  evaluate
alternative  payment  methodologies,  are  having  a  meaningful  effect  on  the
way healthcare is developed and delivered and could have a significant effect
on  our  business.  There  have  been  ongoing  litigation  and  congressional
efforts  to  modify  or  repeal  all  or  certain  provisions  of  the  ACA.  We  face
uncertainties  that  might  result  from  modification  or  repeal  of  any  of  the
provisions  of  the  ACA,  including  as  a  result  of  current  and  future  executive
orders  and  legislative  actions.  We  cannot  predict  what  other  healthcare
programs  and  regulations  will  ultimately  be  implemented  at  the  federal  or
state  level  or  the  effect  of  any  future  legislation  or  regulation  in  the  United
States may have on our business.

We  are  subject  to  extensive  governmental  regulation  relating  to  the
classification,  manufacturing,  labeling,  marketing  and  sale  of  our
products: The classification, manufacturing, sterilization, labeling, marketing
and  sale  of  our  products  are  subject  to  extensive  and  evolving  regulations
and rigorous regulatory enforcement by the FDA, European Union (EU), the
NMPA in China, and other governmental authorities in the United States and
internationally.  The  process  of  obtaining  regulatory  clearances  and/or
approvals to market and sell our products can be costly and time consuming
and  the  clearances  and/or  approvals  might  not  be  granted  timely.  We  have
ongoing  responsibilities  under  the  laws  and  regulations  applicable  to  the
manufacturing  of  products  within  our  facilities  and  those  contracted  by  third
parties  that  are  subject  to  periodic  inspections  by  the  FDA  and  other
governmental  authorities  to  determine  compliance  with  the  quality  system,
medical  device  reporting  regulations  and  other  requirements.  Costs  to
comply with regulations, including the EU Medical Device Regulation enacted
by the EU in May 2017 and effective in May 2021, the free trade agreement
recently executed between the UK and the EU that became effective January
1,  2021,  and  the  regulatory  laws  established  by  the  NMPA  in  China,  and
costs associated with remediation can be significant. If we fail to comply with
applicable  regulatory  requirements,  we  may  be  subject  to  a  range  of
sanctions,  including  substantial  fines,  warning  letters  that  require  corrective
action,  product  seizures,  recalls,  the  suspension  of  product  manufacturing,
revocation  of  approvals,  exclusion  from  future  participation  in  government
healthcare programs, substantial fines and criminal prosecution.
We  are  subject  to  federal,  state  and  foreign  healthcare  regulations,
including  anti-bribery,  anti-corruption,  anti-kickback  and  false  claims
laws,  globally  and  could  face  substantial  penalties  if  we fail  to  comply
with  such  regulations  and  laws: The  relationships  that  we,  and  third-
parties  that
 have  with  healthcare
professionals,  such  as  physicians,  hospitals,  healthcare  organizations  and
others,  are  subject  to  scrutiny  under  various  state  and  federal  laws  often
referred to collectively as healthcare

 our  products,

 and/or  sell

 market

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

5

 
STRYKER CORPORATION 2020 FORM 10-K

fraud and abuse laws. In addition, the United States and foreign government
regulators have increased the enforcement of the Foreign Corrupt Practices
Act  (FCPA)  and  other  anti-bribery  and  anti-kickback  laws.  We  also  must
comply  with  a  variety  of  other  laws  that  impose  extensive  tracking  and
reporting  related  to  all  transfers  of  value  provided  to  certain  healthcare
professionals and others. These laws and regulations are broad in scope and
are  subject  to  evolving  interpretation  and  we  have  in  the  past  been,  and  in
the future could be, required to incur substantial costs to monitor compliance
or  to  alter  our  practices.  Violations  of  these  laws  may  be  punishable  by
criminal or civil sanctions, including substantial fines, imprisonment of current
or  former  employees  and  exclusion  from  participation  in  governmental
healthcare  programs.  In  2013  and  2018  we  settled  claims  brought  by  the
United  States  Securities  and  Exchange  Commission  (SEC)  related  to  the
FCPA.  Pursuant  to  these  settlements,  we  paid  fines  and  penalties  and
retained  an  independent
 We  are  working  to
implement recommendations that resulted from the independent compliance
consultant’s review of our commercial practices.

 compliance  consultant.

 transfer,

 and  security  of

We are subject to privacy, data protection and data security regulations
and  laws  globally,  and  could  face  substantial  penalties  if  we  fail  to
comply  with  such  regulations  and  laws:  We  are  subject  to  a  variety  of
laws  and  regulations  globally  regarding  privacy,  data  protection,  and  data
security,  including  those  related  to  the  collection,  storage,  handling,  use,
disclosure,
 personally  identifiable  healthcare
information.  For  example,  in  the  United  States,  privacy  and  security
regulations  under  the  Health  Insurance  Portability  and  Accountability  Act  of
1996,  including  the  expanded  requirements  under  the  Health  Information
Technology  for  Economic  and  Clinical  Health  Act  of  2009,  establish
comprehensive standards with respect to the use and disclosure of protected
health information (PHI), by covered entities, in addition to setting standards
to  protect  the  confidentiality,  integrity  and  security  of  PHI.  Further,  the  EU’s
General Data Protection Regulation (GDPR), which became effective in May
2018, applies to all of our activities related to products and services that we
offer  to  EU  customers  and  employees.  The  GDPR  established  new
requirements regarding the handling of personal data and includes significant
penalties  for  non-compliance  (including  possible  fines  of  up  to  4%  of  total
company  revenue).  Other  governmental  authorities  around  the  world  are
considering  similar  types  of  legislative  and  regulatory  proposals  concerning
data  protection,  which  could  impose  significant  limitations  and  increase  our
cost of providing our products and services where we process personal data.
These  laws  and  regulations  are  broad  in  scope  and  are  subject  to  evolving
interpretation  and  we  have  in  the  past  been,  and  in  the  future  could  be,
required  to  incur  substantial  costs  to  monitor  compliance  or  to  alter  our
practices.
We  may  be  adversely  affected  by  product  liability  claims,  unfavorable
court decisions or legal settlements: We are exposed to potential product
liability  risks  inherent  in  the  design,  manufacture  and  marketing  of  medical
devices, many of which are implanted in the human body for long periods of
time  or  indefinitely.  We  may  be  exposed  to  additional  potential  product
liability  risks  related  to  products  designed,  manufactured  and  marketed  in
response  to  the  COVID-19  pandemic,  including  discretionary  products  and
products  permitted  under  the  Emergency  Use  Authorization  granted  by  the
FDA.  We  are  currently  defendants  in  a  number  of  product  liability  matters,
including  those  relating  to  our  Rejuvenate  and  ABGII  Modular-Neck  hip
stems,  LFIT  Anatomic  CoCr  V40  Femoral  Heads  and  the  product  liability
lawsuits and claims relating to Wright legacy hip products discussed in Note
7  to  our  Consolidated  Financial  Statements.  These  matters  are  subject  to
many uncertainties and

 outcomes  are  not  predictable.  Further,  in  November  2020  the  European
Parliament  voted  in  favor  of  the  European  Representative  Actions  Directive
(the Collective Redress Directive), which mandates a class action regime in
each member state to facilitate domestic and cross-border class actions in a
wide  range  of  areas,  including  product  liability  claims  with  medical  devices.
The  Collective  Redress  Directive  will  take  effect  in  2023  after  a  24-month
implementation period. The Collective Redress Directive, when implemented,
could result in additional litigation risks and significant legal expenses for us.
In addition, we may incur significant legal expenses regardless of whether we
are found to be liable.
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  of  infringement  or  misappropriation.  Regardless  of  outcome,  such
claims  are  expensive  to  defend  and  divert  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 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,  it  could  allow  others  to  sell  products  that  directly  compete  with
proprietary features in our product portfolio. Also, our issued patents may be
subject  to  claims  challenging  their  validity  and  scope  and  raising  other
issues.  In  addition,  currently  pending  or  future  patent  applications  may  not
result in issued patents.

 Cross  border  transactions  with  external

MARKET RISKS
We  have  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  30%  of  our  net  sales  are  denominated  in  foreign  currencies,
including  the  Australian  Dollar,  British  Pound,  Canadian  Dollar,  Euro  and
Japanese  Yen.
 parties  and
intercompany  relationships  result  in  increased  exposure  to  foreign  currency
exchange effects. While we use derivative instruments to manage the impact
of currency exchange, 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.
Additional capital that we may require in the future may not be available
to us or may only be available to us on unfavorable terms, which could
negatively affect our liquidity: Our future capital requirements will depend
on  many  factors,  including  operating  requirements,  current  and  future
acquisitions  and  the  need  to  refinance  existing  debt.  Our  ability  to  issue
additional  debt  or  enter  into  other  financing  arrangements  on  acceptable
terms could be adversely affected by our debt levels, unfavorable changes in
economic conditions or uncertainties that affect the capital markets, including
disruption  caused  by  the  COVID-19  pandemic.  Changes  in  credit  ratings
issued  by  nationally  recognized  credit  rating  agencies  could  also  adversely
affect our access to and cost of financing. Higher

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

6

 
STRYKER CORPORATION 2020 FORM 10-K

borrowing  costs  or  the  inability  to  access  capital  markets  could  adversely
affect  our  ability  to  support  future  growth  and  operating  requirements.  In
addition,  we  have  experienced,  and  could  continue  to  experience,  loss  of
sales  and  profits  due  to  delayed  payments  or  insolvency  of  healthcare
professionals,  hospitals  and  other  customers  and  suppliers  facing  liquidity
issues  caused  by  the  COVID-19  pandemic.  As  a  result,  we  may  be
compelled  to  take  additional  measures  to  preserve  our  cash  flow,  including
through  the  reduction  of  operating  expenses  or  suspension  of  dividend
payments, at least until the consequences of the pandemic subside.
BUSINESS AND OPERATIONAL RISKS

 For

 example,

We are subject to cost containment measures in the United States and
other  countries  resulting  in  pricing  pressures: Initiatives  to  limit  the
growth of general healthcare expenses and hospital costs are ongoing in the
markets  in  which  we  do  business.  These  initiatives  are  sponsored  by
government  agencies,  legislative  bodies  and  the  private  sector  and  include
price  regulation  and  competitive  pricing.
 China  has
implemented  a  volume-based  procurement  process  designed  to  decrease
prices  for  medical  devices  and  other  products.  Pricing  pressure  has  also
increased due to continued consolidation among healthcare providers, trends
toward  managed  care,  the  shift  toward  governments  becoming  the  primary
payers  of  healthcare  expenses,  reduction  in  reimbursement  levels  and
medical procedure volumes and government laws and regulations relating to
sales and promotion, reimbursement and pricing generally.
We operate in a highly competitive industry in which competition in the
development  and  improvement  of  new  and  existing  products  is
significant: The  markets  in  which  we  compete  are  highly  competitive.  New
products  and  surgical  procedures  are  introduced  on  an  ongoing  basis  and
our  present  or  future  products  could  be  rendered  obsolete  or  uneconomical
by  technological  advances  by  our  competitors,  who  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.

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 healthcare organizations
such  as  hospitals  and  universities  who  assist  in  product  research  and
development. We rely on these professionals to assist us in the development
and  improvement  of  proprietary  products.  As  a  result  of  the  COVID-19
pandemic,  our  access  to  these  professionals  has  been  limited  as  hospitals
 including  our  research  and
have  restricted  access  for  non-patients,
development specialists and other employees, and governmental authorities
have imposed travel restrictions, shutdowns  or similar measures, which has
adversely affected our ability to develop, market and sell products. If we are
unable to maintain these relationships, our ability to develop, market and sell
new and improved products could be further adversely affected.
We rely on indirect distribution channels and major distributors that are
independent  of  Stryker:  In  many  markets,  we  rely  on  indirect  distribution
channels to market, distribute, and sell our products. These indirect channels
often  are  the  main  point  of  contact  for  the  healthcare  professional  and
healthcare organization customers who buy and use our products. Our ability
to  market,  distribute,  and  sell  our  products  through  indirect  channels  has
been  adversely  affected  as  a  result  of  precautionary  responses  to  the
COVID-19 pandemic, including

 travel  restrictions,  suspension  and  shutdown  orders  and  other  measures
intended to limit person-to-person  contact. Our ability to continue to market,
distribute,  and  sell  our  products  may  be  at  risk  if  the  indirect  channels
become insolvent, choose to sell competitive products, choose to stop selling
medical  technology,  or  are  subject  to  new  or  additional  government
regulation,  whether  related  to  the  COVID-19  pandemic  or  for  unrelated
reasons.

We are subject to additional risks associated with our extensive global
operations: We  develop,  manufacture  and  distribute  our  products  globally.
Our  global  operations  are  subject  to  risks  and  potential  costs,  including
changes  in  reimbursement,  changes  in  regulatory  requirements,  differing
local product preferences and product requirements, diminished protection of
intellectual  property  in  some  countries,  tariffs  and  other  trade  protection
measures,  international  trade  disputes  and  import  or  export  requirements,
difficulty  in  staffing  and  managing  foreign  operations,  introduction  of  new
internal  business  structures  and  programs,  political  and  economic  instability
(such  as  the  United  Kingdom's  exit  from  the  European  Union,  commonly
referred  to  as  "Brexit"),  and  disruptions  of  transportation  due  to  a  global
pandemic  of  contagious  diseases  like  COVID-19  or  otherwise,  such  as
reduced availability of transportation, port closures, increased border controls
or closures, increased transportation costs and increased security threats to
our supply chain. Our business could be adversely impacted if we are unable
to  successfully  manage  these  and  other  risks  of  global  operations  in  an
increasingly volatile environment.
We  may  be  unable  to  capitalize  on  previous  or  future  acquisitions: In
addition  to  internally  developed  products,  we  invest  in  new  products  and
technologies through acquisitions. Such investments are inherently risky, and
we cannot guarantee that any acquisition will be successful or will not have a
material  unfavorable  impact  on  us.  The  risks  include  the  activities  required
and  resources  allocated  to  integrate  new  businesses,
 diversion  of
management  time  that  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,  litigation  resulting
from  the  acquisition  and  exposure  to  unexpected  liabilities  of  acquired
companies. In addition, we cannot be certain that the businesses we acquire
will become or remain profitable.
We may be unable to capitalize on the Wright acquisition: The success
of  the  Wright  acquisition  will  depend,  in  part,  on  our  ability  to  successfully
combine and integrate Wright into our businesses and realize the anticipated
benefits,  including  synergies,  from  the  transaction.  If  we  are  unable  to
achieve  these  objectives  within  the  anticipated  time  frame,  or  at  all,  the
anticipated benefits may not be realized fully or at all, or may take longer to
realize than expected.
The  integration  of  Wright  into  Stryker  may  result  in  material  challenges,
including:  the  diversion  of  management’s  attention  from  ongoing  business
concerns  and  performance  shortfalls  at  one  or  both  of  the  companies;
blending  the  cultures  of  Stryker  and  Wright;  maintaining  employee  morale
and  retaining  key  management,  sales  and  other  employees;  retaining
existing  business  and  operational  relationships;  the  possibility  of  faulty
assumptions  underlying  expectations  regarding  the  integration  process;
consolidating  corporate  and  administrative  infrastructures  and  eliminating
duplicative  operations;
 unanticipated  issues  in  integrating  information
technology,  communications  and  other  systems;  continuing  the  regular  and
uninterrupted cadence of product launches; and unforeseen

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

7

 
STRYKER CORPORATION 2020 FORM 10-K

 expenses  and  liabilities  (including  litigation  related  liabilities)

costs,
associated with the acquisition.

We could experience a failure of a key information technology system,
process  or  site  or  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:  We  rely  extensively  on  information  technology  (IT)  systems  to
conduct  business.  In  addition,  we  rely  on  networks  and  services,  including
internet  sites,  cloud  and  SaaS  solutions,  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 pose potential risks to the security of our
IT  systems,  networks  and  product  offerings,  as  well  as  the  confidentiality,
availability  and  integrity  of  our  data.  A  security  breach,  whether  of  our
products,  of  our  customers’  network  security  and  systems  or  of  third-party
hosting  services,  could  impact  the  use  of  such  products  and  the  security  of
information  stored  therein.  While  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, the techniques used in these attacks change frequently and
may  be  difficult  to  detect  for  periods  of  time  and  we  may  face  difficulties  in
anticipating  and  implementing  adequate  preventative  measures.  In  addition,
a  greater  number  of  our  employees  working  remotely  during  the  COVID-19
pandemic  has  exposed  us,  and  may  continue  to  expose  us  to  greater  risks
related to cybersecurity and cyber-liability. If our IT systems are damaged or
cease to function properly, the networks or service providers we rely upon fail
to function properly, or 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.
An  inability  to  successfully  manage  the  implementation  of  our  new
global  enterprise  resource  planning  (ERP)  system  could  adversely
affect  our  operations  and  operating  results:  We  are  in  the  process  of
implementing a new global ERP system. This system will replace many of our
existing operating and financial systems. Such an implementation is a major
undertaking,  both  financially  and  from  a  management  and  personnel
perspective.
 deficiencies  in  the  design
 delays  or
and implementation of our new ERP system could adversely affect our ability
to  process  orders,  ship  products,  provide  services  and  customer  support,
send invoices and track payments, fulfill contractual obligations or otherwise
operate our business.
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  in  our
highly  competitive  industry,  we  may  not  be  able  to  meet  our  strategic
business  objectives.  In  addition,  if  we  are  unable  to  maintain  an  inclusive
culture  that  aligns  our  diverse  work  force  with  our  mission  and  values,  this
could  adversely  impact  our  ability  to  recruit,  hire,  develop  and  retain  key
talent.

 Any  disruptions,

 Interruption  of  manufacturing  operations  could  adversely  affect  our
business: We and our suppliers have manufacturing sites all over the world;
however, the manufacturing of certain of our product lines is concentrated in
one  or  more  plants  or  geographic  regions.  Orthopaedics  has  principal
manufacturing  and  distribution  facilities  in  the  United  States  in  Florida,
Georgia,  Minnesota,  New  Jersey,  Tennessee  and  Virginia  and  outside  the
United States in China, France, Germany, Ireland and Switzerland. MedSurg
has  principal  manufacturing  and  distribution  facilities  in  the  United  States  in
Arizona,  California,  Florida,  Illinois,  Michigan,  Puerto  Rico,  Texas  and
Washington  and  outside  the  United  States  in  France,  Germany,  Ireland,
Mexico,  Switzerland  and  Turkey.  Neurotechnology  and  Spine  has  principal
manufacturing  and  distribution  facilities  in  Illinois,  Utah  and  Virginia  and
outside the United States in China, France, Ireland and Switzerland. Damage
to  our  facilities,  to  our  suppliers’  or  service  providers'  facilities,  or  to  our
central  distribution  centers  in  Indiana  and  the  Netherlands  as  a  result  of
natural disasters or otherwise, as well as issues in our manufacturing arising
from a failure to follow specific internal protocols and procedures, compliance
concerns relating to the quality systems regulation, equipment breakdown or
malfunction,  environmental  hazard  incidents  or  changes  to  environmental
regulations  or  other  factors,  could  adversely  affect  the  availability  of  our
products. In the event of an interruption in manufacturing, we may be unable
to  move  quickly  to  alternate  means  of  producing  affected  products  to  meet
customer  demand.  In  the  event  of  a  significant  interruption,  we  may
experience lengthy delays in resuming production of affected products due to
the  need  for  regulatory  approvals,  and  we  may  experience  loss  of  market
share, additional expense and harm to our reputation.
We use a variety of raw materials, components, devices and third-party
services  in  our  global  supply  chains,  production  and  distribution
processes;  significant  shortages,  price  increases  or  unavailability  of
 require
third-party  services  could  increase  our  operating  costs,
significant  capital  expenditures,  or  adversely  impact  the  competitive
position  of  our  products: Our  reliance  on  certain  suppliers  to  secure  raw
materials,  components  and  finished  devices,  and  on  certain  third-party
service  providers,  such  as  sterilization  service  providers,  exposes  us  to
product shortages and unanticipated increases in prices. In addition, several
raw materials, components, finished devices and services are procured from
a  sole-source  due  to  the  quality  considerations,  unique  intellectual  property
considerations or constraints associated with regulatory requirements. If sole-
source  suppliers  or  service  providers  are  acquired  or  were  unable  or
unwilling  to  deliver  these  materials  or  services,  we  may  not  be  able  to
manufacture  or  have  available  one  or  more  products  during  such  period  of
unavailability and our business could suffer. In certain cases we may not be
able  to  establish  additional  or  replacement  suppliers  for  such  materials  or
service  providers  for  such  services  in  a  timely  or  cost  effective  manner,
largely  as  a  result  of  FDA  and  other  regulations  that  require,  among  other
things, validation of materials, components and services prior to their use in
or with our products.
Our insurance program may not be adequate to cover future losses: We
maintain third-party insurance to cover our exposure to certain property and
casualty losses and are self-insured for claims and expenses related to other
property  and  casualty  losses,  including  product  liability,  intellectual  property
infringement  and  enforcement,  environmental,  and  cybersecurity  and  data
privacy losses. We manage a portion of our exposure to self-insured losses
through  a  wholly-owned  captive  insurance  company.  Insurance  coverage
limits provided by third-party

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

8

 
STRYKER CORPORATION 2020 FORM 10-K

insurers and/or our captive may not be sufficient to fully cover unanticipated
losses.

ITEM 1B.

UNRESOLVED STAFF COMMENTS.

None.

ITEM 2.

PROPERTIES.

We  have  approximately  28  company-owned  and  353  leased  locations
worldwide  including  56  manufacturing  locations.  We  believe  that  our
properties are in good operating condition and adequate for the manufacture
and  distribution  of  our  products.  We  do  not  anticipate  difficulty  in  renewing
existing leases as they expire or in finding alternative facilities.

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  the  matters  described  in  more  detail  in
Note 7 to our Consolidated Financial Statements.

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.
Our Board  of Directors  considers  payment  of cash dividends  at its quarterly
meetings.  On  January  31,  2021  there  were  2,582  shareholders  of  record  of
our common stock.
We did not repurchase any shares in the three months ended December 31,
2020  and  the  total  dollar  value  of  shares  that  could  be  acquired  under  our
authorized  repurchase  program  at  December  31,  2020  was  $1,033.  As
previously  announced  we  intend  to  maintain  the  suspension  of  our  share
repurchase program through 2021.
In  the  fourth  quarter  2020  we did  not  issue  shares  of our  common  stock  as
performance incentive awards to employees. When issued, these shares are
not registered under the Securities Act of 1933 based on the conclusion that
the awards would not be events of sale within the meaning of Section 2(a)(3)
of the Act.

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, 2015 in our common stock and each of the indices.

Company / Index

2015

2016

2017

2018

2019

2020

Stryker Corporation
S&P 500 Index
S&P 500 Health Care Index

$ 100.00  $ 130.69  $ 170.99  $ 175.15  $ 237.03  $ 280.09 
$ 100.00  $ 111.96  $ 136.40  $ 130.42  $ 171.49  $ 203.04 
97.31  $ 118.79  $ 126.47  $ 152.81  $ 173.36 
$ 100.00  $

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

9

 
 
STRYKER CORPORATION 2020 FORM 10-K

ITEM 6.

SELECTED FINANCIAL DATA.

Statement of Earnings Data
Net sales

Cost of sales

Gross profit

Research, development and engineering expenses
Selling, general and administrative expenses
Recall charges
Amortization of intangible assets
Total operating expenses

Operating income

Other income (expense), net
Earnings before income taxes

Income taxes

Net earnings

Net earnings per share of common stock:

Basic
Diluted

Dividends declared per share of common stock

Balance Sheet Data
Cash, cash equivalents and current marketable securities
Accounts receivable, net
(1)
Inventories
Property, plant and equipment, net
Total assets
Accounts payable
Total debt
Shareholders’ equity

Cash Flow Data
Net cash provided by operating activities
Purchases of property, plant and equipment
Depreciation
Acquisitions, net of cash acquired
Amortization of intangible assets
Dividends paid
Repurchase of common stock

Other Data
Number of shareholders of record
Approximate number of employees

$

$

$
$

$

$

$
$

$

$

$

$

$

2020
14,351  $
5,294 
9,057  $
984 
5,361 
17 
472 
6,834  $
2,223  $
(269)
1,954  $
355 
1,599  $

2019
14,884  $
5,188 
9,696  $
971 
5,356 
192 
464 
6,983  $
2,713  $
(151)
2,562  $
479 
2,083  $

2018
13,601  $
4,663 
8,938  $
862 
5,099 
23 
417 
6,401  $
2,537  $
(181)
2,356  $
(1,197)
3,553  $

2017
12,444  $
4,264 
8,180  $
787 
4,552 
173 
371 
5,883  $
2,297  $
(234)
2,063  $
1,043 
1,020  $

2016
11,325 
3,821 
7,504 
715 
4,137 
158 
319 
5,329 
2,175 
(254)
1,921 
274 
1,647 

4.26  $
4.20  $

5.57  $
5.48  $

9.50  $
9.34  $

2.73  $
2.68  $

4.40 
4.35 

2.355  $

2.135  $

1.93  $

1.745  $

1.565 

3,024  $
2,701 
3,494 
2,752 
34,330  $
810 
13,991 
13,084  $

4,425  $
2,893 
2,980 
2,567 
30,167  $
675 
11,090 
12,807  $

3,699  $
2,332 
2,955 
2,291 
27,229  $
646 
9,859 
11,730  $

2,793  $
2,198 
2,465 
1,975 
22,197  $
487 
7,222 
9,980  $

3,277  $
487 
340 
4,222 
472 
863 
— 

2,191  $
649 
314 
802 
464 
778 
307 

2,610  $
572 
306 
2,451 
417 
703 
300 

1,559  $
598 
271 
831 
371 
636 
230 

3,384 
1,967 
2,030 
1,569 
20,435 
437 
6,914 
9,550 

1,915 
490 
227 
4,332 
319 
568 
13 

2,597 
43,000 

2,636 
40,000 

2,732 
36,000 

2,850 
33,000 

3,010 
33,000 

(1)

    Loaner instrumentation not intended to be sold of $302 in 2019 has been reclassified from inventories to other noncurrent assets to conform with current
year presentation. Refer to Note 1 to our Consolidated Financial Statements for further information.

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

10

STRYKER CORPORATION 2020 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  and,
together  with  our  customers,  we  are  driven  to  make  healthcare  better.  We
offer innovative products and services in Orthopaedics, Medical and Surgical,
and  Neurotechnology  and  Spine  that  help  improve  patient  and  hospital
outcomes. Our goal is to achieve sales growth at the high-end of the medical
technology (MedTech) industry and maintain our long-term capital allocation
strategy  that  prioritizes:  (1)  Acquisitions,  (2)  Dividends  and  (3)  Share
repurchases.

COVID-19 Pandemic
The COVID-19 global pandemic has led to severe disruptions in the market
and  the  global  and  United  States  economies  that  may  continue  for  a
prolonged  duration  and  trigger  a  recession  or  a  period  of  economic
slowdown.  In  response,  various  governmental  authorities  and  private
enterprises have implemented numerous measures to contain the pandemic,
such as travel bans and restrictions, quarantines, shelter-in-place orders and
shutdowns. A significant number of our global suppliers, vendors, distributors
and manufacturing facilities are located in regions that have been affected by
the pandemic. Those operations have been materially adversely affected by
restrictive  government  and  private  enterprise  measures  implemented  in
response to the pandemic.
Some  of  our  products  are  particularly  sensitive  to  reductions  in  elective
medical procedures. Elective medical procedures were suspended in the first
quarter of 2020 in many of the markets where our products are marketed and
sold,  which  negatively  affected  our  business,  cash  flows,  financial  condition
and  results  of  operations.  While  we  saw  progressive  improvement  in  the
second  and  third quarters,  to  the  extent  individuals  are  required  to  continue
to  de-prioritize  or  delay  elective  procedures  as  a  result  of  the  COVID-19
pandemic  or  otherwise,  as  we  experienced  in  the  fourth  quarter,  our
business,  cash  flows,  financial  condition  and  results  of  operations  could  be
negatively affected.

Overview of 2020
The  response  to  the  COVID-19  pandemic  has  included  unprecedented
measures  to  slow  the  spread  of  the  virus  taken  by  local  governments  and
health care authorities globally, including

 the  postponement  of  elective  medical  procedures  and  social  contact
restrictions,  which  have  had,  and  could  continue  to  have,  a  significant
negative impact on Stryker’s operations and financial results.

In  2020  reported  net  sales  declined  3.6%.  Excluding  the  impact  of
acquisitions,  sales  declined  4.8%  in  constant  currency.  We  reported  net
earnings of $1,599 and net earnings per diluted share of $4.20. Excluding the
impact  of certain  items,  we achieved  adjusted  net  earnings  of $2,827 and
adjusted  net  earnings  per  diluted  share of  $7.43  representing  a  decline  of
10.0%.

(1) 

(1)

We  continued  our  capital  allocation  strategy  by  investing  $4,222  in
acquisitions and paying $863 in dividends to our shareholders.

In  2020  we  received  $3,292  from  issuance  of  debt  and  had  total  debt
repayments of $2,297. We exercised our right under the acquisition clause of
our  credit  and  term  loan  facilities  to  increase  the  maximum  permitted
leverage to 5.0:1 effective as of December 31, 2020. Refer to Note 10 to our
Consolidated Financial Statements for further information.

In 2020 we completed acquisitions for total net cash consideration of $4,222
and $82 in future milestone payments primarily due upon the achievement of
certain  regulatory  and  commercial  milestones.  In  November  2020  we
completed  the  acquisition  of  Wright  for  $30.75  per  share,  or  an  aggregate
purchase price of $4.1 billion ($5.6 billion including convertible notes). Wright
is  a  global  medical  device  company  focused  on  extremities  and  biologics.
Wright  is  part  of  our  Trauma  and  Extremities  business  within  Orthopaedics.
In  December  2020  we  completed  the  acquisition  of  OrthoSensor,  Inc.
(OrthoSensor).
 evolution  of
 OrthoSensor  is  a  leader  in  the  digital
musculoskeletal  care  and  sensor  technology  for  total  joint  replacement.
OrthoSensor is part of our Joint Replacement business within Orthopaedics.
In  2020  we  did  not  repurchase  any  shares  of  our  common  stock  under  our
authorized  repurchase  program.  The  total  dollar  value  of  shares  of  our
common  stock  that  could  be  acquired  under  our  authorized  repurchase
program  was  $1,033  as  of  December  31,  2020.  We  previously  announced
our intention to suspend our share repurchase program through 2021.

(1)    

Refer to "Non-GAAP Financial Measures" for a discussion of non-GAAP financial measures used in this report and a reconciliation to the most directly comparable GAAP

financial measure.

CONSOLIDATED RESULTS OF OPERATIONS

2020

2019

2018

2020

2019

2018

Current Year End Prior Year End

Percent Net Sales

Percentage Change

Net sales
Gross profit
Research, development and engineering expenses
Selling, general and administrative expenses
Recall charges, net of insurance proceeds
Amortization of intangible assets
Other income (expense), net
Income taxes

Net earnings

Net earnings per diluted share
Adjusted net earnings per diluted share

(1)

$

$

$
$

14,351  $
9,057 
984 
5,361 
17 
472 
(269)
355 

1,599  $

14,884  $
9,696 
971 
5,356 
192 
464 
(151)
479 

2,083  $

13,601 
8,938 
862 
5,099 
23 
417 
(181)
(1,197)

3,553 

4.20  $
7.43  $

5.48  $
8.26  $

9.34 
7.31 

100.0 %
63.1 
6.9 
37.4 
0.1 
3.3 
(1.9)

100.0 %
65.1 
6.5 
36.0 
1.3 
3.1 
(1.0)

100.0 %
65.7 
6.3 
37.5 
0.2 
3.1 
(1.3)

11.1 %

14.0 %

26.1 %

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

(3.6) %
(6.6)
1.3 
0.1 
(91.1)
1.7 
78.1 
(25.9)

(23.2) %

(23.4) %
(10.0) %

9.4 %
8.5 
12.6 
5.0 
nm
11.3 
(16.6)
nm

(41.4)%

(41.3)%
13.0 %

11

 
 
 
STRYKER CORPORATION 2020 FORM 10-K

Geographic and Segment Net Sales

Geographic:

United States
International

Total

Segment:

Orthopaedics
MedSurg
Neurotechnology and Spine

Total

Supplemental Net Sales Growth Information

2020

2019

2018

As Reported

Constant 
Currency

As Reported

Constant 
Currency

Percentage Change

Current Year End

Prior Year End

$

$

$

$

10,455  $
3,896 

14,351  $

10,957  $
3,927 

14,884  $

4,959  $
6,400 
2,992 

5,252  $
6,492 
3,140 

9,848 
3,753 

13,601 

4,991 
6,045 
2,565 

14,351  $

14,884  $

13,601 

(4.6) %
(0.8)

(3.6) %

(5.6) %
(1.4)
(4.7)

(3.6) %

(4.6) %
(0.9)

(3.6) %

(5.7) %
(1.3)
(4.9)

(3.6) %

11.3  %
4.6 

9.4  %

5.2  %
8.8 
19.2 

9.4  %

11.3  %
9.3 

10.7  %

6.7  %
9.9 
20.5 

10.7  %

2020

2019

As Reported

Constant
Currency

As Reported As Reported

Constant
Currency

2019

2018

As Reported

Constant
Currency

As Reported As Reported

Constant
Currency

Percentage Change

United States

International

Percentage Change

United States

International

Orthopaedics:

Knees
Hips
Trauma and Extremities
Other

MedSurg:

Instruments
Endoscopy
Medical
Sustainability

Neurotechnology and Spine:

Neurotechnology
Spine

$

$

$

$

$

$

1,567  $
1,206 
1,722 
464 

1,815 
1,383 
1,639 
415 

4,959  $

5,252 

1,863  $
1,763 
2,524 
250 

1,959 
1,983 
2,264 
286 

(13.7) %
(12.8)
5.1 
11.7 

(5.6) %

(13.7) %
(12.7)
4.7 
11.4 

(5.7) %

(13.1) %
(12.0)
8.4 
15.8 

(3.9) %

(15.3) %
(14.1)
(0.9)
(4.9)

(9.2) %

(15.5) % $
(13.8)
(1.9)
(6.5)

1,815  $
1,383 
1,639 
415 

1,701 
1,336 
1,580 
374 

(9.6) % $

5,252  $

4,991 

(5.0) %

(5.0) %

(4.7) %

(6.1) %

(6.2) % $

(11.1)
11.5 
(12.3)

(11.0)
11.8 
(12.3)

(10.7)
6.9 
(12.4)

(12.5)
28.9 
nm

(12.2)
30.3 
nm

1,959  $
1,983 
2,264 
286 

1,822 
1,846 
2,118 
259 

6,400  $

6,492 

(1.4) %

(1.3) %

(2.9) %

4.7  %

5.3  % $

6,492  $

6,045 

1,945  $
1,047 

1,983 
1,157 

2,992  $

3,140 

(1.9) %
(9.5)

(4.7) %

(3.6) %

(2.1) %
(9.6)

(4.9) %

(3.6) %

(7.7) %

(12.5)

(9.6) %

(4.6) %

8.8  %
(0.6)

6.1  %

(0.8) %

8.2  % $
(0.9)

1,983  $
1,157 

1,737 
828 

5.6  % $

3,140  $

2,565 

(0.9) % $ 14,884  $ 13,601 

6.7  %
3.5 
3.7 
11.2 

5.2  %

12.0  %
7.5 
6.9 
10.4 

8.8  %

13.5  %
31.1 

19.2  %

9.4  %

8.1  %
5.2 
5.2 
12.0 

6.7  %

13.1  %
8.6 
8.1 
10.4 

9.9  %

14.9  %
32.3 

20.5  %

10.7  %

8.2  %
5.4 
4.9 
11.5 

6.8  %

12.9  %
10.1 
9.6 
9.9 

10.8  %

13.9  %
34.7 

21.3  %

11.3  %

2.6  %
0.3 
1.6 
10.0 

1.9  %

8.7  %
(1.8)
(2.4)
nm

1.3  %

12.7  %
21.3 

14.9  %

4.6  %

7.6  %
4.8 
5.8 
14.2 

6.4  %

13.8  %
3.4 
2.9 

nm

6.5  %

16.7  %
25.4 

18.9  %

9.3  %

Total

nm - not meaningful

$ 14,351  $ 14,884 

Consolidated Net Sales
Consolidated net sales in 2020 were significantly negatively impacted by the
global  response  to  the  COVID-19  pandemic.  Consolidated  net  sales
decreased  3.6%  as  reported  and  in  constant  currency.  Excluding  the  1.2%
impact  of  acquisitions,  net  sales  in  constant  currency  decreased  by  4.1%
from decreased unit volume and 0.7% due to lower prices. The unit volume
decrease  was  primarily  due  to  lower  shipments  of  instruments,  endoscopy,
neurotechnology,  spine,  knee  and  hip  products  partially  offset  by  higher
shipments of medical products.
Consolidated  net  sales  in  2019  increased  9.4%  as  reported  and  10.7%  in
constant  currency,  as  foreign  currency  exchange  rates  negatively  impacted
net  sales  by  1.3%.  Excluding  the  2.6%  impact  of  acquisitions,  net  sales  in
constant  currency  increased  by  9.0%  from  increased  unit  volume  partially
offset  by  0.9%  due  to  lower  prices.  The  unit  volume  increase  was  primarily
due  to  higher
 endoscopy,
neurotechnology, knee, hip and trauma and extremities products.
Orthopaedics Net Sales

 instruments,

 shipments

 medical,

 of

Orthopaedics  net  sales  in  2020  decreased  5.6%  as  reported  and  5.7%  in
constant  currency,  as  foreign  currency  exchange  rates  positively  impacted
net  sales  by  0.1%.  Excluding  the  2.4%  impact  of  acquisitions,  net  sales  in
constant  currency  decreased  due  to  the  postponement  of  elective  medical
procedures  as  part  of  the  global  response  to  the  COVID-19  pandemic  with
6.6%  from  decreased  unit  volume  and  1.5%  due  to  lower  prices.  The  unit
volume  decrease  was  primarily  due  to  lower  shipments  of  knee,  hip  and
trauma and extremities products.

 Orthopaedics  net  sales  in  2019  increased  5.2%  as  reported  and  6.7%  in
constant  currency,  as  foreign  currency  exchange  rates  negatively  impacted
net  sales  by  1.5%.  Net  sales  in  constant  currency  increased  by  8.2%  from
unit  volume  partially  offset  by  1.5%  due  to  lower  prices.  The  unit  volume
increase was primarily due to higher shipments of knee, hip and trauma and
extremities products.
MedSurg Net Sales
MedSurg  net  sales  in  2020  decreased  1.4%  as  reported  and  1.3%  in
constant  currency,  as  foreign  currency  exchange  rates  negatively  impacted
net  sales  by  0.1%.  Excluding  the  0.5%  impact  of  acquisitions,  net  sales  in
constant  currency  decreased  by  1.8%  from  decreased  unit  volume  with  a
nominal  impact  from  changes  in  pricing.  The  unit  volume  decrease  was
primarily  due  to  lower
 and
sustainability  solutions  products  partially  offset  by  higher  shipments  of
medical products.

 shipments  of

 instruments,

 endoscopy,

MedSurg net sales in 2019 increased 8.8% as reported and 9.9% in constant
currency, as foreign currency exchange  rates negatively impacted net sales
by  1.1%.  Excluding  the  1.0%  impact  of  acquisitions,  net  sales  in  constant
currency  increased  by  9.4%  from  increased  unit  volume  partially  offset  by
0.5%  due  to  lower  prices.  The  unit  volume  increase  was  primarily  due  to
higher  shipments  of  medical,  instruments,  endoscopy  and  sustainability
solutions products.

Neurotechnology and Spine Net Sales

Neurotechnology  and  Spine  net  sales  in  2020  decreased  4.7%  as  reported
and 4.9% in constant currency, as foreign currency

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

12

 
 
STRYKER CORPORATION 2020 FORM 10-K

exchange  rates  positively  impacted  net  sales  by  0.2%.  Excluding  the  0.8%
impact  of  acquisitions,  net  sales  in  constant  currency  decreased  by  4.9%
from decreased unit volume and 0.8% due to lower prices. The unit volume
decrease was primarily due to lower shipments of spine and neurotechnology
products.

Neurotechnology  and  Spine  net  sales  in 2019  increased  19.2%  as  reported
and  20.5%  in  constant  currency,  as  foreign  currency  exchange  rates
negatively  impacted  net  sales  by  1.3%.  Excluding  the  11.6%  impact  of
acquisitions,  net  sales  in  constant  currency  increased  by  9.6%  from
increased  unit  volume  partially  offset  by  0.7%  due  to  lower  prices.  The  unit
volume  increase  was  primarily  due  to  higher  shipments  of  neurotechnology
products.

Gross Profit
Gross  profit  was significantly  negatively  impacted  by  the  global  response  to
the COVID-19 pandemic in 2020, decreasing as a percentage of net sales to
63.1%  from  65.1%  in  2019.  Excluding  the  impact  of  the  items  noted  below,
gross  profit  decreased  to  63.8%  from  65.9%  in  2019  primarily  due  to  lower
sales  volumes,  lower  selling  prices,  lower  manufacturing  volumes  and
unfavorable  product  mix  due  to  the  postponement  of  elective  medical
procedures as part of the global response to the COVID-19 pandemic.
Gross profit  as a percentage  of net sales decreased  to 65.1%  in 2019  from
65.7%  in  2018.  Excluding  the  impact  of  the  items  noted  below,  gross  profit
decreased to 65.9% in 2019 from 66.1% in 2018 primarily due to the impact
of lower selling prices.

Reported
Inventory stepped up to
fair value
Restructuring-related and
other charges
Medical device
regulations

2020

2019

2018

2020

2019

2018

$

9,057  $

9,696  $

8,938 

63.1 %

65.1 %

65.7 %

Percent Net Sales

48 

53 

2 

67 

38 

6 

16 

27 

2 
8,983 

0.3 

0.4 

0.5 

0.3 

0.1 

0.3 

— 
63.8 %

— 
65.9 %

— 
66.1 %

Adjusted

$

9,160  $

9,807  $

Research, Development and Engineering Expenses
Research,  development  and  engineering  expenses  as  a  percentage  of  net
sales  increased  to  6.9%  in  2020  from  6.5%  in  2019  and  6.3%  in  2018.
Excluding the impact of the items noted below, expenses increased to 6.3%
in  2020  from  6.1%  in  2019  and  were  consistent  with  2018.  Projects  to
develop new products, investments in new technologies, integration of recent
acquisitions and the impact of lower sales contributed to the increase partially
offset  by  operating  expense  savings  actions  in  response  to  the  COVID-19
pandemic.

Reported
Medical device
regulations

Adjusted

$

$

2020

2019

2018

2020

2019

2018

984  $

971  $

862 

6.9 %

6.5 %

6.3 %

Percent Net Sales

(79)
905  $

(56)
915  $

(10)
852 

(0.6)
6.3 %

(0.4)
6.1 %

— 
6.3 %

Selling, General and Administrative Expenses

Selling, general and administrative expenses as a percentage of net sales in
2020 increased to 37.4% from 36.0% in 2019 and included charges related to
certain in process asset impairments (primarily the portion of our investment
in  a  new  global  ERP  system  that  was  in  process  of  being  developed  for
future  deployment)  and  other  exit  costs  resulting  from  our  decision  to
suspend certain investments due to pandemic-related constraints. Excluding
the impact of the items noted below, expenses decreased to 33.1% in 2020
from 33.5% in 2019

 primarily due to operating expense savings actions taken in response to the
COVID-19 pandemic.

Selling, general and administrative expenses as a percentage of net sales in
2019  decreased  to  36.0%  from  37.5%  in  2018.  Excluding  the  impact  of  the
items  noted  below,  expenses  decreased  to  33.5%  in  2019  from  33.9%  in
2018  primarily  due  to  leverage  from  higher  sales  volumes  and  continued
focus on our operating expense improvement initiatives, partially offset by the
leverage from recent acquisitions.

Reported
Other acquisition and
integration-related
Restructuring-related and
other charges
Regulatory and legal
matters

Adjusted

2020

2019

2018

2020

2019

2018

$

5,361  $

5,356  $

5,099 

37.4 %

36.0 %

37.5 %

Percent Net Sales

(194)

(208)

(108)

(406)

(188)

(192)

(1.4)

(2.9)

(1.4)

(1.3)

(0.8)

(1.4)

(6)
4,755  $

24 
4,984  $

(185)
4,614 

$

— 
33.1 %

0.2 
33.5 %

(1.4)
33.9 %

Recall Charges, Net of Insurance Proceeds

Recall  charges  were  $17,  $192  and  $23  in  2020,  2019  and  2018.  Charges
were  primarily  due  to  the  previously  disclosed  Rejuvenate  and  ABGII
Modular-Neck hip stems and LFIT V40 femoral head voluntary recalls. Refer
to Note 7 to our Consolidated Financial Statements for further information.

Amortization of Intangible Assets
Amortization  of  intangible  assets  was  $472,  $464  and  $417  in  2020,  2019
and 2018. The increase in 2020 and 2019 was due to acquisitions. Refer to
Notes  6  and  8  to  our  Consolidated  Financial  Statements  for  further
information.

Operating Income
Operating  income  was  significantly  negatively  impacted  by  the  global
response to the COVID-19 pandemic in 2020, decreasing as a percentage of
sales to 15.5% from 18.2% in 2019 and 18.7% in 2018. Excluding the impact
of  the  items  noted  below,  operating  income  decreased  to  24.4%  of  sales  in
2020  from  26.3%  in  2019  and  25.9%  in  2018,  primarily  due  to  unfavorable
business mix and the impact of lower sales volumes from the postponement
of elective medical procedures as part of the global response to the COVID-
19  pandemic  partially  offset  by  continued  focus  on  our  operating  expense
savings actions.

2020

2019

2018

2020

2019

2018

$

2,223  $

2,713  $

2,537 

15.5 %

18.2 %

18.7 %

Percent Net Sales

Reported
Inventory stepped up to
fair value
Other acquisition and
integration-related
Amortization of intangible
assets
Restructuring-related and
other charges
Medical device
regulations
Recall-related matters
Regulatory and legal
matters

48 

194 

472 

458 

81 
17 

6 

67 

208 

464 

226 

62 
192 

15 

108 

417 

220 

12 
23 

0.3 

1.4 

3.3 

3.2 

0.6 
0.1 

0.5 

1.4 

3.2 

1.5 

0.4 
1.3 

0.1 

0.8 

3.0 

1.6 

0.1 
0.2 

(24)
3,908  $

185 
3,517 

— 
24.4 %

(0.2)
26.3 %

1.4 
25.9 %

Adjusted

$

3,499  $

Other Income (Expense), Net
Other  income  (expense),  net  was  ($269),  ($151)  and  ($181)  in  2020,  2019
and  2018.  The  increase  in  net  expense  in  2020  was  primarily  due  to
increased interest expense driven by the

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

13

 
 
 
 
 
STRYKER CORPORATION 2020 FORM 10-K

additional  debt  from  the  bond  offerings  completed  in  December  2019  and
June  2020.  Refer  to  Note  10  to  our  Consolidated  Financial  Statements  for
further information.

Income Taxes
Our  effective  tax  rate  was  18.2%,  18.7%  and  (50.8%)  for  2020,  2019  and
2018.  The  effective  income  tax  rate  for  2020  reflects  the  continued  lower
effective  income  tax  rates  as  a  result  of  our  European  operations,  the  tax
effect related to the transfer of intellectual property between tax jurisdictions
and  the  tax  effect  of  future  remittances  of  the  undistributed  earnings  of
foreign subsidiaries.
The effective income tax rate for 2019 reflects the tax related to the transfer
of  intellectual  properties  between  tax  jurisdictions  and  the  continued  lower
effective  income  tax  rates  as  a  result  of  our  European  operations.  The
effective income tax rate for 2018 reflects the tax effect related to the transfer
of  intellectual  properties  between  tax  jurisdictions,  the  continuing  impact  of
complying  with  the  Tax  Cuts  and  Jobs  Act  of  2017  (the  Tax  Act),  and
continued  lower  effective  income  tax  rates  as  a  result  of  our  European
operations.
Net Earnings

Earnings were significantly negatively impacted by the global response to the
COVID-19 pandemic in 2020. Net earnings decreased to $1,599 or $4.20 per
diluted  share  from  $2,083  or  $5.48  per diluted  share  in  2019  and  $3,553  or
$9.34 per diluted share in 2018. Adjusted net earnings per diluted share  of
$7.43 decreased 10.0% from $8.26 in 2019 compared to $7.31 in 2018. The
impact  of  foreign  currency  exchange  rates  reduced  net  earnings  per  diluted
share by approximately $0.02, $0.14 and $0.06 in 2020, 2019 and 2018.

(1)

Reported
Inventory stepped up to
fair value
Other acquisition and
integration-related
Amortization of intangible
assets
Restructuring-related and
other charges
Medical device
regulations
Recall-related matters
Regulatory and legal
matters
Tax matters

Adjusted

2020

2019

2018

2020

2019

2018

$

1,599  $

2,083  $

3,553 

11.1 %

14.0 %

26.1 %

Percent Net Sales

36 

157 

381 

397 

63 
13 

8 
173 

51 

160 

375 

180 

48 
154 

(33)
121 

9 

90 

338 

179 

10 
18 

141 
(1,559)

0.3 

1.1 

2.6 

2.8 

0.4 
0.1 

0.1 
1.2 

0.3 

1.1 

2.6 

1.2 

0.3 
1.0 

(0.2)
0.8 

0.1 

0.7 

2.5 

1.3 

0.1 
0.1 

1.0 
(11.5)

$

2,827  $

3,139  $

2,779 

19.7 %

21.1 %

20.4 %

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;
adjusted  selling,  general  and  administrative  expenses;  adjusted  research,
 adjusted  operating  income;
development
adjusted  other  income  (expense),  net;  adjusted  effective  income  tax  rate;
adjusted net earnings; adjusted net earnings per diluted share (Diluted EPS);
free cash flow; and free cash flow conversion. We believe these non-GAAP
financial  measures  provide  meaningful  information  to  assist  investors  and
shareholders  in  understanding  our  financial  results  and  assessing  our
prospects for future performance. Management believes

 and  engineering  expenses;

 Management

 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.
 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 and prior year results at the same foreign currency exchange rate. To
measure percentage organic sales growth, we remove the impact of changes
in  foreign  currency  exchange  rates  and  acquisitions,  which  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 and may not be indicative
of our past and future performance. 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 (e.g., inventory step-up
and deal costs) related to the consummation of the acquisition process.

2. Amortization  of  purchased  intangible  assets.  Periodic  amortization

expense related to purchased intangible assets.

3. Restructuring-related  and  other  charges.  Costs  associated  with  the
 workforce
termination  of
reductions,
 certain  long-lived  asset
impairments  and  associated  costs  and  other  restructuring-related
activities.

 sales  relationships  in  certain  countries,

 elimination  of

 product

 lines,

4. Medical  Device  Regulations. Costs  specific  to  updating  our  quality
system, product labeling, asset write-offs and product remanufacturing to
comply  with  the  medical
 device  reporting  regulations  and  other
requirements  of  the  European  Union  and  China  regulations  for  medical
devices.

5. Recall-related matters. Our best estimate of the minimum of the range of
probable  loss  to  resolve  the  Rejuvenate,  LFIT  V40  and  other  product
recalls.

6. 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.

7. Tax  matters.  Charges  represent  the  impact  of  accounting  for  certain

significant and discrete tax items.

To  measure  free  cash  flow,  we  adjust  cash  provided  by  operating  activities
by the amount of purchases of property, plant and equipment and proceeds
from  long-lived  asset  disposals  and  remove  the  impact  of  certain  legal
settlements and recall payments. To measure free cash flow conversion we
divide free cash flow by adjusted net earnings.
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,  selling,  general  and  administrative
expenses,

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

14

 
 
STRYKER CORPORATION 2020 FORM 10-K

research,  development  and  engineering  expenses,  operating  income,  other
income  (expense),  net,  effective  income  tax  rate,  net  earnings  and  net
earnings  per  diluted  share,  the  most  directly  comparable  GAAP  financial
measures.  These  non-GAAP  financial  measures  are  an  additional  way  of
viewing  aspects  of  our  operations  when  viewed  with  our  GAAP  results  and
the  reconciliations  to  corresponding  GAAP  financial  measures  at  the  end  of
the discussion of Consolidated Results of Operations

 below.  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  weighted-average  diluted  shares  outstanding  used  in  the  calculation  of
non-GAAP net earnings per diluted share are the same as those used in the
calculation  of  reported  net  earnings  per  diluted  share  for  the  respective
period.

Reconciliation of the Most Directly Comparable GAAP Financial Measure to Non-GAAP Financial Measure

2020

Reported
Acquisition and integration-related charges:

Inventory stepped-up to fair value
Other acquisition and integration-related
Amortization of purchased intangible assets
Restructuring-related and other charges
Medical device regulations
Recall-related matters
Regulatory and legal matters
Tax Matters

Adjusted

2019

Reported
Acquisition and integration-related charges:

Inventory stepped-up to fair value
Other acquisition and integration-related
Amortization of purchased intangible assets
Restructuring-related and other charges
Medical device regulations
Recall-related matters
Regulatory and legal matters
Tax Matters

Adjusted

2018

Reported
Acquisition and integration-related charges:

Inventory stepped-up to fair value
Other acquisition and integration-related
Amortization of purchased intangible assets
Restructuring-related and other charges
Medical device regulations
Recall-related matters
Regulatory and legal matters
Tax Matters

Adjusted

Cash provided by operating activities
Purchases of property, plant and equipment
Proceeds from long-lived asset disposals
Legal settlement proceeds
Recall payments

Free cash flow
Adjusted net earnings

Free cash flow conversion

Gross Profit

$

9,057  $

Selling, General &
Administrative
Expenses

Research, Development &
Engineering Expenses

Operating
Income

Other income
(expense), net

Net Earnings

Effective 
Tax Rate

Diluted EPS

5,361  $

984  $

2,223  $

(269) $

1,599 

18.2  % $

4.20 

48 
— 
— 
53 
2 
— 
— 
— 

— 
(194)
— 
(406)
— 
— 
(6)
— 

— 
— 
— 
— 
(79)
— 
— 
— 

48 
194 
472 
458 
81 
17 
6 
— 

— 
— 
— 
— 
— 
— 
— 
4 

36 
157 
381 
397 
63 
13 
8 
173 

0.3 
0.7 
1.6 
0.2 
0.4 
0.1 
(0.1)
(8.8)

$

9,160  $

4,755  $

905  $

3,499  $

(265) $

2,827 

12.6  % $

0.10 
0.41 
1.00 
1.04 
0.17 
0.03 
0.02 
0.46 

7.43 

Gross Profit

$

9,696  $

Selling, General &
Administrative
Expenses

Research, Development &
Engineering Expenses

Operating
Income

Other income
(expense), net

Net Earnings

Effective 
Tax Rate

Diluted EPS

5,356  $

971  $

2,713  $

(151) $

2,083 

18.7  % $

5.48 

67 
— 
— 
38 
6 
— 
— 
— 

— 
(208)
— 
(188)
— 
— 
24 
— 

— 
— 
— 
— 
(56)
— 
— 
— 

67 
208 
464 
226 
62 
192 
(24)
— 

— 
— 
— 
— 
— 
— 
— 
(30)

51 
160 
375 
180 
48 
154 
(33)
121 

0.2 
0.6 
0.6 
0.4 
0.2 
0.3 
0.5 
(5.7)

$

9,807  $

4,984  $

915  $

3,908  $

(181) $

3,139 

15.8  % $

0.13 
0.42 
0.99 
0.47 
0.13 
0.41 
(0.09)
0.32 

8.26 

Gross Profit

$

8,938  $

Selling, General &
Administrative
Expenses

Research, Development &
Engineering Expenses

Operating
Income

Other income
(expense), net

Net Earnings

Effective 
Tax Rate

Diluted EPS

5,099  $

862  $

2,537  $

(181) $

3,553 

(50.8) % $

9.34 

16 
— 
— 
27 
2 
— 
— 
— 

— 
(108)
— 
(192)
— 
— 
(185)
— 

— 
— 
— 
— 
(10)
— 
— 
— 

15 
108 
417 
220 
12 
23 
185 
— 

— 
— 
— 
— 
— 
— 
— 
— 

$

8,983  $

4,614  $

852  $

3,517  $

(181) $

$

$

2020

3,277 
(487)
14 
— 
17 

2,821 
2,827 

$

$

9 
90 
338 
179 
10 
18 
141 
(1,559)

2,779 

2019

0.2 
— 
0.4 
0.1 
— 
— 
0.6 
66.2 

16.7  % $

2018

2,191 
(649)
3 
(100)
177 

1,622 
3,139 

$

$

0.02 
0.24 
0.89 
0.47 
0.03 
0.05 
0.37 
(4.10)

7.31 

2,610 
(572)
— 
— 
90 

2,128 
2,779 

99.8 %

51.7 %

76.6 %

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

15

 
STRYKER CORPORATION 2020 FORM 10-K

FINANCIAL CONDITION AND LIQUIDITY

Net cash provided by operating activities
Net cash used in investing activities
Net cash provided by (used in) financing activities
Effect of exchange rate changes

Change in cash and cash equivalents

2020

2019

2018

$

3,277  $
(4,701)
(11)
41 

2,191  $
(1,455)
3 
(18)

2,610 
(2,857)
1,329 
(8)

$

(1,394) $

721  $

1,074 

We  believe  our  financial  condition  continues  to  be  of  high  quality,  as
evidenced by our ability to generate substantial cash from operations and to
readily  access  capital  markets  at  competitive  rates  despite  the  COVID-19
pandemic.  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;  however,  in
2019 we announced our intention to suspend our share repurchase program
for 2020 and 2021. We supplement operating cash flow with debt to fund our
activities as necessary. Our overall cash position reflects our business results
and  a  global  cash  management  strategy  that  takes  into  account  liquidity
management, economic factors and tax considerations.
Operating Activities

Cash  provided  by  operating  activities  was  $3,277,  $2,191  and  $2,610  in
2020,  2019  and  2018.  The  increase  from  2019  was  primarily  due  to  cash
from  working  capital,  including  higher  accounts  receivable  collections,  less
spending  on  inventory  due  to  lower  production  from  lower  sales  and  an
increase in our accounts payable, partially offset by decreased net earnings.
Investing Activities

Cash  used  in  investing  activities  was  $4,701,  $1,455  and  $2,857  in  2020,
2019 and 2018. The increase in cash used in 2020 was primarily due to the
acquisition  of  Wright  and  OrthoSensor.  In  2019  we  acquired  Mobius  and
certain  other  businesses  and  related  assets.  In  2018  we  acquired  Entellus
and K2M.
Financing Activities

Cash  provided  by  (used  in)  financing  activities  was  ($11),  $3  and  $1,329  in
2020, 2019 and 2018. The change in cash was primarily driven by securing a
$400  term  loan  in  November  2020,  the  issuance  of  $600  of  notes  in
November  2020  and  $2,300  of  notes  in  June  2020,  offset  by  total  debt
repayments  of  $2,297  and  dividend  payments  of  $863  in  2020.  This  is
compared  to  the  issuance  of  €2.4  billion  of  notes  in  November  2019  and
repayments  of  $1,342  of  debt,  dividend  payments  of  $778  and  share
repurchases of $307 in 2019. Share repurchases were suspended in 2020.

We  maintain  debt  levels  that  we  consider  appropriate  after  evaluating  a
number  of  factors  including  cash  requirements  for  ongoing  operations,
investment and financing plans (including acquisitions and share repurchase
activities)  and  overall  cost  of  capital.  Refer  to  Note  10  to  our  Consolidated
Financial Statements for further information.

Dividends paid per common share
Total dividends paid to common shareholders
Total amount paid to repurchase common stock
Shares of repurchased common stock (in millions)

2020

2019

2018

$
$
$

2.30  $
863  $
—  $
—

2.08  $
778  $
307  $
1.9 

1.88 
703 
300 
1.9 

Liquidity
Cash,  cash  equivalents  and  marketable  securities  were  $3,024  and  $4,425,
and our current assets exceeded current liabilities by $4,666 and $6,658 on
December  31,  2020  and  2019.  Despite  the  impact  from  the  COVID-19
pandemic, we anticipate being able to

 support our short-term liquidity and operating needs from a variety of sources
including  cash  from  operations,  commercial  paper,  existing  credit  lines  and
capital  expenditure  and  operating  expense  reductions.  We  maintain  a
revolving credit facility with $1.5 billion of committed capital which expires in
August  2023  and  a  $1.5  billion  unsecured  revolving  credit  facility  that
matures in April 2021.

We  raised  funds  in  the  capital  markets  in  2020,  2019  and  2018  and  may
continue to do so from time-to-time. We continue to have strong investment-
grade short-term and long-term debt ratings that we believe should enable us
to refinance our debt as needed.

Our  cash,  cash  equivalents  and  marketable  securities  held  in  locations
outside the United States was approximately 30% and 25% on December 31,
2020 and 2019. We intend to use this cash to expand operations organically
and through acquisitions.

Guarantees and Other Off-Balance Sheet Arrangements
We  do  not
 financing
arrangements,  including  variable  interest  entities,  of  a  magnitude  that  we
believe could have a material impact on our financial condition or liquidity.

 have  guarantees  or

 off-balance  sheet

 other

CONTRACTUAL  OBLIGATIONS  AND  FORWARD-LOOKING  CASH
REQUIREMENTS

As further  described  in Note  7  to  our  Consolidated  Financial  Statements,  in
2020 we recorded charges to earnings related to the Rejuvenate and ABG II,
LFIT  Anatomic  CoCr  V40  Femoral  Heads  recall  matters  and  recorded
product  liabilities  relating  to  Wright  legacy  hip  products  claims.  Recorded
reserves  represent  the  minimum of  the  range  of  probable  cost  remaining  to
resolve  these  matters.  The  final  outcome  of  these  matters  is  dependent  on
many  variables  that  are  difficult  to  predict.  The  ultimate  cost  to  entirely
resolve  these  matters  may  be  materially  different  from  the  amount  of  the
current  estimates  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 our Consolidated Financial Statements, on
December  31,  2020  we  had  a  reserve  for  uncertain  income  tax  positions  of
$457.  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.
As further described in Note 12 to our Consolidated Financial Statements, on
December 31, 2020 our defined benefit pension plans were underfunded by
$596,  of  which  approximately  $588  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  the  amounts  that  may  be  required  to  fund  defined
benefit pension plans.

Contractual Obligations
Total debt

Interest payments
Unconditional purchase obligations
Operating leases
United States Tax Cuts and Jobs Act
Transition Tax
Other
Total

Total

2021

2022 -
2023

2024 -
2025

After 2025

$

14,115  $
3,855 
1,587 
420 

761  $ 1,672  $
310 
1,294 
110 

598 
134 
152 

3,036  $
539 
104 
68 

595 
182 

63 
17 

182 
18 

350 
6 

8,646 
2,408 
55 
90 

— 
141 

$

20,754  $ 2,555  $ 2,756  $

4,103  $ 11,340 

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

16

 
STRYKER CORPORATION 2020 FORM 10-K

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

In preparing our financial statements  in accordance  with generally accepted
accounting  principles,  there  are  certain  accounting  policies,  which  may
require  substantial  judgment  or  estimation  in  their  application.  We  believe
these  accounting  policies  and  the  others  set  forth  in  Note  1  to  our
Consolidated Financial Statements are critical to understanding our results of
operations  and  financial  condition.  Actual  results  could  differ  from  our
estimates  and  assumptions,  and  any  such  differences  could  be  material  to
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

 statements  or

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  was  deferred,  the  tax  effect  of  expenditures  for  which  a
deduction was taken in our tax return but has not yet been recognized in our
financial
 value  in  business
 assets  recorded  at
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.
We  operate  in  multiple  jurisdictions  with  complex  tax  policy  and  regulatory
environments. In certain of these jurisdictions, we may take tax positions that
management
 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

 believes  are  supportable  but

 are  potentially  subject

 fair

 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.

Due to the 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
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  on  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.

 Unanticipated  market

 rate  applied  to  the  cash  flows.

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
 or
discount
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
 customer  and  distributor
assets  (e.g.,
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,  brand  history,  underlying  product  life  cycles,  operating
plans  and  the  macroeconomic  environment  of  the  countries  in  which  the
trademarked or branded products 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.
 we  acquire  in-process  research  and
In  some  of
development  (IPRD)  intangible  assets.  For  acquisitions  accounted  for  as
business combinations IPRD is considered to be an indefinite-lived intangible
asset  until  the  research  is  completed  (then  it  becomes  a  determinable-lived
intangible asset) or determined to have no future use (then it is impaired). For
asset  acquisitions  IPRD  is  expensed  immediately  unless  there  is  an
alternative future use.

 certain  trademarks  or  brands,

 acquisitions,

 our

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

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

17

 
 those projected by management, additional expense may be incurred, which
could  unfavorably  affect  future  operating  results.  We  are  currently  self-
insured for certain 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

Refer  to  Note  1  to  our  Consolidated  Financial  Statements  for  further
information.

ITEM 7A.

QUANTITATIVE AND QUALITATIVE DISCLOSURES
ABOUT MARKET RISK.

We sell our products globally and, as a result, our financial results could be
significantly  affected  by  factors  such  as  market  risk  exposure  from  weak
economic  conditions,  exchange  rate  risk  and  the  impacts  of  the  COVID-19
pandemic  on  our  operations  and  financial  results.  Our  operating  results  are
primarily  exposed  to  changes  in  exchange  rates  among  the  United  States
Dollar, Australian Dollar, British Pound, Canadian Dollar, Euro and Japanese
Yen.  We  develop  and  manufacture  products  in  the  United  States,  Canada,
China,  France,  Germany,  Ireland,  Japan,  Mexico,  Puerto  Rico,  Switzerland
and  Turkey  and  incur  costs  in  the  applicable  local  currencies.  This  global
deployment  of  facilities  serves  to  partially  mitigate  the  impact  of  currency
exchange rate changes on our cost of sales. Refer to Notes 1, 4 and 5 to our
Consolidated  Financial  Statements  for  information  regarding  our  use  of
derivative instruments to mitigate these risks. A hypothetical 10% change in
foreign  currencies  relative  to  the  United  States  Dollar  would  change  the
December 31, 2020 fair value of these instruments by approximately $550.
We  are  not  able  to  quantify  the  impacts  of  the  COVID-19  pandemic  on  our
financial  results.  Qualitative  disclosures  about  the  COVID-19  pandemic  are
included  in  Part  II,  Item  7  "Management's  Discussion  and  Analysis  of
Financial  Condition  and  Results  of  Operations"  and  Part  I,  Item  1A  "Risk
Factors" of this Form 10-K.

STRYKER CORPORATION 2020 FORM 10-K

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  also  use  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.
Our  annual  impairment  testing  indicated  that  all  reporting  unit  goodwill  fair
values  significantly  exceeded  their  respective  recorded  values.  Future
changes  in  the  judgments,  assumptions  and  estimates  that  are  used  in  our
impairment
 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 results of operations.
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

 testing  for  goodwill

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 our 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 had 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

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

18

 
STRYKER CORPORATION 2020 FORM 10-K

ITEM 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Shareholders and the Board of Directors of Stryker Corporation

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of Stryker Corporation and subsidiaries (the Company) as of December 31, 2020 and 2019,
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,  2020,  and  the  related  notes  and  the  financial  statement  schedule  listed  in  the  Index  at  Item  15(a)  (collectively  referred  to  as  the
"consolidated  financial  statements").  In  our  opinion,  the  consolidated  financial  statements  present  fairly,  in  all  material  respects,  the  consolidated  financial
position of the Company at December 31, 2020 and 2019, and the consolidated results of its operations and its cash flows for each of the three years in the
period ended December 31, 2020, in conformity with U.S. generally accepted accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's internal
control  over  financial  reporting  as  of  December  31,  2020,  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 11, 2021 expressed an unqualified opinion thereon.

Basis for Opinion
These  financial  statements  are  the  responsibility  of  the  Company's  management.  Our  responsibility  is  to  express  an  opinion  on  the  Company’s  financial
statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in
accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted  our audits  in accordance  with the  standards  of the  PCAOB. Those  standards  require  that  we  plan and  perform  the  audit  to  obtain  reasonable
assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to
assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such
procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating
the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We
believe that our audits provide a reasonable basis for our opinion.

Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements that were communicated or required
to  be  communicated  to  the  audit  committee  and  that:  (1)  relate  to  accounts  or  disclosures  that  are  material  to  the  financial  statements  and  (2)  involved  our
especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated
financial  statements,  taken  as  a  whole,  and  we  are  not,  by  communicating  the  critical  audit  matters  below,  providing  separate  opinions  on  the  critical  audit
matters or on the accounts or disclosures to which they relate.

Business Combinations

Description of the
Matter

How We Addressed
the Matter in Our
Audit

As  described  in  Note  6  to  the  consolidated  financial  statements,  in  2020  the  Company  completed  the  acquisition  of  all  the  outstanding
equity of Wright Medical Group N.V. (Wright) for total consideration, net of cash acquired of $4,081 million. The acquisition was accounted
for as a business combination.
The recognition, measurement and disclosure of the Company’s business combination in the 2020 consolidated financial statements and
related  footnote  is  preliminary  and  was  considered  especially  challenging  and  required  significant  auditor  judgment  due  to  the  complex
determination  by management  of the appropriate assumptions,  such as discount rates, revenue  growth rates, and profit margins for the
valuation  of  acquired  assets,  including  developed  technologies.  The  Company  used  a  discounted  cash  flow  model  to  measure  the
developed technologies.

We  tested  the  effectiveness  of  controls  over  the  accounting  for  the  business  combination,  including  testing  controls  over  the  estimation
process  supporting  the  recognition  and  measurement  of  consideration  transferred  and  developed  technology.  We  also  tested
management’s review of assumptions used in the valuation models.
To  test  the  valuation  of  acquired  assets,  we  performed  audit  procedures  that  included,  among  others,  evaluating  management’s
identification of assets acquired and liabilities assumed and assessing the fair value measurements prepared by management and their
third-party  valuation  specialists,  including  the  discount  rates,  revenue  growth  rates  and  projected  profit  margins  as  used  in  valuing  the
developed  technology.  We  involved  our  valuation  specialists  to  assist  with  the  evaluation  of  methodologies  used  by  the  Company  and
significant  assumptions  included  in  the  fair  value  estimates.  For  example,  to  evaluate  the  revenue  growth  rates  and  projected  profit
margins,  we compared  the amounts to historical  results of the Company’s  business, as well as the acquired  business' historical  results,
and current industry and market trends for those in which the Company operates and performed sensitivity analyses on key assumptions.
We also evaluated the adequacy of the Company’s disclosures included in Note 6 related to these acquisitions.

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

19

STRYKER CORPORATION 2020 FORM 10-K

Description of the
Matter

How We Addressed
the Matter in Our
Audit

Description of the
Matter

How We Addressed
the Matter in Our
Audit

Product Liabilities

As described  in Note  7 to the  consolidated  financial statements,  the  Company  recorded  $470  million of liabilities, including $192  million
assumed  in connection  with the  acquisition  accounting  of Wright, at  December  31,  2020  for product  matters  relating  to  Rejuvenate  and
ABG  II  Modular-Neck  hip  stems,  LFIT  Anatomic  CoCr  V40  Femoral  Heads,  and  Wright  hip  product  future  settlements.  The  Company
establishes liabilities for product claims to the extent probable future losses are estimable based on quantitative and qualitative information
from  various  sources.  The  Company  engages,  when  required,  external  specialists  to  perform  an  actuarial  analysis  to  estimate  the
outstanding liabilities.
Auditing  management’s  estimate  of  product  liabilities  was  especially  challenging  due  to  the  significant  measurement  uncertainty
associated with the product liabilities estimate that involved management’s significant judgment and actuarial analysis. Further, the product
liability is sensitive to significant management assumptions, including average costs per claim and the number of future claims, including
those resulting in revision surgery.

We  obtained  an  understanding,  evaluated  management’s  design  and  tested  the  operating  effectiveness  of  the  controls  over  the
Company’s  product  liability  estimation  process,  including  management's  assessment  of  the  assumptions,  and  the  completeness  and
accuracy of the data underlying the product liabilities.
To evaluate the liabilities for product claims, we performed audit procedures that included, among others, testing the completeness and
accuracy  of  the  underlying  claims  and  average  cost  per  claim  data  provided  to  management's  actuarial  specialist  and  obtaining  legal
confirmation letters to evaluate the reserves recorded. We involved our actuarial specialists in the evaluation of the methodologies applied
by the Company in determining the actuarially calculated range of loss and assessment of significant assumptions,  including number of
future  claims  and  revision  surgeries  factored  into  the  resulting  estimated  product  liabilities.  We  also  evaluated  the  adequacy  of  the
Company’s disclosures included in Note 7 related to these liabilities.

Uncertain Tax Positions

As described in Note 11 to the consolidated financial statements, the Company operates in multiple jurisdictions with complex tax policy
and regulatory environments and establishes reserves for uncertain tax positions in accordance with the accounting guidance governing
uncertainty  in  income  taxes.  Uncertainty  in  a  tax  position  may  arise  because  tax  laws  are  subject  to  interpretation.  The  Company  uses
significant judgment to (1) determine whether, based on the technical merits, a tax position is more likely than not to be sustained and (2)
measure the amount of tax benefit that qualifies for recognition. At December 31, 2020, the Company had accrued liabilities of $457 million
relating to uncertain tax positions.
Auditing  management’s  analysis  of  the  Company’s  uncertain  tax  positions  and  the  related  unrecognized  tax  benefits  was  especially
challenging as the analysis involved significant auditor judgment due to complex interpretations of tax laws, legal rulings and determination
of arm’s length pricing for intercompany transactions.

We obtained an understanding, evaluated the design and tested the operating effectiveness of controls over the Company’s accounting
process  for  uncertain  tax  positions.  For  example,  we  tested  controls  over  management’s  identification  of  uncertain  tax  positions  and  its
application of the recognition and measurement principles, including management’s review of the inputs and calculations of unrecognized
income tax benefits.
Our audit procedures included, among others, evaluating the assumptions the Company used to develop its uncertain tax positions and
related unrecognized income tax benefit amounts by jurisdiction. We also tested the completeness and accuracy of the underlying data
used by the Company to calculate its uncertain tax positions. For example, we compared the estimated liabilities for unrecognized income
tax benefits to similar positions in prior periods and assessed management’s consideration of current tax controversy and litigation trends
in similar positions challenged by tax authorities. We also assessed the historical accuracy of management’s estimates of its unrecognized
income tax benefits by comparing the estimates with the resolution of those positions. We involved our tax professionals to evaluate tax
technical merits, which included, for certain intercompany transactions, assessing the Company’s assumptions and pricing methodology to
determine  they  were  arm’s  length  and  complied  with  local  jurisdictional  laws  and  regulations.  We  also  evaluated  the  adequacy  of  the
Company’s disclosures included in Note 11 related to these tax matters.

/s/    ERNST & YOUNG LLP

We have served as the Company's auditor since 1974
Grand Rapids, Michigan
February 11, 2021

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

20

STRYKER CORPORATION 2020 FORM 10-K

Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF EARNINGS

2020

2019

2018

Net sales

Cost of sales

Gross profit

Research, development and engineering expenses
Selling, general and administrative expenses
Recall charges
Amortization of intangible assets
Total operating expenses

Operating income

Other income (expense), net
Earnings before income taxes

Income taxes

Net earnings

Net earnings per share of common stock:

Basic
Diluted

Weighted-average shares outstanding (in millions):

Basic
Effect of dilutive employee stock compensation
Diluted

$

$

$
$

$

$

$
$

14,351  $
5,294 
9,057  $
984 
5,361 
17 
472 
6,834  $
2,223  $
(269)
1,954  $
355 
1,599  $

14,884  $
5,188 
9,696  $
971 
5,356 
192 
464 
6,983  $
2,713  $
(151)
2,562  $
479 
2,083  $

4.26  $
4.20  $

5.57  $
5.48  $

375.5 
4.8 
380.3 

374.0 
5.9 
379.9 

13,601 
4,663 
8,938 
862 
5,099 
23 
417 
6,401 
2,537 
(181)
2,356 
(1,197)
3,553 

9.50 
9.34 

374.1 
6.2 
380.3 

Anti-dilutive shares excluded from the calculation of dilutive employee stock compensation were de minimis in all periods.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

Net earnings
Other comprehensive income (loss), net of tax

Marketable securities
Pension plans
Unrealized gains (losses) on designated hedges
Financial statement translation

Total other comprehensive income (loss), net of tax

Comprehensive income

2020

2019

2018

1,599  $

2,083  $

— 
(80)
(57)
(414)
(551) $
1,048  $

1 
(42)
(3)
69 
25  $
2,108  $

$

$
$

See accompanying notes to Consolidated Financial Statements.

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

3,553 

— 
(3)
22 
(97)
(78)
3,475 

21

STRYKER CORPORATION 2020 FORM 10-K

Assets
Current assets
Cash and cash equivalents
Marketable securities
Accounts receivable, less allowance of $131 ($88 in 2019)
Inventories:

Materials and supplies
Work in process
Finished goods
Total inventories
Prepaid expenses and other current assets
Total current assets
Property, plant and equipment:

Land, buildings and improvements
Machinery and equipment
Total property, plant and equipment
Less allowance for depreciation

Property, plant and equipment, net
Goodwill
Other intangibles, net
Noncurrent deferred income tax assets
Other noncurrent assets

Total assets

Liabilities and shareholders' equity
Current liabilities
Accounts payable
Accrued compensation
Income taxes
Dividend payable
Accrued product liabilities
Accrued expenses and other liabilities
Current maturities of debt
Total current liabilities
Long-term debt, excluding current maturities
Income taxes
Other noncurrent liabilities
Total liabilities
Shareholders' equity
Common stock, $0.10 par value
Additional paid-in capital
Retained earnings
Accumulated other comprehensive loss
Total shareholders' equity

Total liabilities & shareholders' equity

Stryker Corporation and Subsidiaries
CONSOLIDATED BALANCE SHEETS

2020

2019

$

$

$

$

$

$

$

$

$
$

2,943  $
81 
2,701 

678 
251 
2,565 
3,494  $
488 
9,707  $

1,546 
3,636 
5,182 
2,430 
2,752  $

12,778 
5,554 
1,530 
2,009 
34,330  $

810  $
925 
207 
237 
515 
1,586 
761 
5,041  $

13,230 
990 
1,985 
21,246  $

38 
1,741 
12,462 
(1,157)
13,084  $
34,330  $

4,337 
88 
2,893 

677 
178 
2,125 
2,980 
760 
11,058 

1,263 
3,451 
4,714 
2,147 
2,567 
9,069 
4,227 
1,575 
1,671 
30,167 

675 
955 
171 
213 
331 
1,196 
859 
4,400 
10,231 
1,068 
1,661 
17,360 

37 
1,628 
11,748 
(606)
12,807 
30,167 

See accompanying notes to Consolidated Financial Statements.

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

22

STRYKER CORPORATION 2020 FORM 10-K

Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY

Common stock

Beginning
Issuance of common stock under stock compensation and benefit
plans
Repurchase of common stock
Ending

Additional paid-in capital

Beginning
Issuance of common stock under stock compensation and benefit
plans
Repurchase of common stock
Share-based compensation
Ending

Retained earnings

Beginning
Cumulative effect of accounting changes
Net earnings
Repurchase of common stock
Cash dividends declared
Ending

Accumulated other comprehensive (loss) income

Beginning
Other comprehensive income (loss)
Ending

Total Stryker shareholders' equity
Non-controlling interest

Beginning
Interest purchased
Net earnings attributable to noncontrolling interest
Foreign currency exchange translation adjustment
Ending

Total shareholders' equity

2020

2019

2018

Shares

Amount

Shares

Amount

Shares

Amount

374.5  $

1.6 
— 
376.1  $

37 

1 
— 

38 

374.4  $

2.0 
(1.9)
374.5  $

37 

— 
— 

37 

374.4  $

1.9 
(1.9)
374.4  $

37 

— 
— 

37 

$

1,628 

$

1,559 

$

1,496 

(29)
— 
142 
1,741 

11,748 
— 
1,599 
— 
(885)
12,462 

(606)
(551)
(1,157)
13,084 

— 
— 
— 
— 
— 
13,084 

$

$

$

$

$
$

$

$
$

(50)
(8)
127 
1,628 

10,765 
— 
2,083 
(299)
(801)
11,748 

(631)
25 
(606)
12,807 

— 
— 
— 
— 
— 
12,807 

$

$

$

$

$
$

$

$
$

$

$

$

$

$
$

$

$
$

(49)
(7)
119 
1,559 

8,986 
(759)
3,553 
(293)
(722)
10,765 

(553)
(78)
(631)
11,730 

14 
(15)
— 
1 
— 
11,730 

23

See accompanying notes to Consolidated Financial Statements.

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

STRYKER CORPORATION 2020 FORM 10-K

Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF CASH FLOWS

Operating activities
Net earnings
Adjustments to reconcile net earnings to net cash provided by operating activities:

2020

2019

2018

$

1,599  $

2,083  $

3,553 

Depreciation
Amortization of intangible assets
Asset impairments
Share-based compensation
Recall charges
Sale of inventory stepped up to fair value at acquisition
Deferred income tax (benefit) expense
Changes in operating assets and liabilities:
Accounts receivable
Inventories
Accounts payable
Accrued expenses and other liabilities
Recall-related payments
Income taxes
Other, net

Net cash provided by operating activities
Investing activities
Acquisitions, net of cash acquired
Purchases of marketable securities
Proceeds from sales of marketable securities
Purchases of property, plant and equipment
Other investing, net
Net cash used in investing activities
Financing activities
Proceeds and payments on short-term borrowings, net
Proceeds from issuance of long-term debt
Payments on long-term debt
Dividends paid
Repurchases of common stock
Cash paid for taxes from withheld shares
Payments to purchase noncontrolling interest
Other financing, net
Net cash provided by (used in) financing activities
Effect of exchange rate changes on cash and cash equivalents
Change in cash and cash equivalents
Cash and cash equivalents at beginning of year
Cash and cash equivalents at end of year

Supplemental cash flow disclosure:

Cash paid for income taxes, net of refunds
Cash paid for interest on debt

340 
472 
215 
142 
17 
48 
48 

354 
27 
100 
(54)
(17)
(16)
2 
3,277  $

(4,222)
(54)
61 
(487)
1 
(4,701) $

(6)
3,292 
(2,297)
(863)
— 
(110)
— 
(27)
(11) $
41 
(1,394) $
4,337 
2,943  $

314 
464 
16 
127 
192 
67 
126 

(563)
(400)
63 
113 
(177)
(105)
(129)
2,191  $

(802)
(74)
69 
(649)
1 
(1,455) $

(7)
2,642 
(1,342)
(778)
(307)
(136)
— 
(69)

3  $

(18)
721  $

3,616 
4,337  $

323  $
304  $

457  $
286  $

306 
417 
14 
119 
23 
16 
(1,582)

(60)
(385)
116 
289 
(90)
(156)
30 
2,610 

(2,451)
(226)
394 
(572)
(2)
(2,857)

(1)
3,126 
(669)
(703)
(300)
(120)
(14)
10 
1,329 
(8)
1,074 
2,542 
3,616 

539 
248 

$

$

$

$

$

$
$

See accompanying notes to Consolidated Financial Statements.

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

24

STRYKER CORPORATION 2020 FORM 10-K

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 - SIGNIFICANT ACCOUNTING POLICIES

Nature of Operations: Stryker (the "Company," "we," "us," or "our") is one of
the  world's  leading  medical  technology  companies  and,  together  with  its
customers,  is  driven  to  make  healthcare  better.  The  Company  offers
innovative products and services in Orthopaedics, Medical and Surgical, and
Neurotechnology and Spine that improve patient and hospital outcomes. Our
products  include  implants  used  in  joint  replacement  and  trauma  surgeries;
surgical  equipment
 and  surgical  navigation  systems;  endoscopic  and
communications  systems;  patient  handling,  emergency  medical  equipment
and  intensive  care  disposable  products;  neurosurgical,  neurovascular  and
spinal  devices;  as  well  as  other  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  current  year  presentation  in  our  Consolidated  Financial  Statements,
including  immaterial  reclassifications  of  segment  results  and  $302  of  loaner
instrumentation not intended to be sold reclassified from inventories to other
noncurrent assets.

Use of Estimates: The 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
reported amounts of assets and liabilities and disclosure of contingent assets
and  liabilities  on  the  date  of  the  financial  statements  and  the  reported
amounts  of  net  sales  and  expenses  in  the  reporting  period.  Actual  results
could differ from those estimates.
Revenue Recognition: Sales are recognized as the performance obligations
to  deliver  products  or  services  are  satisfied  and  are  recorded  based  on  the
amount of consideration we expect to receive in exchange for satisfying the
performance  obligations.  Our  sales  are  recognized  primarily  when  we
transfer  control  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
have received a purchase order and appropriate notification the product has
been  used  or  implanted.  Products  and  services  are  primarily  transferred  to
customers  at  a  point  in  time,  with  some  transfers  of  services  taking  place
over time.
Sales  represent  the  amount  of  consideration  we  expect  to  receive  from
customers  in  exchange  for  transferring  products  and  services.  Net  sales
exclude sales, value added and other taxes we collect from customers. Other
costs to obtain and fulfill contracts are generally expensed as incurred due to
the  short-term  nature  of  most  of  our  sales.  We  extend  terms  of  payment  to
our  customers  based  on  commercially  reasonable  terms  for  the  markets  of
our customers, while also considering their credit quality.
A provision for estimated sales returns, discounts and rebates is recognized
as a reduction of sales in the same period that the sales are recognized. Our
estimate  of  the  provision  for  sales  returns  has  been  established  based  on
contract  terms  with  our  customers  and  historical  business  practices  and
current  trends.  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  other  income
(expense), net.
Cash Equivalents: Highly liquid investments with remaining stated maturities
of three months or less when purchased or other money market instruments
that  are  redeemable  upon  demand  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 and are
recorded  in  other  noncurrent  assets.  Pursuant  to  our  investment  policy,  all
individual  marketable  security  investments  must  have  a  minimum  credit
quality  of  single  A  (Standard  &  Poor’s  and  Fitch)  and  A2  (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 (Standard & Poor’s and Fitch) or Aa (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.  Investments  in  trading  securities
represent
 employee
compensation.

 participant-directed

 investments

 deferred

 of

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, current market conditions and expected credit
losses.  Accounts  receivable  are  written  off  when  all  reasonable  collection
efforts are exhausted.

Inventories:  Inventories  are  stated  at  the  lower  of  cost  or  net  realizable
value,  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

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

25

 
STRYKER CORPORATION 2020 FORM 10-K

prices in excess of current carrying costs, reserves are maintained to reduce
current carrying cost to net realizable value.

Financial  Instruments: Our  financial  instruments  consist  of  cash,  cash
equivalents,  marketable  securities,  accounts  receivable,  other  investments,
accounts  payable,  debt  and  foreign  currency  exchange  contracts.  The
carrying  value  of  our  financial  instruments,  with  the  exception  of  our  senior
unsecured notes, approximates fair value on December 31, 2020 and 2019.
Refer to Notes 3 and 10 for further details.

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  and  interest  and
realized  gains  and  losses  are  included  in  other  income  (expense),  net.  The
cost of securities sold is determined by the specific identification method.

 of

We  review  declines  in  the  fair  value  of  our  investments  classified  as
available-for-sale to determine whether the decline in fair value is a result of
credit loss or other factors. Impairments of available-for-sale marketable debt
securities  related  to  credit  loss  are  included  in  earnings  and  impairments
related to other factors are recognized within AOCI.
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
 currency  fluctuations  on  transactions  denominated  in
nonfunctional currencies, thereby limiting our risk that would otherwise result
from  changes  in  exchange  rates.  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.
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.
 currency  exposures  principally  relate  to
forecasted intercompany sales and purchases of manufactured products and
generally  have  maturities  up  to  eighteen  months.  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  cost  of  goods  sold  in  the
Consolidated  Statements  of  Earnings.  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.

 These  nonfunctional

Forward currency exchange contracts are used to offset our exposure to the
change  in  value  of  specific  foreign  currency  denominated  assets  and
 These
 primarily  intercompany  payables  and  receivables.
liabilities,
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

 our

 value  of
 forward  currency  exchange  contracts  represents  the
measurement of the contracts at month-end spot rates as adjusted by current
forward points.

From  time  to  time,  we  designate  derivative  and  non-derivative  financial
instruments  as  net  investment  hedges  of  our  investments  in  certain
international subsidiaries. For derivative instruments that are designated and
qualify  as  a  net  investment  hedge,  the  effective  portion  of  the  derivative's
gain or loss is recognized in OCI and reported as a component of AOCI. We
have  elected  to  use  the  spot  method  to  assess  effectiveness  for  our
derivatives designated as net investment hedges. Accordingly, the change in
fair  value  attributable  to  changes  in  the  spot  rate  is  recorded  in  AOCI.  We
exclude  the  spot-forward  difference  from  the  assessment
 hedge
effectiveness  and  amortize  this  amount  separately  on  a  straight-line  basis
over  the  term  of  the  forward  contracts.  This  amortization  is  recognized  in
Other income (expense).

 of

From  time  to  time,  we  designate  forward  starting  interest  rate  derivative
instruments  as  cash  flow  hedges  to  manage  the  exposure  to  interest  rate
volatility  with  regard  to  future  issuance  and  refinancing  of  debt.  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  interest  expense  in  the
Consolidated Statements of Earnings.
Interest  rate  derivative  instruments  designated  as  fair  value  hedges  have
been  used  in  the  past  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 15 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
synergies that are specific to our business and not available to other market
participants and are expected to increase net sales 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 acquired in a business
combination  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  some  of
 acquisitions,
development (IPRD) intangible assets. For acquisitions

 our

 we  acquire  in-process  research  and

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

26

 
STRYKER CORPORATION 2020 FORM 10-K

accounted  for  as  business  combinations  IPRD  is  considered  to  be  an
indefinite-lived  intangible  asset  until  the  research  is  completed  (then  it
becomes  a  determinable-lived  intangible  asset)  or  determined  to  have  no
future  use  (then  it  is  impaired).  For  asset  acquisitions  IPRD  is  expensed
immediately unless there is an alternative future use.

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: Share-based  compensation  is  in  the  form  of
stock  options,  restricted  stock  units  (RSUs)  and  performance  stock  units
(PSUs). Stock options are granted under long-term incentive plans 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  quoted
closing 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 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 quoted
closing price of our common stock on 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  in  that  three-year  performance  cycle.  The  fair  value  of  PSUs  is
determined  based  on  the  quoted  closing  price  of  our  common  stock  on  the
day of grant.
Compensation  expense  is  recognized  in  the  Consolidated  Statements  of
Earnings based on the estimated fair value of the awards on the 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 associated with
such grants 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 in the year. Other amounts result from adjustments
related to acquisitions and foreign currency as appropriate.

 must

 Accordingly,

 management

We operate in multiple income tax jurisdictions both within the United States
and  internationally.
 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  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

We  evaluate  all  Accounting  Standards  Updates  (ASUs)  issued  by  the
Financial  Accounting  Standards  Board  (FASB)  for  consideration  of  their
applicability.  ASUs  not  included  in  our  disclosures  were  assessed  and
determined to be either not applicable or are not expected to have a material
impact on our Consolidated Financial Statements.

Accounting Pronouncements Recently Adopted
On January 1, 2020 we adopted ASU 2016-13, Financial Instruments - Credit
Losses (Topic 326): Measurement of Credit Losses on Financial Instruments.
The  standard  replaces  the  incurred  loss  impairment  methodology  with  a
methodology  that  reflects  expected  credit  losses  for  accounts  receivables
and loans. The adoption of this update did not have a material impact on our
Consolidated Financial Statements.

No other new accounting pronouncements  were issued or became effective
in  the  period  that  had,  or  are  expected  to  have,  a  material  impact  on  our
Consolidated Financial Statements.

NOTE 2 - REVENUE RECOGNITION

We  disaggregate  our  net  sales  by  product  line  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.
Products  and  services  are  primarily  transferred  to  customers  at  a  point  in
time,  with  some  transfers  of  services  taking  place  over  time.  In  2020  less
than  10%  of  our  sales  were  recognized  as  services  transferred  over  time.
Refer to Note 1 for further discussion on our revenue recognition policies.

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

27

 
STRYKER CORPORATION 2020 FORM 10-K

Segment Net Sales
Orthopaedics:

Knees
Hips
Trauma and Extremities
Other

MedSurg:

Instruments
Endoscopy
Medical
Sustainability

Neurotechnology and Spine:

Neurotechnology
Spine

Total

United States Net Sales
Orthopaedics:

Knees
Hips
Trauma and Extremities
Other

MedSurg:

Instruments
Endoscopy
Medical
Sustainability

Neurotechnology and Spine:

Neurotechnology
Spine

Total

International Net Sales
Orthopaedics:

Knees
Hips
Trauma and Extremities
Other

MedSurg:

Instruments
Endoscopy
Medical
Sustainability

Neurotechnology and Spine:

Neurotechnology
Spine

Total

2020

2019

2018

1,567 
1,206 
1,722 
464 

4,959 

1,863 
1,763 
2,524 
250 

6,400 

1,945 
1,047 

2,992 

14,351 

$

$

$

$

$

$

$

1,815 
1,383 
1,639 
415 

5,252 

1,959 
1,983 
2,264 
286 

6,492 

1,983 
1,157 

3,140 

14,884 

$

$

$

$

$

$

$

1,701 
1,336 
1,580 
374 

4,991 

1,822 
1,846 
2,118 
259 

6,045 

1,737 
828 

2,565 

13,601 

2020

2019

2018

1,170 
777 
1,139 
387 

3,473 

1,471 
1,408 
1,910 
247 

5,036 

1,182 
764 

1,946 

10,455 

$

$

$

$

$

$

$

1,347 
882 
1,051 
334 

3,614 

1,542 
1,577 
1,787 
283 

5,189 

1,281 
873 

2,154 

10,957 

2020

2019

397 
429 
583 
77 

1,486 

392 
355 
614 
3 

1,364 

763 
283 

1,046 

3,896 

$

$

$

$

$

$

$

469 
500 
588 
81 

1,638 

417 
406 
477 
3 

1,303 

702 
284 

986 

3,927 

$

$

$

$

$

$

$

$

$

$

$

$

$

$

1,244 
838 
1,001 
300 

3,383 

1,424 
1,432 
1,630 
257 

4,743 

1,115 
607 

1,722 

9,848 

2018

457 
498 
579 
74 

1,608 

398 
414 
488 
2 

1,302 

622 
221 

843 

3,753 

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

Orthopaedics
Orthopaedics products consist primarily of implants used in hip and knee joint
replacements  and  trauma  and  extremity  surgeries.
 Substantially  all
Orthopaedics sales are recognized when we have received a purchase order
and  appropriate  notification  the  product  has  been  used  or  implanted.  For
certain Orthopaedic products in the "other" category, we recognize sales at a
point in

 time,  as  well  as  over  time  for  performance  obligations  that  may  include  an
obligation  to  complete  installation,  provide  training  and  ongoing  services.
Performance obligations are satisfied within one year.

 handling,

 equipment

 emergency  medical

MedSurg
MedSurg  products  include  surgical  equipment  and  navigation  systems
 endoscopic  and  communications  systems  (Endoscopy),
(Instruments),
patient
 and  intensive  care
disposable  products  (Medical),  reprocessed  and  remanufactured  medical
devices (Sustainability) and other medical device products used in a variety
of medical specialties. Substantially all MedSurg sales are recognized when
a purchase order has been received and control has transferred. For certain
Endoscopy, Instruments and Medical services, we may recognize sales over
time as we satisfy performance obligations that may include an obligation to
 provide  training  and  perform  ongoing  services,
complete  installation,
generally performed within one year.
Neurotechnology and Spine

Neurotechnology  and  Spine  products  include  neurosurgical,  neurovascular,
and  spinal  implant  devices.  Our  neurotechnology  offering  includes  products
used  for  minimally  invasive  endovascular  techniques;  a  comprehensive  line
of  products  for  traditional  brain  and  open  skull  based  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.  Our  spinal  implant
offering  includes  cervical,  thoracolumbar  and  interbody  systems  used  in
spinal
 Substantially  all
Neurotechnology and Spine sales are recognized when a purchase order has
been received and control has transferred.

 deformity  and  degenerative  therapies.

 injury,

Contract Assets and Liabilities
The nature of our products and services do not generally give rise to contract
assets as we typically do not incur costs to fulfill a contract before a product
or  service  is  provided  to  a  customer.  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  contract  assets.  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
December  31,  2020  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.
We  generally  satisfy  performance  obligations  within  one  year  from  the
contract  inception  date.  Our  contract  liabilities  were  $416  and  $313  on
December 31, 2020 and December 31, 2019.
NOTE 3 - FAIR VALUE MEASUREMENTS
Fair value  is defined  as the  price  that  would  be  received  to sell an  asset  or
paid  to  transfer  a  liability  in  an  orderly  transaction  between  market
participants at the measurement date. Financial assets and liabilities carried
at fair value are classified in their entirety based on the lowest level of input
and disclosed in one of the following three categories:

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

28

 
STRYKER CORPORATION 2020 FORM 10-K

Level 1
Level 2

Level 3

Quoted market prices in active markets for identical assets or liabilities.
Observable market-based inputs or unobservable inputs that are
corroborated by market data.
Unobservable inputs reflecting our assumptions or external inputs from
active markets.

Use  of  observable  market  data,  when  available,  is  required  in  making  fair
value  measurements.  When  inputs  used  fall  within  different  levels  of  the
hierarchy, the level within which the fair value measurement is categorized is
based  on  the  lowest  level  input  that  is  significant  to  the  fair  value
measurement.  We  determine  fair  value  for  Level  1  instruments  using
exchange-traded prices for identical instruments. We determine fair value of
Level  2  instruments  using  exchange-traded  prices  of  similar  instruments,
where available, or utilizing other observable inputs that take into account our
credit  risk  and  that  of  our  counterparties.  Foreign  currency  exchange
contracts and interest rate hedges are included in Level 2 and we use inputs
other  than  quoted  prices  that  are  observable  for  the  asset  or  liability.  The
Level
 2  derivative  instruments  are  primarily  valued  using  standard
calculations  and  models  that  use  readily  observable  market  data  as  their
basis. Our Level 3 liabilities are comprised of contingent consideration arising
from recently completed acquisitions. We determine fair value of these Level
3 liabilities using a discounted cash flow technique. Significant unobservable
inputs  were  used  in  our  assessment  of  fair  value,  including  assumptions
regarding  future  business  results,  discount  rates,  discount  periods  and
probability assessments based on the likelihood of reaching various targets.
We  remeasure  the  fair  value  of  our  assets  and  liabilities  each  reporting
period.  We  record  the  changes  in  fair  value  within  selling,  general  and
administrative  expense  and  the  changes  in  the  time  value  of  money  within
other income (expense), net.
Assets Measured at Fair Value

2020

2019

Cash and cash equivalents
Trading marketable securities

Level 1 - Assets
Available-for-sale marketable securities:

Corporate and asset-backed debt securities
United States agency debt securities
United States treasury debt securities
Certificates of deposit

Total available-for-sale marketable securities
Foreign currency exchange forward contracts
Interest rate swap asset

Level 2 - Assets

Total assets measured at fair value

Liabilities Measured at Fair Value

Deferred compensation arrangements

Level 1 - Liabilities

Foreign currency exchange forward contracts
Interest rate swap liability

Level 2 - Liabilities
Contingent consideration:

Beginning
Additions
Change in estimate
Settlements

Ending

Level 3 - Liabilities

Total liabilities measured at fair value

$

$

$

$

$

$

$

$

$

$

$

$

$

$

2,943  $
171 

3,114  $

38  $
5 
36 
2 

81  $
20 
— 

101  $

3,215  $

4,337 
149 

4,486 

32 
2 
49 
5 

88 
226 
17 

331 

4,817 

2020

2019

171  $

171  $

160  $
53 

213  $

306  $
108 
9 
(30)

393  $

393  $

777  $

149 

149 

23 
— 

23 

117 
298 
(10)
(99)

306 

306 

478 

50 
38 

Fair Value of Available for Sale Securities by Maturity

Due in one year or less
Due after one year through three years

2020

2019

$
$

42  $
39  $

 On  December  31,  2020  the  aggregate  difference  between  the  cost  and  fair
value  of  available-for-sale  marketable  securities  was  nominal.  Interest  and
marketable  securities  income  was  $102,  $155  and  $119  in  2020,  2019  and
2018, which was recorded in other income (expense), net.

Our  investments  in  available-for-sale  marketable  securities  had  a  minimum
credit quality rating of A2 (Moody's), A (Standard & Poor's) and A (Fitch). We
do not plan 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.

NOTE 4 - DERIVATIVE INSTRUMENTS
We  use  operational  and  economic  hedges,  foreign  currency  exchange
forward contracts, net investment hedges (both derivative and non-derivative
financial instruments) and interest rate derivative instruments to manage the
impact of currency exchange and interest rate fluctuations on earnings, cash
flow  and  equity.  We  do  not  enter  into  derivative  instruments  for  speculative
purposes.  We  are  exposed  to  potential  credit  loss  in  the  event  of
nonperformance by counterparties on our outstanding derivative instruments
but do not anticipate nonperformance by any of our counterparties. Should a
counterparty default, our maximum loss exposure is the asset balance of the
instrument.
Foreign Currency Hedges
2020

Cash Flow Net Investment Non-Designated

Total

Gross notional amount

Maximum term in days
Fair value:

Other current assets
Other noncurrent assets
Other current liabilities
Other noncurrent liabilities

Total fair value
2019

Gross notional amount

Maximum term in days
Fair value:

Other current assets
Other noncurrent assets
Other current liabilities
Other noncurrent liabilities

Total fair value

$

$

$

$

$

$

949  $

1,828  $

5,382  $

8,159 

9  $
— 
(12)
(1)

(4) $

—  $
4 
— 
(26)

(22) $

7  $
— 
(121)
— 

(114) $

1793

16 
4 
(133)
(27)

(140)

801  $

1,113  $

6,174  $

8,088 

5  $
1 
(10)
(2)

(6) $

—  $
40 
— 
— 

40  $

180  $
— 
(11)
— 

169  $

1646

185 
41 
(21)
(2)

203 

 our  investment

In  December  2019  and  November  2018  we  designated  the  issuance  of
€2,400  and  €2,250  of  senior  unsecured  notes  as  net  investment  hedges  to
selectively  hedge  portions  of
 in  certain  international
subsidiaries.  In  November  2020  a  €300  debt  maturity  was  paid  off  and  de-
designated  as  a  net  investment  hedge.  The  currency  effects  of  our  Euro-
denominated  senior
 within
shareholders' equity where they offset gains and losses recorded on our net
investment in international subsidiaries.
In  July  2019  and  November  2020  we  entered  into  €1.0  billion  and  €500  in
certain  forward  currency  contracts  and  designated  these  as  net  investment
hedges  to  hedge  a  portion  of  our  investments  in  certain  of  our  entities  with
functional currencies denominated in Euros.

 unsecured  notes  are  reflected  in  AOCI

On  December  31,  2020  the  total  after-tax  gain  (loss)  in  AOCI  related  to
designated net investment hedges was ($386).

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

29

 
STRYKER CORPORATION 2020 FORM 10-K

Net Currency Exchange Rate Gains (Losses)
Derivative Instrument

Recorded in:

Cash Flow
Net Investment
Non-Designated

Cost of sales
Other income (expense), net
Other income (expense), net

Total

2020

2019

2018

$

$

5  $

2  $

28 
(13)

14 
(7)

20  $

9  $

7 
— 
(6)

1 

Pretax gains (losses) on derivatives designated as cash flow hedges of ($2)
and  net  investment  hedges  of  $33  recorded  in  AOCI  are  expected  to  be
reclassified to cost of sales and other income (expense) in earnings within 12
months  as  of  December  31,  2020.  This  cash  flow  hedge  reclassification  is
primarily  due  to  the  sale  of  inventory  that  includes  previously  hedged
purchases.  A  component  of  the  AOCI  amounts  related  to  net  investment
hedges is reclassified over the life of the hedge instruments as we elected to
exclude  the  initial  value  of  the  component  related  to  the  spot-forward
difference from the effectiveness assessment.
Interest Rate Hedges

In  conjunction  with  our  offerings  of  senior  unsecured  notes  in  December
2019 and June 2020 we terminated certain interest rate derivative contracts
with  gross  notional  amounts  of  €600  and  $500  designated  as  cash  flow
hedges, the impact of which will be recognized over the life of the underlying
issued debt within interest expense. Pretax gains recorded in AOCI related to
closed  interest  rate  hedges  of  $6  are  expected  to  be  reclassified  to  other
income (expense) in earnings within 12 months of December 31, 2020.

On  December  31,  2020  we  had  forward  starting  interest  rate  swap
agreements with notional amounts of $750 designated as cash flow hedges
in anticipation of future debt issuances. Pretax losses of $53 were recorded
in AOCI as of December 31, 2020. Upon the probable issuance of the debt,
these amounts will be released to interest expense over the term of the debt.
The  cash  flow  effect  of  these  hedges  is  recorded  in  cash  flow  from
operations.

NOTE  5  -  ACCUMULATED  OTHER  COMPREHENSIVE  (LOSS)  INCOME
(AOCI)

Marketable
Securities

Pension
Plans

Hedges

Financial
Statement
Translation

Total

2018
OCI
Income taxes
Reclassifications to:
Cost of Sales
Other (income) expense
Income taxes

Net OCI

2019
OCI
Income taxes
Reclassifications to:
Cost of Sales
Other (income) expense
Income taxes

Net OCI

2020

$

$

(4) $
— 
— 

(137) $
(74)
26 

— 
1 
— 

1 

— 
8 
(2)

(42)

(3) $
— 
— 

(179) $
(117)
28 

— 
— 
— 

— 

— 
12 
(3)

(80)

$

(3) $

(259) $

50  $
3 
— 

(2)
(5)
1 

(3)

47  $
(64)
17 

(5)
(6)
1 

(57)

(10) $

(540) $
101 
(21)

— 
(14)
3 

69 

(471) $
(459)
66 

— 
(28)
7 

(631)
30 
5 

(2)
(10)
2 

25 

(606)
(640)
111 

(5)
(22)
5 

(414)

(551)

(885) $

(1,157)

NOTE 6 - ACQUISITIONS

We  acquire  stock  in  companies  and  various  assets  that  continue  to  support
our  capital  deployment  and  product  development  strategies.  The  aggregate
purchase  price  of  our  acquisitions,  net  of  cash  acquired  was  $4,304  and
$1,096 in 2020 and 2019.

 In  November  2020  we  completed  the  acquisition  of  Wright  Medical  Group
N.V.  (Wright)  for  $30.75  per  share,  or  an  aggregate  purchase  price  of  $4.1
billion  ($5.6  billion  including  convertible  notes).  Wright  is  a  global  medical
device  company  focused  on  extremities  and  biologics.  Wright  is  part  of  our
Trauma  and  Extremities  business  within  Orthopaedics.  Goodwill  attributable
to the acquisition is not deductible for tax purposes.
In  November  and  December  2020  note  holders  elected  to  redeem  the
1.625%  and  2.25%  convertible  notes  assumed  in  the  Wright  acquisition  for
$864 and $576. These repayments are classified as financing activities.
In  December  2020  we  completed  the  acquisition  of  OrthoSensor,  Inc.
(OrthoSensor).
 evolution  of
 OrthoSensor  is  a  leader  in  the  digital
musculoskeletal  care  and  sensor  technology  for  total  joint  replacement.
OrthoSensor is part of our Joint Replacement business within Orthopaedics.
Goodwill attributable to the acquisition is not deductible for tax purposes.
In October 2019 we completed the acquisition of Mobius Imaging and Cardan
Robotics  for  net  cash  consideration  of  $360  and  future  regulatory  and
commercial milestone payments of up to $130. Mobius Imaging is a leader in
point-of-care  imaging  technology  focused  on  integrating  advanced  imaging
technologies  into  medical  workflow.  Cardan  Robotics  is  working  to  develop
innovative  robotics  and  navigation  technology  systems  for  surgical  and
interventional  radiology  procedures.  Mobius  Imaging  and  Cardan  Robotics
(Mobius)  are  part  of  our  Spine  business  within Neurotechnology  and  Spine.
For  income  tax  purposes  the  acquisition  is  treated  as  an  asset  purchase.
Goodwill attributable to the acquisition is deductible for tax purposes.

 OrthoSpace,

In  March  2019  we  completed  the  acquisition  of
 Ltd.
(OrthoSpace)  for  net  cash  consideration  of  $110  and  future  regulatory
milestone payments of up to $110. OrthoSpace is a medical device company
specializing  in  orthopaedic  biodegradable  technology  for  the  treatment  of
irreparable rotator cuff tears. OrthoSpace is part of our Endoscopy business
within MedSurg.  Goodwill attributable  to  the  acquisition  is not  deductible  for
tax purposes.
Had  the  above  acquisitions  taken  place  as  of  the  beginning  of  the
comparable prior year, our consolidated financial results of operations in the
aggregate would not have been materially different. Accordingly, we have not
disclosed pro forma financial information.
Purchase price allocations for our significant acquisitions are:
Purchase Price Allocation of Acquired Net Assets
2020

Wright

Tangible assets acquired:
Accounts receivable
Deferred income tax assets
Inventory
Other assets

Debt
Deferred income tax liabilities
Product liabilities
Other liabilities
Intangible assets:

Customer and distributor relationships
Developed technology and patents
Trade name

Goodwill

Purchase price, net of cash acquired

Weighted average life of intangible assets

$

$

127 
371 
485 
344 
(1,447)
(511)
(192)
(288)

181 
1,523 
60 
3,428 

4,081 

12

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

30

 
STRYKER CORPORATION 2020 FORM 10-K

2019

Tangible assets acquired:
Accounts receivable
Inventory
Other assets

Contingent consideration
Other liabilities
Intangible assets:

Customer relationship
Developed technology and patents
In-process research and development
Non-compete agreements

Goodwill

Purchase price, net of cash acquired

Weighted average life of intangible assets

Mobius

OrthoSpace

$

$

3  $
6 
2 
(4)
(10)

7 
59 
98 
9 
303 

473  $

12

1 
1 
1 
— 
(29)

— 
120 
— 
— 
114 

208 

18

Purchase price allocations for Wright and other 2020 acquisitions were based
on  preliminary  valuations,  primarily  related  to  intangible  assets,  product
liabilities  and  deferred  income  taxes.  Our  estimates  and  assumptions  are
subject  to  change  within  the  measurement  period.  The  purchase  price
allocations  for  Mobius,  OrthoSpace  and  other  2019  acquisitions  were
finalized in 2020 without material adjustments.

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, intellectual property and other matters, the most significant of
which  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 had 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,  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  estimated  by  management,  additional  expense  may  be  incurred,
which  could  unfavorably  affect  future  operating  results.  We  are  self-insured
for  certain  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.

Recall Matters
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.  In  November  2014  we  entered  into  a  settlement  agreement  to
compensate eligible United States patients who had revision surgery prior to
November  3,  2014  and  in  December  2016  the  settlement  program  was
extended to patients who had revision surgery prior to December 19, 2016. In
September  2020  we  entered  into  a  second  settlement  agreement  to
compensate eligible United States patients who had revision surgery prior to
September 9, 2020. 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, there are remaining lawsuits that we will continue to defend against.

 In  August  2016  and  May  2018  we  voluntarily  recalled  certain  lot-specific
sizes  and  offsets  of  LFIT  Anatomic  CoCr  V40  Femoral  Heads.  Product
liability  lawsuits  and  claims  relating  to  this  voluntary  recall  have  been  filed
against  us.  In  November  2018  we  entered  into  a  settlement  agreement  to
resolve a significant number of claims and lawsuits related to the recalls. The
specific terms of the settlement agreement, including the financial terms, are
confidential.

With  the  acquisition  of  Wright  as  more  fully  described  in  Note  6,  we  are
responsible for certain product liability claims, primarily related to certain hip
products  sold  by  Wright  prior  to  its  2014  divestiture  of  the  OrthoRecon
business.  We  will continue  to  evaluate  each  claim  and  the  possible  loss  we
may incur.

We have incurred, and expect to incur in the future, costs associated with the
defense and settlement of these matters. Based on the information that has
been  received,  we  have  estimated  the  remaining  range  of  probable  loss
related to these matters globally to be approximately $470 to $720. We have
recorded  reserves  representing  the  remaining  minimum  of  the  range  of
probable loss. The final outcomes of these matters are dependent  on many
factors  that  are  difficult  to  predict.  Accordingly,  the  ultimate  cost  related  to
these  matters  may  be  materially  different  than  the  amount  of  our  current
estimate  and  accruals  and  could  have  a  material  adverse  effect  on  our
results of operations and cash flows.
Leases
We  lease  various  manufacturing,  warehousing  and  distribution  facilities,
administrative and sales offices as well as equipment under operating leases.
We evaluate our contracts to identify leases, which is generally if there is an
identified  asset  and  we  have  the  right  to  direct  the  use  of  and  obtain
substantially all of the economic benefit from the use of the identified asset.
Certain  of  our  lease  agreements  contain  rent  escalation  clauses  (including
index-based escalations), rent holidays, capital improvement funding or other
lease  incentives.  We  recognize  our  minimum  rental  expense  on  a  straight-
line basis over the term of the lease beginning with the date of initial control
of the asset. Right-of-use assets are recorded in Other noncurrent assets on
our  Consolidated  Balance  Sheets.  Current  and  non-current  lease  liabilities
are recorded in Accrued expenses and other liabilities and Other noncurrent
liabilities, respectively.
We  have  made  certain  significant  assumptions  and  judgments  when
recording leases. For all asset classes, we elected to not recognize a right-of-
use asset and lease liability for short-term leases and not separate non-lease
components  from  lease  components  to  which  they  relate  and  have
accounted  for  the  combined  lease  and  non-lease  components  as  a  single
lease  component.  The  determination  of  the  discount  rate  used  in  a  lease  is
our  incremental  borrowing  rate  which  is  based  on  what  we  would  normally
pay to borrow on a collateralized basis over a similar term an amount equal
to the lease payments.

Right-of-use assets
Lease liabilities, current
Lease liabilities, non-current

Other information:
Weighted-average remaining lease term
Weighted-average discount rate

2020

2019

$
$
$

423 
109 
325 

$
$
$

384 
86 
301 

5.6 years
2.57 %

6.2 years
3.34 %

Operating  lease  expense  totaled  $130,  $133,  and  $138  in  2020,  2019  and
2018.

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

31

 
STRYKER CORPORATION 2020 FORM 10-K

Future Obligations

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.  Refer  to  Note  10  for  more  information  on  the  debt
obligations.

2021

2022

2023

2024

2025

Thereafter

Debt repayments
Purchase obligations
Minimum lease payments

761  $
$
$ 1,294  $
110  $
$

2  $ 1,670  $ 1,636  $ 1,400  $
52  $
30  $

58  $
65  $

52  $
38  $

76  $
87  $

8,646 
55 
90 

NOTE 8 - GOODWILL AND OTHER INTANGIBLE ASSETS
We completed our annual impairment tests of goodwill in 2020 and 2019 and
concluded in each year that no impairments exist.
Summary of Other Intangible Assets

Weighted Average
Amortization Period
(Years)

Gross 
Carrying 
Amount

Less 
Accumulated 
Amortization

Net 
Carrying 
Amount

Developed technologies

2020
2019

Customer relationships

2020
2019
Patents
2020
2019

Trademarks

2020
2019

In-process research and development

2020
2019

Other

2020
2019

Total

2020
2019

13 $
14

15 $
16

12 $
11

17 $
18

N/A $
N/A

8 $
8

14 $
14

5,305  $
3,731 

2,352  $
2,160 

346  $
348 

428  $
362 

97  $

110 

128  $
125 

1,573  $
1,271 

988  $
848 

278  $
265 

162  $
136 

—  $
— 

101  $
89 

3,732 
2,460 

1,364 
1,312 

68 
83 

266 
226 

97 
110 

27 
36 

8,656  $
6,836 

3,102  $
2,609 

5,554 
4,227 

Changes in the Net Carrying Value of Goodwill by Segment

Orthopaedics

MedSurg

Neurotechnology and
Spine

Total

2018
Additions and adjustments
Foreign exchange

2019
Additions and adjustments
Foreign exchange

2020

$

$

$

2,399  $
— 
(13)

2,386  $
3,551 
67 

6,004  $

3,581  $
229 
(11)

3,799  $
1 
31 

3,831  $

2,583  $
318 
(17)

2,884  $
7 
52 

8,563 
547 
(41)

9,069 
3,559 
150 

2,943  $

12,778 

 Purchases  are  made  from  time-to-time  in  the  open  market,  in  privately
negotiated transactions or otherwise. On December 31, 2020 the total dollar
value  of  shares  that  could  be  purchased  under  our  authorized  repurchase
program was $1,033.

Shares  reserved  for  future  compensation  grants  of  our  common  stock  were
28 million and 31 million on December 31, 2020 and 2019.
Stock Options

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
in  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  is  estimated  on  the  date  of  grant  using  the  Black-Scholes
option pricing model.
Option Value and Assumptions

Weighted-average fair value per share
Assumptions:

Risk-free interest rate
Expected dividend yield
Expected stock price volatility
Expected option life (years)

2020

2019

2018

$

39.34 

$

36.30 

$

28.52 

1.4 %
1.0 %
18.9 %
5.8

2.6 %
1.1 %
18.3 %
5.9

2.7 %
1.2 %
16.8 %
6.0

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.
2020 Stock Option Activity

Shares 
(in millions)

Weighted 
Average 
Exercise Price

Weighted-Average 
Remaining 
Term (in years)

Aggregate 
Intrinsic 
Value

Outstanding
January 1
Granted
Exercised
Canceled
Outstanding
December 31
Exercisable
December 31
Options expected to
vest

12.8 
1.8 
(2.0)
(0.4)

12.2 

6.8 

4.9 

$

$

$

$

113.10 
216.28 
83.75 
162.98 

131.72 

99.09 

171.06 

5.9

4.4

7.7

$

$

$

1,388.1 

995.7 

364.3 

The  aggregate  intrinsic  value  of  options,  which  represents  the  cumulative
difference between the fair market value of the underlying common stock and
the  option  exercise  prices,  exercised  was  $258,  $294,  and  $247  in  2020,
2019 and 2018. Exercise prices for options outstanding ranged from $53.60
to $216.35 on December 31, 2020. On December 31, 2020 there was $99 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 approximately 1.4 years.

Estimated Amortization Expense

Restricted Stock Units (RSUs) and Performance Stock Units (PSUs) Activity

2021

2022

2023

2024

2025

$

600  $

588  $

567  $

540  $

518 

NOTE 9 - CAPITAL STOCK

The  aggregate  number  of  shares  of  all  classes  of  stock  with  which  we  are
authorized  to  issue  is  up  to  1,000,500,000,  divided  into  two  classes
consisting  of
 $1  par  value  preferred  stock  and
1,000,000,000 shares of common stock with a par value of $0.10. No shares
of preferred stock were outstanding on December 31, 2020.

 500,000  shares  of

We made no repurchases of shares in 2020. The manner, timing and amount
of  repurchases  are  determined  by  management  based  on  an  evaluation  of
market conditions, stock price and other factors and are subject to regulatory
considerations.

Nonvested on January 1

Granted
Vested
Canceled or forfeited

Nonvested on December 31

Shares 
(in millions)

Weighted Average 
Grant Date Fair Value

RSUs

PSUs

RSUs

PSUs

0.8 
0.4 
(0.4)
— 

0.8 

$

0.2 
0.1 
(0.1)
— 

$

158.80 
208.96 
149.09 
154.38 

0.2 

$

187.72 

$

152.44 
217.73 
122.41 
166.99 

185.46 

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

32

 
STRYKER CORPORATION 2020 FORM 10-K

On  December  31,  2020  there  was  $68  of  unrecognized  compensation  cost
related  to  nonvested  RSUs.  That  cost  is  expected  to  be  recognized  as
expense  over  the  weighted-average  period  of  approximately  one  year.  The
weighted-average  grant  date  fair  value  per  share  of  RSUs  granted  was
$208.96  and  $175.96  in  2020  and  2019.  The  fair  value  of  RSUs  and  PSUs
vested  in  2020  was  $55  and  $9.  On  December  31,  2020  there  was  $16  of
unrecognized  compensation  cost  related  to  nonvested  PSUs;  the  cost  is
expected to be recognized as expense over the weighted-average period of
approximately one year.

Employee Stock Purchase Plans (ESPP)

Full-  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.  We  issued  209,837  and
166,758 shares under the ESPP in 2020 and 2019.
NOTE 10 - DEBT AND CREDIT FACILITIES

We  have  lines  of  credit  issued  by  various  financial  institutions  that  are
available  to  fund  our  day-to-day  operating  needs.  Certain  of  our  credit
facilities require us to comply with financial and other covenants. We were in
compliance with all covenants on December 31, 2020.

Our  commercial  paper  program  allows  us  to  have  a  maximum  of  $1,500  in
commercial paper outstanding with maturities up to 397 days from the date of
issuance. On December 31, 2020 there were no amounts outstanding under
our commercial paper program.

Summary of Total Debt
Senior unsecured notes:

Rate

4.375%
Variable
2.625%
1.125%
0.600%
3.375%
0.250%
1.150%
3.375%
3.500%
2.125%
3.650%
0.750%
1.950%
2.625%
1.000%
4.100%
4.375%
4.625%
2.900%

Due

January 15, 2020
November 30, 2020
March 15, 2021
November 30, 2023
December 1, 2023
May 15, 2024
December 3, 2024
June 15, 2025
November 1, 2025
March 15, 2026
November 30, 2027
March 7, 2028
March 1, 2029
June 15, 2030
November 30, 2030
December 3, 2031
April 1, 2043
May 15, 2044
March 15, 2046
June 15, 2050

Term loan
Other

Total debt

Less current maturities

Total long-term debt

Unamortized debt issuance costs
Borrowing capacity on existing facilities
Fair value of senior unsecured notes

2020

2019

$

$

— 
— 
750 
668 
597 
590 
1,030 
644 
747 
992 
909 
596 
969 
989 
782 
903 
392 
395 
981 
641 
400 
16 

500 
333 
749 
609 
— 
587 
938 
— 
746 
991 
829 
596 
884 
— 
712 
823 
391 
395 
981 
— 
— 
26 

$ 13,991 
761 

$ 11,090 
859 

$ 13,230 

$ 10,231 

71 
$
$
2,903 
$ 15,022 

58 
$
$
1,546 
$ 11,910 

 The  fair  value  of  the  senior  unsecured  notes  was  estimated  using  quoted
interest rates, maturities and amounts of borrowings based on quoted active
market  prices  and  yields  that  took  into  account  the  underlying  terms  of  the
debt  instruments.  Substantially  all  of  our  debt  is  classified  within  Level  2  of
the fair value hierarchy.

In January 2020 we repaid $500 of senior unsecured notes with a coupon of
4.375% that were due on January 15, 2020.

On  April  30,  2020  we  amended  our  primary  credit  facility.  The  principal
change  was  to  increase  the  leverage  ratio  financial  covenant  from  3.5:1  to
4.5:1  at  the  end  of  each  fiscal  quarter  ending  on  or  prior  to  June  30,  2021.
We  exercised  our  right  under  the  acquisition  clause  of  the  agreement  to
increase  the  maximum  permitted  leverage  to  5.0:1  effective  as  of
December 31, 2020.
On April 30, 2020 we entered into a credit agreement that provides for up to
$1,500  of  borrowings  in  United  States  Dollars  pursuant  to  a  364-day
revolving credit facility, which matures on April 29, 2021 and is available for
working capital and general corporate purposes.
In June 2020 we issued $650 of senior unsecured notes with a fixed interest
rate of 1.150% due on June 15, 2025, $1,000 of senior unsecured notes with
a  fixed  interest  rate  of  1.950%  due  on  June  15,  2030  and  $650  of  senior
unsecured notes with a fixed interest rate of 2.900% due on June 15, 2050.

In  November  2020  we  issued  $600  of  senior  unsecured  notes  with  a  fixed
interest rate of 0.600% due on December 1, 2023.
In November 2020 we entered into a $400 term loan agreement that matures
on November 10, 2023 and bears interest at LIBOR plus 112.5 bps.
In November 2020 we repaid €300 of senior unsecured notes with a floating
interest rate that were due on November 30, 2020.
In November and December 2020 we settled the convertible notes assumed
in the Wright acquisition. Refer to Note 6 for further information.
Interest  expense,  including  required  fees  incurred  on  outstanding  debt  and
credit facilities that were included in other expense, totaled $315, $287, and
$264 in 2020, 2019 and 2018.
NOTE 11 - INCOME TAXES

Our  effective  tax  rate  was  18.2%,  18.7%  and  (50.8%)  for  2020,  2019  and
2018.  The  effective  income  tax  rate  for  2020  reflects  the  continued  lower
effective  income  tax  rates  as  a  result  of  our  European  operations,  the  tax
effect related to the transfer of intellectual property between tax jurisdictions
and  the  tax  effect  of  future  remittances  of  the  undistributed  earnings  of
foreign  subsidiaries.  The  effective  income  tax  rate  for  2019  reflects  the  tax
effect related to the transfer of intellectual properties between tax jurisdictions
and  the  effective  income  tax  rates  as  a  result  of  our  European  operations.
The  effective  income  tax  rate  for  2018  reflects  the  tax  effect  related  to  the
transfer  of  intellectual  properties  between  tax  jurisdictions,  the  continued
impact  of  complying  with  the  Tax  Cuts  and  Jobs  Act  of  2017  (the  Tax  Act)
and  continued  lower  effective  tax  rates  as  a  result  of  our  European
operations.

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

33

 
STRYKER CORPORATION 2020 FORM 10-K

Effective Income Tax Rate Reconciliation

United States federal statutory rate

21.0 %

21.0 %

21.0 %

2020

2019

2018

United States state and local income taxes, less
federal deduction
Foreign income tax at rates other than 21%
Tax Cuts and Jobs Act of 2017 transition tax
Tax Cuts and Jobs Act of 2017 deferred tax changes
Tax related to repatriation of foreign earnings
Intellectual property transfer
Other

0.1 
(3.3)
— 
— 
3.0 
(1.4)
(1.2)

1.7 
(4.6)
— 
— 
(0.5)
3.5 
(2.4)

0.4 
(6.5)
2.2 
(0.6)
0.5 
(63.8)
(4.0)

Effective income tax rate

18.2 %

18.7 %

(50.8)%

In December 2017 the Tax Act was signed into law in the United States. The
law  includes  significant  changes  to  the  United  States  corporate  income  tax
system,  including  a  federal  corporate  rate  reduction,  limitations  on  the
deductibility  of  certain  expenses  and  the  transition  of  United  States
international taxation from a worldwide tax system to a territorial tax system.
As  part  of  the  transition  to  a  territorial  tax  system,  the  Tax  Act  required
taxpayers  to  calculate  a  one-time  transition  tax  based  on  undistributed
earnings of foreign subsidiaries.
The Tax Act subjects a United States shareholder to tax on Global Intangible
Low-Taxed  Income  (GILTI)  earned  by  certain  foreign  subsidiaries.  We  have
elected to account for GILTI tax in the year the tax is incurred.
Earnings Before Income Taxes 

2020

2019

2018

United States
International

Total

$

$

239 
1,715 

1,954 

Components of Income Tax Expense (Benefit)
Current income tax expense:

2020

United States federal
United States state and local
International

Total current income tax expense
Deferred income tax (benefit) expense:

United States federal
United States state and local
International

Total deferred income tax (benefit) expense

Total income tax (benefit) expense

$

$

$

$

$

80 
20 
207 

307 

1 
(25)
72 

48 

355 

$

$

$

$

$

$

$

366 
2,196 

2,562 

$

$

509 
1,847 

2,356 

2019

2018

(17)
46 
324 

353 

10 
(1)
117 

126 

479 

$

$

$

$

$

178 
30 
177 

385 

(44)
(20)
(1,518)

(1,582)

(1,197)

Interest and penalties included in other income (expense), net were expense
of  ($35),  ($9)  and  ($9)  in  2020,  2019  and  2018.  The  United  States  federal
deferred income tax benefit (expense) includes the utilization of net operating
loss carryforwards of $41, $50 and $31 in 2020, 2019 and 2018.

Deferred Income Tax Assets and Liabilities
Deferred income tax assets:

Inventories
Product-related liabilities
Other accrued expenses
Depreciation and amortization
State income taxes
Share-based compensation
Net operating loss carryforwards
Other

Total deferred income tax assets

Less valuation allowances

Net deferred income tax assets

2020

2019

$

$

$

434 
48 
512 
1,269 
108 
56 
373 
263 

3,063 
(203)

2,860 

$

$

$

415 
57 
221 
1,363 
65 
49 
95 
207 

2,472 
(75)

2,397 

  Deferred Income Tax Assets and Liabilities
Deferred income tax liabilities:

Depreciation and amortization
Undistributed earnings
Other

Total deferred income tax liabilities

Net deferred income tax assets
Reported as:

Noncurrent deferred income tax assets
Noncurrent liabilities—Other liabilities

Total

2020

2019

$

$

$

$

$

(1,286)
(161)
— 

(1,447)

1,413 

1,530 
(117)

1,413 

$

$

$

$

$

(893)
(37)
— 

(930)

1,467 

1,575 
(108)

1,467 

Accrued  interest  and  penalties  were  $133  and  $94  on  December  31,  2020
and 2019 which were reported in current and noncurrent accrued expenses
and other liabilities.
Net operating loss carryforwards totaling $1,642 with $410 being subject to a
full  valuation  allowance  ($1,409  and  $405  related  to  the  Wright  acquisition)
on  December  31,  2020  are  available  to  reduce  future  taxable  earnings  of
certain domestic and foreign subsidiaries. United States loss carryforwards of
$1,509 expire through 2045. International loss carryforwards of $132 begin to
expire  in  2022;  however,  some  have  no  expiration.  We  also  have  tax  credit
carryforwards of $97 with $93 being subject to a full valuation allowance. The
credits with a full valuation allowance begin to expire in 2025; however, some
have no expiration. We do not anticipate generating income tax in excess of
the non-expiring credits in the foreseeable future.
We recorded a transition tax on undistributed foreign earnings as required by
the  Tax  Act.  No  other  provision  was  made  for  United  States  income  taxes
that  may  result  from  future  remittances  of  the  undistributed  earnings  of
foreign  subsidiaries  that  are  determined  to  be  indefinitely  reinvested.  We
 foreign
recorded  deferred  income  tax  on  undistributed  earnings  of
subsidiaries not determined to be indefinitely reinvested. Determination of the
total amount of unrecognized deferred income tax on undistributed earnings
of foreign subsidiaries is not practicable.
Uncertain Income Tax Positions

Beginning uncertain tax positions

Increases related to current year income tax positions
Increases related to prior year income tax positions
Decreases related to prior year income tax positions:
Settlements and resolutions of income tax audits
Statute of limitations expirations and other

Foreign currency translation

Ending uncertain tax positions
Reported as:

Noncurrent liabilities—Income taxes

2020

2019

$

$

$

472 
12 
5 

(41)
(7)
16 

457 

457 

$

$

$

528 
62 
5 

(78)
(40)
(5)

472 

472 

Our  income  tax  expense  would  have  been  reduced  by  $456  and  $468  in
2020  and  2019  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 12 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, 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.  Interest  and  penalties  incurred  associated  with  uncertain
tax positions are included in other income (expense), net.

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

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

34

 
 
STRYKER CORPORATION 2020 FORM 10-K

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  2014
through the current year for the United States federal jurisdiction. Income tax
years  open  for  our  other  major  jurisdictions  range  from  2006  through  the
current year.

NOTE 12 - RETIREMENT PLANS

Defined Contribution Plans
We  provide  certain  employees  with  defined  contribution  plans  and  other
types of retirement 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 our Consolidated Statements of Cash Flows.

Plan expense
Expense funded with Stryker common stock
Stryker common stock held by plan:

Dollar amount
Shares (in millions)
Value as a percentage of total plan assets

2020

2019

2018

$

$

235 
34 

$

205 
31 

180 
29 

542 
2.2 
11 %

470 
2.2 
12 %

358 
2.3 
12 %

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.

Discount Rate
The discount rates were selected using a hypothetical portfolio of high quality
bonds  on  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.
Components of Net Periodic Pension Cost
Net periodic benefit cost:

2019

2020

2018

Service cost
Interest cost
Expected return on plan assets
Amortization of prior service credit
Recognized actuarial loss

Net periodic benefit cost
Changes in assets and benefit obligations recognized
in OCI:

Net actuarial gain (loss)
Recognized net actuarial loss
Prior service (credit) cost and transition amount
Total recognized in other comprehensive income
(loss)

Total recognized in net periodic benefit cost and OCI

$

$

$

$

$

(63)
(8)
13 
1 
(13)

(70)

2020

(117)
13 
(1)

(105)

(175)

$

$

$

$

$

(41)
(12)
12 
1 
(9)

(49)

2019

(74)
9 
(1)

(66)

(115)

$

$

$

$

$

(44)
(11)
12 
1 
(11)

(53)

2018

11 
10 
(1)

20 

(33)

Weighted-average rates used to determine net periodic benefit cost:
1.0 %
2.9 %
2.9 %

Discount rate
Expected return on plan assets
Rate of compensation increase
Weighted-average discount rate used to determine
projected benefit obligations

0.8 %

1.9 %
3.5 %
2.9 %

1.0 %

1.8 %
3.3 %
2.8 %

1.9 %

The actuarial gain (loss) for all pension plans in 2020 and 2019 was primarily
related  to  a  change  in  the  discount  rate  used  to  measure  the  benefit
obligations of those plans.

 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.

2020

2019

Fair value of plan assets
Benefit obligations

Funded status
Reported as:

Current liabilities—accrued compensation
Noncurrent liabilities—other liabilities
Pre-tax amounts recognized in AOCI:

Unrecognized net actuarial loss
Unrecognized prior service credit

Total

Change in Benefit Obligations

Beginning projected benefit obligations

Service cost
Interest cost
Foreign exchange impact
Employee contributions
Actuarial (gains) losses
Acquisition
Benefits paid

Ending projected benefit obligations

Ending accumulated benefit obligations

Change in Plan Assets

Beginning fair value of plan assets

Actual return
Employer contributions
Employee contributions
Foreign exchange impact
Acquisition
Benefits paid

Ending fair value of plan assets

Allocation of Plan Assets

$

$

$

$

$

$

$

$

$

522 
(1,118)

(596)

(2)
(594)

(354)
8 

(346)

2020

869 
63 
8 
80 
8 
110 
— 
(20)

1,118 

1,056 

2020

428 
30 
33 
8 
37 
— 
(14)

522 

$

$

$

$

$

$

$

$

$

428 
(869)

(441)

(2)
(439)

(250)
9 

(241)

2019

735 
41 
12 
(12)
6 
116 
— 
(29)

869 

830 

2019

376 
52 
25 
6 
(5)
— 
(26)

428 

Equity securities
Debt securities
Other

Total

Valuation of Plan Assets
2020

Cash and cash equivalents
Equity securities
Corporate debt securities
Other

Total
2019

Cash and cash equivalents
Equity securities
Corporate debt securities
Other

Total

2021 Target

2020 Actual

2019 Actual

20  %
45 
35 

100  %

23  %
44 
33 

100  %

22  %
44 
34 

100  %

Level 1

Level 2

Level 3

Total

$

$

$

$

14  $
23 
2 
7 

46  $

7  $

23 
3 
4 

37  $

—  $

108 
201 
63 

372  $

—  $
86 
173 
52 

311  $

—  $
— 
— 
104 

104  $

—  $
— 
— 
80 

80  $

14 
131 
203 
174 

522 

7 
109 
176 
136 

428 

Our Level 3 pension plan assets consist primarily of guaranteed  investment
contracts  with  insurance  companies.  The  insurance  contracts  guarantee  us
principal  repayment  and  a  fixed  rate  of  return.  The  $24  increase  in  Level  3
pension plan assets is primarily related to actual returns and acquired assets.
We expect to contribute $30 to our defined benefit pension plans in 2021.

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

35

 
STRYKER CORPORATION 2020 FORM 10-K

Estimated Future Benefit Payments

2021

2022

2023

2024

2025

2026-2030

$

22  $

21  $

21  $

22  $

24  $

134 

NOTE 13 - SUMMARY OF QUARTERLY DATA (UNAUDITED)

2020 Quarters

Mar 31

Jun 30

Sep 30

Dec 31

Net sales
Gross profit
Earnings (loss) before income taxes
Net earnings (loss)
Net earnings (loss) per share of common stock:

$

Basic
Diluted

$
$
Dividends declared per share of common stock $

3,588  $
2,331 
590 
493 

1.32  $
1.30  $
0.575  $

2,764  $
1,548 
(87)
(83)

(0.22) $
(0.22) $
0.575  $

3,737  $
2,461 
780 
621 

1.66  $
1.63  $
0.575  $

4,262 
2,717 
671 
568 

1.51 
1.49 
0.63 

2019 Quarters

Mar 31

Jun 30

Sep 30

Dec 31

Net sales
Gross profit
Earnings before income taxes
Net earnings
Net earnings per share of common stock:

$

Basic
Diluted

$
$
Dividends declared per share of common stock $

3,516  $
2,283 
480 
412 

1.10  $
1.09  $
0.52  $

3,650  $
2,380 
565 
480 

1.29  $
1.26  $
0.52  $

3,587  $
2,330 
581 
466 

1.24  $
1.23  $
0.52  $

4,131 
2,703 
936 
725 

1.94 
1.90 
0.575 

NOTE 14 - SEGMENT AND GEOGRAPHIC DATA
We  segregate  our  operations  into  three  reportable  business  segments:
Orthopaedics, MedSurg, and Neurotechnology and Spine.
The  Corporate  and  Other  category  shown  in  the  table  below  includes
corporate  and  administration,
 corporate  initiatives  and  share-based
compensation,  which  includes  compensation  related  to  employee  stock
options, restricted stock units and performance stock unit grants and director
stock options and restricted stock unit grants.
Segment Results
Orthopaedics
MedSurg
Neurotechnology & Spine

5,252  $
6,492 
3,140 

4,959  $
6,400 
2,992 

4,991 
6,045 
2,565 

2019

2020

2018

$
$

Net sales

Orthopaedics
MedSurg
Neurotechnology & Spine

Segment depreciation and amortization
Corporate and Other

Total depreciation and amortization

Orthopaedics
MedSurg
Neurotechnology & Spine

Segment operating income
Items not allocated to segments:

Corporate and Other
Acquisition and integration-related charges
Amortization of intangible assets
Restructuring-related and other charges
Medical device regulations
Recall-related matters
Regulatory and legal matters

$

$

$

$

$

$

$

14,351  $

14,884  $

13,601 

344  $
362 
248 

954  $
122 

1,076  $

1,518  $
1,837 
647 

4,002  $

(503) $
(242)
(472)
(458)
(81)
(17)
(6)

348  $
379 
218 

945  $
99 

1,044  $

1,907  $
1,642 
839 

4,388  $

(480) $
(275)
(464)
(226)
(62)
(192)
24 

350 
285 
176 

811 
155 

966 

1,804 
1,444 
700 

3,948 

(431)
(123)
(417)
(220)
(12)
(23)
(185)

Consolidated operating income

$

2,223  $

2,713  $

2,537 

Segment Assets and Capital Spending
Assets:

Orthopaedics
MedSurg
Neurotechnology & Spine

Total segment assets
Corporate and Other

Total assets
Capital spending:
Orthopaedics
MedSurg
Neurotechnology & Spine

Total segment capital spending
Corporate and Other

Total capital spending

2020

2019

2018

14,910  $
17,901 
529 

33,340  $
990 

9,085  $

12,066 
7,646 

28,797  $
1,370 

34,330  $

30,167  $

8,873 
10,417 
7,260 

26,550 
679 

27,229 

140  $
174 
28 

342  $
145 

487  $

125  $
265 
29 

419  $
230 

649  $

134 
217 
31 

382 
190 

572 

$

$

$

$

$

$

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  and  reserves  for  certain  legal  and  regulatory  matters.
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;  Asia  Pacific;  and  other
foreign countries, which include Canada and countries in the Latin American
region.  Net  sales  are  reported  based  on  the  geographic  area  of  the  Stryker
location where the sales to the customer originated.
Geographic Information

Net Sales

Net Property, Plant and
Equipment

2020

2019

2018

2020

2019

$

10,455  $

10,957  $

9,848 

$

1,645  $

1,561 

1,818 
1,630 
448 

1,888 
1,617 
422 

1,793 
1,532 
428 

938 
91 
78 

838 
95 
73 

$

14,351  $

14,884  $

13,601 

$

2,752  $

2,567 

United States
Europe, Middle East,
Africa
Asia Pacific
Other countries

Total

NOTE 15 - ASSET IMPAIRMENTS
Due  to  the  significant  negative  impact  the  COVID-19  pandemic  has  had  on
our  operations  and  financial  results,  we  suspended  certain  in-process
investments  resulting  in  charges  of  $195  to  impair  certain  long-lived  assets
(primarily the portion of our investment in a new global ERP system that was
in-process  of  being  developed  for  future  deployment)  and  product  line  and
other  exit  costs  in  2020.  These  charges  were  included  in  cost  of  sales  and
selling, general and administrative expenses.

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

36

 
 
STRYKER CORPORATION 2020 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

The  Company's  management,  with  the  participation  of  the  Chief  Executive
Officer  and  Chief  Financial  Officer  (the  Certifying  Officers),  evaluated  the
effectiveness  of  the  Company’s  disclosure  controls  and  procedures  (as
defined  in  Rules  13a-15(e)  or  15d-15(e)  promulgated  under  the  Securities
Exchange  Act  of  1934,  as  amended)  (Exchange  Act)  as  of  December  31,
2020.  Based  on  that  evaluation,  the  Certifying  Officers  concluded  that  the
Company’s  disclosure  controls  and  procedures  were  effective  as  of
December 31, 2020.

Changes in Internal Control over Financial Reporting
There  was  no  change  to  our  internal  control  over  financial  reporting  during
the  fourth  quarter  of  2020  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

 accurately  and  fairly  reflect

The Company's management is responsible for establishing and maintaining
adequate internal control over financial reporting, as such term is defined in
Exchange  Act  Rule  13a-15(f).  The  Company's  internal  control  over  financial
reporting  was  designed  to  provide  reasonable  assurance  to  the  Company's
management  and  Board  of  Directors  regarding  the  reliability  of  financial
reporting and the preparation of financial statements for external purposes in
accordance with generally accepted accounting principles and includes those
policies and procedures that: (i) pertain to the maintenance of records that in
reasonable  detail
 the  transactions  and
dispositions of the assets of the Company; (ii) 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  (iii)  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.
The  Company's  management  assessed  the  effectiveness  of  our  internal
control  over  financial  reporting  on  December  31,  2020.  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 (2013). Based on this assessment, management concluded that
our internal control over financial reporting was effective as of December 31,
2020.  The  Company's  management  excluded  Wright  Medical  Group  N.V.
(Wright),  acquired  on  November  11,  2020  from  its  evaluation  of  internal
 As  of
control
December  31,
 our
consolidated  total  assets,  0.3%  of  our  consolidated  net  assets,  0.9%  of  our
consolidated net sales and 1.3% of our consolidated earnings before income
taxes for 2020.

 December  31,
 represented  approximately  2.7%  of

 reporting  as  of

 over  financial

 2020  Wright

 2020.

 REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Shareholders and the Board of Directors of Stryker Corporation
Opinion on Internal Control over Financial Reporting

We  have  audited  Stryker  Corporation  and  subsidiaries’  internal  control  over
financial reporting as of December 31, 2020, 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). In our opinion, Stryker Corporation and subsidiaries (the
Company) maintained, in all material respects, effective internal control over
financial reporting as of December 31, 2020, based on the COSO criteria.

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 Wright Medical Group N.V. (Wright) which are included in
the  December  31,  2020  consolidated  financial  statements  of  the  Company
and  constituted  2.7%  and  0.3%  of  total  and  net  assets,  respectively,  as  of
December  31,  2020  and  0.9%  and  1.3%  of  net  sales  and  earnings  before
income  taxes,  respectively,  for  the  year  then  ended.  Our  audit  of  internal
control  over  financial  reporting  of  the  Company  also  did  not  include  an
evaluation of the internal control over financial reporting of Wright.

 Board  (United  States)  (PCAOB),

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public
Company  Accounting  Oversight
 the
consolidated  balance  sheets  of  Stryker  Corporation  and  subsidiaries  as  of
December  31,  2020  and  2019,  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, 2020, and the
related notes and the financial statement schedule listed in the Index at Item
15(a) of the Company and our report dated February 11, 2021 expressed an
unqualified opinion thereon.
Basis for Opinion
The Company’s 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  are  a  public  accounting  firm
registered with the PCAOB and are required to be independent with respect
to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission
and the PCAOB.
We  conducted  our  audit  in  accordance  with  the  standards  of  the  PCAOB.
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.

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

37

 
STRYKER CORPORATION 2020 FORM 10-K

Definition and Limitations of Internal Control Over Financial Reporting

 control

 over  financial

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
 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
 timely  detection  of
reasonable  assurance  regarding  prevention  or
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.

/s/    ERNST & YOUNG LLP

Grand Rapids, Michigan
February 11, 2021

ITEM 9B.

OTHER INFORMATION.

Not applicable.

PART III

ITEM 10.

DIRECTORS, EXECUTIVE OFFICERS AND
CORPORATE GOVERNANCE.

Information  regarding  our  executive  officers  appears  under  the  caption
"Executive Officers" 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—Delinquent Section 16(a) Reports" in
the 2021 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,  president,  principal
financial  officer  and  principal  accounting  officer  or  controller  or  persons
performing  similar  functions  are  posted  on  the  "Investor  Relations—
Governance" section of our website at www.stryker.com.

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 2021 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  2021  proxy
statement is incorporated herein by reference.
On  December  31,  2020  we  had  an  equity  compensation  plan  under  which
options were 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  (PSUs)  were  made.  Options  and  RSUs  were  also
awarded  under  a  previous  plan.  Additional  information  regarding  our  equity
compensation  plans  appears  in  Note  1  and  Note  9  to  our  Consolidated
Financial  Statements.  On  December  31,  2020  we  also  had  a  stock
performance  incentive  award  program  pursuant  to  which  shares  of  our
common stock were and may be issued to certain employees with respect to
performance.  The  status  of  these  plans,  each  of  which  were  previously
submitted to and approved by our shareholders, on December 31, 2020 is as
follows:

Number of  
securities to be
issued upon
exercise of  
outstanding  
options, warrants
and rights

Weighted-average
exercise price of
outstanding  
options, warrants
and rights

Number of securities remaining
available for future issuance
under equity compensation  
plans (excluding
shares reflected in  
the first column)

1,328,860  $

59.82 

N/A

N/A

11,860,871  $

140.46 

N/A

N/A

— 

4,373,202

27,842,793

302,292

32,518,287 

Plan

2006 Long-Term
Incentive Plan

2008 Employee Stock
Purchase Plan

2011 Long-Term
(1)
Incentive Plan

2011 Performance
Incentive Award Plan

Total

(1) 

The 2011 Long-Term Incentive Plan securities to be issued upon exercise
includes 742,622 RSUs and 198,030 PSUs. The weighted-average exercise
prices does not take these awards into account.

ITEM 13.

CERTAIN RELATIONSHIPS AND RELATED
TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

The information under the caption "Information About the Board of Directors
 and
and  Corporate  Governance  Matters—Independent
"Information About the Board of Directors and Corporate Governance Matters
—Certain  Relationships  and  Related  Party  Transactions"  in  the  2021  proxy
statement is incorporated herein by reference.

 Directors"

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  2021  proxy
statement is incorporated herein by reference.

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

38

 
 
STRYKER CORPORATION 2020 FORM 10-K

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.

PART IV

Report of Independent Registered Public Accounting Firm
Consolidated Statements of Earnings for 2020, 2019, and 2018
Consolidated Statements of Comprehensive Income for 2020, 2019, and 2018
Consolidated Balance Sheets on 2020 and 2019
Consolidated Statements of Shareholders’ Equity for 2020, 2019, and 2018
Consolidated Statements of Cash Flows for 2020, 2019, and 2018
Notes to Consolidated Financial Statements

(a) 2.

Financial Statement Schedules
The Consolidated Financial Statement schedule of Stryker Corporation and its subsidiaries is:

19
21
21
22
23
24
25

SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS

Additions

Deductions

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

$
$
$

88 
64 
59 

$
$
$

65 
39 
20 

$
$
$

22 
13 
14 

$
$
$

— 
2 
1 

$
$
$

131 
88 
64 

Description
DEDUCTED FROM ASSET ACCOUNTS
Allowance for Doubtful Accounts:
Year ended December 31, 2020
Year ended December 31, 2019
Year ended December 31, 2018

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.
Exhibits

(a) 3.

FORM 10-K—ITEM 15(a) 3. AND ITEM 15(c)
STRYKER CORPORATION AND SUBSIDIARIES
EXHIBIT INDEX 

Exhibit 2—
(i)

(ii)

Exhibit 3—
(i)

(ii)

Exhibit 4—

(i)

(ii)

Plan of Acquisition, Reorganization, Arrangement, Liquidation or Succession
Agreement and Plan of Merger, dated as of August 29, 2018, by and among Stryker Corporation, Austin Merger Sub Corp. and K2M Group Holdings,
Inc. — Incorporated by reference to Exhibit 2.1 to the Company's Form 8-K dated August 29, 2018 (Commission File No. 000-09165).
Purchase Agreement, dated as of November 4, 2019, among Stryker Corporation, Stryker B.V. and Wright Medical Group N.V. — Incorporated by
reference to Exhibit 2.1 to the Company’s Form 8-K dated November 6, 2019 (Commission File No. 001-13149).

Articles of Incorporation and By-Laws
Restated Articles of Incorporation — Incorporated by reference to Exhibit 3(i) to the Company's Form 10-Q for the quarterly period ended September
30, 2018 (Commission File No. 00-09165).
Amended and Restated Bylaws — Incorporated by reference to Exhibit 3.1 to the Company's Form 8-K dated February 5, 2021 (Commission File No.
001-13149).

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.
Indenture, dated January 15, 2010, between Stryker Corporation and U.S. Bank National Association.— Incorporated by reference to Exhibit 4.1 to
the Company's Form 8-K dated January 15, 2010 (Commission File No. 000-09165).
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 the Company's Form 8-K dated March 25, 2013 (Commission File No. 000-09165).

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

39

 
 
 
STRYKER CORPORATION 2020 FORM 10-K

(iii)

(iv)

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

(xii)

(xiii)

(xiv)

(xv)

(xvi)

(xvii)

(xviii)

(xix)

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).
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).
Eighth Supplemental Indenture (including the form of 2025 note), dated October 29, 2015, between Stryker Corporation and U.S. Bank National
association.— Incorporated by reference to Exhibit 4.2 to the Company's Form 8-K dated October 29, 2015 (Commission File No. 000-09165).
Tenth Supplemental Indenture (including the form of the 2021 note), dated March 10, 2016, between Stryker Corporation and U.S. Bank National
Association. — Incorporated by reference to Exhibit 4.3 to the Company's Form 8-K dated March 10, 2016 (Commission File No. 000-09615).
Eleventh Supplemental Indenture (including the form of the 2026 note), dated March 10, 2016, between Stryker Corporation and U.S. Bank
National Association.— Incorporated by reference to Exhibit 4.4 to the Company's Form 8-K dated March 10, 2016 (Commission File No. 000-
09615).
Twelfth Supplemental Indenture (including the form of the 2046 note), dated March 10, 2016, between Stryker Corporation and U.S. Bank National
Association. — Incorporated by reference to Exhibit 4.5 to the Company's Form 8-K dated March 10, 2016 (Commission File No. 000-09615).
Fourteenth Supplemental Indenture (including the form of the 2028 note), dated March 7, 2018, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.2 to the Company's Form 8-K dated March 7, 2018 (Commission File No. 000-
09615).
Fifteenth Supplemental Indenture (including the form of the 2023 note), dated November 30, 2018, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.2 to the Company's Form 8-K dated November 30, 2018 (Commission File No. 000-
09615).
Sixteenth Supplemental Indenture (including the form of the 2027 note), dated November 30, 2018, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.3 to the Company's Form 8-K dated November 30, 2018 (Commission File No. 000-
09615).
Seventeenth Supplemental Indenture (including the form of the 2030 note), dated November 30, 2018, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.4 to the Company's Form 8-K dated November 30, 2018 (Commission File No. 000-
09615).
Nineteenth Supplemental Indenture (including the form of the 2024 note), dated December 3, 2019, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.2 to the Company's Form 8-K dated December 3, 2019 (Commission File No. 001-
13149).
Twentieth Supplemental Indenture (including the form of the 2029 note), dated December 3, 2019, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.3 to the Company's Form 8-K dated December 3, 2019 (Commission File No. 001-
13149).
Twenty-First Supplemental Indenture (including the form of the 2031 note), dated December 3, 2019, between Stryker Corporation and U.S. Bank
National Association. — Incorporated by reference to Exhibit 4.4 to the Company's Form 8-K dated December 3, 2019 (Commission File No. 001-
13149).
Twenty-Second Supplemental Indenture (including the form of the 2025 note), dated June 4, 2020, between Stryker Corporation and U.S. Bank
National Association, as trustee - Incorporated by reference to Exhibit 4.2 to the Company’s Form 8-K dated June 4, 2020 (Commission File No.
001-13149).

Twenty-Third Supplemental Indenture (including the form of the 2030 note), dated June 4, 2020, between Stryker Corporation and U.S. Bank
National Association — Incorporated by reference to Exhibit 4.3 to the Company’s Form 8-K dated June 4, 2020 (Commission File No. 001-13149).
Twenty-Fourth Supplemental Indenture (including the form of the 2050 note), dated June 4, 2020, between Stryker Corporation and U.S. Bank
National Association — Incorporated by reference to Exhibit 4.4 to the Company’s Form 8-K dated June 4, 2020 (Commission File No. 001-13149).

Twenty-Fifth Supplemental Indenture (including the form of the 2023 note), dated November 23, 2020, between Stryker Corporation and U.S. Bank
National Association, as trustee — Incorporated by reference to Exhibit 4.2 to the Company’s Form 8-K dated November 23, 2020 (Commission
File No. 001-13149).

(xx) †

Description of Securities

Exhibit 10—

(i)* †

(ii)* †

Material contracts
Form of grant notice and terms and conditions for stock options granted in 2021 under the 2011 Long-Term Incentive Plan.

Form of grant notice and terms and conditions for restricted stock units granted in 2021 under the 2011 Long-Term Incentive Plan.

(iii)* †

Form of grant notice and terms and conditions for performance stock units granted in 2021 under the 2011 Long-Term Incentive Plan.

(iv)*

(v)*

(vi)*

(vii)*

Form of grant notice and terms and conditions for restricted stock units granted in 2020 under the 2011 Long-Term Incentive Plan to non-employee
directors — Incorporated by reference to Exhibit 10(i) to the Company's Form 10-Q for the quarterly period ended June 30, 2020 (Commission File
No. 001-13149).
2011 Long-Term Incentive Plan (as amended effective February 4, 2020) — Incorporated by reference to Exhibit 10(i) to the Company's Form 10-K
for the year ended December 31, 2019 (Commission File No. 001-13149).

Form of grant notice and terms and conditions for stock options granted in 2020 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(ii) to the Company's Form 10-K for the year ended December 31, 2019 (Commission File No. 001-13149).

Form of grant notice and terms and conditions for restricted stock units granted in 2020 under the 2011 Long-Term Incentive Plan — Incorporated
by reference to Exhibit 10(iii) to the Company's Form 10-K for the year ended December 31, 2019 (Commission File No. 001-13149).

40

STRYKER CORPORATION 2020 FORM 10-K

(viii)*

(ix)*

(x)*

(xi)*

(xii)*

(xiii)*

(xiv)*

(xv)*

(xvi)*

(xvii)*

(xviii)*

(xix)*

(xx)*

(xxi)*

(xxii)*  

(xxiii)*

(xxiv)

(xxv)

(xxvi)

(xxvii)*

(xxviii)*

(xxix)*

(xxx)*

(xxxi)*

(xxxii)

(xxxiii)

Form of grant notice and terms and conditions for performance stock units granted in 2020 under the 2011 Long-Term Incentive Plan — Incorporated
by reference to Exhibit 10(iv) to the Company's Form 10-K for the year ended December 31, 2019 (Commission File No. 001-13149).

Form of terms and conditions for restricted stock units granted to non-employee directors in 2019 under the 2011 Long-Term Incentive Plan —
Incorporated by reference to Exhibit 10(v) to the Company's Form 10-K for the year ended December 31, 2019 (Commission File No. 001-13149).
Supplemental Savings and Retirement Plan (as amended effective January 1, 2008 and January 1, 2019) — Incorporated by reference to Exhibit
10(vi) to the Company's Form 10-K for the year ended December 31, 2019 (Commission File No. 001-13149).
Form of grant notice and terms and conditions for stock options granted in 2019 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(ii) to the Company's Form 10-K for the year ended December 31, 2018 (Commission File No. 001-13149).

Form of grant notice and terms and conditions for restricted stock units granted in 2019 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(iii) to the Company's Form 10-K for the year ended December 31, 2018 (Commission File No. 001-13149).

Form of grant notice and terms and conditions for performance stock units granted in 2019 under the 2011 Long-Term Incentive Plan — Incorporated
by reference to Exhibit 10(iv) to the Company's Form 10-K for the year ended December 31, 2018 (Commission File No 001-13149).

2006 Long-Term Incentive Plan (as amended effective February 7, 2017) — Incorporated by reference to Exhibit 10(ii) to the Company's Form 10-K
for the year ended December 31, 2016 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for stock options granted in 2018 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(ii) to the Company's Form 10-K for the year ended December 31, 2017 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for restricted stock units granted in 2018 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(iii) to the Company’s Form 10-K for the year ended December 31, 2017 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for performance stock units granted in 2018 under the 2011 Long-Term Incentive Plan — Incorporated
by reference to Exhibit 10(iv) to the Company’s Form 10-K for the year ended December 31, 2017 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for restricted stock units granted in 2018 under the 2011 Long-Term Incentive Plan to non-employee
directors — Incorporated by reference to Exhibit 10(ii) to the Company’s Form 10-Q for the quarterly period ended June 30, 2018 (Commission File
No. 000-09165).

Form of grant notice and terms and conditions for stock options granted in 2017 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(iv) to the Company's Form 10-K for the year ended December 31, 2016 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for restricted stock units granted in 2017 under the 2011 Long-Term Incentive Plan — Incorporated by
reference to Exhibit 10(v) to the Company's Form 10-K for the year ended December 31, 2016 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for performance stock units granted in 2017 under the 2011 Long-Term Incentive Plan — Incorporated
by reference to Exhibit 10(vi) to the Company's Form 10-K for the year ended December 31, 2016 (Commission File No. 000-09165).

Form of grant notice and terms and conditions for stock options and restricted stock units granted in 2017 under the 2011 Long-Term Incentive Plan
to non-employee directors — Incorporated by reference to Exhibit 10(vii) to the Company's Form 10-K for the year ended December 31, 2016
(Commission File No. 000-09165).

Stryker Corporation Executive Bonus Plan — Incorporated by reference to Exhibit 10.1 to the Company's Form 8-K dated February 21, 2007
(Commission File No. 000-09165).

Form of Indemnification Agreement for Directors — Incorporated by reference to Exhibit 10 (xiv) to the Company's Form 10-K for the year ended
December 31, 2008 (Commission File No. 000-09165).

Form of Indemnification Agreement for Certain Officers—Incorporated by reference to Exhibit 10 (xv) to the Company's Form 10-K for the year ended
December 31, 2008 (Commission File No. 000-09165).

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) — Incorporated by reference to Exhibit 10xxiii to the Company's Form 10-K for the
year ended December 31, 2014 (Commission File No. 000-09165).
Letter Agreement between Stryker Corporation and Glenn Boehnlein — Incorporated by reference to Exhibit 10.2 to the Company's Form 8-K dated
January 22, 2016 (Commission File No. 000-09165).
Credit Agreement, dated as of August 19, 2016, among Stryker Corporation and certain subsidiaries, as designated borrowers; the lenders party
thereto; and Bank of America, N.A., as administrative agent — Incorporated by reference to Exhibit 4.1 to the Company’s 8-K dated August 19, 2016
(Commission File No. 000-09165).

Letter Agreement between Stryker Corporation and Lonny Carpenter — Incorporated by reference to Exhibit 10.1 to the Company’s Form 8-K dated
April 2, 2018 (Commission File No. 000-09165).

Letter Agreement between Stryker Corporation and David K. Floyd — Incorporated by reference to Exhibit 10.1 to the Company’s Form 8-K dated
July 6, 2018 (Commission File No. 000-09165).
Transition and Retention Agreement between Michael Hutchinson and Stryker Corporation — Incorporated by reference to Exhibit 10.1 to the
Company’s Form 8-K dated March 27, 2019 (Commission File No. 001-13149).
Amendment No. 1, dated as of April 30, 2020, to Credit Agreement, dated as of August 19, 2016, among Stryker Corporation and certain of its
subsidiaries, as designated borrowers; the lenders party thereto; and Bank of America, N.A., as administrative agent — Incorporated by reference to
Exhibit 10(i) to the Company's Form 10-Q for the quarterly period ended March 31, 2020 (Commission File No. 001-13149).

Credit Agreement, dated as of April 30, 2020, among Stryker Corporation as borrower; the lenders party thereto; and Bank of America, N.A., as
administrative agent — Incorporated by reference to Exhibit 10(ii) to the Company's Form 10-Q for the quarterly period ended March 31, 2020
(Commission File No. 001-13149).

41

STRYKER CORPORATION 2020 FORM 10-K

(xxxiv)

Term Loan Agreement, dated as of November 10, 2020, among Stryker Corporation, as borrower, the lenders party thereto and Bank of America,
N.A., as administrative agent — Incorporated by reference to Exhibit 10.1 to the Company's Form 8-K dated November 13, 2020 (Commission File
No. 001-13149).

Exhibit 21—  
(i) †

Subsidiaries of the registrant
List of Subsidiaries.

Exhibit 23—  
(i) †

Consent of experts and counsel
Consent of Independent Registered Public Accounting Firm.

Exhibit 31—  
(i) †
(ii) †

Exhibit 32—  
(i) †
(ii) †

Exhibit 101—
101.INS
101.SCH
101.CAL
101.DEF
101.LAB
101.PRE
104 

Rule 13a-14(a) Certifications
Certification by Principal Executive Officer of Stryker Corporation.
Certification by Principal Financial Officer of Stryker Corporation.

18 U.S.C. Section 1350 Certifications
Certification by Principal Executive Officer of Stryker Corporation.
Certification by Principal Financial Officer of Stryker Corporation.

iXBRL (Inline Extensible Business Reporting Language) Documents
iXBRL Instance Document
iXBRL Schema Document
iXBRL Calculation Linkbase Document
iXBRL Definition Linkbase Document
iXBRL Label Linkbase Document
iXBRL Presentation Linkbase Document
Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document)

*

†

Compensation arrangement

Furnished with this Form 10-K

© Schedules have been omitted pursuant to Item 601(b)(2) of Regulation S-K. Stryker hereby agrees to furnish supplementally a copy of any omitted schedule upon

request by the U.S. Securities and Exchange Commission.

ITEM 16.

None.

FORM 10-K SUMMARY.

42

STRYKER CORPORATION 2020 FORM 10-K

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.

SIGNATURES

Date:

February 11, 2021

STRYKER CORPORATION
/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
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
Kevin A. Lobo
Chairman and Chief Executive Officer
(Principal Executive Officer)

/s/ WILLIAM E. BERRY JR.
William E. Berry, Jr.
Vice President, Corporate Controller
(Principal Accounting Officer)

/s/ ALLAN C. GOLSTON
Allan C. Golston
Lead Independent Director

/s/ MARY K. BRAINERD
Mary K. Brainerd
Director

/s/ GIOVANNI CAFORIO
Giovanni Caforio, M.D.
Director

/s/ SRIKANT M. DATAR
Srikant M. Datar, Ph.D.
Director

/s/ ROCH DOLIVEUX
Roch Doliveux, DVM
Director

/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
Vice President, Chief Financial Officer
(Principal Financial Officer)

/s/ SHERILYN S. MCCOY
Sherilyn S. McCoy
Director

/s/ ANDREW K. SILVERNAIL
Andrew K. Silvernail
Director

/s/ LISA M. SKEETE TATUM
Lisa M. Skeete Tatum
Director

/s/ RONDA E. STRYKER
Ronda E. Stryker
Director

/s/ RAJEEV SURI
Rajeev Suri
Director

43

    
Exhibit 4(xx)

DESCRIPTION OF THE REGISTRANT’S SECURITIES REGISTERED PURSUANT TO SECTION 12 OF THE
SECURITIES EXCHANGE ACT OF 1934

Description of Capital Stock

The following description is a summary of certain terms of the capital stock of Stryker Corporation (“Stryker” or the
“Company”). It does not purport to be complete and is subject in all respects to the applicable provisions of the Michigan Business
Corporation Act, as amended, or the MBCA, our Restated Articles of Incorporation, as amended, or our articles, and our By-laws, as
amended, or our by-laws. As used in this exhibit, and except where the context otherwise requires, “we,” “us,” and “our” refer to
Stryker Corporation.

Capital Stock

Our authorized capital stock consists of (1) 1,000,000,000 shares of common stock, $0.10 par value per share and (2) 500,000

shares of preferred stock, $1.00 par value per share.

Common Stock

Each share of common stock entitles the holder thereof to one vote for each share held by it of record on each matter
submitted to a vote. Other than the election of directors, if an action is to be taken by vote of the shareholders, it will be authorized
by a majority of the votes cast by the holders of shares entitled to vote on the action, unless a greater vote is required in our articles
or by-laws. Directors are elected by a majority of the votes cast by the holders of shares entitled to vote (and for such purpose, a
majority of the votes cast means that the number of shares voted “for” a nominee must exceed the number of votes cast “against” that
nominee); provided, however, that if as of the record date for a meeting at which directors will be elected, there are more nominees
than positions on the board of directors to be filled by election at such meeting, each director shall be elected by a plurality of the
votes cast at the election.

Subject to the prior payment or provision therefor of dividends on the preferred stock, if any, holders of the common stock
are entitled to receive ratably such dividends, if any, as may be declared from time to time by our Board of Directors out of funds
legally available therefor. Holders of our common stock have no conversion, preemptive or other rights to subscribe for any
securities of ours, and there are no redemption or sinking fund provisions with respect to such shares. In the event of any liquidation,
dissolution or distribution of our assets and after satisfaction of the preferential requirements of the preferred stock, if any, holders of
common stock will be entitled to share ratably in the distribution of the remaining assets of the Company available for distribution.
The rights, preferences and privileges of holders of common stock are subject to applicable law and the rights of the holders of any
shares of preferred stock and any additional classes of stock that we may issue in the future.

Preferred Stock

Our articles authorize our Board of Directors to issue up to 500,000 shares of preferred stock in one or more series, with such
distinctive designation or title and in such number of shares as may be authorized by our Board of Directors. Our Board of Directors
is authorized to

Exhibit 4(xx)

prescribe the relative rights and preferences of each series, and the limitations applicable thereto, including but not limited to the
following: (1) the voting powers, full, special, or limited, or no voting powers; (2) the rate, terms and conditions on which dividends
will be paid, whether such dividends will be cumulative, and what preference such dividends shall have in relation to the dividends
on other series or classes of stock; (3) the rights, terms and conditions, if any, for conversion of preferred stock into shares of other
series or classes of stock; (4) any right of the Company to redeem the shares of preferred stock, and the price, time and conditions of
redemption, including the provisions for any sinking fund; and (5) the rights of holders of preferred stock in relation to the rights of
other series and classes of stock upon the liquidation, dissolution or distribution of our assets. Unless otherwise provided by our
Board of Directors, upon redemption or conversion, shares of preferred stock will revert to authorized but unissued shares and may
be reissued as shares of any series of preferred stock.

Limitation of Liability

Our articles provide that, to the full extent authorized or permitted by the MBCA, directors of Stryker will not be personally
liable to Stryker or its shareholders for any acts or omissions in such person’s capacity as a director. Such limitation of liability does
not affect the availability of equitable remedies such as injunctive relief or rescission. These provisions will not limit the liability of
directors under federal securities laws.

Certain Statutory, Articles and By-law Provisions Affecting Shareholders

Certain provisions in our articles and by-laws and the MBCA may have the effect of delaying, deferring or preventing a

change of control of the Company or may operate only with respect to extraordinary corporate transactions involving the Company.

Business Combination Act

We are subject to the provisions of Chapter 7A of the MBCA, which provides that business combinations between a
Michigan corporation and a beneficial owner of shares entitled to 10% or more of the voting power of such corporation generally
require the affirmative vote of 90% of the votes of each class of stock entitled to vote and not less than two-thirds of each class of
stock entitled to vote (excluding voting shares owned by such 10% owner). Chapter 7A defines a “business combination” to
encompass any merger, consolidation, share exchange, sale of assets, stock issue, liquidation, or reclassification of securities
involving an interested shareholder or certain affiliates. An “interested shareholder” is generally any person who owns 10% or more
of the voting shares of the corporation. An “affiliate” is a person who directly or indirectly controls, is controlled by, or is under
common control with, a specified person. Such requirements do not apply if the transaction satisfies fairness standards, other
specified conditions are met and the interested shareholder has been such for at least five years.

Article and By-Law Provisions

Our articles and by-laws include a number of provisions that may have the effect of encouraging persons considering

unsolicited tender offers or other unilateral takeover proposals to negotiate with our Board of Directors rather than pursue non-
negotiated takeover attempts. These provisions include an advance notice requirement for director nominations and actions to be
taken at annual meetings of shareholders, the inability of the shareholders to call a special

Exhibit 4(xx)

meeting of the shareholders and the availability of authorized but unissued blank check preferred stock.

Advance Notice Requirement

Our by-laws set forth advance notice procedures with regard to shareholder proposals relating to the nomination of

candidates for election as directors or new business to be presented at meetings of shareholders. These procedures provide that notice
of such shareholder proposals must be timely given in writing to the secretary of Stryker prior to the meeting at which the action is to
be taken. Generally, to be timely, notice must be received at the principal executive offices of Stryker not less than 90 days nor more
than 120 days prior to the meeting. The advance notice requirement does not give the Board of Directors any power to approve or
disapprove shareholder director nominations or proposals but may have the effect of precluding the consideration of certain business
at a meeting if the proper notice procedures are not followed.

Special Meetings of Shareholders

Our by-laws do not grant the shareholders the right to call a special meeting of shareholders. Under our by-laws, special

meetings of shareholders may be called only by the chairman of our Board of Directors, our president or by order of our Board of
Directors.

Blank Check Preferred Stock

Our preferred stock could be deemed to have an anti-takeover effect in that, if a hostile takeover situation should arise, shares
of preferred stock could be issued to purchasers sympathetic with our management or others in such a way as to render more difficult
or to discourage a merger, tender offer, proxy contest, the assumption of control by a holder of a large block of our securities or the
removal of incumbent management.

•

•
•

•

•

The effects of the issuance of one or more series of the preferred stock on the holders of our common stock could include:
reduction of the amount otherwise available for payments of dividends on common stock if dividends are payable on the
series of preferred stock;
restrictions on dividends on our common stock if dividends on the series of preferred stock are in arrears;
dilution of the voting power of our common stock if the series of preferred stock has voting rights, including a possible
“veto” power if the series of preferred stock has class voting rights;
dilution of the equity interest of holders of our common stock if the series of preferred stock is convertible, and is converted,
into our common stock; and
restrictions on the rights of holders of our common stock to share in our assets upon liquidation until satisfaction of any
liquidation preference granted to the holders of the series of preferred stock.

Transfer Agent and Registrar

The transfer agent and registrar for our common stock is American Stock Transfer & Trust Company, LLC.

Listing

Our common stock is listed on the New York Stock Exchange under the symbol “SYK.”

Exhibit 4(xx)

Exhibit 4(xx)

Description of Debt Securities:

1.125% Notes due 2023
2.125% Notes due 2027
2.625% Notes due 2030

    The Company previously filed a registration statement on Form S-3 (File No. 333-209526), which was filed with the Securities
and Exchange Commission on February 12, 2016 and covers the issuance of the Company’s 1.125% Notes due 2023 (the “2023
notes”), the 2.125% Notes due 2027 (the “2027 notes”), and the 2.625% Notes due 2030 (the “2030 notes” and together with the
2023 notes, the 2027 notes and the 2030 notes, the “notes”). The notes are governed by a base indenture dated January 15, 2010
between the Company and U.S. Bank National Association, as trustee, as supplemented by the applicable supplemental indenture
governing a particular series of notes (as so supplemented, the “Indenture”). This summary is subject to and qualified in its entirety
by reference to all of the provisions of the Indenture and the notes, including definitions of certain terms used in the Indenture and
the notes.

General

The 2023 notes, the 2027 notes and the 2030 notes were issued as separate series of debt securities under the Indenture. The

notes are senior unsecured obligations of ours and rank equally in right of payment with our other existing and future senior
unsecured indebtedness. The notes are not secured by any of our assets. Any future claims of our secured lenders with respect to
assets securing their loans will be prior to any claim of the holders of the notes with respect to those assets. Holders of secured debt
that we have now or may issue in the future may foreclose on the assets securing such debt, reducing the cash flow from the
foreclosed property available for payment of unsecured debt, including the notes. Holders of our secured debt also would have
priority over unsecured creditors in the event of our bankruptcy, liquidation or similar proceeding to the extent of the value of the
collateral securing such debt. The notes are structurally subordinated to all liabilities of our subsidiaries, including trade payables.
Because we conduct many of our operations through our subsidiaries, our right to participate in any distribution of the assets of a
subsidiary when it winds up its business is subject to the prior claims of the creditors of that subsidiary. This means that your right to
payment as a holder of our notes is also subject to the prior claims of these creditors if a subsidiary liquidates or reorganizes or
otherwise winds up its business. If we are a creditor of any of our subsidiaries, our right as a creditor would be subordinated to any
security interest in the assets of those subsidiaries and any indebtedness of our subsidiaries senior in right of payment to that held by
us.

The Indenture does not limit the amount of notes, unsecured debentures or other evidences of indebtedness that we may issue

under the Indenture and provides that notes, unsecured debentures or other evidences of indebtedness may be issued from time to
time in one or more series. We may from time to time, without notice to or the consent of the holders of the notes, create and issue
additional notes of any series having the same ranking and terms and conditions as the notes of the same series, except for the issue
date, the public offering price and, in some cases, the first interest payment date. Any additional notes having such similar terms,

Exhibit 4(xx)

together with the notes offered of the same series, will constitute a single series of securities under the Indenture.

We issued the notes in fully registered book-entry form without coupons and in denominations of €100,000 and integral

multiples of €1,000 thereafter.

Principal of and interest on the notes are payable, and the notes are transferable or exchangeable, at the office or offices or

agency maintained by us for these purposes. Payment of interest on the notes may be made at our option by check mailed to the
registered holders thereof.

The 2023 notes, the 2027 notes and the 2030 notes are listed on the New York Stock Exchange under the symbols “SYK23,”
“SYK27,” and “SYK30,” respectively. We have no obligation to maintain such listings, and we may delist any series of the notes at
any time.

U.S. Bank National Association is registrar and transfer agent for the notes. Upon notice to the trustee, we may change the

registrar or transfer agent.

Fixed Rate Notes

The 2023 notes, 2027 notes and 2030 notes bear interest from the date of issuance, payable annually on November 30 of each
year, beginning November 30, 2019, to the persons in whose names such notes are registered at the close of business on the business
day (for this purpose, a day on which Clearstream and Euroclear are open for business) immediately preceding the relevant interest
payment. Interest on the notes is computed on the basis of the actual number of days in the period for which interest is being
calculated and the actual number of days from and including the last date on which interest was paid on the notes, to, but excluding,
the next scheduled interest payment date. This payment convention is referred to as Actual/Actual (ICMA) as defined in the rulebook
of the International Capital Market Association.

If any interest payment date would otherwise be a day that is not a business day, such interest payment date will be postponed
to the next date that is a business day and no interest will accrue on the amounts payable from and after such interest payment date to
the next business day. If the maturity date of any series of the notes falls on a day that is not a business day, the related payment of
principal, premium, if any, and interest will be made on the next business day as if it were made on the date such payment was due,
and no interest will accrue on the amounts so payable for the period from and after such date to the next business day.

Business Day

For purposes of the notes, a “business day” is any day that is not a Saturday, Sunday or other day on which banking
institutions in New York City, London or another place of payment on the notes are authorized or required by law to close and on
which the Trans-European Automated Real-Time Gross Settlement Express Transfer system (the TARGET2 system), or any
successor thereto, is open.

Exhibit 4(xx)

Issuance in euro

All payments of interest, premium, if any, and principal, including payments made upon any redemption or repurchase of the

notes, will be made in euro; provided that if the euro is unavailable to us due to the imposition of exchange controls or other
circumstances beyond our control or if the euro is no longer being used by the then member states of the European Monetary Union
that have adopted the euro as their currency or for the settlement of
transactions by public institutions of or within the international banking community, then all payments in respect of the notes will be
made in U.S. dollars until the euro is again available to us or so used. In such circumstances, the amount payable on any date in euro
will be converted into U.S. dollars at the rate mandated by the Board of Governors of the Federal Reserve System as of the close of
business on the second business day prior to the relevant payment date or, if the Board of Governors of the Federal Reserve System
has not announced a rate of conversion, on the basis of the most recent U.S. dollar/euro exchange rate published in The Wall Street
Journal on or prior to the second business day prior to the relevant payment date or, in the event The Wall Street Journal has not
published such exchange rate, the rate is determined in our sole discretion on the basis of the most recently available market
exchange rate for the euro. Any payment in respect of the notes so made in U.S. dollars do not constitute an Event of Default (as
defined in the Indenture). Neither the trustee nor the paying agent shall have any responsibility for any calculation or conversion in
connection with the foregoing.

Optional Redemption

We may redeem the notes prior to October 31, 2023 in the case of the 2023 notes, August 31, 2027 in the case of the 2027
notes and August 31, 2030 in the case of the 2030 notes, in whole, at any time, or in part, from time to time, at our option, for cash,
at a redemption price equal to the greater of:

1) 100% of the principal amount of the applicable series of the notes to be redeemed; or
2)  an amount determined by the Quotation Agent (as defined below) equal to the sum of the

present values of the remaining scheduled payments of principal, premium, if any, and interest thereon (not including any
portion of such payments of interest accrued to the date of redemption) to October 31, 2023 with respect to the 2023 notes,
August 31, 2027 with respect to the 2027 notes and August 31, 2030 with respect to the 2030 notes, discounted to the date of
redemption on an annual basis (Actual/Actual (ICMA) at the Comparable Government Bond Rate (as defined below), plus 25
basis points with respect to the 2023 notes, 30 basis points with respect to the 2027 notes and 35 basis points with respect to
the 2030 notes, plus accrued and unpaid interest thereon to, but not including, the date of redemption.

On or after October 31, 2023 in the case of the 2023 notes, August 31, 2027, in the case of the 2027 notes and August 31,

2030, in the case of the 2030 notes, we may redeem the applicable series of the notes, in whole, at any time, or in part, from time to
time, at our option, for cash, at a redemption price equal to 100% of the principal amount of such series of the notes, plus accrued
and unpaid interest to, but not including, the redemption date.

Exhibit 4(xx)

The principal amount of any note remaining outstanding after a redemption in part shall be €100,000 or a higher integral
multiple of €1,000. Notwithstanding the foregoing, installments of interest on any series of the notes that are due and payable on
interest payment dates falling on or prior to a redemption date will be payable on the interest payment date to the registered holders
as of the close of business on the relevant record date.

“Comparable Government Bond” means, in relation to any Comparable Government Bond Rate calculation, at the discretion
of an independent investment bank selected by us (the “Quotation Agent”), a German government bund whose maturity is closest to
the par call date, or if such Quotation Agent in its discretion determines that such similar bond is not in issue, such other German
government bund as such Quotation Agent may, with the advice of three brokers of, and/or market makers in, German government
bunds selected by us, determine to be appropriate for determining the Comparable Government Bond Rate.

“Comparable Government Bond Rate” means the price, expressed as a percentage (rounded to three decimal places, with
0.0005 being rounded upwards), at which the gross redemption yield on the notes to be redeemed, if they were to be purchased at
such price on the third business day prior to the date fixed for redemption, would be equal to the gross redemption yield on such
business day of the Comparable Government Bond on the basis of the middle market price of the Comparable Government Bond
prevailing at 11:00 a.m. (London time) on such business day as determined by the Quotation Agent selected by us.

Notice of any redemption will be mailed (or, in the case of notes held in book-entry form, be transmitted electronically) at
least 10 days but not more than 60 days before the redemption date to each registered holder of the applicable series of the notes to
be redeemed. Unless we default in payment of the redemption price, on and after the redemption date, interest will cease to accrue on
the applicable series of the notes or portions thereof called for redemption. If less than all of the applicable series of the notes are to
be redeemed, the notes to be redeemed will be selected by the trustee in accordance with the standard procedures of the depositary. If
the notes to be redeemed are not global notes then held by Euroclear or Clearstream, the trustee will select the notes to be redeemed
on a pro rata basis. If the notes are listed on the NYSE or any other national securities exchange, the trustee will select notes in
compliance with the requirements of the NYSE or other principal national securities exchange on which the notes are listed.

Notwithstanding the foregoing, if less than all of a series of notes are to be redeemed, no notes of such series of a principal

amount of €100,000 or less shall be redeemed in part. If money sufficient to pay the redemption price on the series of notes (or
portions thereof) to be redeemed on the redemption date is deposited with the paying agent on or before the redemption date and
certain other conditions are satisfied, then on and after such redemption date, interest will cease to accrue on such series of the Fixed
Rate Notes (or such portion thereof) called for redemption.

Optional Redemption for Tax Reasons

The notes of any series may be redeemed at our option in whole, but not in part, on not less than 10 nor more than 60 days’

prior notice, at 100% of the principal amount of such series,

Exhibit 4(xx)

together with accrued and unpaid interest, if any, to, but excluding, the redemption date if, as a result of any change in, or
amendment to, the laws, regulations or rulings of the United States (or any political subdivision or taxing authority thereof or therein
having power to tax), or any change in official position regarding application or interpretation of those laws, regulations or rulings
(including a holding by a court of competent jurisdiction), which change, amendment, application or interpretation is announced or
becomes effective on or after the original issue date with respect to the notes, we become or, based upon a written opinion of
independent counsel selected by us, will become obligated to pay additional amounts as described below in “—Payment of
Additional Amounts.”

Payment of Additional Amounts

All payments of principal, interest, and premium, if any, in respect of the notes will be made free and clear of, and without

withholding or deduction for, any present or future taxes, assessments, duties or governmental charges of whatever nature imposed,
levied or collected by the United States (or any political subdivision or taxing authority thereof or therein having power to tax),
unless such withholding or deduction is required by law or the official interpretation or administration thereof.

We will, subject to the exceptions and limitations set forth below, pay as additional interest in respect of the notes such
additional amounts as are necessary in order that the net payment by us of the principal of, premium, if any, and interest in respect of
the notes to a holder who is not a United States person (as defined below), after withholding or deduction for any present or future
tax, assessment, duties or other governmental charge imposed by the United States (or any political subdivision or taxing authority
thereof or therein having power to tax), will not be less than the amount provided in the notes to be then due and payable; provided,
however, that the foregoing obligation to pay additional amounts shall not apply:

1)  to the extent any tax, assessment or other governmental charge would not have been imposed but for the holder (or the

beneficial owner for whose benefit such holder holds such note), or a fiduciary, settlor, beneficiary, member or shareholder of
the holder if the holder is an estate, trust, partnership or corporation, or a person holding a power over an estate or trust
administered by a fiduciary holder, being considered as:
a)    being or having been engaged in a trade or business in the United States or having or having had a permanent

establishment in the United States;

b)    having a current or former connection with the United States (other than a connection arising solely as a result of the
ownership of the notes, the receipt of any payment in respect of the notes or the enforcement of any rights hereunder),
including being or having been a citizen or resident of the United States;

c)    being or having been a personal holding company, a passive foreign investment company or a controlled foreign
corporation for U.S. federal income tax purposes, a foreign tax-exempt organization, or a corporation that has
accumulated earnings to avoid U.S. federal income tax;

Exhibit 4(xx)

d)    being or having been a “10-percent shareholder” of the Company as defined in section 871(h)(3) of the United States

Internal Revenue Code of 1986, as amended (the “Code”) or any successor provision; or

e)    being a bank receiving payments on an extension of credit made pursuant to a loan agreement entered into in the ordinary

course of its trade or business, as described in section 881(c)(3)(A) of the Code or any successor provision;

2) to any holder that is not the sole beneficial owner of the notes, or a portion of the notes, or that is a fiduciary, partnership,

limited liability company or other fiscally transparent entity, but only to the extent that a beneficial owner with respect to the
holder, a beneficiary or settlor with respect to the fiduciary, or a beneficial owner or member of the partnership, limited
liability company or other fiscally transparent entity would not have been entitled to the payment of an additional amount had
the beneficiary, settlor, beneficial owner or member received directly its beneficial or distributive share of the payment;
3) to the extent any tax, assessment or other governmental charge that would not have been imposed but for the failure of the

holder or any other person to comply with certification, identification or information reporting requirements concerning the
nationality, residence, identity or connection with the United States of the holder or beneficial owner of the notes, if
compliance is required by statute, by regulation of the United States or any taxing authority therein or by an applicable
income tax treaty to which the United States is a party as a precondition to exemption from such tax, assessment or other
governmental charge;

4) to any tax, assessment or other governmental charge that is imposed otherwise than by withholding by us or a paying agent

from the payment;

5) to any tax, assessment or other governmental charge required to be withheld by any paying agent from any payment of
principal of or interest on any notes, if such payment can be made without such withholding by any other paying agent;
6) to any estate, inheritance, gift, sales, transfer, wealth, capital gains or personal property tax or similar tax, assessment or other

governmental charge, or excise tax imposed on the transfer of notes;

7) to the extent any tax, assessment or other governmental charge would not have been imposed but for the presentation by the
holder of any note, where presentation is required, for payment on a date more than 30 days after the date on which payment
became due and payable or the date on which payment thereof is duly provided for, whichever occurs later except to the
extent that the beneficiary or holder thereof would have been entitled to the payment of additional amounts had such note
been presented for payment on any day during such 30-day period;

8) to any tax, assessment or other governmental charge imposed under sections 1471 through 1474 of the Code (or any amended

or successor provisions), any current or future

Exhibit 4(xx)

regulations or official interpretations thereof, any agreement entered into pursuant to section 1471(b) of the Code or any
fiscal or regulatory legislation, rules or practices adopted pursuant to any intergovernmental agreement entered into in
connection with the implementation of such sections of the Code, whether currently in effect or as published and amended
from time to time;

9) to any tax, assessment or other governmental charge that is imposed or withheld solely by reason of a change in law,

regulation, or administrative or judicial interpretation that becomes effective more than 15 days after the payment becomes
due or is duly provided for, whichever occurs later; or

10)  in the case of any combination of the above numbered items.

The notes are subject in all cases to any tax, fiscal or other law or regulation or administrative or judicial interpretation
applicable to the notes. Except as specifically provided under this heading “—Payment of Additional Amounts,” we are not required
to make any payment for any tax, assessment or other governmental charge imposed by any government or a political subdivision or
taxing authority of or in any government or political subdivision.

As used under this heading “—Payment of Additional Amounts” and under the heading “—Optional Redemption for Tax

Reasons,” the term “United States” means the United States of America, its territories and possessions, the states of the United States
and the District of Columbia, and the term “United States person” means (i) any individual who is a citizen or resident of the United
States for U.S. federal income tax purposes, (ii) a corporation, partnership or other entity created or organized in or under the laws of
the United States, any state of the United States or the District of Columbia (other than a partnership that is not treated as a United
States person for United States federal income tax purposes), (iii) any estate the income of which is subject to U.S. federal income
taxation regardless of its source, or (iv) any trust if a United
States court can exercise primary supervision over the administration of the trust and one or more United States persons can control
all substantial trust decisions, or if a valid election is in place to treat the trust as a United States person.

Repurchase at the Option of Holders Upon Change of Control Repurchase Event

If a Change of Control Repurchase Event (as defined below) occurs in respect of a series of notes, unless we have exercised

our right to redeem the notes of such series as described above under “—Optional Redemption,” we will be required to make an
offer (a “Change of Control Offer”) to each holder of notes of such series to repurchase all or any part (in minimum denominations
of €100,000 and integral multiples of €1,000 original principal amount above that amount) of that holder’s notes at a repurchase
price in cash equal to 101% of the aggregate principal amount of notes repurchased plus any accrued and unpaid interest on the notes
repurchased to, but not including, the date of such repurchase. Within 30 days following any Change of Control Repurchase Event
or, at our option, prior to any Change of Control (as defined below), but after the public announcement of an impending Change of
Control, we will mail a notice to each holder, with a copy to the trustee, describing the transaction or transactions that constitute or
may constitute the Change of Control Repurchase Event and offering to

Exhibit 4(xx)

repurchase notes on the payment date specified in the notice, which date will be no earlier than 30 days and no later than 60 days
from the date such notice is mailed. The notice shall, if mailed prior to the date of consummation of the Change of Control, state that
the offer to purchase is conditioned on the Change of Control Repurchase Event occurring on or prior to the payment date specified
in the notice.

We will comply with the requirements of Rule 14e-1 under the Securities Exchange Act of 1934, as amended, or the
Exchange Act, and any other securities laws and regulations thereunder, to the extent those laws and regulations are applicable in
connection with the repurchase of the notes as a result of a Change of Control Repurchase Event. To the extent that the provisions of
any securities laws or regulations conflict with the Change of Control Repurchase Event provisions of the notes, we will comply
with the applicable securities laws and regulations and will not be deemed to have breached our obligations under the Change of
Control Repurchase Event provisions of the notes by virtue of such conflict.

•

•

•

On the Change of Control Repurchase Event payment date, we will, to the extent lawful:
accept for payment all notes or portions of notes (in minimum denominations of €100,000 and integral multiples of €1,000
original principal amount above that amount) properly tendered pursuant to our offer;
deposit with the paying agent an amount equal to the aggregate purchase price in respect of all notes or portions of notes
properly tendered; and
deliver or cause to be delivered to the trustee for cancellation the notes properly accepted, together with an officers’
certificate stating the aggregate principal amount of notes being repurchased by us.

The paying agent will promptly mail to each holder of notes properly tendered the purchase price for the notes, and the

trustee will promptly authenticate and mail (or cause to be transferred by book-entry) to each holder a new note equal in principal
amount to any unpurchased portion of any notes surrendered; provided, that each new note will be in minimum denominations of
€100,000 and integral multiples of €1,000 original principal amount above that amount.

We will not be required to make a Change of Control Offer upon a Change of Control Repurchase Event if (i) a third party
makes such an offer in the manner, at the times and otherwise in compliance with the requirements for a Change of Control Offer
made by us and such third party purchases all notes properly tendered and not withdrawn under its offer or (ii) we have previously or
concurrently mailed a redemption notice with respect to all of the outstanding notes as described under “Optional Redemption”
above.

If holders of not less than 90% in aggregate principal amount of the outstanding notes of any series validly tender and do not
withdraw such notes in a Change of Control Offer and we, or any third party making such an offer in lieu of us as described above,
purchases all of the notes of such series validly tendered and not withdrawn by such holders, we or such third party will have the
right, upon not less than 10 days nor more than 60 days’ prior notice, provided that such

Exhibit 4(xx)

notice is given not more than 30 days following such repurchase pursuant to the Change of Control Offer described above, to redeem
all notes of such series that remain outstanding following such purchase on a date specified in such notice (the “Second Change of
Control Payment Date”) and at a price in cash equal to 101% of the aggregate principal amount of notes of such series repurchased
plus any accrued and unpaid interest on the notes repurchased to, but not including, the Second Change of Control Payment Date.

We have no present intention to engage in a transaction involving a Change of Control, although it is possible that we would

decide to do so in the future. We could, in the future, enter into certain transactions, including acquisitions, refinancings or other
recapitalizations, that would not constitute a Change of Control but that could increase the amount of debt outstanding at such time
or otherwise affect our capital structure or credit ratings.

Definitions

“Below Investment Grade Rating Event” means the notes of such series are rated below Investment Grade by each of the

Rating Agencies on any date during the period commencing upon the first public notice of the occurrence of a Change of Control or
our intention to effect a Change of Control and ending 60 days following public notice of the occurrence of the related Change of
Control (which period shall be extended so long as the rating of the notes of such series is under publicly announced consideration
for possible downgrade by any of the Rating Agencies, provided that no such extension shall occur if on such 60th day the notes of
such series are rated Investment Grade by at least one of such Rating Agency and are not subject to review for possible downgrade
by such Rating Agency); provided further that a Below Investment Grade Rating Event otherwise arising by virtue of a particular
reduction in rating shall not be deemed to have occurred in respect of a particular Change of Control (and thus shall not be deemed a
Below Investment Grade Rating Event for purposes of the definition of Change of Control Repurchase Event hereunder) if the
Rating Agencies making the reduction in rating to which this definition would otherwise apply do not announce or publicly confirm
or inform the trustee in writing at its request that the reduction was the result, in whole or in part, of any event or circumstance
comprised of or arising as a result of, or in respect of, the applicable Change of Control (whether or not the applicable Change of
Control shall have occurred at the time of the Below Investment Grade Rating Event).

“Change of Control” means the occurrence of any of the following:

1) the direct or indirect sale, transfer, conveyance or other disposition (other than by way of merger or consolidation), in one or
a series of related transactions, of all or substantially all of our assets and those of our subsidiaries taken as a whole to any
“person” (as that term is used in Section 13(d)(3) of the Exchange Act), other than us or one of our subsidiaries;

2) the adoption of a plan relating to our liquidation or dissolution;
3) the first day on which a majority of the members of our Board of Directors are not Continuing Directors; or

Exhibit 4(xx)

4)  the consummation of any transaction (including, without limitation, any merger or consolidation) the result of which is that
any “person” (as that term is used in Section 13(d)(3) of the Exchange Act), other than us or one or more of our subsidiaries,
becomes the beneficial owner (as defined in Rule 13d-3 of the Exchange Act), directly or indirectly, of more than 50% of the
then outstanding number of shares of our Voting Stock.

Notwithstanding the foregoing, a transaction will not be considered to be a Change of Control if (a) we become a direct or

indirect wholly-owned subsidiary of a holding company and (b)(i) immediately following that transaction, the direct or indirect
holders of the Voting Stock of the holding company are substantially the same as the holders of our Voting Stock immediately prior
to that transaction or (ii) immediately following that transaction, no person is the beneficial owner, directly or indirectly, of more
than 50% of the Voting Stock of such holding company.

“Change of Control Repurchase Event” means the occurrence of both a Change of Control and a Below Investment Grade

Rating Event.

“Continuing Directors” means, as of any date of determination, any member of our Board of Directors who (1) was a member

of such Board of Directors on the date of the issuance of the notes; or (2) was nominated for election, elected or appointed to such
Board of Directors with the approval of a majority of the Continuing Directors who were members of such Board of Directors at the
time of such nomination, election or appointment (either by a specific vote or by approval of our proxy statement in which such
member was named as a nominee for election as a director). “Investment Grade” means a rating of Baa3 or better by Moody’s (or its
equivalent under any successor rating categories of Moody’s) and a rating of BBB- or better by S&P (or its equivalent under any
successor rating categories of S&P) or the equivalent investment grade credit rating from any additional Rating Agency or Rating
Agencies selected by us.

“Moody’s” means Moody’s Investors Service Inc., a subsidiary of Moody’s Corporation, and its successors.

“Rating Agency” means (1) each of Moody’s and S&P; and (2) if any of Moody’s or S&P ceases to rate the notes or fails to

make a rating of the notes publicly available for reasons outside of our control, a “nationally recognized statistical rating
organization” within the meaning of Section 3(a)(62) under the Exchange Act, selected by us as a replacement agency for Moody’s
or S&P, or both of them, as the case may be.

“S&P” means S&P Global Ratings Inc., a division of S&P Global Inc. and its successors.

“Voting Stock” of any specified person as of any date means the capital stock of such person that is at the time entitled to

vote generally in the election of the board of directors of such person. The definition of “Change of Control” includes a phrase
relating to the direct or indirect sale, transfer, conveyance or other disposition of “all or substantially all” of our assets and those of
our subsidiaries, taken as a whole. Although there is a limited body of case law interpreting

Exhibit 4(xx)

the phrase “substantially all,” there is no precise established definition of the phrase under applicable law. Accordingly, the ability of
a holder of notes to require us to repurchase the notes as a result of a sale, transfer, conveyance or other disposition of less than all of
our assets and the assets of our subsidiaries, taken as a whole, to another person or group may be uncertain.

Certain Covenants

Limitation on Liens

The Indenture contains a covenant that we will not, and we will not permit any of our Restricted Subsidiaries to, issue,

assume or guarantee any Indebtedness secured by any Mortgage upon any of our Principal Properties or those of any of our
Restricted Subsidiaries without equally and ratably securing the notes (and, if we so determine, any other Indebtedness ranking
equally with the notes) with such Indebtedness.

•

This covenant will not prevent us or any of our Restricted Subsidiaries from issuing, assuming or guaranteeing:
any purchase money mortgage on such Principal Property prior to, simultaneously with or within 180 days after the later of
(1) the acquisition or completion of construction or completion of substantial reconstruction, renovation, remodeling,
expansion or improvement (each, a substantial improvement”) of such Principal Property or (2) the placing in operation of
such property after the acquisition or completion of any such construction or substantial improvement;

• Mortgages on a Principal Property existing at the time of acquisition, including acquisition through merger or consolidation;
• Mortgages existing on the date of the initial issuance of the notes, Mortgages on assets of a corporation or other business

entity existing on te date it becomes a Restricted Subsidiary or is merged or consolidated with us or a Restricted Subsidiary
or at the time the corporation or the business entity sells, leases or otherwise disposes of its property as an entirety or
substantially as an entirety to us or a Restricted Subsidiary or Mortgages on the assets of a Subsidiary that is newly
designated as a Restricted Subsidiary if the Mortgage would have been permitted under the provisions of this paragraph if
such Mortgage was created while the Subsidiary was a Restricted Subsidiary;

• Mortgages in favor of us or a Restricted Subsidiary;
• Mortgages for taxes, assessments or governmental charges or levies that are not delinquent or that are being contested in

good faith;

• Carriers’, warehousemen’s, materialmen’s, repairmen’s, mechanic’s, landlords’ and other similar Mortgages arising in

ordinary course of business that are not delinquent or remain payable without penalty or that are being contested in good
faith;

• Mortgages (other than any Mortgage imposed by ERISA) consisting of pledges or deposits required in the ordinary course of

business in connection with workers’ compensation, unemployment insurance and other social security legislation;

Exhibit 4(xx)

• Easements, rights-of-way, restrictions, encroachments, imperfections and other similar encumbrances affecting real property
that, in the aggregate, are not substantial in amount and do not in any case materially detract from the value of the Principal
Property subject thereto or materially interfere with the ordinary conduct of our and our Subsidiaries’ business, taken as a
whole;

• Mortgages arising by reason of deposits with, or the giving of any form of security to, any governmental agency or anybody
created or approved by law or governmental regulation, including any zoning or similar law or right reserved to or vested in
any governmental office or agency to control or regulate the use of any real property;

• Mortgages arising from filing Uniform Commercial Code financing statements relating solely to leases; and
• Mortgages to secure Indebtedness incurred to extend, renew, refinance or replace Indebtedness secured by any Mortgages

referred to above, provided that the principal amount of the extended, renewed, refinanced or replaced Indebtedness does not
exceed the principal amount of Indebtedness so extended, renewed, refinanced or replaced, plus transaction costs and fees,
and that any such Mortgage applies only to the same property or assets subject to the prior permitted Mortgage (and, in the
case of real property, improvements).

Limitations on Sale and Leaseback Transactions

The Indenture contains a covenant that we will not, and will not permit our Restricted Subsidiaries to, enter into any

arrangement with any person providing for the leasing by us or any Restricted Subsidiary of any Principal Property owned or
acquired thereafter that has been or is to be sold or transferred by us or such Restricted Subsidiary to such person with the intention
of taking back a lease of such Principal Property, a “sale and leaseback transaction,” without equally and ratably securing the notes
(and, if we shall so determine, any other Indebtedness ranking equally with the notes), unless:

• within 180 days after the receipt of the proceeds of the sale or transfer, we or any Restricted Subsidiary apply an amount

equal to the greater of the net proceeds of the sale or transfer or the fair value of such Principal Property at the time of such
sale or transfer to any (or a combination) of (1) the prepayment or retirement (other than any mandatory prepayment or
retirement) of our Senior Funded Debt or (2) the purchase, construction, development, expansion or improvement of other
comparable property, subject in each case to credits for voluntary retirements of Senior Funded Debt; or

• we or such Restricted Subsidiary would be entitled, at the effective date of the sale or transfer, to incur Indebtedness secured
by a Mortgage on such Principal Property, in an amount at least equal to the Attributable Debt in respect of the sale and
leaseback transaction, without equally and ratably securing the notes pursuant to “—Limitation on Liens” described above.

Exhibit 4(xx)

The foregoing restriction will not apply to:

•
•

•

•

any sale and leaseback transaction for a term of not more than three years including renewals;
any sale and leaseback transaction with respect to a Principal Property if a binding commitment with respect thereto is
entered into within three years after the later of (1) the date of the issuance of the notes under the Supplemental Indenture, or
(2) the date such Principal Property was acquired;
any sale and leaseback transaction with respect to a Principal Property if a binding commitment with respect thereto is
entered into within 180 days after the later of the date such property was acquired and, if applicable, the date such property
was first placed in operation; or
any sale and leaseback transaction between us and a Restricted Subsidiary or between Restricted Subsidiaries.

Exception to Limitations for Exempted Debt

Notwithstanding the limitations in the Indenture on liens and sale and leaseback transactions, we or our Restricted

Subsidiaries may, in addition to amounts permitted under such restrictions and without equally and ratably securing the notes, create
or assume and renew, extend or replace Mortgages, or enter into sale and leaseback transactions without any obligation to retire any
Senior Funded Debt of us or any Restricted Subsidiary, provided that at the time of such creation, assumption, renewal, extension or
replacement of a Mortgage or at the time of entering into such sale and leaseback transactions, and after giving effect thereto,
Exempted Debt does not exceed 15% of our Consolidated Net Tangible Assets.

Definitions

For purposes of the Indenture:

“Attributable Debt” in respect of a sale and leaseback transaction means, at the time of determination, the present value
(discounted at the imputed rate of interest of such transaction as determined in good faith by us) of the obligation of the lessee for net
rental payments during the remaining term of the lease included in such sale and leaseback transaction (including any period for
which such lease has been extended or may, at the option of the lessor, be extended). The term “net rental payments” under any lease
for any period means the sum of the rental and other payments required to be paid in such period by the lessee thereunder, not
including any amounts required to be paid by such lessee (whether or not designated as rental or additional rent) on account of
maintenance and repairs, insurance, taxes, assessments, water rates or similar charges required to be paid by such lessee thereunder
or any amount required to be paid by lessee thereunder contingent upon the amount of maintenance and repairs, insurance, taxes,
assessments, water rates or similar charges. In the case of any lease that is terminable by the lessee upon the payment of a penalty,
such net amount shall be the lesser of (x) the net amount determined assuming termination upon the first date such lease may be
terminated (in which case the net amount shall also include the amount of the penalty, but shall not include any rent that would be
required to be paid under such lease subsequent to the first date upon which it may

Exhibit 4(xx)

be so terminated) or (y) the net amount determined assuming no such termination.

“Consolidated Net Tangible Assets” means the total amounts of assets (less depreciation and valuation reserves and other

reserves and items deductible from gross book value of specific asset accounts under generally accepted accounting principles) that
under generally accepted accounting principles would be included on a consolidated balance sheet of us and our consolidated
Restricted Subsidiaries after deducting (1) all current liabilities, excluding current liabilities that could be classified as long-term debt
under generally accepted accounting principles and current liabilities that are by their terms extendable or renewable at the obligor’s
option to a time more than 12 months after the time as of which the amount of current liabilities is being computed; (2) investments
in Unrestricted Subsidiaries; and (3) all trade names, trademarks, licenses, patents, copyrights and goodwill, organizational and
development costs, deferred charges, other than prepaid items such as insurance, taxes, interest, commissions, rents and similar items
and tangible assets being amortized, and amortized debt discount and expense, less unamortized premium.

“Exempted Debt” means the sum of the following items outstanding as of the date Exempted Debt is being determined (1)

Indebtedness of us and our Restricted Subsidiaries secured by a Mortgage and not permitted to exist under the Indenture and (2)
Attributable Debt of us and our Restricted Subsidiaries in respect of all sale and leaseback transactions not permitted under the
Indenture.

“Funded Debt” means Indebtedness that matures more than one year from the date of creation, or that is extendable or
renewable at the sole option of the obligor so that it may become payable more than one year from such date. Funded Debt does not
include (1) obligations created pursuant to leases, (2) any Indebtedness or portion thereof maturing by its terms within one year from
the time of any computation of the amount of outstanding
Funded Debt unless such Indebtedness shall be extendable or renewable at the sole option of the obligor in such manner that it may
become payable more than one year from such time, or (3) any Indebtedness for the payment or redemption of which money in the
necessary amount shall have been deposited in trust either at or before the maturity date thereof.

“Indebtedness” means any and all of the obligations of a person for money borrowed that in accordance with generally
accepted accounting principles would be reflected on the balance sheet of such person as a liability as of the date of which the
Indebtedness is to be determined. For the avoidance of doubt, a change in generally accepted accounting principles subsequent to the
issue date of the notes shall not be deemed an incurrence of Indebtedness.

“Investment” means any investment in stock, evidences of Indebtedness, loans or advances, however made or acquired, but

does not include our account receivable or the accounts receivable of any Restricted Subsidiary arising from transactions in the
ordinary course of business, or any evidences of Indebtedness, loans or advance made in connection with the sale to any Subsidiary
of our accounts receivable or the accounts receivable of any Restricted Subsidiary arising from transactions in the ordinary course of
business.

Exhibit 4(xx)

“Mortgage” means any mortgage, security interest, pledge, lien or other encumbrance.

“Principal Property” means all real property and improvements thereon owned by us or a Restricted Subsidiary, including,

without limitation, any manufacturing, warehouse, distribution or research facility, and improvements therein, having a net book
value in excess of 2% of Consolidated Net Tangible Assets that is located within the United States, excluding its territories and
possessions and Puerto Rico. This term does not include any real
property and improvements thereon that our Board of Directors declares by resolution not to be of material importance to the total
business conducted by us and our Restricted Subsidiaries taken as a whole.

“Restricted Subsidiary” means a Subsidiary that owns a Principal Property.

“Senior Funded Debt” means all Funded Debt (except Funded Debt, the payment of which is subordinated to the payment of

the notes).

“Subsidiary” means a corporation, partnership or other legal entity of which, in the case of a corporation, more than 50% of

the outstanding voting stock is owned, directly or indirectly, by us or by one or more other Subsidiaries, or by us and one or more
other Subsidiaries or, in the case of any partnership or other legal entity, more than 50% of the ordinary capital interests is, at the
time, directly or indirectly owned or controlled by us or by one or more other Subsidiaries. For the purposes of this definition,
“voting stock” means the equity interest that ordinarily has voting power for the election of directors, managers or trustees of an
entity, or persons performing similar functions, whether at all times or only so long as no senior class of equity
interest has such voting power by reason of any contingency.

“Unrestricted Subsidiary” means any Subsidiary other than a Restricted Subsidiary.

Consolidation, Merger and Sale of Assets

We may consolidate or merge with or into any other corporation, and we may sell or transfer all or substantially all of our

assets to another corporation, provided, among other things, that (a) we are the surviving corporation or the corporation formed by or
resulting from any such
consolidation or merger or the transferee of such assets shall be a corporation organized and existing under the laws of the United
States, any state thereof or the District of Columbia and shall expressly assume by supplemental indenture payment of the principal
of, and premium, if any, and interest, if any, on the notes issued under the Indenture and the performance and observance of the
Indenture and (b) we or such successor corporation shall not immediately thereafter be in default under the Indenture.

Events of Default
The following events are defined in the Indenture as “Events of Default”:

•

default in the payment of any installment of interest on any series of notes for 30 days after becoming due;

Exhibit 4(xx)

•
•
•

•

default in the payment of principal or premium, if any, of any series of notes when due;
default in the deposit of any sinking fund payment, when due;
default in the performance of any other covenant for 90 days after notice, which must be sent by either the trustee or holders
of 25% of the principal amount of the notes of the affected series; and
certain events of bankruptcy, insolvency or reorganization.

If an Event of Default occurs and continues with respect to a series of notes, either the trustee or the holders of at least 25%
in principal amount of the outstanding notes of such series may declare the entire principal amount of all of such series to be due and
payable; provided that, in the case of an Event of Default involving certain events of bankruptcy, insolvency or reorganization, such
acceleration is automatic; and, provided further, that after such acceleration, but before a judgment or decree based on acceleration,
the holders of a majority in aggregate principal amount of the outstanding notes of that series may, subject to certain conditions,
rescind and annul such acceleration if all Events of Default, other than the nonpayment of accelerated principal, have been cured or
waived.

Exhibit 4(xx)

Description of Debt Securities:

0.250% Notes due 2024
0.750% Notes due 2029
1.000 % Notes due 2031
The Company has an effective a registration statement on Form S-3 (File No. 333-229539), which was filed with the
Securities and Exchange Commission on February 7, 2019 and covers the issuance of the Company’s 0.250% Notes due 2024 (the
“2024 notes”), the 0.750% Notes due 2029 (the “2029 notes”) and the 1.000% Notes due 2031 (the “2031 notes” and together with
the 2024 notes, the 2029 notes and the 2031 notes, the “notes”). The notes are governed by a base indenture dated January 15, 2010
between the Company and U.S. Bank National Association, as trustee, as supplemented by the applicable supplemental indenture
governing a particular series of notes (as so supplemented, the “Indenture”). This summary is subject to and qualified in its entirety
by reference to all of the provisions of the Indenture and the notes, including definitions of certain terms used in the Indenture and
the notes.

General

The notes were issued as separate series of debt securities under the Indenture. The notes are senior unsecured obligations of

ours and rank equally in right of payment with our other existing and future senior unsecured indebtedness. The notes are not secured
by any of our assets. Any future claims of our secured lenders with respect to assets securing their loans will be prior to any claim of
the holders of the notes with respect to those assets. Holders of secured debt that we have now or may issue in the future may
foreclose on the assets securing such debt, reducing the cash flow from the foreclosed property available for payment of unsecured
debt, including the notes. Holders of our secured debt also would have priority over unsecured creditors in the event of our
bankruptcy, liquidation or similar proceeding to the extent of the value of the collateral securing such debt. The notes are structurally
subordinated to all liabilities of our subsidiaries, including trade payables. Because we conduct many of our operations through our
subsidiaries, our right to participate in any distribution of the assets of a subsidiary when it winds up its business is subject to the
prior claims of the creditors of that subsidiary. This means that your right to payment as a holder of our notes is also subject to the
prior claims of these creditors if a subsidiary liquidates or reorganizes or otherwise winds up its business. If we are a creditor of any
of our subsidiaries, our right as a creditor would be subordinated to any security interest in the assets of those subsidiaries and any
indebtedness of our subsidiaries senior in right of payment to that held by us.

Exhibit 4(xx)

The Indenture does not limit the amount of notes, unsecured debentures or other evidences of indebtedness that we may issue

under the Indenture and provides that notes, unsecured debentures or other evidences of indebtedness may be issued from time to
time in one or more series. We may from time to time, without notice to or the consent of the holders of the notes, create and issue
additional notes of any series having the same ranking and terms and conditions as the notes of the same series, except for the issue
date, the public offering price and, in some cases, the first interest payment date. Any additional notes having such similar terms,
together with the notes offered of the same series, will constitute a single series of securities under the Indenture. If the additional
notes of a series, if any, are not fungible with the notes of that series offered for U.S. federal income tax purposes, the additional
notes have a separate CUSIP number.

We issued the notes in fully registered book-entry form without coupons and in denominations of €100,000 and integral

multiples of €1,000 thereafter.

Principal of and interest on the notes are payable, and the notes are transferable or exchangeable, at the office or offices or

agency maintained by us for these purposes. Payment of interest on the notes may be made at our option by check mailed to the
registered holders thereof.

The 2024 notes, the 2029 notes and the 2031 notes are listed on the New York Stock Exchange under the symbols

“SYK24A,” “SYK29” and “SYK31,” respectively. We have no obligation to maintain such listings, and we may delist any series of
the notes at any time.

Elavon Financial Services DAC is paying agent for the notes. U.S. Bank National Association will is registrar and transfer

agent for the notes. Upon notice to the trustee, we may change the paying agent, registrar or transfer agent.

Interest

The 2024 notes and 2031 notes bear interest from the date of issuance, payable annually on December 3 of each year,
beginning December 3, 2020, and the 2029 notes bear interest from the date of issuance, payable annually on March 1 of each year,
beginning March 1, 2021, to the persons in whose names such notes are registered at the close of business on the business day (for
this purpose, a day on which Clearstream and Euroclear are open for business) immediately preceding the relevant interest payment.
Interest on the notes is computed on the basis of the actual number of days in the period for which interest is being calculated and the
actual number of days from and including the last date on which interest was paid on the notes (or December 3, 2019, if no interest
has been paid on the applicable series of notes), to, but excluding, the next scheduled interest payment date. This payment
convention is referred to as Actual/Actual (ICMA) as defined in the rulebook of the International Capital Market Association.

Exhibit 4(xx)

If any interest payment date would otherwise be a day that is not a business day, such interest payment date will be postponed
to the next date that is a business day and no interest will accrue on the amounts payable from and after such interest payment date to
the next business day. If the maturity date of any series of notes falls on a day that is not a business day, the related payment of
principal, premium, if any, and interest will be made on the next business day as if it were made on the date such payment was due,
and no interest will accrue on the amounts so payable for the period from and after such date to the next business day.

Business Day

For purposes of the notes, a “business day” is any day that is not a Saturday, Sunday or other day on which banking
institutions in New York City, London or another place of payment on the notes are authorized or required by law to close and on
which the Trans-European Automated Real-Time Gross Settlement Express Transfer system (the TARGET2 system), or any
successor thereto, is open.

Issuance in euro

All payments of interest, premium, if any, and principal, including payments made upon any redemption or repurchase of the

notes, will be made in euro; provided that if the euro is unavailable to us due to the imposition of exchange controls or other
circumstances beyond our control or if the euro is no longer being used by the then member states of the European Monetary Union
that have adopted the euro as their currency or for the settlement of transactions by public institutions of or within the international
banking community, then all payments in respect of the notes will be made in U.S. dollars until the euro is again available to us or so
used. In such circumstances, the amount payable on any date in euro will be converted into U.S. dollars at the rate mandated by the
Board of Governors of the Federal Reserve System as of the close of business on the second business day prior to the relevant
payment date or, if the Board of Governors of the Federal Reserve System has not announced a rate of conversion, on the basis of the
most recent U.S. dollar/euro exchange rate published in The Wall Street Journal on or prior to the second business day prior to the
relevant payment date or, in the event The Wall Street Journal has not published such exchange rate, the rate will be determined in
our sole discretion on the basis of the most recently available market exchange rate for the euro. Any payment in respect of the notes
so made in U.S. dollars will not constitute an Event of Default (as defined in the Indenture). Neither the trustee nor the paying agent
shall have any responsibility for any calculation or conversion in connection with the foregoing.

Investors are subject to foreign exchange risks as to payments of principal, premium, if any, and interest that may have

important economic and tax consequences to them.

Exhibit 4(xx)

Optional Redemption

We may redeem the notes prior to November 3, 2024 in the case of the 2024 notes, December 1, 2028 in the case of the 2029
notes and September 3, 2031 in the case of the 2031 notes, in whole, at any time, or in part, from time to time, at our option, for cash,
at a redemption price equal to the greater of:

1) 100% of the principal amount of the applicable series of notes to be redeemed; or
2) an amount determined by the Quotation Agent (as defined below) equal to the sum of the present values of the remaining
scheduled payments of principal, premium, if any, and interest thereon (not including any portion of such payments of
interest accrued to the date of redemption) to November 3, 2024 with respect to the 2024 notes, December 1, 2028 with
respect to the 2029 notes and September 3, 2031 with respect to the 2031 notes, discounted to the date of redemption on an
annual basis (Actual/Actual (ICMA) at the Comparable Government Bond Rate (as defined below)), plus 15 basis points with
respect to the 2024 notes, 20 basis points with respect to the 2029 notes and 25 basis points with respect to the 2031 notes,

plus accrued and unpaid interest thereon to, but not including, the date of redemption.

On or after November 3, 2024 in the case of the 2024 notes, December 1, 2028 in the case of the 2029 notes and September

3, 2031 in the case of the 2031 notes, we may redeem the applicable series of notes, in whole, at any time, or in part, from time to
time, at our option, for cash, at a redemption price equal to 100% of the principal amount of such series of notes, plus accrued and
unpaid interest to, but not including, the redemption date.

The principal amount of any note remaining outstanding after a redemption in part shall be €100,000 or a higher integral

multiple of €1,000. Notwithstanding the foregoing, installments of interest on any series of notes that are due and payable on interest
payment dates falling on or prior to a redemption date will be payable on the interest payment date to the registered holders as of the
close of business on the relevant record date.

“Comparable Government Bond” means, in relation to any Comparable Government Bond Rate calculation, at the discretion
of an independent investment bank selected by us (the “Quotation Agent”), a German government bund whose maturity is closest to
the par call date, or if such Quotation Agent in its discretion determines that such similar bond is not in issue, such other German
government bund as such Quotation Agent may, with the advice of three brokers of, and/or market makers in, German government
bunds selected by us, determine to be appropriate for determining the Comparable Government Bond Rate.

Exhibit 4(xx)

“Comparable Government Bond Rate” means the price, expressed as a percentage (rounded to three decimal places, with
0.0005 being rounded upwards), at which the gross redemption yield on the notes to be redeemed, if they were to be purchased at
such price on the third business day prior to the date fixed for redemption, would be equal to the gross redemption yield on such
business day of the Comparable Government Bond on the basis of the middle market price of the Comparable Government Bond
prevailing at 11:00 A.M. (London time) on such business day as determined by the Quotation Agent selected by us.

Notice of any redemption will be sent (or, in the case of notes held in book-entry form, be transmitted electronically) at least

10 days but not more than 60 days before the redemption date to each registered holder of the applicable series of notes to be
redeemed. Unless we default in payment of the redemption price, on and after the redemption date, interest will cease to accrue on
the applicable series of notes or portions thereof called for redemption. If less than all of the applicable series of notes are to be
redeemed, the notes to be redeemed will be selected by the trustee in accordance with the standard procedures of the depositary. If
the notes to be redeemed are not global notes then held by Euroclear or Clearstream, the trustee will select the notes to be redeemed
on a pro rata basis. If the notes are listed on the NYSE or any other national securities exchange, the trustee will select notes in
compliance with the requirements of the NYSE or other principal national securities exchange on which the notes are listed.

Notwithstanding the foregoing, if less than all of a series of notes is to be redeemed, no notes of such series of a principal

amount of €100,000 or less shall be redeemed in part. If money sufficient to pay the redemption price on the series of notes (or
portions thereof) to be redeemed on the redemption date is deposited with the paying agent on or before the redemption date and
certain other conditions are satisfied, then on and after such redemption date, interest will cease to accrue on such series of notes (or
such portion thereof) called for redemption.

Special Mandatory Redemption

If we do not satisfy the minimum tender and other conditions in the Purchase Agreement and consummate the Wright Tender
Offer on or prior to February 4, 2021, or if, prior to such date, we notify the trustee in writing that the Purchase Agreement has been
terminated (each, a “Special Mandatory Redemption Event”), the provisions set forth below will be applicable (other than with
respect to the 2029 notes). The 2029 notes will not be subject to the special mandatory redemption and will remain outstanding
(unless otherwise redeemed) even if the Wright Tender Offer is not consummated on or prior to February 4, 2021. If a Special
Mandatory Redemption Event occurs, we will be required to redeem each series of notes (other than the 2029 notes) in the manner
set forth below in whole and not in part at a special mandatory redemption price (the “Special Mandatory Redemption Price”) equal
to 101% of the aggregate principal amount of such series, plus accrued and unpaid interest, if any, to, but excluding, the Special
Mandatory

Exhibit 4(xx)

Redemption Date (as defined below) (subject to the right of holders of record on the relevant record date to receive interest due on
any interest payment date that is on or prior to the Special Mandatory Redemption Date).

Upon the occurrence of a Special Mandatory Redemption Event, we will promptly (but in no event later than ten business
days following such Special Mandatory Redemption Event) notify the trustee in writing of such event (such notice to include the
officers’ certificate required by the Indenture), and the trustee shall, no later than five business days following receipt of such notice
from us, notify the holders of each series of notes (such date of notification to such holders, the “Redemption Notice Date”) that all
of the outstanding notes will be redeemed at the Special Mandatory Redemption Price on the third business day following the
Redemption Notice Date (such date, the “Special Mandatory Redemption Date”) automatically and without any further action by the
holders of the notes, in each case in accordance with the applicable provisions of the Indenture. At or prior to 12:00 p.m. (New York
City time) on the business day immediately preceding the Special Mandatory Redemption Date, we will deposit with the trustee
funds sufficient to pay the Special Mandatory Redemption Price for the notes. If such deposit is made as provided above, the notes
will cease to bear interest on and after the Special Mandatory Redemption Date.

If we fail to pay the Special Mandatory Redemption Price, it will be an event of default with respect to each series of notes

(other than the 2029 notes) under the Indenture.

Optional Redemption for Tax Reasons

The notes of any series may be redeemed at our option in whole, but not in part, on not less than 10 nor more than 60 days’
prior notice, at 100% of the principal amount of such series together with accrued and unpaid interest, if any, to, but excluding, the
redemption date if, as a result of any change in, or amendment to, the laws, regulations or rulings of the United States (or any
political subdivision or taxing authority thereof or therein having power to tax), or any change in official position regarding
application or interpretation of those laws, regulations or rulings (including a holding by a court of competent jurisdiction), which
change, amendment, application or interpretation is announced or becomes effective on or after the original issue date with respect to
the notes, we become or, based upon a written opinion of independent counsel selected by us, will become obligated to pay
additional amounts as described below in “— Payment of Additional Amounts.”

Payment of Additional Amounts

All payments of principal, interest, and premium, if any, in respect of the notes are will be made free and clear of, and

without withholding or deduction for, any present or future taxes, assessments, duties or governmental charges of whatever nature
imposed, levied or collected by

Exhibit 4(xx)

the United States (or any political subdivision or taxing authority thereof or therein having power to tax), unless such withholding or
deduction is required by law or the official interpretation or administration thereof.

We will, subject to the exceptions and limitations set forth below, pay as additional interest in respect of the notes such
additional amounts as are necessary in order that the net payment by us of the principal of, premium, if any, and interest in respect of
the notes to a holder who is not a United States person (as defined below), after withholding or deduction for any present or future
tax, assessment, duties or other governmental charge imposed by the United States (or any political subdivision or taxing authority
thereof or therein having power to tax), will not be less than the amount provided in the notes to be then due and payable; provided,
however, that the foregoing obligation to pay additional amounts shall not apply:

1) to the extent any tax, assessment or other governmental charge would not have been imposed but for the holder (or the

beneficial owner for whose benefit such holder holds such note), or a fiduciary, settlor, beneficiary, member or shareholder of
the holder if the holder is an estate, trust, partnership or corporation, or a person holding a power over an estate or trust
administered by a fiduciary holder, being considered as:
a)    being or having been engaged in a trade or business in the United States or having or having had a permanent

establishment in the United States;

b)    having a current or former connection with the United States (other than a connection arising solely as a result of the
ownership of the notes, the receipt of any payment in respect of the notes or the enforcement of any rights hereunder),
including being or having been a citizen or resident of the United States;

c)    being or having been a personal holding company, a passive foreign investment company or a controlled foreign
corporation for U.S. federal income tax purposes, a foreign tax-exempt organization, or a corporation that has
accumulated earnings to avoid U.S. federal income tax;

d)    being or having been a “10-percent shareholder” of the Company as defined in section 871(h)(3) of the United States

Internal Revenue Code of 1986, as amended (the “Code”) or any successor provision; or

e)    being a bank receiving payments on an extension of credit made pursuant to a loan agreement entered into in the ordinary

course of its trade or business, as described in section 881(c)(3)(A) of the Code or any successor provision;

2) to any holder that is not the sole beneficial owner of the notes, or a portion of the notes, or that is a fiduciary, partnership,

limited liability company or other fiscally transparent entity, but only to the extent that a beneficial owner with respect to the
holder, a beneficiary or settlor with respect to the fiduciary, or a beneficial owner or member of the partnership, limited
liability company or other fiscally transparent entity would not have

Exhibit 4(xx)

been entitled to the payment of an additional amount had the beneficiary, settlor, beneficial owner or member received
directly its beneficial or distributive share of the payment;

3) to the extent any tax, assessment or other governmental charge that would not have been imposed but for the failure of the

holder or any other person to comply with certification, identification or information reporting requirements concerning the
nationality, residence, identity or connection with the United States of the holder or beneficial owner of the notes, if
compliance is required by statute, by regulation of the United States or any taxing authority therein or by an applicable
income tax treaty to which the United States is a party as a precondition to exemption from such tax, assessment or other
governmental charge;

4) to any tax, assessment or other governmental charge that is imposed otherwise than by withholding by us or a paying agent

from the payment;

5) to any tax, assessment or other governmental charge required to be withheld by any paying agent from any payment of
principal of or interest on any notes, if such payment can be made without such withholding by any other paying agent;
6) to any estate, inheritance, gift, sales, transfer, wealth, capital gains or personal property tax or similar tax, assessment or other

governmental charge, or excise tax imposed on the transfer of notes;

7) to the extent any tax, assessment or other governmental charge would not have been imposed but for the presentation by the
holder of any note, where presentation is required, for payment on a date more than 30 days after the date on which payment
became due and payable or the date on which payment thereof is duly provided for, whichever occurs later except to the
extent that the beneficiary or holder thereof would have been entitled to the payment of additional amounts had such note
been presented for payment on any day during such 30-day period;

8) to any tax, assessment or other governmental charge imposed under sections 1471 through 1474 of the Code (or any amended
or successor provisions), any current or future regulations or official interpretations thereof, any agreement entered into
pursuant to section 1471(b) of the Code or any fiscal or regulatory legislation, rules or practices adopted pursuant to any
intergovernmental agreement entered into in connection with the implementation of such sections of the Code, whether
currently in effect or as published and amended from time to time;

9) to any tax, assessment or other governmental charge that is imposed or withheld solely by reason of a change in law,

regulation, or administrative or judicial interpretation that becomes effective more than 15 days after the payment becomes
due or is duly provided for, whichever occurs later; or

10) in the case of any combination of the above numbered items.

Exhibit 4(xx)

The notes are subject in all cases to any tax, fiscal or other law or regulation or administrative or judicial interpretation
applicable to the notes. Except as specifically provided under this heading “—Payment of Additional Amounts,” we are not required
to make any payment for any tax, assessment or other governmental charge imposed by any government or a political subdivision or
taxing authority of or in any government or political subdivision.

As used under this heading “—Payment of Additional Amounts” and under the heading “—Optional Redemption for Tax

Reasons,” the term “United States” means the United States of America, its territories and possessions, the states of the United States
and the District of Columbia, and the term “United States person” means (i) any individual who is a citizen or resident of the United
States for U.S. federal income tax purposes, (ii) a corporation, partnership or other entity created or organized in or under the laws of
the United States, any state of the United States or the District of Columbia (other than a partnership that is not treated as a United
States person for United States federal income tax purposes), (iii) any estate the income of which is subject to U.S. federal income
taxation regardless of its source, or (iv) any trust if a United States court can exercise primary supervision over the administration of
the trust and one or more United States persons can control all substantial trust decisions, or if a valid election is in place to treat the
trust as a United States person.

Repurchase at the Option of Holders Upon Change of Control Repurchase Event

If a Change of Control Repurchase Event (as defined below) occurs in respect of a series of notes, unless we have exercised

our right to redeem the notes of such series as described above under “—Optional Redemption or “Optional Redemption for Tax
Reasons” or have been required to redeem the notes as described under “—Special Mandatory Redemption” we will be required to
make an offer (a “Change of Control Offer”) to each holder of such series of notes to repurchase all or any part (in minimum
denominations of €100,000 and integral multiples of €1,000 original principal amount above that amount) of that holder’s notes at a
repurchase price in cash equal to 101% of the aggregate principal amount of notes repurchased plus any accrued and unpaid interest
on the notes repurchased to, but not including, the date of such repurchase. Within 30 days following any Change of Control
Repurchase Event or, at our option, prior to any Change of Control (as defined below), but after the public announcement of an
impending Change of Control, we will mail a notice to each holder, with a copy to the trustee, describing the transaction or
transactions that constitute or may constitute the Change of Control Repurchase Event and offering to repurchase notes on the
payment date specified in the notice, which date will be no earlier than 30 days and no later than 60 days from the date such notice is
mailed. The notice will, if mailed prior to the date of consummation of the Change of Control, state that the offer to purchase is
conditioned on the Change of Control Repurchase Event occurring on or prior to the payment date specified in the notice.

Exhibit 4(xx)

We will comply with the requirements of Rule 14e-1 under the Securities Exchange Act of 1934, as amended, or the
Exchange Act, and any other securities laws and regulations thereunder, to the extent those laws and regulations are applicable in
connection with the repurchase of the notes as a result of a Change of Control Repurchase Event. To the extent that the provisions of
any securities laws or regulations conflict with the Change of Control Repurchase Event provisions of the notes, we will comply
with the applicable securities laws and regulations and will not be deemed to have breached our obligations under the Change of
Control Repurchase Event provisions of the notes by virtue of such conflict.

On the Change of Control Repurchase Event payment date, we will, to the extent lawful:
•    accept for payment all notes or portions of notes (in minimum denominations of €100,000 and integral multiples of €1,000

original principal amount above that amount) properly tendered pursuant to our offer;

•    deposit with the paying agent an amount equal to the aggregate purchase price in respect of all notes or portions of notes

properly tendered; and

•    deliver or cause to be delivered to the trustee for cancellation the notes properly accepted, together with an officers’

certificate stating the aggregate principal amount of notes being repurchased by us.

The paying agent will promptly mail to each holder of notes properly tendered the purchase price for the notes, and the

trustee will promptly authenticate and mail (or cause to be transferred by book-entry) to each holder a new note equal in principal
amount to any unpurchased portion of any notes surrendered; provided, that each new note will be in minimum denominations of
€100,000 and integral multiples of €1,000 original principal amount above that amount.

We will not be required to make a Change of Control Offer upon a Change of Control Repurchase Event if (i) a third party
makes such an offer in the manner, at the times and otherwise in compliance with the requirements for a Change of Control Offer
made by us and such third party purchases all notes properly tendered and not withdrawn under its offer or (ii) we have previously or
concurrently mailed a redemption notice with respect to all of the outstanding notes as described under “Optional Redemption”
above.

If holders of not less than 90% in aggregate principal amount of the outstanding notes of any series validly tender and do not
withdraw such notes in a Change of Control Offer and we, or any third party making such an offer in lieu of us as described above,
purchases all of the notes of such series validly tendered and not withdrawn by such holders, we or such third party will have the
right, upon not less than 10 days nor more than 60 days’ prior notice, provided that such notice is given not more than 30 days
following such repurchase pursuant to the Change of

Exhibit 4(xx)

Control Offer described above, to redeem all notes of such series that remain outstanding following such purchase on a date
specified in such notice (the “Second Change of Control Payment Date”) and at a price in cash equal to 101% of the aggregate
principal amount of notes of such series repurchased plus any accrued and unpaid interest on the notes repurchased to, but not
including, the Second Change of Control Payment Date.

We have no present intention to engage in a transaction involving a Change of Control, although it is possible that we would

decide to do so in the future. We could, in the future, enter into certain transactions, including acquisitions, refinancings or other
recapitalizations, that would not constitute a Change of Control but that could increase the amount of debt outstanding at such time
or otherwise affect our capital structure or credit ratings.

Definitions

“Below Investment Grade Rating Event” means the notes of such series are rated below Investment Grade by each of the

Rating Agencies on any date during the period commencing upon the first public notice of the occurrence of a Change of Control or
our intention to effect a Change of Control and ending 60 days following public notice of the occurrence of the related Change of
Control (which period shall be extended so long as the rating of the notes of such series is under publicly announced consideration
for possible downgrade by any of the Rating Agencies, provided that no such extension shall occur if on such 60th day the notes of
such series are rated Investment Grade by at least one of such Rating Agency and are not subject to review for possible downgrade
by such Rating Agency); provided further that a Below Investment Grade Rating Event otherwise arising by virtue of a particular
reduction in rating shall not be deemed to have occurred in respect of a particular Change of Control (and thus shall not be deemed a
Below Investment Grade Rating Event for purposes of the definition of Change of Control Repurchase Event hereunder) if the
Rating Agencies making the reduction in rating to which this definition would otherwise apply do not announce or publicly confirm
or inform the trustee in writing at its request that the reduction was the result, in whole or in part, of any event or circumstance
comprised of or arising as a result of, or in respect of, the applicable Change of Control (whether or not the applicable Change of
Control shall have occurred at the time of the Below Investment Grade Rating Event).

“Change of Control” means the occurrence of any of the following:

1) the direct or indirect sale, transfer, conveyance or other disposition (other than by way of merger or consolidation), in one or
a series of related transactions, of all or substantially all of our assets and those of our subsidiaries taken as a whole to any
“person” (as that term is used in Section 13(d)(3) of the Exchange Act), other than us or one of our subsidiaries;

2) the adoption of a plan relating to our liquidation or dissolution;

Exhibit 4(xx)

3) the first day on which a majority of the members of our Board of Directors are not Continuing Directors; or
4) the consummation of any transaction (including, without limitation, any merger or consolidation) the result of which is that

any “person” (as that term is used in Section 13(d)(3) of the Exchange Act), other than us or one or more of our subsidiaries,
becomes the beneficial owner (as defined in Rule 13d-3 of the Exchange Act), directly or indirectly, of more than 50% of the
then outstanding number of shares of our Voting Stock.

Notwithstanding the foregoing, a transaction will not be considered to be a Change of Control if (a) we become a direct or

indirect wholly-owned subsidiary of a holding company and (b)(i) immediately following that transaction, the direct or indirect
holders of the Voting Stock of the holding company are substantially the same as the holders of our Voting Stock immediately prior
to that transaction or (ii) immediately following that transaction, no person is the beneficial owner, directly or indirectly, of more
than 50% of the Voting Stock of such holding company.

“Change of Control Repurchase Event” means the occurrence of both a Change of Control and a Below Investment Grade

Rating Event.

“Continuing Directors” means, as of any date of determination, any member of our Board of Directors who (1) was a member

of such Board of Directors on the date of the issuance of the notes; or (2) was nominated for election, elected or appointed to such
Board of Directors with the approval of a majority of the Continuing Directors who were members of such Board of Directors at the
time of such nomination, election or appointment (either by a specific vote or by approval of our proxy statement in which such
member was named as a nominee for election as a director).

“Investment Grade” means a rating of Baa3 or better by Moody’s (or its equivalent under any successor rating categories of
Moody’s) and a rating of BBB- or better by S&P (or its equivalent under any successor rating categories of S&P) or the equivalent
investment grade credit rating from any additional Rating Agency or Rating Agencies selected by us.

“Moody’s” means Moody’s Investors Service Inc., a subsidiary of Moody’s Corporation, and its successors.

“Rating Agency” means (1) each of Moody’s and S&P; and (2) if any of Moody’s or S&P ceases to rate the notes or fails to

make a rating of the notes publicly available for reasons outside of our control, a “nationally recognized statistical rating
organization” within the

Exhibit 4(xx)

meaning of Section 3(a) (62) under the Exchange Act, selected by us as a replacement agency for Moody’s or S&P, or both of them,
as the case may be.

“S&P” means S&P Global Ratings Inc., a division of S&P Global Inc. and its successors.

“Voting Stock” of any specified person as of any date means the capital stock of such person that is at the time entitled to

vote generally in the election of the board of directors of such person.

The definition of “Change of Control” includes a phrase relating to the direct or indirect sale, transfer, conveyance or other

disposition of “all or substantially all” of our assets and those of our subsidiaries, taken as a whole. Although there is a limited body
of case law interpreting the phrase “substantially all,” there is no precise established definition of the phrase under applicable law.
Accordingly, the ability of a holder of notes to require us to repurchase the notes as a result of a sale, transfer, conveyance or other
disposition of less than all of our assets and the assets of our subsidiaries, taken as a whole, to another person or group may be
uncertain.

Certain Covenants

Limitation on Liens

The Indenture contains a covenant that we will not, and we will not permit any of our Restricted Subsidiaries to, issue,

assume or guarantee any Indebtedness secured by any Mortgage upon any of our Principal Properties or those of any of our
Restricted Subsidiaries without equally and ratably securing the notes (and, if we so determine, any other Indebtedness ranking
equally with the notes) with such Indebtedness.

•

This covenant will not prevent us or any of our Restricted Subsidiaries from issuing, assuming or guaranteeing:
any purchase money mortgage on such Principal Property prior to, simultaneously with or within 180 days after the later of
(1) the acquisition or completion of construction or completion of substantial reconstruction, renovation, remodeling,
expansion or improvement (each, a “substantial improvement”) of such Principal Property or (2) the placing in operation of
such property after the acquisition or completion of any such construction or substantial improvement;

• Mortgages on a Principal Property existing at the time of acquisition, including acquisition through merger or consolidation;
• Mortgages existing on the date of the initial issuance of the notes, Mortgages on assets of a corporation or other business

entity existing on the date it becomes a Restricted Subsidiary or is merged or consolidated with us or a Restricted Subsidiary
or at the time

Exhibit 4(xx)

the corporation or other business entity sells, leases or otherwise disposes of its property as an entirety or substantially as an
entirety to us or a Restricted Subsidiary or Mortgages on the assets of a Subsidiary that is newly designated as a Restricted
Subsidiary if the Mortgage would have been permitted under the provisions of this paragraph if such Mortgage was created
while the Subsidiary was a Restricted Subsidiary;
• Mortgages in favor of us or a Restricted Subsidiary;
• Mortgages for taxes, assessments or governmental charges or levies that are not delinquent or that are being contested in

good faith;

• Carriers’, warehousemen’s, materialmen’s, repairmen’s, mechanic’s, landlords’ and other similar Mortgages arising in

ordinary course of business that are not delinquent or remain payable without penalty or that are being contested in good
faith;

• Mortgages (other than any Mortgage imposed by ERISA) consisting of pledges or deposits required in the ordinary course of

business in connection with workers’ compensation, unemployment insurance and other social security legislation;

• Easements, rights-of-way, restrictions, encroachments, imperfections and other similar encumbrances affecting real property
that, in the aggregate, are not substantial in amount and do not in any case materially detract from the value of the Principal
Property subject thereto or materially interfere with the ordinary conduct of our and our Subsidiaries’ business, taken as a
whole;

• Mortgages arising by reason of deposits with, or the giving of any form of security to, any governmental agency or anybody
created or approved by law or governmental regulation, including any zoning or similar law or right reserved to or vested in
any governmental office or agency to control or regulate the use of any real property;

• Mortgages arising from filing Uniform Commercial Code financing statements relating solely to leases; and
• Mortgages to secure Indebtedness incurred to extend, renew, refinance or replace Indebtedness secured by any Mortgages

referred to above, provided that the principal amount of the extended, renewed, refinanced or replaced Indebtedness does not
exceed the principal amount of Indebtedness so extended, renewed, refinanced or replaced, plus transaction costs and fees,
and that any such Mortgage applies only to the same property or assets subject to the prior permitted Mortgage (and, in the
case of real property, improvements).

Limitations on Sale and Leaseback Transactions

The Indenture contains a covenant that we will not, and will not permit our Restricted Subsidiaries to, enter into any

arrangement with any person providing for the leasing by us or any Restricted Subsidiary of any Principal Property owned or
acquired thereafter that has been or is to be sold or transferred by us or such Restricted Subsidiary to such person with the intention
of taking back a lease of such Principal Property, a “sale and leaseback transaction,” without

Exhibit 4(xx)

equally and ratably securing the notes (and, if we shall so determine, any other Indebtedness ranking equally with the notes), unless:
• within 180 days after the receipt of the proceeds of the sale or transfer, we or any Restricted Subsidiary apply an amount

equal to the greater of the net proceeds of the sale or transfer or the fair value of such Principal Property at the time of such
sale or transfer to any (or a combination) of (1) the prepayment or retirement (other than any mandatory prepayment or
retirement) of our Senior Funded Debt or (2) the purchase, construction, development, expansion or improvement of other
comparable property, subject in each case to credits for voluntary retirements of Senior Funded Debt; or

• we or such Restricted Subsidiary would be entitled, at the effective date of the sale or transfer, to incur Indebtedness secured
by a Mortgage on such Principal Property, in an amount at least equal to the Attributable Debt in respect of the sale and
leaseback transaction, without equally and ratably securing the notes pursuant to “—Limitation on Liens” described above.

The foregoing restriction will not apply to:
any sale and leaseback transaction for a term of not more than three years including renewals;
any sale and leaseback transaction with respect to a Principal Property if a binding commitment with respect thereto is
entered into within three years after the later of (1) the date of the issuance of the notes under the Supplemental Indenture, or
(2) the date such Principal Property was acquired;
any sale and leaseback transaction with respect to a Principal Property if a binding commitment with respect thereto is
entered into within 180 days after the later of the date such property was acquired and, if applicable, the date such property
was first placed in operation; or
any sale and leaseback transaction between us and a Restricted Subsidiary or between Restricted Subsidiaries.

•
•

•

•

Exception to Limitations for Exempted Debt

Notwithstanding the limitations in the Indenture on liens and sale and leaseback transactions, we or our Restricted

Subsidiaries may, in addition to amounts permitted under such restrictions and without equally and ratably securing the notes, create
or assume and renew, extend or replace Mortgages, or enter into sale and leaseback transactions without any obligation to retire any
Senior Funded Debt of us or any Restricted Subsidiary, provided that at the time of such creation, assumption, renewal, extension or
replacement of a Mortgage or at the time of entering into such sale and leaseback transactions, and after giving effect thereto,
Exempted Debt does not exceed 15% of our Consolidated Net Tangible Assets.

Exhibit 4(xx)

Definitions

For purposes of the Indenture:

“Attributable Debt” in respect of a sale and leaseback transaction means, at the time of determination, the present value
(discounted at the imputed rate of interest of such transaction as determined in good faith by us) of the obligation of the lessee for net
rental payments during the remaining term of the lease included in such sale and leaseback transaction (including any period for
which such lease has been extended or may, at the option of the lessor, be extended). The term “net rental payments” under any lease
for any period means the sum of the rental and other payments required to be paid in such period by the lessee thereunder, not
including any amounts required to be paid by such lessee (whether or not designated as rental or additional rent) on account of
maintenance and repairs, insurance, taxes, assessments, water rates or similar charges required to be paid by such lessee thereunder
or any amount required to be paid by lessee thereunder contingent upon the amount of maintenance and repairs, insurance, taxes,
assessments, water rates or similar charges. In the case of any lease that is terminable by the lessee upon the payment of a penalty,
such net amount shall be the lesser of (x) the net amount determined assuming termination upon the first date such lease may be
terminated (in which case the net amount shall also include the amount of the penalty, but shall not include any rent that would be
required to be paid under such lease subsequent to the first date upon which it may be so terminated) or (y) the net amount
determined assuming no such termination.

“Consolidated Net Tangible Assets” means the total amounts of assets (less depreciation and valuation reserves and other

reserves and items deductible from gross book value of specific asset accounts under generally accepted accounting principles) that
under generally accepted accounting principles would be included on a consolidated balance sheet of us and our consolidated
Restricted Subsidiaries after deducting (1) all current liabilities, excluding current liabilities that could be classified as long-term debt
under generally accepted accounting principles and current liabilities that are by their terms extendable or renewable at the obligor’s
option to a time more than 12 months after the time as of which the amount of current liabilities is being computed; (2) investments
in Unrestricted Subsidiaries; and (3) all trade names, trademarks, licenses, patents, copyrights and goodwill, organizational and
development costs, deferred charges, other than prepaid items such as insurance, taxes, interest, commissions, rents and similar items
and tangible assets being amortized, and amortized debt discount and expense, less unamortized premium.

“Exempted Debt” means the sum of the following items outstanding as of the date Exempted Debt is being determined (1)

Indebtedness of us and our Restricted Subsidiaries secured by a Mortgage and not permitted to exist under the Indenture and (2)
Attributable Debt

Exhibit 4(xx)

of us and our Restricted Subsidiaries in respect of all sale and leaseback transactions not permitted under the Indenture.

“Funded Debt” means Indebtedness that matures more than one year from the date of creation, or that is extendable or
renewable at the sole option of the obligor so that it may become payable more than one year from such date. Funded Debt does not
include (1) obligations created pursuant to leases, (2) any Indebtedness or portion thereof maturing by its terms within one year from
the time of any computation of the amount of outstanding Funded Debt unless such Indebtedness shall be extendable or renewable at
the sole option of the obligor in such manner that it may become payable more than one year from such time, or (3) any Indebtedness
for the payment or redemption of which money in the necessary amount shall have been deposited in trust either at or before the
maturity date thereof.

“Indebtedness” means any and all of the obligations of a person for money borrowed that in accordance with generally
accepted accounting principles would be reflected on the balance sheet of such person as a liability as of the date of which the
Indebtedness is to be determined. Notwithstanding the foregoing, a change in generally accepted accounting principles subsequent to
November 30, 2018 shall not be deemed an incurrence of Indebtedness.

“Investment” means any investment in stock, evidences of Indebtedness, loans or advances, however made or acquired, but

does not include our account receivable or the accounts receivable of any Restricted Subsidiary arising from transactions in the
ordinary course of business, or any evidences of Indebtedness, loans or advance made in connection with the sale to any Subsidiary
of our accounts receivable or the accounts receivable of any Restricted Subsidiary arising from transactions in the ordinary course of
business.

“Mortgage” means any mortgage, security interest, pledge, lien or other encumbrance.

“Principal Property” means all real property and improvements thereon owned by us or a Restricted Subsidiary, including,

without limitation, any manufacturing, warehouse, distribution or research facility, and improvements therein, having a net book
value in excess of 2% of Consolidated Net Tangible Assets that is located within the United States, excluding its territories and
possessions and Puerto Rico. This term does not include any real property and improvements thereon that our Board of Directors
declares by resolution not to be of material importance to the total business conducted by us and our Restricted Subsidiaries taken as
a whole.

“Restricted Subsidiary” means a Subsidiary that owns a Principal Property.

Exhibit 4(xx)

“Senior Funded Debt” means all Funded Debt (except Funded Debt, the payment of which is subordinated to the payment of

the notes).

“Subsidiary” means a corporation, partnership or other legal entity of which, in the case of a corporation, more than 50% of

the outstanding voting stock is owned, directly or indirectly, by us or by one or more other Subsidiaries, or by us and one or more
other Subsidiaries or, in the case of any partnership or other legal entity, more than 50% of the ordinary capital interests is, at the
time, directly or indirectly owned or controlled by us or by one or more other Subsidiaries. For the purposes of this definition,
“voting stock” means the equity interest that ordinarily has voting power for the election of directors, managers or trustees of an
entity, or persons performing similar functions, whether at all times or only so long as no senior class of equity interest has such
voting power by reason of any contingency.

“Unrestricted Subsidiary” means any Subsidiary other than a Restricted Subsidiary.

Consolidation, Merger and Sale of Assets

We may consolidate or merge with or into any other corporation, and we may sell or transfer all or substantially all of our

assets to another corporation, provided, among other things, that (a) we are the surviving corporation or the corporation formed by or
resulting from any such
consolidation or merger or the transferee of such assets shall be a corporation organized and existing under the laws of the United
States, any state thereof or the District of Columbia and shall expressly assume by supplemental indenture payment of the principal
of, and premium, if any, and interest, if any, on the notes issued under the Indenture and the performance and observance of the
Indenture and (b) we or such successor corporation shall not immediately thereafter be in default under the Indenture.

Events of Default
The following events are defined in the Indenture as “Events of Default”:

•
•
•
•

•

default in the payment of any installment of interest on any series of notes for 30 days after becoming due;
default in the payment of principal or premium, if any, of any series of notes when due;
default in the deposit of any sinking fund payment, when due;
default in the performance of any other covenant for 90 days after notice, which must be sent by either the trustee or holders
of 25% of the principal amount of the notes of the affected series; and
certain events of bankruptcy, insolvency or reorganization.

If an Event of Default occurs and continues with respect to a series of notes, either the trustee or the holders of at least 25% in

principal amount of the outstanding notes of such series may declare the entire principal amount of all the notes of such series to be
due and payable; provided that, in the case of an Event of Default involving certain events of bankruptcy,

insolvency or reorganization, such acceleration is automatic; and, provided further, that after such acceleration, but before a
judgment or decree based on acceleration, the holders of a majority in aggregate principal amount of the outstanding notes of that
series may, subject to certain conditions, rescind and annul such acceleration if all Events of Default, other than the nonpayment of
accelerated principal, have been cured or waived.

Exhibit 4(xx)

Exhibit 10(i)

Kevin A. Lobo
Chairman and CEO
2825 Airview Boulevard
Kalamazoo MI 49002 USA
P 269 389 7353
www.stryker.com

Personal and confidential

February 3, 2021        

First Name Last Name

Dear First Name:

I am pleased to inform you that you are one of a select group of individuals receiving a stock option award in 2021. We use these
awards to reward performers who we believe will be key contributors to our growth well into the future. The total Award Date Value
(ADV) of your awards is approximately USD $xx,xxx.

We are awarding you a nonstatutory stock option for xxx shares of Stryker Corporation Common Stock at a price of USD $xxx.xx per
share. Except as otherwise provided in the Terms and Conditions, you may exercise this option at 20% per year beginning on
February 3, 2022, and it will expire on February 2, 2031.

You must “Accept” the award online via the UBS One Source web site located at www.ubs.com/onesource/SYK between
March 2 and March 31, 2021. The detailed terms of the option are in the Terms and Conditions, any applicable country addendum
and the provisions of the Company's 2011 Long-Term Incentive Plan. Those documents, together with the related Prospectus, are
available on the UBS One Source web site, and you should read them before accepting the award. In addition, you may be asked to
sign the most recent version of Stryker’s Confidentiality, Intellectual Property, Non-Competition and Non-Solicitation Agreement
(“Non-Compete Agreement”) in connection with this award. If you are asked to sign the Non-Compete Agreement, it will be emailed
to you and you will be asked to sign the document electronically via Adobe Sign by March 31, 2021. The exercisability of the options
is conditioned on you having signed the Non-Compete Agreement by March 31, 2021, where permitted by applicable law.

You can find additional educational materials on the UBS One Source web site in the Resources section, including Stock Option
brochures and Stock Option Tax Questions & Answers.

We are committed to growing talent and want our people to experience rewarding careers at Stryker. Your strong contributions
helped us deliver market leading results during a challenging year and I look forward to our continued business growth and success.

Sincerely,

Kevin A. Lobo
Chairman and CEO

        
Exhibit 10(i)

    STRYKER CORPORATION    

TERMS AND CONDITIONS
RELATING TO NONSTATUTORY STOCK OPTIONS GRANTED
PURSUANT TO THE 2011 LONG-TERM INCENTIVE PLAN, AS AMENDED AND RESTATED

1.    The Options to purchase Shares of Stryker Corporation (the “Company”) granted to you during 2021 are subject to these
Terms and Conditions Relating to Nonstatutory Stock Options Granted Pursuant to the 2011 Long-Term Incentive Plan, as Amended
and Restated (the “Terms and Conditions”) and all of the terms and conditions of the Stryker Corporation 2011 Long-Term Incentive
Plan, as Amended and Restated (the “2011 Plan”), which is incorporated herein by reference. In the case of a conflict between these
Terms and Conditions and the terms of the 2011 Plan, the provisions of the 2011 Plan will govern. Capitalized terms used but not
defined  herein  have  the  meaning  provided  therefor  in  the  2011  Plan.  For  purposes  of  these  Terms  and  Conditions,  “Employer”
means  the  Company  or  any  Subsidiary  that  employs  you  on  the  applicable  date,  and  "Stock  Plan  Administrator"  means  UBS
Financial  Services  Inc.  (or  any  other  independent  service  provider  engaged  by  the  Company  to  assist  with  the  implementation,
operation and administration of the 2011 Plan).

2.        Upon  the  termination  of  your  employment  with  your  Employer,  your  right  to  exercise  the  Options  shall  be  only  as

follows:

(a)    If your employment is terminated by reason of Disability (as such term is defined in the 2011 Plan) or death,
you, your legal representative or your estate shall have the right, for a period of one (1) year following such termination, to exercise
the Options with respect to all or any part of the Shares subject thereto, regardless of whether the right to purchase such Shares had
vested on or before the date of your termination by Disability or death.

(b)    If your employment is terminated by reason of Retirement (as such term is defined in the 2011 Plan) prior to the
date that your Options become fully vested, you will continue to vest in your Options in accordance with the vesting schedule as set
forth  in  the  award  letter  as  if  you  had  continued  your  employment  with  your  Employer.  You  (or  your  estate  in  the  event  of  your
death after your termination by Retirement) shall have the right, at any time on or prior to the 10th anniversary of the grant date, to
exercise the vested portion of the Options.

(c)    If you cease to be an Employee for any reason other than those provided in (a) or (b) above, you or your estate
(in the event of your death after such termination) may, within the 30-day period following such termination, exercise the Options
with respect to only such number of Shares as to which the right of exercise had vested on or before the Termination Date. If you are
a resident of or employed in the United States, “Termination Date” shall mean the effective date of termination of your employment
with your Employer. If you are resident or employed outside of the United States, “Termination Date” shall mean the earliest of (i)
the date on which notice of termination is provided to you, (ii) the last day of your active service with your Employer, or (iii) the last
day on which you are an Employee  of your Employer,  as determined  in each case without including  any required  advance  notice
period and irrespective of the status of the termination under local labor or employment laws.

(d)        Notwithstanding  the  foregoing,  the  Options  shall  not  be  exercisable  in  whole  or  in  part  (i)  after  the  10th
anniversary of the grant date or (ii) except as provided in Section 3(c) hereof or in the event of termination of employment because
of Disability, Retirement or death, unless you shall have continued in the employ of the Company or one of its Subsidiaries for one
(1) year following the date of grant of the Options.

Exhibit 10(i)

(e)        Notwithstanding  the  foregoing,  if  you  are  eligible  for  Retirement  but  cease  to  be  an  Employee  for  any  other
reason before you retire, the right to exercise the Options shall be determined as if your employment ceased by reason of Retirement.

(f)    If you are both an Employee and a Director, the provisions of this Section 2 shall not apply until such time as

you are neither an Employee nor a Director.

3.    The number of Shares subject to the Options and the price to be paid therefor shall be subject to adjustment and the term

and exercise dates hereof may be accelerated as follows:

(a)    In the event that the Shares, as presently constituted, shall be changed into or exchanged for a different number
or kind of shares of stock or other securities of the Company or of another corporation (whether by reason of merger, consolidation,
recapitalization,  reclassification,  split-up,  combination  of  shares,  or  otherwise)  or  if  the  number  of  such  Shares  shall  be  increased
through the payment  of a stock dividend  or a dividend  on the Shares of rights or warrants  to purchase  securities  of the Company
shall be made, then there shall be substituted for or added to each Share theretofore subject to the Options the number and kind of
shares  of  stock  or  other  securities  into  which  each  outstanding  Share  shall  be  so  changed,  or  for  which  each  such  Share  shall  be
exchanged,  or  to  which  each  such  Share  shall  be  entitled.  The  Options  shall  also  be  appropriately  amended  as  to  price  and  other
terms as may be necessary to reflect the foregoing events. In the event there shall be any other change in the number or kind of the
outstanding  Shares,  or  of  any  stock  or  other  securities  into  which  such  Common  Stock  shall  have  been  exchanged,  then  if  the
Committee shall, in its sole discretion, determine that such change equitably requires an adjustment in the Options, such adjustment
shall be made in accordance with such determination.

(b)        Fractional  Shares  resulting  from  any  adjustment  in  the  Options  may  be  settled  in  cash  or  otherwise  as  the
Committee shall determine, in its sole discretion. Notice of any adjustment will be given to you and such adjustment (whether or not
such notice is given) shall be effective and binding for all purposes hereof.

(c)        The  Committee  shall  have  the  power  to  amend  the  Options  to  permit  the  exercise  of  the  Options  (and  to
terminate any unexercised Options) prior to the effectiveness of (i) any disposition of substantially all of the assets of the Company
or  your  Employer,  (ii)  the  shutdown,  discontinuance  of  operations  or  dissolution  of  the  Company  or  your  Employer,  or  (iii)  the
merger or consolidation of the Company or your Employer with or into any other unrelated corporation.

4.        To  exercise  the  Options,  you  must  complete  the  on-line  exercise  procedures  as  established  through  the  Stock  Plan
Administrator at www.ubs.com/onesource/SYK or by telephone at +1 860 727 1515 (or such other direct dial-in number that may be
established from time to time). As part of such procedures, you shall be required to specify the number of Shares that you elect to
purchase and the date on which such purchase is to be made, and you shall be required to make full payment of the Exercise Price.
An Option shall not be deemed to have been exercised (i.e., the exercise date shall not be deemed to have occurred) until the notice
of such exercise and payment in full of the Exercise Price are provided. The exercise date will be defined by the New York Stock
Exchange (“NYSE”) trading hours. If an exercise is completed after the market close or on a weekend, the exercise will be dated the
next following trading day.

The Exercise Price may be paid in such manner as the Committee may specify from time to time in its sole discretion and as
established through Stock Plan Administrator, including (but not limited to) the following methods: (i) by a net exercise arrangement
pursuant to which the Company will reduce the number of Shares issued upon exercise by the largest whole number of Shares with
an aggregate Fair Market Value

Exhibit 10(i)

on  the  date  of  purchase  sufficient  to  cover  the  aggregate  Exercise  Price;  (ii)  by  a  broker-assisted  cashless  exercise  transaction
pursuant to which the Stock Plan Administrator loans funds to you to enable you to pay the aggregate Exercise Price and purchase
Shares,  and  then  sells  a  sufficient  [whole]  number  of  the  purchased  Shares  on  your  behalf  to  enable  you  to  repay  the  aggregate
Exercise Price (with the remaining Shares and/or cash then delivered by Stock Plan Administrator to you) or (iii) cash payment. In
cases where you utilize the net exercise arrangement and the Fair Market Value of the number of whole Shares withheld or sold, as
applicable, is greater than the aggregate Exercise Price, the Company shall make a cash payment to you equal to the difference as
soon as administratively practicable.

5.    If you are resident and/or employed outside of the United States, you agree, as a condition of the grant of the Options, to
repatriate all payments attributable to the Shares and/or cash acquired under the 2011 Plan (including, but not limited to, dividends
and any proceeds derived from the sale of the Shares acquired pursuant to the Options) if required by and in accordance with local
foreign exchange rules and regulations in your country of residence (and country of employment, if different). In addition, you also
agree to take any and all actions, and consent to any and all actions taken by the Company and its Subsidiaries, as may be required to
allow the Company and its Subsidiaries to comply with local laws, rules and regulations in your country of residence (and country of
employment, if different). Finally, you agree to take any and all actions as may be required to comply with your personal legal and
tax obligations under local laws, rules and regulations in your country of residence (and country of employment, if different).

6.    If you are resident or employed in a country that is a member of the European Union, the grant of the Options and these
Terms  and  Conditions  are  intended  to  comply  with  the  age  discrimination  provisions  of  the  EU  Equal  Treatment  Framework
Directive,  as  implemented  into  local  law  (the  “Age  Discrimination  Rules”).  To  the  extent  that  a  court  or  tribunal  of  competent
jurisdiction determines that any provision of these Terms and Conditions is invalid or unenforceable, in whole or in part, under the
Age Discrimination Rules, the Company, in its sole discretion, shall have the power and authority to revise or strike such provision
to the minimum extent necessary to make it valid and enforceable to the full extent permitted under local law.

7.    Regardless of any action the Company and/or your Employer take with respect to any or all income tax (including U.S.
federal,  state  and  local  taxes  and/or  non-U.S.  taxes),  social  insurance,  payroll  tax,  payment  on  account  or  other  tax-related
withholding (“Tax-Related Items”), you acknowledge that the ultimate liability for all Tax-Related Items legally due by you is and
remains  your  responsibility  and  that  the  Company  and  your  Employer  (i)  make  no  representations  or  undertakings  regarding  the
treatment of any Tax-Related Items in connection with any aspect of the Options, including the grant of the Options, the vesting of
the Options, the exercise of the Options, the subsequent sale of any Shares acquired pursuant to the Options and the receipt of any
dividends and (ii) do not commit to structure the terms of the grant or any aspect of the Options to reduce or eliminate your liability
for Tax-Related Items. Further, if you become subject to taxation in more than one country between the grant date and the date of
any relevant taxable or tax withholding event, as applicable, you acknowledge that the Employer (or former employer, as applicable)
may be required to withhold or account for Tax-Related Items in more than one country.

Prior  to  the  delivery  of  Shares  upon  exercise  of  your  Options,  if  your  country  of  residence  (and/or  your  country  of
employment,  if  different)  requires  withholding  of  Tax-Related  Items,  the  Company  may  withhold  a  number  of  whole  Shares
otherwise  issuable  upon  exercise  of  the  Options  that  have  an aggregate  Fair  Market  Value  that  the  Company,  taking  into  account
local requirements and administrative issues, determines in its sole discretion is appropriate to cover withholding for Tax-Related
Items with respect to the Shares. The cash equivalent of the Shares withheld will be used to settle the obligation to withhold the Tax-
Related Items. In cases where the Fair Market Value of the number of whole Shares withheld at the time of exercise is greater than
the amount required to be paid to the relevant government authorities with respect to

Exhibit 10(i)

withholding  for  Tax-Related  Items,  the  Company  shall  make  a  cash  payment  to  you  equal  to  the  difference  as  soon  as
administratively  practicable.  In  the  event  that  withholding  in  Shares  is  prohibited  or  problematic  under  applicable  law  or  causes
adverse  consequences  to  the  Company  or  your  Employer,  your  Employer  may  withhold  the  Tax-Related  Items  required  to  be
withheld with respect to the Shares (i) from the proceeds of the sale of Shares acquired upon exercise of the Options either through a
voluntary sale or through a mandatory sale arranged by the Company (on your behalf pursuant to this authorization without further
consent),  or  (ii)  in  cash  from  your  regular  salary  and/or  wages  or  other  amounts  payable  to  you.  In  the  event  the  withholding
requirements are not satisfied through the withholding of Shares or through your regular salary and/or wages or any other amounts
payable  to  you  by  your  Employer,  no  Shares  will  be  issued  to  you  (or  your  estate)  upon  exercise  of  the  Options  unless  and  until
satisfactory arrangements (as determined by the Board of Directors) have been made by you with respect to the payment of any Tax-
Related Items that the Company or your Employer determines, in its sole discretion, should be withheld or collected with respect to
such Options. By accepting these Options, you expressly consent to the withholding of Shares and/or withholding from your regular
salary and/or wages or other amounts payable to you as provided for hereunder. All other Tax-Related Items related to the Options
and any Shares delivered in payment thereof are your sole responsibility.

8.    The Options are intended to be exempt from the requirements of Code Section 409A. The 2011 Plan and these Terms
and Conditions shall be administered and interpreted in a manner consistent with this intent. If the Company determines that these
Terms and Conditions are subject to Code Section 409A and that it has failed to comply with the requirements of that Section, the
Company  may,  at  the  Company’s  sole  discretion  and  without  your  consent,  amend  these  Terms  and  Conditions  to  cause  them  to
comply with Code Section 409A or be exempt from Code Section 409A.

9.    If you were required to sign the “Stryker Confidentiality, Intellectual Property, Non-Competition and Non-Solicitation
Agreement” or a similar agreement in order to receive the Options or have previously signed such an agreement and you breach any
non-competition,  non-solicitation  or  non-disclosure  provision  or  provision  as  to  ownership  of  inventions  contained  therein  at  any
time  while  employed  by  the  Company  or  a  Subsidiary  or  during  the  one-year  period  following  termination  of  employment,  any
unexercised  portion  of  the  Options  shall  be  rescinded  and  you  shall  return  to  the  Company  all  Shares  that  were  acquired  upon
exercise of the Options that you have not disposed of and the Company shall repay you an amount for each such Share equal to the
lesser of the Exercise Price or the Fair Market Value of a Share at such time. Further, you shall pay to the Company an amount equal
to the profit realized by you (if any) on all Shares that were acquired upon exercise of the Options that you have disposed of. For
purposes of the preceding sentence, the profit shall be the positive difference between the Fair Market Value of the Shares at the time
of disposition and the Exercise Price.

10.    The Options shall be transferable only by will or the laws of descent and distribution and shall be exercisable during
your  lifetime  only  by  you.  If  you  purport  to  make  any  transfer  of  the  Options,  except  as  aforesaid,  the  Options  and  all  rights
thereunder shall terminate immediately.

11.    The Options shall not be exercisable in whole or in part, and the Company shall not be obligated to issue any Shares
subject to the Options, if such exercise and sale would, in the opinion of counsel for the Company, violate the Securities Act of 1933
or any other U.S. federal, state or non-U.S. statute having similar requirements as it may be in effect at the time. The Options are
subject  to  the  further  requirement  that,  if  at  any  time  the  Board  of  Directors  shall  determine  in  its  discretion  that  the  listing  or
qualification  of  the  Shares subject to  the  Options  under  any  securities exchange  requirements  or  under  any  applicable  law,  or  the
consent  or  approval  of  any  governmental  regulatory  body,  is  necessary  or  desirable  as  a  condition  of  or  in  connection  with  the
issuance of Shares pursuant to the Options, the Options may not be exercised in whole or in part unless such listing, qualification,
consent or approval shall have been effected or obtained free of any conditions not acceptable to the Board of Directors.

Exhibit 10(i)

12.    The grant of the Options shall not confer upon you any right to continue in the employ of your Employer nor limit in
any  way  the  right  of  your  Employer  to  terminate  your  employment  at  any  time.  You  shall  have  no  rights  as  a  shareholder  of  the
Company with respect to any Shares issuable upon the exercise of the Options until the date of issuance of such Shares.

13.    You acknowledge and agree that the 2011 Plan is discretionary in nature and may be amended, cancelled, or terminated
by the Company, in its sole discretion, at any time. The grant of the Options under the 2011 Plan is a one-time benefit and does not
create any contractual or other right to receive a grant of Options or any other award under the 2011 Plan or other benefits in lieu
thereof in the future. Future grants, if any, will be at the sole discretion of the Company, including, but not limited to, the form and
timing  of  any  grant,  the  number  of  Shares  subject  to  the  grant,  the  vesting  provisions  and  the  exercise  price.  Any  amendment,
modification  or  termination  of  the  2011  Plan  shall  not  constitute  a  change  or  impairment  of  the  terms  and  conditions  of  your
employment with your Employer.

14.    Your participation in the 2011 Plan is voluntary. The value of the Options and any other awards granted under the 2011
Plan is an extraordinary item of compensation outside the scope of your employment (and your employment contract, if any). Any
grant  under  the  2011  Plan,  including  the  grant  of  the  Options,  is  not  part  of  normal  or  expected  compensation  for  purposes  of
calculating any severance, resignation,  redundancy, end of service payments, bonuses, long-service awards, pension, or retirement
benefits or similar payments.

15.    These Terms and Conditions shall bind and inure to the benefit of the Company, its successors and assigns and you and

your estate in the event of your death.

16.    The Options are Nonstatutory Stock Options and shall not be treated as Incentive Stock Options.

17.    The Company is located at 2825 Airview Boulevard Kalamazoo, Michigan 49002, U.S.A. and grants Options under the
2011  Plan  to  employees  of  the  Company  and  Subsidiaries  in  its  sole  discretion.  In  conjunction  with  the  Company’s  grant  of  the
Options under the 2011 Plan and its ongoing administration of such awards, the Company is providing the following information
about its data collection, processing and transfer practices (“Personal Data Activities”). In accepting the grant of the Options, you
expressly and explicitly consent to the Personal Data Activities as described herein.

The  Company  collects,  processes  and  uses  your  personal  data,  including  your  name,  home  address,  email  address,  and
telephone number, date of birth, social insurance number or other identification number, salary, citizenship, job title, any Shares or
directorships held in the Company, and details of all Options or any other equity compensation awards granted, canceled, exercised,
vested, or outstanding  in your favor, which the Company  receives from you or your Employer.  In granting  the Options under the
Plan, the Company will collect your personal data for purposes of allocating Shares and implementing, administering and managing
the 2011 Plan. The Company’s legal basis for the collection, processing and usage of your personal data is your consent.

(a)     The Company  transfers your  personal data to the Stock  Plan Administrator. In the future,  the Company may
select a different Stock Plan Administrator and share your personal data with another company that serves in a similar manner. The
Stock Plan Administrator will open an account for you, if an account is not already in place, to receive and trade Shares acquired
under the 2011 Plan. You will be asked to agree on separate terms and data processing practices with the Stock Plan Administrator,
which is a condition to your ability to participate in the 2011 Plan.

Exhibit 10(i)

(b)        The  Company  and  the  Stock  Plan  Administrator  are  based  in  the  United  States.  You  should  note  that  your
country of residence may have enacted data privacy laws that are different from the United States. The Company’s legal basis for the
transfer of your personal data to the United States is your consent.

(c)    Your participation in the 2011 Plan and your grant of consent is purely voluntary. You may deny or withdraw
your consent at any time. If you do not consent, or if you withdraw your consent, you may be unable to participate in the 2011 Plan.
This would not affect your existing employment or salary; instead, you merely may forfeit the opportunities associated with the 2011
Plan.

    You may have a number of rights under the data privacy laws in your country of residence. For example, your rights may include
the  right  to  (i)  request  access  or  copies  of  personal  data  the  Company  processes,  (ii)  request  rectification  of  incorrect  data,  (iii)
request  deletion  of  data,  (iv)  place  restrictions  on  processing,  (v)  lodge  complaints  with  competent  authorities  in  your  country  or
residence,  and/or  (vi)  request  a  list  with  the  names  and  addresses  of  any  potential  recipients  of  your  personal  data.  To  receive
clarification regarding your rights or to exercise your rights, you should contact your local HR manager or the Company’s Human
Resources Department.

18.    The grant of the Options is not intended to be a public offering of securities in your country of residence (and country
of employment, if different). The Company has not submitted any registration statement, prospectus or other filing(s) with the local
securities  authorities  (unless  otherwise  required  under  local  law).  No  employee  of  the  Company  is  permitted  to  advise  you  on
whether you should purchase Shares under the 2011 Plan or provide you with any legal, tax or financial advice with respect
to the grant of your Options. Investment in Shares involves a degree of risk. Before deciding to purchase Shares pursuant to
the Options, you should carefully consider all risk factors and tax considerations relevant to the acquisition of Shares under
the 2011 Plan or the disposition of them. Further, you should carefully review all of the materials related to the Options and
the 2011 Plan, and you should consult with your personal legal, tax and financial advisors for professional advice in relation
to your personal circumstances.

19.        All  questions  concerning  the  construction,  validity  and  interpretation  of  the  Options  and  the  2011  Plan  shall  be
governed  and  construed  according  to  the  laws  of  the  state  of  Michigan,  without  regard  to  the  application  of  the  conflicts  of  laws
provisions thereof. Any disputes regarding the Options or the 2011 Plan shall be brought only in the state or federal courts of the
state of Michigan.

20.        The  Company  may,  in  its  sole  discretion,  decide  to  deliver  any  documents  related  to  the  Options  or  other  awards
granted to you under the 2011 Plan by electronic means. You hereby consent to receive such documents by electronic delivery and
agree to participate in the 2011 Plan through an on-line or electronic system established and maintained by the Company or a third
party designated by the Company.

21.    The invalidity or unenforceability of any provision of the 2011 Plan or these Terms and Conditions shall not affect the

validity or enforceability of any other provision of the 2011 Plan or these Terms and Conditions.

22.        If  you  are  resident  outside  of  the  United  States,  you  acknowledge  and  agree  that  it  is  your  express  intent  that  these
Terms  and  Conditions,  the  2011  Plan  and  all  other  documents,  notices  and  legal  proceedings  entered  into,  given  or  instituted
pursuant  to  the  Options  be  drawn  up  in  English.  If  you  have  received  these  Terms  and  Conditions,  the  2011  Plan  or  any  other
documents related to the Options translated

Exhibit 10(i)

into a language other than English and the meaning of the translated version is different than the English version, the English version
will control.

23.    You acknowledge that, depending on your or your broker's country of residence or where the Shares are listed, you may
be subject to insider trading restrictions and/or market abuse laws which may affect your ability to accept, acquire, sell or otherwise
dispose of Shares, rights to Shares (e.g., Options) or rights linked to the value of Shares during such times you are considered to have
“inside information” regarding the Company as defined in the laws or regulations in your country of employment (and country of
residence, if different).  Local insider trading laws and regulations may prohibit the cancellation or amendment of orders you placed
before  you  possessed  inside  information.    Furthermore,  you  could  be  prohibited  from  (i)  disclosing  the  inside  information  to  any
third party (other than on a “need to know” basis) and (ii) “tipping” third parties or causing them otherwise to buy or sell securities. 
Third parties include fellow employees.  Any restrictions under these laws or regulations are separate from and in addition to any
restrictions  that  may  be  imposed  under  any  applicable  Company  insider  trading  policy.    You  acknowledge  that  it  is  your
responsibility to comply with any restrictions and are advised to speak to your personal advisor on this matter.

24.        Notwithstanding  any  provisions  of  these  Terms  and  Conditions  to  the  contrary,  the  Options  shall  be  subject  to  any
special  terms  and  conditions  for  your  country  of  residence  (and  country  of  employment,  if  different)  set  forth  in  an  addendum  to
these  Terms  and  Conditions  (an  “Addendum”).  Further,  if  you  transfer  your  residence  and/or  employment  to  another  country
reflected in an Addendum to these Terms and Conditions at the time of transfer, the special terms and conditions for such country
will  apply  to  you  to  the  extent  the  Company  determines,  in  its  sole  discretion,  that  the  application  of  such  special  terms  and
conditions  is  necessary  or  advisable  in  order  to  comply  with  local  law,  rules  and  regulations,  or  to  facilitate  the  operation  and
administration of the award and the 2011 Plan (or the Company may establish alternative terms and conditions as may be necessary
or advisable to accommodate your transfer). In all circumstances, any applicable Addendum shall constitute part of these Terms and
Conditions.

25.        The  Company  reserves  the  right  to  impose  other  requirements  on  the  Options,  any  Shares  acquired  pursuant  to  the
Options  and  your  participation  in  the  2011  Plan  to  the  extent  the  Company  determines,  in  its  sole  discretion,  that  such  other
requirements are necessary or advisable in order to comply with local law, rules and regulations, or to facilitate the operation and
administration  of  the award  and  the  2011  Plan. Such  requirements  may  include  (but  are not  limited  to)  requiring  you to  sign any
agreements or undertakings that may be necessary to accomplish the foregoing.

26.    This Section 26 applies only to those persons whom the Company’s Recoupment Policy applies (the corporate
officers elected by the Company’s Board of Directors other than Assistant Controllers,  Assistant Secretaries  and Assistant
Treasurers). Notwithstanding any other provision of these Terms and Conditions to the contrary, you acknowledge and agree that
your Options, any Shares acquired pursuant thereto and/or any amount received with respect to any sale of such Shares are subject to
potential cancellation, recoupment, rescission, payback or other action in accordance with the terms of the Company’s Recoupment
Policy as in effect on the date of grant (a copy of which has been furnished to you) and as the Recoupment Policy may be amended
from time to time in order to comply with changes in laws, rules or regulations that are applicable to such Options and Shares. You
agree  and  consent  to  the  Company’s  application,  implementation  and  enforcement  of  (a)  the  Recoupment  Policy  and  (b)  any
provision of applicable law relating to cancellation, recoupment, rescission or payback of compensation and expressly agree that the
Company  may  take  such  actions  as  are  necessary  to  effectuate  the  Recoupment  Policy  (as  applicable  to  you)  or  applicable  law
without further consent or action being required by you. For purposes of the foregoing, you expressly and explicitly authorize the
Company to issue instructions, on your behalf, to any brokerage firm and/or third party administrator engaged by the Company to
hold your Shares and other

amounts acquired under the Plan to re-convey, transfer or otherwise return such Shares and/or other amounts to the Company. In the
case of a conflict between these Terms and Conditions and the Recoupment Policy, the terms of the Recoupment Policy shall prevail.

27.        By  accepting  the  grant  of  Options, you  acknowledge  that  you  have  read  these  Terms  and  Conditions,  the
Addendum  to  these  Terms  and  Conditions  (as  applicable)  and  the  2011  Plan  and  specifically  accept  and  agree  to  the
provisions therein.

*****************************

Exhibit 10(i)

STRYKER CORPORATION

ADDENDUM TO
TERMS AND CONDITIONS
RELATING TO NONSTATUTORY STOCK OPTIONS GRANTED
PURSUANT TO THE 2011 PLAN, AS AMENDED AND RESTATED

Exhibit 10(i)

In addition to the terms of the 2011 Plan and the Terms and Conditions, the Options are subject to the following additional terms and
conditions (the “Addendum”). All capitalized terms as contained in this Addendum shall have the same meaning as set forth in the
2011 Plan and the Terms and Conditions. Pursuant to Section 24 of the Terms and Conditions, if you transfer your residence and/or
employment to another country reflected in an Addendum at the time of transfer, the special terms and conditions for such country
will apply to you to the extent the Company determines, in its sole discretion, that the application of such terms and conditions is
necessary or advisable in order to comply with local law, rules and regulations, or to facilitate the operation and administration of the
award  and  the  2011  Plan  (or  the  Company  may  establish  alternative  terms  and  conditions  as  may  be  necessary  or  advisable  to
accommodate your transfer).

Data  Privacy  Information:  European  Union  (“EU”)  /  European  Economic  Area  (“EEA”)  /  Switzerland  and  the  United
Kingdom*

*The  below  information  is  for  data  privacy  purposes  only  and  you  should  determine  whether  any  other  special  terms  and
conditions apply to your awards in these jurisdictions.

1.    Data Privacy. If you reside and/or you are employed in the EU / EEA, Switzerland or the United Kingdom the following

provision replaces Section 17 of the Terms and Conditions:

The Company is located at 2825 Airview Boulevard Kalamazoo, Michigan 49002, U.S.A. and grants Options under the 2011 Plan to
employees  of  the  Company  and  its  Subsidiaries  in  its  sole  discretion.  You  should  review  the  following  information  about  the
Company’s data processing practices.

(a)    Data Collection, Processing and Usage. Pursuant to applicable data protection laws, you are hereby notified that
the  Company  collects,  processes  and  uses  certain  personally-identifiable  information  about  you  for  the  legitimate  interest  of
implementing,  administering and  managing  the  2011  Plan  and  generally  administering  equity  awards;  specifically, including  your
name,  home  address,  email  address  and  telephone  number,  date  of  birth,  social  insurance  number  or  other  identification  number,
salary, citizenship, job title, any Shares or directorships held in the Company, and details of all options or any other awards granted,
canceled, exercised, vested, or outstanding in your favor, which the Company receives from you or your Employer. In granting the
Options  under  the  2011  Plan,  the  Company  will  collect  your  personal  data  for  purposes  of  allocating  Shares  and  implementing,
administering  and  managing  the  2011  Plan.  The  Company’s  collection,  processing,  use  and  transfer  of  your  personal  data  is
necessary for the performance of the Company’s contractual obligations under the Plan and pursuant to the Company’s legitimate
interest  of  managing  and  generally  administering  employee  equity  awards.  Your  refusal  to  provide  personal  data  would  make  it
impossible  for the Company  to perform  its contractual  obligations  and may affect  your  ability  to participate  in the  2011 Plan.  As
such,  by  participating  in  the  2011  Plan,  you  voluntarily  acknowledge  the  collection,  processing  and  use  of  your  personal  data  as
described herein.

(b)        Stock  Plan  Administration  Service  Provider.  The  Company  transfers  participant  data  to  the  Stock  Plan
Administrator.  In  the  future,  the  Company  may  select  a  different  Stock  Plan  Administrator  and  share  your  data  with  another
company that serves in a similar manner. The Stock Plan Administrator will open an account for you, if an account is not already in
place, to receive and trade Shares acquired under the

Exhibit 10(i)

2011 Plan. You will be asked to agree on separate terms and data processing practices with the Stock Plan Administrator, which is a
condition to your ability to participate in the 2011 Plan.

(c)    International Data Transfers. The Company and the Stock Plan Administrator are based in the United States. The
Company can only meet its contractual obligations to you if your personal data is transferred to the United States. The Company’s
legal basis for the transfer of your personal data to the United States is to satisfy its contractual obligations to you and/or its use of
the standard data protection clauses adopted by the EU Commission.

(d)    Data Retention. The Company will use your personal data only as long as is necessary to implement, administer
and manage your participation in the 2011 Plan or as required to comply with legal or regulatory obligations, including under tax and
security laws. When the Company no longer needs your personal data, the Company will remove it from its systems. If the Company
keeps your data longer, it would be to satisfy legal or regulatory obligations and the Company’s legal basis would be for compliance
with relevant laws or regulations.

(e)    Data Subject Rights. You may have a number of rights under data privacy laws in your country of residence. For
example,  your  rights  may  include  the  right  to  (i)  request  access  or  copies  of  personal  data  the  Company  processes,  (ii)  request
rectification of incorrect data, (iii) request deletion of data, (iv) place restrictions on processing, (v) lodge complaints with competent
authorities  in  your  country  of  residence,  and/or  (vi)  request  a  list  with  the  names  and  addresses  of  any  potential  recipients  of  the
Participant’s personal data. To receive clarification regarding your rights or to exercise your rights, you should contact your local HR
manager or the Company’s Human Resources Department.

ARGENTINA

No country specific provisions.

AUSTRALIA

1.    Options Conditioned on Satisfaction of Regulatory Obligations. If you are (a) a director of a Subsidiary incorporated in
Australia, or (b) a person who is a management-level executive of a Subsidiary incorporated in Australia and who also is a director
of  a  Subsidiary  incorporated  outside  of  the  Australia,  the  grant  of  the  Options  is  conditioned  upon  satisfaction  of  the  shareholder
approval provisions of section 200B of the Corporations Act 2001 (Cth) in Australia.

The Australian Offer Document can be accessed at [UBS INSERT LINK HERE]

AUSTRIA

No country specific provisions.

BELGIUM

Name: ___________________________ Number of Shares: _____________________

Date of Grant: ___________________________ Exercise Price: _____________________

1.    Acceptance of Options. For the Options to be subject to taxation at the time of grant, you must affirmatively accept the
Options  in  writing  within  60  days  of  the  date  of  grant  specified  above  by  signing  below  and  returning  this  original  executed
Addendum to:

Exhibit 10(i)

Stock Plan Administration Department
2825 Airview Blvd.
Kalamazoo, Michigan 49002 (U.S.A)

I hereby accept the ________ (number) Options granted to me by the Company on the date of grant. I also acknowledge that I have
been encouraged to discuss the acceptance of the Options and the applicable tax treatment with a financial and/or tax advisor, and
that my decision to accept the Options is made with full knowledge of the applicable consequences.

Employee Signature:        _______________________________

Employee Printed Name:    _______________________________

Date of Acceptance:        _______________________________

If you fail to affirmatively accept the Options in writing within 60 days of the date of grant, the Options will not be subject to
taxation at the time of grant but instead will be subject to taxation on the date you exercise the Options (or such other treatment as
may apply under Belgian tax law at the time of exercise).

2.    Payment of Exercise Price Limited to Cash Payment. Notwithstanding anything to the contrary in Section 4 of the Terms
and Conditions, you shall be permitted to pay the Exercise Price only by means of a cash payment (the net exercise method and the
cashless exercise method shall not be permitted).

3.    Undertaking for Qualifying Options. If you are accepting the Options in writing within 60 days of the date of grant and
wish to have the Options subject to a lower valuation for Belgium tax purposes pursuant to the article 43, §6 of the Belgian law of 26
March 1999, you may agree and undertake to (a) not exercise the Options before the end of the third calendar year following the
calendar year in which the date of grant falls, and (b) not transfer the Options under any circumstances (except on rights your heir
might have in the Options upon your death). If you wish to make this undertaking,  you must sign below and return this executed
Addendum to the address listed above.

Employee Signature:        _______________________________

Employee Printed Name:    _______________________________

BRAZIL

1.     Labor Law Acknowledgment. By accepting the Options, you acknowledge and agree, for all legal purposes, that (a) the
benefits  provided  under  the  Terms  and  Conditions  and  the  2011  Plan  are  the  result  of  commercial  transactions  unrelated  to  your
employment; (b) the Terms and Conditions and the 2011 Plan are not a part of the terms and conditions of your employment; and (c)
the income from the Options, if any, is not part of your remuneration from employment.

2.    Compliance with Law. By accepting the Options, you acknowledge and agree to comply with applicable Brazilian laws
and to pay any and all applicable taxes associated with the exercise of the Options, the issuance and/or sale of Shares acquired under
the 2011 Plan and the receipt of any dividends.

Exhibit 10(i)

CANADA

1.    No Exercise by Using Previously Owned Shares. Notwithstanding anything in Section 4 of the Terms and Conditions to

the contrary, if you are resident in Canada, you shall not be permitted to use previously-owned Shares for exercising the Options.

2.    Termination of Employment. The following supplements Section 2(c) of the Terms and Conditions as well as any other

section required to give effect to the same:

In the event of your termination of employment for any reason (other than by reason of death, Disability or Retirement), either by
you  or by  the  Employer,  with  or  without  cause,  your  rights  to  vest  or to  continue  to vest  in  the  Options  and  receive  Shares  upon
exercise under the 2011 Plan, if any, will terminate as of the actual Termination Date. For this purpose, the “Termination Date” shall
mean  the  last  day  on  which  you  are  actively  employed  by  the  Employer,  and  shall  not  include  or  be  extended  by  any  period
following  such  day  during  which  you  are  in  receipt  of  or  eligible  to  receive  any  notice  of  termination,  pay  in  lieu  of  notice  of
termination, severance pay or any other payments or damages, whether arising under statute, contract or at common law.

Notwithstanding the foregoing,  if  applicable employment  standards legislation  explicitly requires  continued  entitlement to  vesting
during a statutory notice period, your right to vest in the Options under the 2011 Plan, if any, will terminate effective as of the last
day of your minimum statutory notice period, but you will not earn or be entitled to pro-rated vesting if the vesting date falls after the
end of your statutory notice period, nor will you be entitled to any compensation for lost vesting.

3.    Use of English Language. If you are a resident of Quebec, by accepting the Options, you acknowledge and agree that it is
your  express  wish  that  the  Terms  and  Conditions,  this  Addendum,  as  well  as  all  other  documents,  notices  and  legal  proceedings
entered into, given or instituted pursuant to your Option, either directly or indirectly, be drawn up in English.

Langue anglaise. En acceptant l'allocation de votre Options, vous reconnaissez et acceptez avoir souhaité que le Termes et
Conditions,  le  présent  avenant,  ainsi  que  tous  autres  documents  exécutés,  avis  donnés  et  procédures  judiciaires  intentées,
relatifs, directement ou indirectement, à l'allocation de votre Option, soient rédigés en anglais.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM. PLEASE SIGN AND RETURN THIS ADDENDUM
VIA EMAIL NO LATER THAN APRIL 30, 2021 TO STOCKPLANADMINISTRATION@STRYKER.COM.

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

COLOMBIA

1.    Nature of Grant. In addition to the provisions of Section 14 of the Terms and Conditions you acknowledge that, pursuant
to Article 128 of the Colombian Labor Code, the 2011 Plan and related benefits do not constitute a component of your “salary” for
any legal purpose. Therefore, they will not be included and/or considered for purposes of calculating any and all labor benefits, such
as legal/fringe benefits, vacations, indemnities, payroll taxes, social insurance contributions and/or any other labor-related amount
which may be payable.

2.        Securities  Law  Information.  The  Shares  subject  to  the  Options  are  not  and  will  not  be  registered  in  the  Colombian
registry of publicly traded securities (Registro Nacional de Valores y Emisores) and therefore the Shares may not be offered to the
public in Colombia. Nothing in this document should be construed as the making of a public offer of securities in Colombia.

Exhibit 10(i)

COSTA RICA

No country specific provisions.

DENMARK

1.    Treatment of Options upon Termination of Employment. Notwithstanding any provision in the Terms and Conditions or
the Plan to the contrary, unless you are a member of registered management who is not considered a salaried employee, the treatment
of the Option upon a termination of employment which is not a result of death shall be governed by Sections 4 and 5 of the Danish
Act on Stock Option in Employment Relations. However, if the provisions in the Terms and Conditions or the Plan governing the
treatment of the Option upon a termination of employment are more favorable, then the provisions of the Terms and Conditions or
the 2011 Plan will govern.

FINLAND

1.    Withholding of Tax-Related Items. Notwithstanding anything in Section 5 of the Terms and Conditions to the contrary, if
you are a local national of Finland, any Tax-Related Items shall be withheld only in cash from your regular salary/wages or other
amounts payable to you in cash or such other withholding methods as may be permitted under the 2011 Plan and allowed under local
law.
FRANCE

1.    Use of English Language.  By accepting the Options, you acknowledge and agree that it is your express wish that the
Terms and Conditions, this Addendum, as well as all other documents, notices and legal proceedings entered into, given or instituted
pursuant to your Option, either directly or indirectly, be drawn up in English.

Langue anglaise. En  acceptant  l'allocation  de  votre  Option,  vous  reconnaissez  et  acceptez  avoir  souhaité  que  le  Termes  et
Conditions,  le  présent  avenant,  ainsi  que  tous  autres  documents  exécutés,  avis  donnés  et  procédures  judiciaires  intentées,
relatifs, directement ou indirectement, à l'allocation de votre Option, soient rédigés en anglais.

BY SIGNING BELOW, YOU ACKNOWLEDGE, UNDERSTAND AND AGREE TO THE PROVISIONS OF THE 2011 PLAN,
THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

Exhibit 10(i)

_____________________
Date    

GERMANY

No country specific provisions.

HONG KONG

1.    Important Notice.  Warning:  The  contents  of  the  Terms  and  Conditions,  this  Addendum,  the  2011  Plan,  and  all  other
materials pertaining to the Options and/or the 2011 Plan have not been reviewed by any regulatory authority in Hong Kong. You are
hereby  advised  to  exercise  caution  in  relation  to  the  offer  thereunder.  If  you  have  any  doubts  about  any  of  the  contents  of  the
aforesaid materials, you should obtain independent professional advice.

2.    Lapse of Restrictions. If, for any reason, Shares are issued to you within six (6) months of the grant date, you agree that

you will not sell or otherwise dispose of any such Shares prior to the six-month anniversary of the grant date.

3.    Settlement in Shares. Notwithstanding anything to the contrary in this Addendum, the Terms and Conditions or the 2011

Plan, the Options shall be settled only in Shares (and may not be settled in cash).

4.    Nature of the Plan. The Company specifically intends that the 2011 Plan will not be treated as an occupational retirement
scheme  for  purposes  of  the  Occupational  Retirement  Schemes  Ordinance  (“ORSO”).  To  the  extent  any  court,  tribunal  or
legal/regulatory body in Hong Kong determines that the 2011 Plan constitutes an occupational retirement scheme for the purposes of
ORSO, the grant of the Options shall be null and void.

INDIA

1.        Repatriation  Requirements.  You  expressly  agree  to  repatriate  all  sale  proceeds  and  dividends  attributable  to  Shares
acquired under the 2011 Plan in accordance with local foreign exchange rules and regulations. Neither the Company, your Employer
or any of the Company’s Subsidiaries shall be liable for any fines or penalties resulting from your failure to comply with applicable
laws, rules or regulations.

IRELAND

No country specific provisions.

ITALY

No country specific provisions.

JAPAN

No country specific provisions.

Exhibit 10(i)

MEXICO

1.    Commercial Relationship. You expressly recognize that your participation in the 2011 Plan and the Company’s grant of
the Options does not constitute an employment relationship between you and the Company. You have been granted the Options as a
consequence  of  the  commercial  relationship  between  the  Company  and  the  Subsidiary  in  Mexico  that  employs  you,  and  the
Company’s Subsidiary in Mexico is your sole employer. Based on the foregoing, (a) you expressly recognize the 2011 Plan and the
benefits  you  may  derive  from  your  participation  in  the  2011  Plan  do  not  establish  any  rights  between  you  and  the  Company’s
Subsidiary in Mexico that employs you, (b) the 2011 Plan and the benefits you may derive from your participation in the 2011 Plan
are not part of the employment conditions and/or benefits provided by the Company’s Subsidiary in Mexico that employs you, and
(c) any modification or amendment of the 2011 Plan by the Company, or a termination of the 2011 Plan by the Company, shall not
constitute a change or impairment of the terms and conditions of your employment with the Company’s Subsidiary in Mexico that
employs you.

2.    Extraordinary Item of Compensation. You expressly recognize and acknowledge that your participation in the 2011 Plan
is a result of the discretionary and unilateral decision of the Company, as well as your free and voluntary decision to participate in
the 2011 Plan in accord with the terms and conditions of the 2011 Plan, the Terms and Conditions, and this Addendum. As such, you
acknowledge and agree that the Company may, in its sole discretion, amend and/or discontinue your participation in the 2011 Plan at
any  time  and  without  any  liability.  The  value  of  the  Options  is  an  extraordinary  item  of  compensation  outside  the  scope  of  your
employment  contract,  if  any.  The  Options  are  not  part  of  your  regular  or  expected  compensation  for  purposes  of  calculating  any
severance, resignation,  redundancy,  end of service payments, bonuses, long-service  awards, pension or retirement  benefits, or any
similar payments, which are the exclusive obligations of the Company’s Subsidiary in Mexico that employs you.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

NETHERLANDS

1.        Waiver  of  Termination  Rights.  As  a  condition  to  the  grant  of  the  Options,  you  hereby  waive  any  and  all  rights  to
compensation or damages as a result of the termination of your employment with the Company and your Employer for any reason
whatsoever, insofar as those rights result or may result from (a) the loss or diminution in value of such rights or entitlements under
the 2011 Plan, or (b) you ceasing to have rights under or ceasing to be entitled to any awards under the 2011 Plan as a result of such
termination.

NEW ZEALAND

Exhibit 10(i)

1.    WARNING. You are being offered Options in Stryker Corporation. If the Company runs into financial difficulties and is
wound up, you may lose some or all your investment. New Zealand law normally requires people who offer financial products to
give information to investors before they invest. This requires those offering financial products to have disclosed information that is
important for investors to make an informed decision. The usual rules do not apply to this offer because it is an offer made under the
Employee Share Scheme exemption. As a result, you may not be given all the information usually required. You will also have fewer
other legal protections for this investment. You should ask questions, read all documents carefully, and seek independent financial
advice  before  accepting  the  offer.  The  Company’s  Shares  are  currently  traded  on the  New York  Stock  Exchange  under  the  ticker
symbol “SYK” and Shares acquired under the 2011 Plan may be sold through this exchange. You may end up selling the Shares at a
price that is lower than the value of the Shares when you acquired them. The price will depend on the demand for the Company's
Shares.  The  Company’s  most  recent  annual  report  (which  includes  the  Company’s  financial  statements)  is  available  at
[http://phx.corporate-ir.net/phoenix.zhtml?c=118965&p=irol-irhome].  You  are  entitled  to  receive  a  copy  of  this  report,  free  of
charge, upon written request to the Company at STOCKPLANADMINISTRATION@STRYKER.COM.

POLAND

No country specific provisions.

PORTUGAL

No country specific provisions.

PUERTO RICO

No country specific provisions.

ROMANIA

No country specific provisions.

SINGAPORE

1.    Qualifying Person Exemption. The following provision shall replace Section 18 of the Terms and Conditions:

The grant of the Options under the 2011 Plan is being made pursuant to the “Qualifying Person” exemption” under section 273(1)(f)
of the Securities and Futures Act (Chapter 289, 2011 Ed.) (“SFA”). The 2011 Plan has not been lodged or registered as a prospectus
with  the  Monetary  Authority  of  Singapore.  You  should  note  that,  as  a  result,  the  Options  are  subject  to  section  257  of  the  SFA
and you will not be able to make (a) any subsequent sale of the Shares in Singapore or (ii) any offer of such subsequent sale of the
Shares subject to the Options in Singapore, unless such sale or offer is made pursuant to the exemptions under Part XIII Division (1)
Subdivision (4) (other than section 280) of the SFA (Chapter 289, 2011 Ed.).

2.    Director Reporting Notification. If you are a director, associate director or shadow director of a Singapore company, you
are subject to certain notification requirements under the Singapore Companies Act. Among these requirements is an obligation to
notify  the  Singapore  company  in  writing  when  you  receive  an  interest  (e.g.,  Options  or  Shares)  in  the  Company  or  any  related
company. In addition, you must

Exhibit 10(i)

notify the Singapore company when you sell Shares (including when you sell Shares acquired upon exercise of the Options). These
notifications  must  be  made  within  two  business  days  of  acquiring  or  disposing  of  any  interest  in  the  Company  or  any  related
company.  In  addition,  a  notification  must  be  made  of  Participant’s  interests  in  the  Company  or  any  related  company  within  two
business days of becoming a director.

SOUTH AFRICA

1.    Withholding Taxes. In addition  to the provisions  of Section 7 of the Terms and Conditions,  you agree to notify your
Employer in South Africa of the amount of any gain realized upon exercise of the Options. If you fail to advise the Company of the
gain realized upon exercise, you may be liable for a fine. You will be responsible for paying any difference between the actual tax
liability and the amount withheld.

2.    Exchange Control Obligations. You are solely responsible for complying with applicable exchange control regulations
and  rulings  (the  “Exchange  Control  Regulations”)  in  South  Africa.  As  the  Exchange  Control  Regulations  change  frequently  and
without  notice,  you  should  consult  your  legal  advisor  prior  to  the  acquisition  or  sale  of  Shares  under  the  2011  Plan  to  ensure
compliance with current Exchange Control Regulations. Neither the Company nor any of its Subsidiaries will be liable for any fines
or penalties resulting from your failure to comply with applicable laws.

3.    Securities Law Information and Deemed Acceptance of Options.  Neither the Options nor the underlying Shares shall be

publicly offered or listed on any stock exchange in South Africa.  The offer is intended to be private pursuant to Section 96 of the
Companies Act and is not subject to the supervision of any South African governmental authority. Pursuant to Section 96 of the
Companies Act, the Options offer must be finalized on or before the 60th day following the grant date.  If you do not want to accept
the Options, you are required to decline the Options no later than the 60th day following the grant date.  If you do not reject the
Options on or before the 60th day following the grant date, you will be deemed to accept the Options.

SOUTH KOREA

No country specific provisions.

SPAIN

1.        Acknowledgement  of  Discretionary  Nature  of  the  2011  Plan;  No  Vested  Rights.  In  accepting  the  Options,  you
acknowledge that you consent to participation in the 2011 Plan and have received a copy of the 2011 Plan. You understand that the
Company  has  unilaterally,  gratuitously  and  in  its  sole  discretion  granted  Options  under  the  2011  Plan  to  individuals  who  may  be
employees of the Company or its Subsidiaries throughout the world. The decision is a limited decision that is entered into upon the
express assumption and condition that any grant will not economically or otherwise bind the Company or any of its Subsidiaries on
an ongoing basis. Consequently, you understand that the Options are granted on the assumption and condition that the Options and
the Shares acquired upon exercise of the Options shall not become a part of any employment contract (either with the Company or
any of its Subsidiaries) and shall not be considered a mandatory benefit, salary for any purposes (including severance compensation)
or  any  other  right  whatsoever.  In  addition,  you  understand  that  this  grant  would  not  be  made  to  you  but  for  the  assumptions  and
conditions  referenced  above.  Thus,  you  acknowledge  and  freely  accept  that  should  any  or  all  of  the  assumptions  be  mistaken  or
should any of the conditions not be met for any reason, the Options shall be null and void.

Exhibit 10(i)

You  understand  and  agree  that,  as  a  condition  of  the  grant  of  the  Options,  any  unvested  Options  as  of  the  date  you  cease  active
employment and any vested portion of the Options not exercised within the post-termination exercise period set out in the Terms and
Conditions  will  be  forfeited  without  entitlement  to  the  underlying  Shares  or  to  any  amount  of  indemnification  in  the  event  of  the
termination of employment by reason of, but not limited to, (i) material modification of the terms of employment under Article 41 of
the  Workers’  Statute  or  (ii)  relocation  under  Article  40  of  the  Workers’  Statute.  You  acknowledge  that  you  have  read  and
specifically accept the conditions referred to in the Terms and Conditions regarding the impact of a termination of employment on
your Options.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

SWEDEN

1.    Exercise by Cash Payment Only. Notwithstanding anything in Section 4 of the Terms and Conditions to the contrary, if
you are a local national of Sweden, you may exercise the Options only by means of a cash payment or such other methods as may be
permitted under the 2011 Plan and allowed under local law.

2.    Withholding of Tax-Related Items. Notwithstanding anything in the Terms and Conditions to the contrary, if you are a
local national of Sweden, any Tax-Related Items shall be withheld only in cash from your regular salary/wages or other amounts
payable to you in cash, or such other withholding methods as may be permitted under the 2011 Plan and allowed under local law.
Additionally,  the  Company  and/or  the  Employer  may  withhold  Tax-Related  Items  from  salary  in  an  amount  up  to  the  statutory
maximum  withholding  limitations,  however,  the  Company  and/or  your  Employer  will  not  withhold  amounts  in  excess  of  your
statutory maximum withholding limitations.

SWITZERLAND

1.        Securities  Law  Information.  Neither  this  document  nor  any  other  materials  relating  to  the  Options  (a)  constitutes  a
prospectus according to articles 35 et seq. of the Swiss Federal Act on Financial Services (“FinSA”) (b) may be publicly distributed
or otherwise made publicly available in Switzerland to any person other than an employee of the Company or (c) has been or will be
filed with, approved or supervised by any Swiss reviewing body according to article 51 FinSA or any Swiss regulatory  authority,
including the Swiss Financial Supervisory Authority, FINMA.

Exhibit 10(i)

TAIWAN

1.    Securities Law Notice. The offer of participation in the 2011 Plan is available only for employees of the Company and its

Subsidiaries. The offer of participation in the 2011 Plan is not a public offer of securities by a Taiwanese company.

TURKEY

1.    Securities Law Information. Under Turkish law, you are not permitted to sell any Shares acquired under the 2011 Plan
within  Turkey.  The  Shares  are  currently  traded  on  the  New  York  Stock  Exchange,  which  is  located  outside  of  Turkey,  under  the
ticker symbol “SYK” and the Shares may be sold through this exchange.

2.    Financial Intermediary Obligation. You acknowledge that any activity related to investments in foreign securities (e.g.,
the sale of Shares) should be conducted through a bank or financial intermediary institution licensed by the Turkey Capital Markets
Board and should be reported to the Turkish Capital Markets Board. You solely are responsible for complying with this requirement
and should consult with a personal legal advisor for further information regarding any obligations in this respect.

UNITED ARAB EMIRATES

1.    Securities  Law Information.  The  offer  of  the  Options  is  available  only  for  select  Employees  of  the  Company  and  its
Subsidiaries and is in the nature of providing incentives in the United Arab Emirates. The 2011 Plan and the Terms and Conditions
are  intended  for  distribution  only  to  such  individuals  and  must  not  be  delivered  to,  or  relied  on  by  any  other  person.  Prospective
purchasers of securities should conduct their own due diligence.

The Emirates Securities and Commodities Authority has no responsibility for reviewing or verifying any documents in connection
with  this  statement,  including  the  2011  Plan  and  the  Terms  and  Conditions,  or  any  other  incidental  communication  materials
distributed  in  connection  with  the  Options.  Further,  neither  the  Ministry  of  Economy  nor  the  Dubai  Department  of  Economic
Development  has  approved  this  statement  nor  taken  steps  to  verify  the  information  set  out  in  it,  and  has  no  responsibility  for  it.
Residents  of  the  United  Arab  Emirates  who  have  any  questions  regarding  the  contents  of  the  2011  Plan  and  the  Terms  and
Conditions should obtain independent advice.

UNITED KINGDOM

1.        No  Exercise  by  Using  Existing  Shares.  Notwithstanding  anything  in  Section  4  of  the  Terms  and  Conditions  to  the
contrary, if you are resident in the United Kingdom, you shall not be permitted to use existing Shares for exercising the Options and
paying the Exercise Price.

2.    Income Tax and Social Insurance Contribution Withholding. The following provision shall supplement Section 7 of the

Terms and Conditions:

Without  limitation  to  Section  7  of  the  Terms  and  Conditions,  you  agree  that  you  are  liable  for  all  Tax-Related  Items  and
hereby covenant to pay all such Tax-Related Items, as and when requested by the Company, your Employer or by Her Majesty’s
Revenue and Customs (“HMRC”) (or any other tax authority or any other relevant authority). You also agree to indemnify and keep
indemnified the Company and your

Employer against any Tax-Related Items that they are required to pay or withhold or have paid or will pay to HMRC on your behalf
(or any other tax authority or any other relevant authority).

3.        Exclusion  of  Claim.  You  acknowledge  and  agree  that  you  will  have  no  entitlement  to  compensation  or  damages  in
consequence  of  the  termination  of  your  employment  with  the  Company  and  the  Subsidiary  that  employs  you  for  any  reason
whatsoever and whether or not in breach of contract, insofar as any purported claim to such entitlement arises or may arise from your
ceasing  to  have  rights  under  or  to  be  entitled  to  exercise  the  Options  as  a  result  of  such  termination  of  employment  (whether  the
termination  is  in  breach  of  contract  or  otherwise),  or  from  the  loss  or  diminution  in  value  of  the  Options.  Upon  the  grant  of  the
Options, you shall be deemed irrevocably to have waived any such entitlement.

Exhibit 10(i)

Exhibit 10(ii)

Kevin A. Lobo
Chairman and CEO
2825 Airview Boulevard
Kalamazoo MI 49002 USA
P 269 389 7353
www.stryker.com

Personal and confidential

February 3, 2021        

First Name Last Name

Dear First Name:

I am pleased to inform you that you are one of a select group of individuals receiving a restricted stock units (RSUs) award in 2021.
We use these awards to reward performers who we believe will be key contributors to our growth well into the future. The total
Award Date Value (ADV) of your awards is approximately USD $xx,xxx.

You are receiving xx RSUs with respect to Common Stock of Stryker Corporation. Except as otherwise provided in the Terms and
Conditions, one-third of these RSUs will vest on March 21 of each of the three years beginning March 21, 2022.

You must “Accept” the award online via the UBS One Source web site located at www.ubs.com/onesource/SYK between
March 2 and March 31, 2021. The detailed terms of the RSUs are in the Terms and Conditions, any applicable country addendum
and the provisions of the Company's 2011 Long-Term Incentive Plan. Those documents, together with the related Prospectus, are
available on the UBS One Source web site, and you should read them before accepting the awards. In addition, you may be asked to
sign the most recent version of Stryker’s Confidentiality, Intellectual Property, Non-Competition and Non-Solicitation Agreement
(“Non-Compete Agreement”) in connection with this award. If you are asked to sign the Non-Compete Agreement, it will be emailed
to you and you will be asked to sign the document electronically via Adobe Sign by March 31, 2021. The vesting of the RSUs is
conditioned on you having signed the Non-Compete Agreement by March 31, 2021, where permitted by applicable law.

You can find additional educational materials on the UBS One Source web site in the Resources section, including RSU brochures and
RSU Tax Questions & Answers.

We are committed to growing talent and want our people to experience rewarding careers at Stryker. Your strong contributions
helped us deliver market leading results during a challenging year and I look forward to our continued business growth and success.

Sincerely,
Kevin A. Lobo
Chairman and CEO

        
Exhibit 10(ii)

STRYKER CORPORATION

TERMS AND CONDITIONS
RELATING TO RESTRICTED STOCK UNITS GRANTED
PURSUANT TO THE 2011 LONG-TERM INCENTIVE PLAN, AS AMENDED AND RESTATED

1.    The Restricted Stock Units (“RSUs”) with respect to Common Stock of Stryker Corporation (the “Company”) granted to
you during 2021 are subject to these Terms and Conditions Relating to Restricted Stock Units Granted Pursuant to the 2011 Long-
Term  Incentive  Plan,  as  Amended  and  Restated  (the  “Terms  and  Conditions”)  and  all  of  the  terms  and  conditions  of  the  Stryker
Corporation  2011  Long-Term  Incentive  Plan,  as  Amended  and  Restated  (the  “2011  Plan”),  which  is  incorporated  herein  by
reference. In the case of a conflict between these Terms and Conditions and the terms of the 2011 Plan, the provisions of the 2011
Plan will govern. Capitalized terms used but not defined herein have the meaning provided therefor in the 2011 Plan. For purposes of
these Terms and Conditions, “Employer” means the Company or any Subsidiary that employs you on the applicable date, and "Stock
Plan  Administrator"  means  UBS  Financial  Services  Inc.  (or  any  other  independent  service  provider  engaged  by  the  Company  to
assist with the implementation, operation and administration of the 2011 Plan).

2.    Your right to receive the Shares issuable pursuant to the RSUs shall be only as follows:

        (a)    If you continue to be an Employee, you will receive the Shares underlying the RSUs that have become vested as soon as
administratively possible following the vesting date as set forth in the award letter.

        (b)    If you cease to be an Employee by reason of Disability (as such term is defined in the 2011 Plan or determined under local
law) or death prior to the date that your RSUs become fully vested, you or your estate will become fully vested in your RSUs, and
you,  your  legal  representative  or  your  estate  will  receive  all  of  the  underlying  Shares  as  soon  as  administratively  practicable
following your termination by Disability or death.

        (c)    If you cease to be an Employee by reason of Retirement (as such term is defined in the 2011 Plan or determined under
local law) prior to the date that your RSUs become fully vested, you (or your estate in the event of your death after your termination
by Retirement) will continue to vest in your RSUs in accordance with the vesting schedule as set forth in the award letter as if you
had continued your employment with your Employer.

        (d)    If you cease to be an Employee prior to the date that your RSUs become fully vested for any reason other than those
provided in (b) or (c) above, you shall cease vesting in your RSUs effective as of your Termination Date. If you are a resident of or
employed  in  the  United  States,  “Termination  Date”  shall  mean  the  effective  date  of  termination  of  your  employment  with  your
Employer. If you are resident or employed outside of the United States, “Termination Date” shall mean the earliest of (i) the date on
which notice of termination is provided to you, (ii) the last day of your active service with your Employer, or (iii) the last day on
which you are an Employee of your Employer, as determined in each case without including any required advance notice period and
irrespective of the status of the termination under local labor or employment laws.

               (e)        Notwithstanding  the  foregoing,  the  Company  may,  in  its  sole  discretion,  settle  your  RSUs  in  the  form  of:  (i)  a  cash
payment  to  the  extent  settlement  in  Shares  (1)  is  prohibited  under  local  law,  (2)  would  require  you,  the  Company  and/or  your
Employer  to  obtain  the  approval  of  any  governmental  and/or  regulatory  body  in  your  country  of  residence  (and  country  of
employment, if different), or (3) is

    
Exhibit 10(ii)

administratively burdensome; or (ii) Shares, but require you to immediately sell such Shares (in which case, the Company shall have
the authority to issue sales instructions in relation to such Shares on your behalf).

3.    The number of Shares subject to the RSUs shall be subject to adjustment and the vesting dates hereof may be accelerated

as follows:

        (a)    In the event that the Shares, as presently constituted, shall be changed into or exchanged for a different number or kind of
shares  of  stock  or  other  securities  of  the  Company  or  of  another  corporation  (whether  by  reason  of  merger,  consolidation,
recapitalization,  reclassification,  split-up,  combination  of  shares,  or  otherwise)  or  if  the  number  of  such  Shares  shall  be  increased
through the payment  of a stock dividend  or a dividend  on the Shares of rights or warrants  to purchase  securities  of the Company
shall  be  made,  then  there  shall  be  substituted  for  or  added  to  each  Share  theretofore  subject  to  the  RSUs  the  number  and  kind  of
shares  of  stock  or  other  securities  into  which  each  outstanding  Share  shall  be  so  changed,  or  for  which  each  such  Share  shall  be
exchanged, or to which each such Share shall be entitled. The other terms of the RSUs shall also be appropriately amended as may
be necessary to reflect the foregoing events. In the event there shall be any other change in the number or kind of the outstanding
Shares, or of any stock or other securities into which such Shares shall have been exchanged, then if the Committee shall, in its sole
discretion, determine that such change equitably requires an adjustment in the RSUs, such adjustment shall be made in accordance
with such determination.

        (b)    Fractional Shares resulting from any adjustment in the RSUs may be settled in cash or otherwise as the Committee shall
determine, in its sole discretion. Notice of any adjustment will be given to you and such adjustment (whether or not such notice is
given) shall be effective and binding for all purposes hereof.

        (c)    The Committee shall have the power to amend the RSUs to permit the immediate vesting of the RSUs (and to terminate
any unvested RSUs) and the distribution of the underlying Shares prior to the effectiveness of (i) any disposition of substantially all
of the assets of the Company or your Employer, (ii) the shutdown, discontinuance of operations or dissolution of the Company or
your Employer, or (iii) the merger or consolidation of the Company or your Employer with or into any other unrelated corporation.

4.    If you are resident and/or employed outside of the United States, you agree, as a condition of the grant of the RSUs, to
repatriate all payments attributable to the Shares and/or cash acquired under the 2011 Plan (including, but not limited to, dividends,
dividend  equivalents  and  any  proceeds  derived  from  the  sale  of  the  Shares  acquired  pursuant  to  the  RSUs)  if  required  by  and  in
accordance with local foreign exchange rules and regulations in your country of residence (and country of employment, if different).
In addition, you also agree to take any and all actions, and consent to any and all actions taken by the Company and its Subsidiaries,
as may be required to allow the Company and its Subsidiaries to comply with local laws, rules and regulations in your country of
residence (and country of employment, if different). Finally, you agree to take any and all actions as may be required to comply with
your  personal  legal  and  tax  obligations  under  local  laws,  rules  and  regulations  in  your  country  of  residence  (and  country  of
employment, if different).

5.    If you are resident and/or employed in a country that is a member of the European Union, the grant of the RSUs and
these Terms and Conditions are intended to comply with the age discrimination provisions of the EU Equal Treatment Framework
Directive,  as  implemented  into  local  law  (the  “Age  Discrimination  Rules”).  To  the  extent  that  a  court  or  tribunal  of  competent
jurisdiction determines that any provision of these Terms and Conditions is invalid or unenforceable, in whole or in part, under the
Age Discrimination Rules, the Company, in its sole discretion, shall have the power and authority to revise or strike such provision
to the minimum extent necessary to make it valid and enforceable to the full extent permitted under local law.

Exhibit 10(ii)

6.    Regardless of any action the Company and/or your Employer take with respect to any or all income tax (including U.S.
federal,  state  and  local  taxes  and/or  non-U.S.  taxes),  social  insurance,  payroll  tax,  payment  on  account  or  other  tax-related
withholding (“Tax-Related Items”), you acknowledge that the ultimate liability for all Tax-Related Items legally due by you is and
remains  your  responsibility  and  that  the  Company  and  your  Employer  (i)  make  no  representations  or  undertakings  regarding  the
treatment of any Tax-Related Items in connection with any aspect of the RSUs, including the grant of the RSUs, the vesting of the
RSUs, the subsequent sale of any Shares acquired pursuant to the RSUs and the receipt of any dividends or dividend equivalents and
(ii) do not commit to structure the terms of the grant or any aspect of the RSUs to reduce or eliminate your liability for Tax-Related
Items.  Further,  if  you  become  subject  to  taxation  in  more  than  one  country  between  the  grant  date  and  the  date  of  any  relevant
taxable or tax withholding event, as applicable, you acknowledge that your Employer (or former employer, as applicable) may be
required to withhold or account for Tax-Related Items in more than one country.

    Prior to any taxable event, if your country of residence (and/or your country of employment, if different) requires withholding of
Tax-Related  Items,  the  Company  shall  withhold  a  number  of  whole  Shares  that  have  an  aggregate  Fair  Market  Value  that  the
Company, taking into account local requirements and administrative issues, determines in its sole discretion is appropriate to cover
withholding for Tax-Related Items with respect to the Shares. The cash equivalent of the Shares withheld will be used to settle the
obligation  to  withhold  the  Tax-Related  Items.  In  cases  where  the  Fair  Market  Value  of  the  number  of  whole  Shares  withheld  is
greater than the amount required to be paid to the relevant government authorities with respect to withholding for Tax-Related Items,
the  Company  shall  make  a  cash  payment  to  you  equal  to  the  difference  as  soon  as  administratively  practicable.  In  the  event  that
withholding  in  Shares  is  prohibited  or  problematic  under  applicable  law  or  otherwise  may  trigger  adverse  consequences  to  the
Company or your Employer, your Employer shall withhold the Tax-Related Items required to be withheld with respect to the Shares
in cash from your regular salary and/or wages or other amounts payable to you. In the event the withholding requirements are not
satisfied through the withholding of Shares or through your regular salary and/or wages or any other amounts payable to you by your
Employer, no Shares will be issued to you (or your estate) unless and until satisfactory arrangements (as determined by the Board of
Directors)  have  been  made  by  you  with  respect  to  the  payment  of  any  Tax-Related  Items  that  the  Company  or  your  Employer
determines,  in  its  sole  discretion,  should  be  withheld  or  collected  with  respect  to  such  RSUs.  By  accepting  these  RSUs,  you
expressly consent to the withholding of Shares and/or withholding from your regular salary and/or wages or other amounts payable
to you as provided for hereunder. All other Tax-Related Items related to the RSUs and any Shares delivered in payment thereof are
your sole responsibility.

7.    The RSUs are intended to be exempt from the requirements of Code Section 409A. The 2011 Plan and these Terms and
Conditions shall be administered and interpreted in a manner consistent with this intent. If the Company determines that these Terms
and Conditions are subject to Code Section 409A and that it has failed to comply with the requirements of that Section, the Company
may, at the Company’s sole discretion and without your consent, amend these Terms and Conditions to cause them to comply with
Code Section 409A or be exempt from Code Section 409A.

8.    If you were required to sign the “Stryker Confidentiality, Intellectual Property, Non-Competition and Non-Solicitation
Agreement” or a similar agreement in order to receive the RSUs or have previously signed such an agreement and you breach any
non-competition,  non-solicitation  or  non-disclosure  provision  or  provision  as  to  ownership  of  inventions  contained  therein  at  any
time  while  employed  by  the  Company  or  a  Subsidiary,  or  during  the  one-year  period  following  termination  of  employment,  any
unvested RSUs shall be rescinded and you shall return to the Company all Shares that were acquired upon vesting of the RSUs that
you have not disposed of. Further, you shall pay to the Company an amount equal to the profit realized by you (if any) on all Shares
that were acquired upon vesting of the RSUs that you have disposed of.

Exhibit 10(ii)

For purposes of the preceding sentence, the profit shall be the Fair Market Value of the Shares at the time of disposition.

9.    The RSUs shall be transferable only by will or the laws of descent and distribution. If you purport to make any transfer

of the RSUs, except as aforesaid, the RSUs and all rights thereunder shall terminate immediately.

10.    The RSUs shall not be vested in whole or in part, and the Company shall not be obligated to issue any Shares subject to
the RSUs, if such issuance would, in the opinion of counsel for the Company, violate the Securities Act of 1933 or any other U.S.
federal, state or non-U.S. statute having similar requirements as it may be in effect at the time. The RSUs are subject to the further
requirement that, if at any time the Board of Directors shall determine in its discretion that the listing or qualification of the Shares
subject  to  the  RSUs  under  any  securities  exchange  requirements  or  under  any  applicable  law,  or  the  consent  or  approval  of  any
governmental regulatory body, is necessary or desirable as a condition of or in connection with the issuance of Shares pursuant to the
RSUs, the RSUs may not be vested in whole or in part unless such listing, qualification, consent or approval shall have been effected
or obtained free of any conditions not acceptable to the Board of Directors.

11.    The grant of the RSUs shall not confer upon you any right to continue in the employ of your Employer nor limit in any
way the right of your Employer to terminate your employment at any time. You shall have no rights as a shareholder of the Company
with respect to any Shares issuable upon the vesting of the RSUs until the date of issuance of such Shares.

12.    You acknowledge and agree that the 2011 Plan is discretionary in nature and may be amended, cancelled, or terminated
by the Company, in its sole discretion, at any time. The grant of the RSUs under the 2011 Plan is a one-time benefit and does not
create  any  contractual  or  other  right  to  receive  a  grant  of  RSUs  or  any  other  award  under  the  2011  Plan  or  other  benefits  in  lieu
thereof in the future. Future grants, if any, will be at the sole discretion of the Company, including, but not limited to, the form and
timing  of  any  grant,  the  number  of  Shares  subject  to  the  grant,  and  the  vesting  provisions.  Any  amendment,  modification  or
termination of the 2011 Plan shall not constitute a change or impairment of the terms and conditions of your employment with your
Employer.

13.    Your participation in the 2011 Plan is voluntary. The value of the RSUs and any other awards granted under the 2011
Plan is an extraordinary item of compensation outside the scope of your employment (and your employment contract, if any). Any
grant  under  the  2011  Plan,  including  the  grant  of  the  RSUs,  is  not  part  of  normal  or  expected  compensation  for  purposes  of
calculating any severance, resignation,  redundancy, end of service payments, bonuses, long-service awards, pension, or retirement
benefits or similar payments.

14.    These Terms and Conditions shall bind and inure to the benefit of the Company, its successors and assigns and you and

your estate in the event of your death.

15.    The Company is located at 2825 Airview Boulevard Kalamazoo, Michigan 49002, U.S.A. and grants RSUs under the
2011  Plan  to  employees  of  the  Company  and  Subsidiaries  in  its  sole  discretion.  In  conjunction  with  the  Company’s  grant  of  the
RSUs under the 2011 Plan and its ongoing administration of such awards, the Company is providing the following information about
its data collection, processing and transfer practices (“Personal Data Activities”). In accepting the grant of the RSUs, you expressly
and explicitly consent to the Personal Data Activities as described herein.

Exhibit 10(ii)

        (a)    The Company collects, processes and uses your personal data, including your name, home address, email address, and
telephone number, date of birth, social insurance number or other identification number, salary, citizenship, job title, any Shares or
directorships held in the Company, and details of all RSUs or any other equity compensation awards granted, canceled, exercised,
vested, or outstanding in your favor, which the Company receives from you or your Employer. In granting the RSUs under the Plan,
the Company will collect your personal data for purposes of allocating Shares and implementing, administering and managing the
2011 Plan. The Company’s legal basis for the collection, processing and usage of your personal data is your consent.

        (b)    The Company transfers your personal data to the Stock Plan Administrator. In the future, the Company may select a
different Stock Plan Administrator and share your personal data with another company that serves in a similar manner. The Stock
Plan Administrator will open an account for you, if an account is not already in place, to receive and trade Shares acquired under the
2011 Plan You will be asked to agree on separate terms and data processing practices with the Stock Plan Administrator, which is a
condition to your ability to participate in the 2011 Plan.

        (c)    The Company and the Stock Plan Administrator are based in the United States. You should note that your country of
residence may have enacted data privacy laws that are different from the United States. The Company’s legal basis for the transfer of
your personal data to the United States is your consent.

               (d)        Your  participation  in  the  2011  Plan  and  your  grant  of  consent  is purely  voluntary.  You  may  deny  or  withdraw  your
consent at any time. If you do not consent, or if you withdraw your consent, you may be unable to participate in the 2011 Plan. This
would  not  affect  your  existing  employment  or  salary;  instead,  you  merely  may  forfeit  the  opportunities  associated  with  the  2011
Plan.

        (e)    You may have a number of rights under the data privacy laws in your country of residence. For example, your rights may
include the right to (i) request access or copies of personal data the Company processes, (ii) request rectification of incorrect data,
(iii) request deletion of data, (iv) place restrictions on processing, (v) lodge complaints with competent authorities in your country or
residence,  and/or  (vi)  request  a  list  with  the  names  and  addresses  of  any  potential  recipients  of  your  personal  data.  To  receive
clarification regarding your rights or to exercise your rights, you should contact your local HR manager or the Company’s Human
Resources Department.

16.    The grant of the RSUs is not intended to be a public offering of securities in your country of residence (and country of
employment,  if  different).  The  Company  has  not  submitted  any  registration  statement,  prospectus  or  other  filing(s)  with  the  local
securities  authorities  (unless  otherwise  required  under  local  law).  No  employee  of  the  Company  is  permitted  to  advise  you  on
whether you should acquire Shares under the 2011 Plan or provide you with any legal, tax or financial advice with respect to
the grant of the RSUs. The acquisition of Shares involves certain risks, and you should carefully consider all risk factors and
tax considerations relevant to the acquisition of Shares under the 2011 Plan or the disposition of them. Further, you should
carefully review all of the materials related to the RSUs and the 2011 Plan, and you should consult with your personal legal,
tax and financial advisors for professional advice in relation to your personal circumstances.

17.    All questions concerning the construction, validity and interpretation of the RSUs and the 2011 Plan shall be governed
and construed according to the laws of the state of Michigan, without regard to the application of the conflicts of laws provisions
thereof.  Any  disputes  regarding  the  RSUs  or  the  2011  Plan  shall  be  brought  only  in  the  state  or  federal  courts  of  the  state  of
Michigan.

Exhibit 10(ii)

18.    The Company may, in its sole discretion, decide to deliver any documents related to the RSUs or other awards granted
to you under the 2011 Plan by electronic means. You hereby consent to receive such documents by electronic delivery and agree to
participate  in  the  2011  Plan  through  an  on-line  or  electronic  system  established  and  maintained  by  the  Company  or  a  third  party
designated by the Company.

19.    The invalidity or unenforceability of any provision of the 2011 Plan or these Terms and Conditions shall not affect the

validity or enforceability of any other provision of the 2011 Plan or these Terms and Conditions.

20.        If  you  are  resident  outside  of  the  United  States,  you  acknowledge  and  agree  that  it  is  your  express  intent  that  these
Terms  and  Conditions,  the  2011  Plan  and  all  other  documents,  notices  and  legal  proceedings  entered  into,  given  or  instituted
pursuant  to  the  RSUs  be  drawn  up  in  English.  If  you  have  received  these  Terms  and  Conditions,  the  2011  Plan  or  any  other
documents related to the RSUs translated into a language other than English and the meaning of the translated version is different
than the English version, the English version will control.

21.    You acknowledge that, depending on your or your broker's country of residence or where the Shares are listed, you may
be subject to insider trading restrictions and/or market abuse laws which may affect your ability to accept, acquire, sell or otherwise
dispose of Shares, rights to Shares (e.g., RSUs) or rights linked to the value of Shares during such times you are considered to have
“inside information” regarding the Company as defined in the laws or regulations in your country of employment (and country of
residence, if different).  Local insider trading laws and regulations may prohibit the cancellation or amendment of orders you placed
before  you  possessed  inside  information.    Furthermore,  you  could  be  prohibited  from  (i)  disclosing  the  inside  information  to  any
third party (other than on a “need to know” basis) and (ii) “tipping” third parties or causing them otherwise to buy or sell securities. 
Third parties include fellow employees.  Any restrictions under these laws or regulations are separate from and in addition to any
restrictions  that  may  be  imposed  under  any  applicable  Company  insider  trading  policy.    You  acknowledge  that  it  is  your
responsibility to comply with any restrictions and are advised to speak to your personal advisor on this matter.

22.    Notwithstanding any provisions of these Terms and Conditions to the contrary, the RSUs shall be subject to any special
terms and conditions for your country of residence (and country of employment, if different) set forth in an addendum to these Terms
and  Conditions  (an  “Addendum”).  Further,  if  you  transfer  your  residence  and/or  employment  to  another  country  reflected  in  an
Addendum to these Terms and Conditions at the time of transfer, the special terms and conditions for such country will apply to you
to the extent the Company determines, in its sole discretion, that the application of such special terms and conditions is necessary or
advisable in order to comply with local law, rules and regulations, or to facilitate the operation and administration of the award and
the 2011 Plan (or the Company may establish alternative  terms and conditions  as may be necessary or advisable to accommodate
your transfer). In all circumstances, any applicable Addendum shall constitute part of these Terms and Conditions.

23.    The Company reserves the right to impose other requirements on the RSUs, any Shares acquired pursuant to the RSUs
and your participation in the 2011 Plan to the extent the Company determines, in its sole discretion, that such other requirements are
necessary or advisable in order to comply with local law, rules and regulations, or to facilitate the operation and administration of the
award  and  the  2011  Plan.  Such  requirements  may  include  (but  are  not  limited  to)  requiring  you  to  sign  any  agreements  or
undertakings that may be necessary to accomplish the foregoing.

24.    This Section 24 applies only to those persons whom the Company’s Recoupment Policy applies (the corporate

officers elected by the Company’s Board of Directors other than Assistant

Exhibit 10(ii)

Controllers, Assistant Secretaries and Assistant Treasurers). Notwithstanding any other provision of these Terms and Conditions
to the contrary, you acknowledge and agree that your RSUs, any Shares acquired pursuant thereto and/or any amount received with
respect to any sale of such Shares are subject to potential cancellation, recoupment, rescission, payback or other action in accordance
with the terms of the Company’s Recoupment Policy as in effect on the date of grant (a copy of which has been furnished to you)
and as the Recoupment Policy may be amended from time to time in order to comply with changes in laws, rules or regulations that
are applicable to such RSUs and Shares. You agree and consent to the Company’s application, implementation and enforcement of
(a)  the  Recoupment  Policy  and  (b)  any  provision  of  applicable  law  relating  to  cancellation,  recoupment,  rescission  or  payback  of
compensation and expressly agree that the Company may take such actions as are necessary to effectuate the Recoupment Policy (as
applicable  to  you)  or  applicable  law  without  further  consent  or  action  being  required  by  you.  For  purposes  of  the  foregoing,  you
expressly  and  explicitly  authorize  the  Company  to  issue  instructions,  on  your  behalf,  to  any  brokerage  firm  and/or  third  party
administrator engaged by the Company to hold your Shares and other amounts acquired under the 2011 Plan to re-convey, transfer or
otherwise return such Shares and/or other amounts to the Company. In the case of a conflict between these Terms and Conditions
and the Recoupment Policy, the terms of the Recoupment Policy shall prevail.

25.        By  accepting  the  grant  of  the  RSUs,  you  acknowledge  that  you  have  read  these  Terms  and  Conditions,  the
Addendum  to  these  Terms  and  Conditions  (as  applicable)  and  the  2011  Plan  and  specifically  accept  and  agree  to  the
provisions therein.

***********************

Exhibit 10(ii)

STRYKER CORPORATION

ADDENDUM TO
TERMS AND CONDITIONS
RELATING TO RESTRICTED STOCK UNITS GRANTED
PURSUANT TO THE 2011 PLAN, AS AMENDED AND RESTATED

In addition to the terms of the 2011 Plan and the Terms and Conditions, the RSUs are subject to the following additional terms and
conditions (the “Addendum”). All capitalized terms as contained in this Addendum shall have the same meaning as set forth in the
2011 Plan and the Terms and Conditions. Pursuant to Section 22 of the Terms and Conditions, if you transfer your residence and/or
employment to another country reflected in an Addendum at the time of transfer, the special terms and conditions for such country
will apply to you to the extent the Company determines, in its sole discretion, that the application of such terms and conditions is
necessary or advisable in order to comply with local law, rules and regulations, or to facilitate the operation and administration of the
award  and  the  2011  Plan  (or  the  Company  may  establish  alternative  terms  and  conditions  as  may  be  necessary  or  advisable  to
accommodate your transfer).

Data  Privacy  Information:  European  Union  (“EU”)  /  European  Economic  Area  (“EEA”)  /  Switzerland  and  the  United
Kingdom*

*The  below  information  is  for  data  privacy  purposes  only  and  you  should  determine  whether  any  other  special  terms  and
conditions apply to your awards in these jurisdictions.

1.    Data Privacy. If you reside and/or you are employed in the EU / EEA, Switzerland or the United Kingdom the following

provision replaces Section 15 of the Terms and Conditions:

The Company is located at 2825 Airview Boulevard Kalamazoo, Michigan 49002, U.S.A. and grants RSUs under the 2011 Plan to
employees  of  the  Company  and  its  Subsidiaries  in  its  sole  discretion.  You  should  review  the  following  information  about  the
Company’s data processing practices.

               (a)         Data Collection,  Processing  and Usage.  Pursuant  to  applicable  data  protection  laws,  you  are  hereby  notified  that  the
Company  collects,  processes  and  uses  certain  personally-identifiable  information  about  you  for  the  legitimate  interest  of
implementing,  administering and  managing  the  2011  Plan  and  generally  administering  equity  awards;  specifically, including  your
name,  home  address,  email  address  and  telephone  number,  date  of  birth,  social  insurance  number  or  other  identification  number,
salary, citizenship, job title, any Shares or directorships held in the Company, and details of all options or any other awards granted,
canceled, exercised, vested, or outstanding in your favor, which the Company receives from you or your Employer. In granting the
RSUs  under  the  2011  Plan,  the  Company  will  collect  your  personal  data  for  purposes  of  allocating  Shares  and  implementing,
administering  and  managing  the  2011  Plan.  The  Company’s  collection,  processing,  use  and  transfer  of  your  personal  data  is
necessary for the performance of the Company’s contractual obligations under the Plan and pursuant to the Company’s legitimate
interest  of  managing  and  generally  administering  employee  equity  awards.  Your  refusal  to  provide  personal  data  would  make  it
impossible  for the Company  to perform  its contractual  obligations  and may affect  your  ability  to participate  in the  2011 Plan.  As
such,  by  participating  in  the  2011  Plan,  you  voluntarily  acknowledge  the  collection,  processing  and  use  of  your  personal  data  as
described herein.

        (b)    Stock Plan Administration Service Provider. The Company transfers participant data to the Stock Plan Administrator. In
the future, the Company may select a different Stock Plan Administrator

Exhibit 10(ii)

and share your data with another company that serves in a similar manner. The Stock Plan Administrator will open an account for
you, if an account is not already in place, to receive and trade Shares acquired under the 2011 Plan. You will be asked to agree on
separate terms and data processing practices with the Stock Plan Administrator, which is a condition to your ability to participate in
the 2011 Plan.

               (c)         International  Data  Transfers.  The  Company  and  the  Stock  Plan  Administrator  are  based  in  the  United  States.  The
Company can only meet its contractual obligations to you if your personal data is transferred to the United States. The Company’s
legal basis for the transfer of your personal data to the United States is to satisfy its contractual obligations to you and/or its use of
the standard data protection clauses adopted by the EU Commission.

        (d)     Data Retention. The Company will use your personal data only as long as is necessary to implement, administer and
manage your participation in the 2011 Plan or as required to comply with legal or regulatory obligations, including under tax and
security laws. When the Company no longer needs your personal data, the Company will remove it from its systems. If the Company
keeps your data longer, it would be to satisfy legal or regulatory obligations and the Company’s legal basis would be for compliance
with relevant laws or regulations.

        (e)    Data Subject Rights. You may have a number of rights under data privacy laws in your country of residence. For example,
your rights may include the right to (i) request access or copies of personal data the Company processes, (ii) request rectification of
incorrect data, (iii) request deletion of data, (iv) place restrictions on processing, (v) lodge complaints with competent authorities in
your  country  of  residence,  and/or  (vi)  request  a  list  with  the  names  and  addresses  of  any  potential  recipients  of  the  Participant’s
personal data. To receive clarification regarding your rights or to exercise your rights, you should contact your local HR manager or
the Company’s Human Resources Department.

ARGENTINA

No country specific provisions.

AUSTRALIA

1.    RSUs Conditioned on Satisfaction of Regulatory Obligations. If you are (a) a director of a Subsidiary incorporated in
Australia, or (b) a person who is a management-level executive of a Subsidiary incorporated in Australia and who also is a director
of  a  Subsidiary  incorporated  outside  of  the  Australia,  the  grant  of  the  RSUs  is  conditioned  upon  satisfaction  of  the  shareholder
approval provisions of section 200B of the Corporations Act 2001 (Cth) in Australia.

The Australian Offer document can be accessed here [UBS INSERT LINK HERE]

AUSTRIA

No country specific provisions.

BELGIUM

No country specific provisions.

BRAZIL

Exhibit 10(ii)

1.    Labor Law Acknowledgment. By accepting the RSUs, you acknowledge and agree, for all legal purposes, that (a) the
benefits  provided  under  the  Terms  and  Conditions  and  the  2011  Plan  are  the  result  of  commercial  transactions  unrelated  to  your
employment; (b) the Terms and Conditions and the 2011 Plan are not a part of the terms and conditions of your employment; and (c)
the income from the RSUs, if any, is not part of your remuneration from employment.

2.    Compliance with Law. By accepting the RSUs, you acknowledge and agree to comply with applicable Brazilian laws
and to pay any and all applicable taxes associated with the vesting of the RSUs, the issuance and/or sale of Shares acquired under the
2011 Plan and the receipt of any dividends.

CANADA

1.    Settlement in Shares. Notwithstanding anything to the contrary in the Terms and Conditions or the 2011 Plan, the RSUs

shall be settled only in Shares (and may not be settled in cash).

2.    Termination of Employment. The following supplements Section 2(b) of the Terms and Conditions as well as any other

section required to give effect to the same:

In the event of your termination of employment for any reason (other than by reason of death, Disability or Retirement), either by
you or by the Employer, with or without cause, your rights to vest or to continue to vest in the RSUs and receive Shares under the
2011 Plan, if any, will terminate as of the actual Termination Date. For this purpose, the “Termination Date” shall mean the last day
on which you are actively employed by the Employer, and shall not include or be extended by any period following such day during
which you are in receipt of or eligible to receive any notice of termination, pay in lieu of notice of termination, severance pay or any
other payments or damages, whether arising under statute, contract or at common law.

Notwithstanding the foregoing,  if  applicable employment  standards legislation  explicitly requires  continued  entitlement to  vesting
during a statutory notice period, your right to vest in the RSUs under the 2011 Plan, if any, will terminate effective as of the last day
of your minimum statutory notice period, but you will not earn or be entitled to pro-rated vesting if the vesting date falls after the end
of your statutory notice period, nor will you be entitled to any compensation for lost vesting.

3.    Use of English Language.  If you are a resident of Quebec, by accepting your RSUs, you acknowledge and agree that it is
your wish that the Terms and Conditions, this Addendum, as well as all other documents, notices and legal proceedings entered into,
given or instituted pursuant to your RSUs, either directly or indirectly, be drawn up in English.

Langue  anglaise.  En  acceptant  l'allocation  de  vos  RSUs,  vous  reconnaissez  et  acceptez  avoir  souhaité  que  le  Termes  et
Conditions,  le  présent  avenant,  ainsi  que  tous  autres  documents  exécutés,  avis  donnés  et  procédures  judiciaires  intentées,
relatifs, directement ou indirectement, à l'allocation de vos RSUs, soient rédigés en anglais.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

Exhibit 10(ii)

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

CHILE

1.    Private Placement. The following provision shall replace Section 16 of the Terms and Conditions:

The grant of the RSUs hereunder is not intended to be a public offering of securities in Chile but instead is intended to be a private
placement.

a) The  starting  date  of  the  offer  will  be  the  grant  date,  and  this  offer  conforms  to  General  Ruling  no.  336  of  the  Chilean

Commission for the Financial Markets (“CMF”);

b) The offer deals with securities not registered in the registry of securities or in the registry of foreign securities of the CMF,

and therefore such securities are not subject to its oversight;

c) The Company, as the issuer, is not obligated to provide public information in Chile regarding the foreign securities, as such

securities are not registered with the CMF; and

d) The  Shares,  as  foreign  securities,  shall  not  be  subject  to  public  offering  as  long  as  they  are  not  registered  with  the

corresponding registry of securities in Chile.

a) La fecha de inicio de la oferta será el de la fecha de otorgamiento y esta oferta se acoge a la norma de Carácter General n°

336 de la Comisión para el Mercado Financiero Chilena (“CMF”);

b) La oferta versa sobre valores no inscritos en el registro de valores o en el registro de valores extranjeros que lleva la CMF,

por lo que tales valores no están sujetos a la fiscalización de ésta;

c) Por  tratar  de  valores  no  inscritos  no  existe  la  obligación  por  parte  del  emisor  de  entregar  en  chile  información  pública

respecto de esos valores; y

d) Esos valores no podrán ser objeto de oferta pública mientras no sean inscritos en el registro de valores correspondiente.

CHINA

1.    RSUs Conditioned on Satisfaction of Regulatory Obligations. If you are a People’s Republic of China (“PRC”) national,
the  grant  of  the  RSUs  is  conditioned  upon  the  Company  securing  all  necessary  approvals  from  the  PRC  State  Administration  of
Foreign Exchange to permit the operation of the 2011 Plan and the participation of PRC nationals employed by your Employer, as
determined by the Company in its sole discretion.

2.    Sale of Shares. Notwithstanding anything to the contrary in the 2011 Plan, upon any termination of employment with
your Employer, you shall be required to sell all Shares acquired under the 2011 Plan within such time period as may be established
by the PRC State Administration of Foreign Exchange.

Exhibit 10(ii)

3.    Exchange Control Restrictions. You acknowledge and agree that you will be required immediately to repatriate to the
PRC the proceeds from the sale of any Shares acquired under the 2011 Plan, as well as any other cash amounts attributable to the
Shares acquired under the 2011 Plan (collectively, “Cash Proceeds”). Further, you acknowledge and agree that the repatriation of the
Cash  Proceeds  must  be  effected  through  a  special  bank  account  established  by  your  Employer,  the  Company  or  one  of  its
Subsidiaries, and you hereby consent and agree that the Cash Proceeds may be transferred to such account by the Company on your
behalf prior to being delivered to you. The Cash Proceeds may be paid to you in U.S. dollars or local currency at the Company’s
discretion. If the Cash Proceeds are paid to you in U.S. dollars, you understand that a U.S. dollar bank account must be established
and  maintained  in  China  so  that  the  proceeds  may  be  deposited  into  such  account.  If  the  Cash  Proceeds  are  paid  to  you  in  local
currency, you acknowledge and agree that the Company is under no obligation to secure any particular exchange conversion rate and
that the Company may face delays in converting the Cash Proceeds to local currency due to exchange control restrictions. You agree
to bear any currency fluctuation risk between the time the Shares are sold and the Cash Proceeds are converted into local currency
and  distributed  to  you.  You  further  agree  to  comply  with  any  other  requirements  that  may  be  imposed  by  your  Employer,  the
Company and its Subsidiaries in the future in order to facilitate compliance with exchange control requirements in the PRC.

COLOMBIA

1.    Nature of Grant. In addition to the provisions of Section 13 of the Terms and Conditions you acknowledge that, pursuant
to Article 128 of the Colombian Labor Code, the 2011 Plan and related benefits do not constitute a component of your “salary” for
any legal purpose. Therefore, they will not be included and/or considered for purposes of calculating any and all labor benefits, such
as legal/fringe benefits, vacations, indemnities, payroll taxes, social insurance contributions and/or any other labor-related amount
which may be payable.

2.    Securities Law Information. The Shares subject to the RSUs are not and will not be registered in the Colombian registry
of publicly traded securities (Registro Nacional de Valores y Emisores) and therefore the Shares may not be offered to the public in
Colombia. Nothing in this document should be construed as the making of a public offer of securities in Colombia.

COSTA RICA

No country specific provisions.

DENMARK

1.    Treatment of RSUs upon Termination of Employment. Notwithstanding any provision in the Terms and Conditions or
the 2011 Plan to the contrary, unless you are a member of registered management who is not considered a salaried employee, the
treatment of the RSUs upon a termination of employment which is not a result of death shall be governed by Sections 4 and 5 of the
Danish  Act  on  Stock  Option  in  Employment  Relations.  However,  if  the  provisions  in  the  Terms  and  Conditions  or  the  Plan
governing the treatment of the RSUs upon a termination of employment are more favorable, then the provisions of the Terms and
Conditions or the 2011 Plan will govern.

Exhibit 10(ii)

FINLAND

1.    Withholding of Tax-Related Items. Notwithstanding anything in Section 6 of the Terms and Conditions to the contrary, if
you are a local national of Finland, any Tax-Related Items shall be withheld only in cash from your regular salary/wages or other
amounts payable to you in cash or such other withholding methods as may be permitted under the 2011 Plan and allowed under local
law.

FRANCE

1.    Use of English Language.  By accepting your RSUs, you acknowledge and agree that it is your wish that the Terms and
Conditions, this Addendum, as well as all other documents, notices and legal proceedings entered into, given or instituted pursuant to
your RSUs, either directly or indirectly, be drawn up in English.

Langue  anglaise.  En  acceptant  l'allocation  de  vos  RSUs,  vous  reconnaissez  et  acceptez  avoir  souhaité  que  le  Termes  et
Conditions,  le  présent  avenant,  ainsi  que  tous  autres  documents  exécutés,  avis  donnés  et  procédures  judiciaires  intentées,
relatifs, directement ou indirectement, à l'allocation de vos RSUs, soient rédigés en anglais.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

GERMANY

No country specific provisions.

HONG KONG

1.    Important Notice.  Warning:  The  contents  of  the  Terms  and  Conditions,  this  Addendum,  the  2011  Plan,  and  all  other
materials pertaining to the RSUs and/or the 2011 Plan have not been reviewed by any regulatory authority in Hong Kong. You are
hereby  advised  to  exercise  caution  in  relation  to  the  offer  thereunder.  If  you  have  any  doubts  about  any  of  the  contents  of  the
aforesaid materials, you should obtain independent professional advice.

2.    Lapse of Restrictions. If, for any reason, Shares are issued to you within six (6) months of the grant date, you agree that

you will not sell or otherwise dispose of any such Shares prior to the six-month anniversary of the grant date.

Exhibit 10(ii)

3.    Settlement in Shares. Notwithstanding anything to the contrary in this Addendum, the Terms and Conditions or the 2011

Plan, the RSUs shall be settled only in Shares (and may not be settled in cash).

4.    Nature of the Plan. The Company specifically intends that the 2011 Plan will not be treated as an occupational retirement
scheme  for  purposes  of  the  Occupational  Retirement  Schemes  Ordinance  (“ORSO”).  To  the  extent  any  court,  tribunal  or
legal/regulatory body in Hong Kong determines that the 2011 Plan constitutes an occupational retirement scheme for the purposes of
ORSO, the grant of the RSUs shall be null and void.

INDIA

1.        Repatriation  Requirements.  You  expressly  agree  to  repatriate  all  sale  proceeds  and  dividends  attributable  to  Shares
acquired under the 2011 Plan in accordance with local foreign exchange rules and regulations. Neither the Company, your Employer
or any of the Company’s Subsidiaries shall be liable for any fines or penalties resulting from your failure to comply with applicable
laws, rules or regulations.

IRELAND

No country specific provisions.

ITALY

No country specific provisions.

JAPAN

No country specific provisions.

MEXICO

1.    Commercial Relationship. You expressly recognize that your participation in the 2011 Plan and the Company’s grant of
the  RSUs  does  not  constitute  an  employment  relationship  between  you  and  the  Company.  You  have  been  granted  the  RSUs  as  a
consequence  of  the  commercial  relationship  between  the  Company  and  the  Subsidiary  in  Mexico  that  employs  you,  and  the
Company’s Subsidiary in Mexico is your sole employer. Based on the foregoing, (a) you expressly recognize the 2011 Plan and the
benefits  you  may  derive  from  your  participation  in  the  2011  Plan  do  not  establish  any  rights  between  you  and  the  Company’s
Subsidiary in Mexico that employs you, (b) the 2011 Plan and the benefits you may derive from your participation in the 2011 Plan
are not part of the employment conditions and/or benefits provided by the Company’s Subsidiary in Mexico that employs you, and
(c) any modification or amendment of the 2011 Plan by the Company, or a termination of the 2011 Plan by the Company, shall not
constitute a change or impairment of the terms and conditions of your employment with the Company’s Subsidiary in Mexico that
employs you.

2.    Extraordinary Item of Compensation. You expressly recognize and acknowledge that your participation in the 2011 Plan
is a result of the discretionary and unilateral decision of the Company, as well as your free and voluntary decision to participate in
the 2011 Plan in accord with the terms and conditions of the 2011 Plan, the Terms and Conditions, and this Addendum. As such, you
acknowledge and agree that the Company may, in its sole discretion, amend and/or discontinue your participation in the 2011 Plan at
any time and without any liability. The value of the RSUs is an extraordinary item of compensation outside the

scope  of  your  employment  contract,  if  any.  The  RSUs  are  not  part  of  your  regular  or  expected  compensation  for  purposes  of
calculating  any  severance,  resignation,  redundancy,  end  of  service  payments,  bonuses,  long-service  awards,  pension  or  retirement
benefits, or any similar payments, which are the exclusive obligations of the Company’s Subsidiary in Mexico that employs you.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

Exhibit 10(ii)

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

NETHERLANDS

1.        Waiver  of  Termination  Rights.  As  a  condition  to  the  grant  of  the  RSUs,  you  hereby  waive  any  and  all  rights  to
compensation or damages as a result of the termination of your employment with the Company and your Employer for any reason
whatsoever, insofar as those rights result or may result from (a) the loss or diminution in value of such rights or entitlements under
the 2011 Plan, or (b) you ceasing to have rights under or ceasing to be entitled to any awards under the 2011 Plan as a result of such
termination.

2.        Tax  Deferral  Upon  Retirement.  Unless  you  otherwise  elect  by  contacting  Stryker  no  later  than  April  30,  2020,  you
hereby  agree  that  upon  Retirement  eligibility,  the  RSUs  shall  not  become  taxable  until  the  date  of  settlement  when  Shares  are
actually delivered or otherwise made available.

NEW ZEALAND

1.    WARNING. You are being offered RSUs to be settled in the form of shares of Stryker Corporation common stock. If the
Company  runs into financial  difficulties  and is wound up, you may lose some or all your investment.  New Zealand  law normally
requires people who offer financial products to give information to investors before they invest. This requires those offering financial
products to have disclosed information that is important for investors to make an informed decision. The usual rules do not apply to
this  offer  because  it  is  an  offer  made  under  the  Employee  Share  Scheme  exemption.  As  a  result,  you  may  not  be  given  all  the
information usually required. You will also have fewer other legal protections for this investment. You should ask questions, read all
documents carefully, and seek independent financial advice before accepting the offer. The Company’s Shares are currently traded
on the New York Stock Exchange under the ticker symbol “SYK” and Shares acquired under the 2011 Plan may be sold through this
exchange. You may end up selling the Shares at a price that is lower than the value of the Shares when you acquired them. The price
will depend on the demand for the Company's Shares. The Company’s most recent annual report (which includes the Company’s
financial  statements)  is  available  at  [http://phx.corporate-ir.net/phoenix.zhtml?c=118965&p=irol-irhome].  You  are  entitled  to
receive
 at
 charge,
STOCKPLANADMINISTRATION@STRYKER.COM.

 Company

 request

 written

 report,

 upon

 copy

 free

 this

 the

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 to

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Exhibit 10(ii)

POLAND

No country specific provisions.

PORTUGAL

No country specific provisions.

PUERTO RICO

No country specific provisions.

ROMANIA

No country specific provisions.

RUSSIA

1.    IMPORTANT EMPLOYEE NOTIFICATION. If you are a citizen of the Russian Federation, any cash proceeds derived
from the 2011 Plan (including any dividend equivalents payable in cash but excluding cash dividends) must be remitted directly to a
personal  bank account  opened with an authorized  bank in the Russian Federation  (an “Authorized  Russian Account”).  Thereafter,
you may, in your sole discretion, personally transfer such amounts from your Authorized Russian Account to a bank account legally
established outside of the Russian Federation with a non-Russian bank located in the Organization for Economic Co-operation and
Development  or the  Financial  Action  Task  Force  countries  (an “Authorized  Foreign  Account”).  Cash  dividends  (but  not dividend
equivalents  payable  in  cash)  can  be  remitted  directly  to  an  Authorized  Foreign  Account.  However,  you  are  required  to  notify  the
Russian tax authorities within one month of opening or closing an Authorized Foreign Account or changing the account details. You
also are required to file quarterly reports of any transactions involving any Authorized Foreign Account you hold with the Russian
tax authorities.

2.    SECURITIES LAW NOTIFICATION. The grant of RSUs and the issuance of Shares upon vesting are not intended to
be an offering of securities with the Russian Federation, and the Terms and Conditions, the 2011 Plan, this Addendum and all other
materials  that  you  receive  in  connection  with  the  grant  of  RSUs  and  your  participation  in  the  2011  Plan  (collectively,  “Grant
Materials”) do not constitute advertising or a solicitation within the Russian Federation. In connection with your grant of RSUs, the
Company  has  not  submitted  any  registration  statement,  prospectus  or  other  filing  with  the  Russian  Federal  Bank  or  any  other
governmental  or  regulatory  body  within  the  Russian  Federation,  and  the  Grant  Materials  expressly  may  not  be  used,  directly  or
indirectly, for the purpose of making a securities offering or public circulation of Shares within the Russian Federation.

3.        EXCHANGE  CONTROL  NOTIFICATION.  You  are  solely  responsible  for  complying  with  applicable  Russian
exchange control regulations. Since the exchange control regulations change frequently and without notice, you should consult your
legal advisor prior to the acquisition or sale of Shares under the 2011 Plan to ensure compliance with current regulations. As noted, it
is your personal responsibility to comply with Russian exchange control laws, and neither the Company nor any Subsidiary will be
liable for any fines or penalties resulting from failure to comply with applicable laws.

Exhibit 10(ii)

4.    ANTI-CORRUPTION NOTIFICATION. Anti-corruption laws prohibit certain public servants, their spouses and their
dependent children from owning any foreign source financial instruments (e.g., shares of foreign companies such as the Company).
Accordingly, you should inform the Company if you are covered by these laws as this relates to your acquisition of Shares under the
2011 Plan.

SINGAPORE

1.    Qualifying Person Exemption. The following provision shall replace Section 16 of the Terms and Conditions:

The grant of the RSUs under the 2011 Plan is being made pursuant to the “Qualifying Person” exemption” under section 273(1)(f) of
the Securities and Futures Act (Chapter 289, 2011 Ed.) (“SFA”). The 2011 Plan has not been lodged or registered as a prospectus
with the Monetary Authority of Singapore. You should note that, as a result, the RSUs are subject to section 257 of the SFA and you
will not be able to make (a) any subsequent sale of the Shares in Singapore or (ii) any offer of such subsequent sale of the Shares
subject  to  the  RSUs  in  Singapore,  unless  such  sale  or  offer  is  made  pursuant  to  the  exemptions  under  Part  XIII  Division  (1)
Subdivision (4) (other than section 280) of the SFA (Chapter 289, 2011 Ed.).

2.    Director Reporting Notification. If you are a director, associate director or shadow director of a Singapore company, you
are subject to certain notification requirements under the Singapore Companies Act. Among these requirements is an obligation to
notify  the  Singapore  company  in  writing  when  you  receive  an  interest  (e.g.,  RSUs  or  Shares)  in  the  Company  or  any  related
company.  In addition,  you must notify  the Singapore  company  when you sell Shares  (including  when you sell Shares acquired  at
vesting of the Restricted Stock Units). These notifications must be made within two business days of acquiring or disposing of any
interest in the Company or any related company. In addition, a notification must be made of Participant’s interests in the Company
or any related company within two business days of becoming a director.

SOUTH AFRICA

1.    Withholding Taxes. In addition  to the provisions  of Section 6 of the Terms and Conditions,  you agree to notify your
Employer in South Africa of the amount of any gain realized upon vesting of the RSUs. If you fail to advise your Employer of the
gain realized upon vesting of the RSUs, you may be liable for a fine. You will be responsible for paying any difference between the
actual tax liability and the amount withheld.

2.    Exchange Control Obligations. You are solely responsible for complying with applicable exchange control regulations
and  rulings  (the  “Exchange  Control  Regulations”)  in  South  Africa.  As  the  Exchange  Control  Regulations  change  frequently  and
without  notice,  you  should  consult  your  legal  advisor  prior  to  the  acquisition  or  sale  of  Shares  under  the  2011  Plan  to  ensure
compliance with current Exchange Control Regulations. Neither the Company nor any of its Subsidiaries will be liable for any fines
or penalties resulting from your failure to comply with applicable laws.

3.    Securities  Law  Information  and Deemed  Acceptance  of RSUs.  Neither the RSUs nor the underlying  Shares shall be
publicly offered or listed on any stock exchange in South Africa.  The offer is intended to be private pursuant to Section 96 of the
Companies  Act  and  is  not  subject  to  the  supervision  of  any  South  African  governmental  authority.  Pursuant  to  Section  96  of  the
Companies Act, the RSU offer must be finalized on or before the 60th day following the grant date.  If you do not want to accept the
RSUs, you are required to decline the RSUs no later than the 60th day following the grant date.  If you do not reject the RSUs on or
before the 60th day following the grant date, you will be deemed to accept the RSUs.

Exhibit 10(ii)

SOUTH KOREA

No country specific provisions.

SPAIN

1.        Acknowledgement  of  Discretionary  Nature  of  the  2011  Plan;  No  Vested  Rights.  In  accepting  the  RSUs,  you
acknowledge that you consent to participation in the 2011 Plan and have received a copy of the 2011 Plan. You understand that the
Company  has  unilaterally,  gratuitously  and  in  its  sole  discretion  granted  RSUs  under  the  2011  Plan  to  individuals  who  may  be
employees of the Company or its Subsidiaries throughout the world. The decision is a limited decision that is entered into upon the
express assumption and condition that any grant will not economically or otherwise bind the Company or any of its Subsidiaries on
an ongoing basis. Consequently, you understand that the RSUs are granted on the assumption and condition that the RSUs and the
Shares acquired upon vesting of the RSUs shall not become a part of any employment contract (either with the Company or any of
its Subsidiaries) and shall not be considered a mandatory benefit, salary for any purposes (including severance compensation) or any
other right whatsoever. In addition, you understand that this grant would not be made to you but for the assumptions and conditions
referenced above. Thus, you acknowledge and freely accept that should any or all of the assumptions be mistaken or should any of
the conditions not be met for any reason, the RSUs shall be null and void.

You  understand  and  agree  that,  as  a  condition  of  the  grant  of  the  RSUs,  any  unvested  RSUs  as  of  the  date  you  cease  active
employment will be forfeited without entitlement to the underlying Shares or to any amount of indemnification in the event of the
termination of employment by reason of, but not limited to, (i) material modification of the terms of employment under Article 41 of
the  Workers’  Statute  or  (ii)  relocation  under  Article  40  of  the  Workers’  Statute.  You  acknowledge  that  you  have  read  and
specifically accept the conditions referred to in the Terms and Conditions regarding the impact of a termination of employment on
your RSUs.

BY  SIGNING  BELOW,  YOU  ACKNOWLEDGE,  UNDERSTAND  AND  AGREE  TO  THE  PROVISIONS  OF  THE  2011
PLAN, THE TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

SWITZERLAND

1.        Securities  Law  Information.  Neither  this  document  nor  any  other  materials  relating  to  the  RSUs  (a)  constitutes  a
prospectus according to articles 35 et seq. of the Swiss Federal Act on Financial Services (“FinSA”) (b) may be publicly distributed
or otherwise made publicly available in Switzerland to any person other than an employee of the Company or (c) has been or will be
filed with, approved or supervised by any Swiss reviewing body according to article 51 FinSA or any Swiss regulatory  authority,
including the Swiss Financial Supervisory Authority, FINMA.

TAIWAN

1.    Securities Law Notice. The offer of participation in the 2011 Plan is available only for employees of the Company and its

Subsidiaries. The offer of participation in the 2011 Plan is not a public offer of securities by a Taiwanese company.

Exhibit 10(ii)

THAILAND

No country specific provisions.

TURKEY

1.    Securities Law Information. Under Turkish law, you are not permitted to sell any Shares acquired under the 2011 Plan
within  Turkey.  The  Shares  are  currently  traded  on  the  New  York  Stock  Exchange,  which  is  located  outside  of  Turkey,  under  the
ticker symbol “SYK” and the Shares may be sold through this exchange.

2.    Financial Intermediary Obligation. You acknowledge that any activity related to investments in foreign securities (e.g.,
the sale of Shares) should be conducted through a bank or financial intermediary institution licensed by the Turkey Capital Markets
Board and should be reported to the Turkish Capital Markets Board. You solely are responsible for complying with this requirement
and should consult with a personal legal advisor for further information regarding any obligations in this respect.

UNITED ARAB EMIRATES

1.        Securities  Law  Information.  The  offer  of  the  RSUs  is  available  only  for  select  Employees  of  the  Company  and  its
Subsidiaries and is in the nature of providing incentives in the United Arab Emirates. The 2011 Plan and the Terms and Conditions
are  intended  for  distribution  only  to  such  individuals  and  must  not  be  delivered  to,  or  relied  on  by  any  other  person.  Prospective
purchasers of securities should conduct their own due diligence.

The Emirates Securities and Commodities Authority has no responsibility for reviewing or verifying any documents in connection
with  this  statement,  including  the  2011  Plan  and  the  Terms  and  Conditions,  or  any  other  incidental  communication  materials
distributed  in  connection  with  the  RSUs.  Further,  neither  the  Ministry  of  Economy  nor  the  Dubai  Department  of  Economic
Development  has  approved  this  statement  nor  taken  steps  to  verify  the  information  set  out  in  it,  and  has  no  responsibility  for  it.
Residents  of  the  United  Arab  Emirates  who  have  any  questions  regarding  the  contents  of  the  2011  Plan  and  the  Terms  and
Conditions should obtain independent advice.

UNITED KINGDOM

1.    Income Tax and Social Insurance Contribution Withholding. The following provision shall supplement Section 6 of the

Terms and Conditions:

Without limitation to Section 6 of the Terms and Conditions, you agree that you are liable for all Tax-Related Items
and hereby covenant to pay all such Tax-Related Items, as and when requested by the Company, your Employer or by Her Majesty’s
Revenue and Customs (“HMRC”) (or any other tax authority or any other relevant authority). You also agree to indemnify and keep
indemnified the Company and your

Employer against any Tax-Related Items that they are required to pay or withhold or have paid or will pay to HMRC on your behalf
(or any other tax authority or any other relevant authority).

2.        Exclusion  of  Claim.  You  acknowledge  and  agree  that  you  will  have  no  entitlement  to  compensation  or  damages  in
consequence of the termination of your employment with the Company and your Employer for any reason whatsoever and whether
or not in breach of contract, insofar as any purported claim to such entitlement arises or may arise from your ceasing to have rights
under or to be entitled to vest in the RSUs as a result of such termination of employment (whether the termination is in breach of
contract  or  otherwise),  or  from  the  loss  or  diminution  in  value  of  the  RSUs.  Upon  the  grant  of  the  RSUs,  you  shall  be  deemed
irrevocably to have waived any such entitlement.

Exhibit 10(ii)

Exhibit 10(iii)

Kevin A. Lobo
Chairman and CEO
2825 Airview Boulevard
Kalamazoo MI 49002 USA
P 269 389 7353
www.stryker.com

Personal and confidential

February 3, 2021        

First Name Last Name

Dear First Name:

I am pleased to inform you that as an SLT member, you are receiving a performance stock units (PSUs) award in 2021. We use these
awards to reward performers who we believe will be key contributors to our growth well into the future. The total Award Date Value
(ADV) of your awards is approximately USD $xx,xxx.

You are receiving x,xxx PSUs. The number of PSUs actually earned will be dependent upon Stryker’s financial performance during the
three-year period ending December 31, 2023. Refer to the Terms and Conditions accompanying the 2021 PSUs award for specific
criteria associated with vesting in such award. In order to earn any of the PSUs, you must be continuously employed with Stryker
through the vesting date of March 21, 2024 except as otherwise provided in the Terms and Conditions.

You must “Accept” the award online via the UBS One Source web site located at www.ubs.com/onesource/SYK between
March 2 and March 31, 2021. The detailed terms of the PSUs are in the Terms and Conditions, any applicable country addendum
and the provisions of the Company's 2011 Long-Term Incentive Plan. Those documents, together with the related Prospectus, are
available on the UBS One Source web site, and you should read them before accepting the award. In addition, you may be asked to
sign the most recent version of Stryker’s Confidentiality, Intellectual Property, Non-Competition and Non-Solicitation Agreement
(“Non-Compete Agreement”) in connection with this award. If you are asked to sign the Non-Compete Agreement, it will be emailed
to you and you will be asked to sign the document electronically via Adobe Sign by March 31, 2021. The vesting of the PSUs is
conditioned on you having signed the Non-Compete Agreement by March 31, 2021, where permitted by applicable law.

Thank you for your efforts in helping us deliver market leading results. With your help, I look forward to our continued business
growth and success.

Sincerely,

Kevin A. Lobo
Chairman and CEO

        
Exhibit 10(iii)

STRYKER CORPORATION

TERMS AND CONDITIONS
RELATING TO PERFORMANCE STOCK UNITS GRANTED
PURSUANT TO THE 2011 LONG-TERM INCENTIVE PLAN, AS AMENDED AND RESTATED

1.    The Performance Stock Units with respect to Common Stock of Stryker Corporation (the “Company”) granted to
you  during  2021  (the  “PSUs”)  are  subject  to  these  Terms  and  Conditions  Relating  to  Performance  Stock  Units  Granted
Pursuant to the 2011 Long-Term Incentive Plan, as Amended and Restated (the “Terms and Conditions”) and all of the terms
and  conditions  of  the  Stryker  Corporation  2011  Long-Term  Incentive  Plan,  as  Amended  and  Restated  (the  “2011  Plan”),
which is incorporated herein by reference. In the case of a conflict between these Terms and Conditions and the terms of the
2011  Plan,  the  provisions  of  the  2011  Plan  will  govern.  Capitalized  terms  used  but  not  defined  herein  have  the  meaning
provided  therefor  in  the  2011  Plan.  For  purposes  of  these  Terms  and  Conditions,  “Employer”  means  the  Company  or  any
Subsidiary that employs you  on  the  applicable  date, and "Stock  Plan  Administrator" means  UBS  Financial Services  Inc.  (or
any  other  independent  service  provider  engaged  by  the  Company  to  assist  with  the  implementation,  operation  and
administration of the 2011 Plan).

2.        Vesting.  Except  as  provided  in  Section  8(a),  the  vesting  of  your  PSUs  is  dependent  upon  your  remaining
continuously  employed  with  your  Employer  through  March  21,  2024  (the  “Vesting  Date”)  as  well  as  upon  the  Company’s
financial performance during the three-year period ending December 31, 2023 (the “Performance Period”). Specifically, the
vesting of any of the PSUs is dependent upon attainment of the Threshold Performance Target as set forth in Section 3. If the
Threshold Performance Target is attained, then the vesting of 50% of the PSUs (the “EPS PSUs”) is dependent on Adjusted
EPS Growth as set forth in Section 4, and vesting of the remaining 50% of the PSUs (the “Sales Growth PSUs”) is dependent
on the Sales Growth Percentile Ranking as set forth in Section 5. The actual number of your PSUs that become vested, if any,
shall be determined based on exercise of negative discretion by the Committee in accordance with Sections 4, 5 and 6 below.

3.          Threshold  Performance  Target.  If  the  Company’s  Adjusted  EPS  Growth  as  of  the  last  day  of  the  Performance
Period is less than 3.0%, none of your PSUs shall become vested and all of your PSUs shall be forfeited as of the last day of the
Performance Period. If the Company’s Adjusted EPS Growth as of the last day of the Performance Period is 3.0% or greater
(the “Threshold Performance Target”) and, except as provided in Section 8(a), you remain in the continuous employment of
Stryker through the Vesting Date, you shall become eligible to vest in up to 200% of your PSUs, although the actual number
of  your  PSUs  that  become  vested  shall  be  determined  based  on  exercise  of  negative  discretion  by  the  Committee  in
accordance with Sections 4, 5 and 6 below.

4.    Adjusted EPS Growth.

        (a)    If the Threshold Performance Target is attained and, except as provided in Section 8(a), you have remained in the
continuous  employment  of  Stryker  through  the  Vesting  Date,  then  subject  to  Section  6  you  shall  become  vested  in  the
percentage  of  the  EPS  PSUs  determined  based  on  the  Company’s  Adjusted  EPS  Growth  using  the  table  below,  applying
straight  line  interpolation  rounded  down  to  the  nearest  whole  number  of  EPS  PSUs  for  Adjusted  EPS  Growth  resulting  in
vested EPS PSUs between 50% and 100% or between 100% and 200%.

< Minimum

Minimum

Adjusted EPS Growth

Less than 6.0%

6.0%

Target

9.0%

Maximum

12% or more

Vested  Percent  of  EPS
PSUs

0%

50%

100%

200%

Exhibit 10(iii)

Any EPS PSUs that do not become vested in accordance with the foregoing shall be forfeited.

        (b)    As soon as administratively practicable following the Vesting Date (but in no event later than December 31, 2024),
the Company shall issue you the Shares underlying the vested EPS PSUs.

        (c)    For purposes of these Terms and Conditions:

(i)        “Adjusted  EPS”  for  a  calendar  year  shall  mean  the  Company’s  diluted  net  earnings  per  share  for
such  year  as  determined  under  U.S.  generally  accepted  accounting  principles  (“GAAP”)  but  subject  to  such
adjustments, if any, for non-GAAP financial measures that are reflected in a reconciliation to the GAAP financial
statements  included  in  the  Company’s  Annual  Report  on  Form  10-K  filed  with  the  Securities  and  Exchange
Commission.

(ii)    “Adjusted EPS Growth” shall mean the sum of the Annual Percentage Change in Adjusted EPS for

the three (3) calendar years in the Performance Period divided by three (3).

(iii)    “Annual Percentage Change in Adjusted EPS” for calendar year 2021 shall mean the amount by
which  the  Adjusted  EPS  for  such  calendar  year  has  increased  or  decreased  relative  to  calendar  year  2019
expressed as a positive or negative percentage (depending on whether Adjusted EPS increased or decreased)
of the Adjusted EPS for the 2019 calendar year. For calendar years 2022 and 2023 shall mean the amount by
which  the  Adjusted  EPS  for  such  calendar  year  has  increased  or  decreased  relative  to  the  immediately
preceding calendar year, expressed as a positive or negative percentage (depending on whether Adjusted EPS
increased or decreased) of the Adjusted EPS for such preceding calendar year.

        (d)    Notwithstanding anything to the contrary herein, the Committee shall have discretion to make such adjustments to
the foregoing metrics as it deems appropriate to reflect the impact of corporate transactions, accounting or tax law changes
or  extraordinary,  unusual,  nonrecurring  or  infrequent  items;  provided,  however,  that  for  purposes  of  calculating  the
Threshold  Performance  Target  in  Section  3,  in  no  case  shall  such  adjustments  have  the  net  aggregate  effect  of  increasing
Adjusted EPS Growth.

5.    Sales Growth Percentile Ranking.

        (a)    If the Threshold Performance Target is attained and, except as provided in Section 8(a), you have remained in the
continuous  employment  of  Stryker  through  the  Vesting  Date,  then  subject  to  Section  6  you  shall  become  vested  in  the
percentage of the Sales Growth PSUs based upon the Company’s Sales Growth Percentile Ranking, as determined using the
table below, applying straight line interpolation rounded down to the nearest whole number of Sales Growth PSUs for Sales
Growth Percentile Ranking resulting in vested Sales Growth PSUs between 50% and 100% or between 100% and 200%.

Sales Growth Percentile
Ranking

th

75  and Above

th

50

Vested Percent of Sales
Growth PSUs

200%

100%

rd

33

50%

Below 33

rd

0%

Exhibit 10(iii)

Any Sales Growth PSUs that do not become vested in accordance with the foregoing shall be forfeited, and if the Company’s
Average Sales Growth in the Performance Period is equal to or less than zero, all of the Sales Growth PSUs shall be forfeited
(irrespective of the Sales Growth Percentile Ranking).

        (b)    As soon as administratively practicable following the Vesting Date (but in no event later than December 31, 2024),
the Company shall issue you the Shares underlying the vested Sales Growth PSUs.

        (c)    For purposes of these Terms and Conditions and subject to Section 5(d) below:

(i)    “Average Sales Growth” shall mean, for the Company and each company in the Comparison Group,
the sum of the Sales Growth for each Reporting Period ending within the Performance Period divided by three;

(ii)    “Comparison Group” shall mean:

• Abbott Laboratories
• Agilent Technologies, Inc.
• Baxter International Inc.
• Becton, Dickinson and Company
• Boston Scientific Corporation
• Cerner Corporation
• Danaher Corporation
• Fresenius Medical Care AG & Co. KGaA
• General Electric Company (Healthcare)
• Johnson & Johnson (Medical Devices)
• Laboratory Corporation of America Holdings
• Medtronic plc
• Quest Diagnostics Incorporated
• Royal Philips (combined segments of Diagnosis & Treatment and Connected Care)
• Siemens Healthineers AG
• Smith & Nephew plc
• Thermo Fisher Scientific Inc.
• 3M Company (Healthcare)
• Varian Medical Systems, Inc.
• Zimmer Biomet Holdings, Inc.

For purposes of the foregoing, any company for which Sales Growth cannot be calculated for three full annual
Reporting Periods ending within the Performance Period shall be excluded.

(iii)    “Net Sales” shall mean, for the Company and each company in the Comparison Group, net sales as

publicly reported for the applicable Reporting Period.

(iv)    “Reporting Period” shall mean a calendar year in the case of the Company and each company in

the Comparison Group that reports on a calendar year basis, and in the

Exhibit 10(iii)

case of any other company in the Comparison Group, the four fiscal quarters that include the last fiscal quarter
ending prior to December 31 for which such company has publicly reported prior to the following February 28.

(v)    “Sales Growth” for a Reporting Period shall mean the amount by which Net Sales has increased or
decreased  relative  to  the  immediately  preceding  Reporting  Period,  expressed  as  a  positive  or  negative
percentage  (depending  on  whether  Net  Sales  increased  or  decreased)  of  the  Net  Sales  for  such  preceding
Reporting Period.

(vi)    “Sales Growth Percentile Ranking” shall mean the percentile ranking of the Company’s Average
Sales Growth relative to the Average Sales Growth for each company in the Comparison Group, rounded to the
whole nearest percentile. For this purpose, the percentile ranking shall be calculated as 1 – (Rank-1)/(Total of
the  Comparison  Group  plus  the  Company-1).  For  example,  if  the  Company  ranked  5  out  of  21  companies
th
including itself, the percentile rank would be calculated as 1 – (5-1)/(21-1) or 1 – (4/20) or 1-0.2 or the 80
percentile.

th

        (d)    The Committee may make such revisions and adjustments to each of the items set forth in Sections 5(c)(i)-(vi) as it
may determine necessary and appropriate in its discretion.

6.          Discretion  of  the  Committee.  Notwithstanding  anything  in  these  Terms  or  Conditions  or  the  2011  Plan  to  the
contrary,  provided  that  the  Threshold  Performance  Target  has  been  attained,  the  Committee  shall  have  the  power  and
authority, in its sole and absolute exercise of negative discretion, to reduce or increase the vested PSUs such that the actual
earned  PSUs  will  be  greater  than  or  less  than  the  vested  PSUs,  which  increase  or  reduction  may  be  made  by  taking  into
account any criteria the Committee deems appropriate; provided  further that notwithstanding anything in these Terms or
Conditions to the contrary you shall not become vested in more than 200% of your PSUs.

7.    Dividend Equivalents. In connection with your PSUs, you shall be entitled to receive all of the cash dividends for
which the record date occurs during the period between the commencement of the Performance Period and the Vesting Date
with respect to each Share underlying your vested PSUs (“Dividend Equivalents”). Dividend Equivalents shall be converted
into  their  equivalent  number  of  additional  PSUs  rounded  down  to  the  nearest  whole  number  of  PSUs  based  on  the  Fair
Market Value of a Share on the Vesting Date, provided, that the maximum number of additional PSUs you may receive upon
such conversion shall be equal to 200% of your originally granted PSUs. Such additional PSUs shall be subject to the terms
and  conditions  applicable  to  the  PSUs  to  which  the  Dividend  Equivalents  relate,  including,  without  limitation,  the  vesting,
forfeiture, and payment form and timing provisions contained herein.

8.    In the  event you cease  to remain  in the continuous employment  of the Company  or a Subsidiary for the entire
period commencing on the grant date and ending on the applicable Vesting Date, your right to receive the Shares issuable
pursuant to the PSUs shall be only as follows:

        (a)    If you cease to be an Employee prior to the Vesting Date by reason of Disability (as such term is defined in the 2011
Plan), death or Retirement (as such term is defined in the 2011 Plan), you or your estate will become vested on the Vesting
Date in a pro-rata portion (determined by dividing (a) the number of days during the Performance Period in which you were
an Employee by (b) the total number of days during the Performance Period) of your PSUs based upon the Company’s
Adjusted EPS Growth and Sales Growth Percentile Ranking for the Performance Period as determined pursuant to Sections 3,
4 and 5 of these Terms and Conditions. Any pro rata portion shall be rounded down to the nearest whole number of PSUs.
You, your legal representative or your estate will receive

    
Exhibit 10(iii)

all of the underlying Shares attributable to the vested PSUs as soon as administratively practicable following (and in no event
more than ninety (90) days after) the Vesting Date.

        (b)    If you cease to be an Employee for any reason other than those provided in (a) above and your Termination Date is
prior to the Vesting Date, you shall immediately forfeit all PSUs granted hereunder effective as of your Termination Date. If
you are a resident of or employed in the United States, “Termination Date” shall mean the effective date of termination of
your employment with your Employer. If you are resident or employed outside of the United States, “Termination Date” shall
mean the earliest of (i) the date on which notice of termination is provided to you, (ii) the last day of your active service with
your  Employer,  or  (iii)  the  last  day  on  which  you  are  an  Employee  of  your  Employer,  as  determined  in  each  case  without
including  any  required  advance  notice  period  and  irrespective  of  the  status  of  the  termination  under  local  labor  or
employment laws.

9.        Notwithstanding  the  foregoing,  the  Company  may,  in  its  sole  discretion,  settle  the  PSUs  (and  any  Dividend
Equivalents) in the form of: (i) a cash payment to the extent settlement in Shares (1) is prohibited under local law, (2) would
require you, the Company and/or your Employer to obtain the approval of any governmental and/or regulatory body in your
country  of  residence  (and  country  of  employment,  if  different),  or  (3)  is  administratively  burdensome;  or  (ii)  Shares,  but
require you to immediately sell such Shares (in which case, the Company shall have the authority to issue sales instructions
in relation to such Shares on your behalf).    

10.    The number of Shares subject to the PSUs shall be subject to adjustment and the vesting dates hereof may be

accelerated as follows:

        (a)    In the event that the Shares, as presently constituted, shall be changed into or exchanged for a different number or
kind  of  shares  of  stock  or  other  securities  of  the  Company  or  of  another  corporation  (whether  by  reason  of  merger,
consolidation, recapitalization, reclassification, split-up, combination of shares, or otherwise) or if the number of such Shares
shall be  increased  through  the payment  of a stock  dividend or  a dividend  on the Shares  of rights or warrants  to purchase
securities of the Company shall be made, then there shall be substituted for or added to each Share theretofore subject to the
PSUs the number and kind of shares of stock or other securities into which each outstanding Share shall be so changed, or for
which each such Share shall be exchanged, or to which each such Share shall be entitled. The other terms of the PSUs shall
also  be  appropriately  amended  as  may  be  necessary  to  reflect  the  foregoing  events.  In  the  event  there  shall  be  any  other
change in the number or kind of the outstanding Shares, or of any stock or other securities into which such Shares shall have
been  exchanged,  then  if  the  Committee  shall,  in  its  sole  discretion,  determine  that  such  change  equitably  requires  an
adjustment in the PSUs, such adjustment shall be made in accordance with such determination.

        (b)    Fractional Shares resulting from any adjustment in the PSUs may be settled in cash or otherwise as the Committee
shall determine, in its sole  discretion.  Notice of any adjustment will be given to you and such adjustment (whether  or not
such notice is given) shall be effective and binding for all purposes hereof.

               (c)        The  Committee  shall  have  the  power  to  amend  the  PSUs  to  permit  the  immediate  vesting  of  the  PSUs  (and  to
terminate any unvested PSUs) and the distribution of the underlying Shares prior to the effectiveness of (i) any disposition of
substantially  all  of  the  assets  of  the  Company  or  your  Employer,  (ii)  the  shutdown,  discontinuance  of  operations  or
dissolution of the Company or your Employer, or (iii) the merger or consolidation of the Company or your Employer with or
into any other unrelated corporation.

    
Exhibit 10(iii)

11.    If you are resident or employed outside of the United States, you agree, as a condition of the grant of the PSUs, to
repatriate all payments attributable to the Shares and/or cash acquired under the 2011 Plan (including, but not limited to,
dividends,  dividend  equivalents  and  any  proceeds  derived  from  the  sale  of  the  Shares  acquired  pursuant  to  the  PSUs)  if
required by and in accordance with local foreign exchange rules and regulations in your country of residence (and country of
employment, if different). In addition, you also agree to take any and all actions, and consent to any and all actions taken by
the Company and its Subsidiaries, as may be required to allow the Company and its Subsidiaries to comply with local laws,
rules and regulations in your country of residence (and country of employment, if different). Finally, you agree to take any
and  all  actions  as  may  be  required  to  comply  with  your  personal  legal  and  tax  obligations  under  local  laws,  rules  and
regulations in your country of residence (and country of employment, if different).

12.    If you are resident and/or employed in a country that is a member of the European Union, the grant of the PSUs
and these Terms and Conditions are intended to comply with the age discrimination provisions of the EU Equal Treatment
Framework Directive, as implemented into local law (the “Age Discrimination Rules”). To the extent that a court or tribunal
of  competent  jurisdiction  determines  that  any  provision  of  these  Terms  and  Conditions  are  invalid  or  unenforceable,  in
whole or in part, under the Age Discrimination Rules, the Company, in its sole discretion, shall have the power and authority
to  revise  or  strike  such  provision  to  the  minimum  extent  necessary  to  make  it  valid  and  enforceable  to  the  full  extent
permitted under local law.

13.        Regardless  of  any  action  the  Company  and/or  your  Employer  take  with  respect  to  any  or  all  income  tax
(including U.S. federal, state and local taxes or non-U.S. taxes), social insurance, payroll tax, payment on account or other tax-
related withholding (“Tax-Related Items”), you acknowledge that the ultimate liability for all Tax-Related Items legally due
by  you  is  and  remains  your  responsibility  and  that  the  Company  and  your  Employer  (i)  make  no  representations  or
undertakings  regarding  the  treatment  of  any  Tax-Related  Items  in  connection  with  any  aspect  of  the  PSUs,  including  the
grant of the PSUs, the vesting of the PSUs, the subsequent sale of any Shares acquired pursuant to the PSUs and the receipt of
any dividends or dividend equivalents and (ii) do not commit to structure the terms of the grant or any aspect of the PSUs to
reduce or eliminate your liability for Tax-Related Items. Further, if you become subject to taxation in more than one country
between the grant date and the date of any relevant taxable or tax withholding event, as applicable, you acknowledge that
your Employer (or former employer, as applicable) may be required to withhold or account for Tax-Related Items in more
than one country.

Prior  to  any  taxable  event,  if  your  country  of  residence  (and/or  your  country  of  employment,  if  different)  requires
withholding of Tax-Related Items, the Company shall withhold a number of whole Shares that have an aggregate Fair Market
Value that the Company, taking into account local requirements and administrative issues, determines in its sole discretion is
appropriate  to  cover  withholding  for  Tax-Related  Items  with  respect  to  the  Shares.  The  cash  equivalent  of  the  Shares
withheld will be used to settle the obligation to withhold the Tax-Related Items. In cases where the Fair Market Value of the
number of whole Shares withheld is greater than the amount required to be paid to the relevant government authorities with
respect to withholding for Tax-Related Items, the Company shall make a cash payment to you equal to the difference as soon
as administratively practicable. In the event that withholding in Shares is prohibited or problematic under applicable law or
otherwise  may  trigger  adverse  consequences  to  the  Company  or  your  Employer,  your  Employer  shall  withhold  the  Tax-
Related  Items  required  to  be  withheld  with  respect  to  the  Shares  in  cash  from  your  regular  salary  and/or  wages  or  other
amounts payable to you. In the event the withholding requirements are not satisfied through the withholding of Shares or
through your regular salary and/or wages or any other amounts payable to you by your Employer, no Shares will be issued
to you (or your estate) unless and until satisfactory arrangements (as determined by the Board of Directors) have

Exhibit 10(iii)

been made by you with respect to the payment of any Tax-Related Items that the Company or your Employer determines, in
its sole discretion, should be withheld or collected with respect to such PSUs. By accepting these PSUs, you expressly consent
to the withholding of Shares and/or withholding from your regular salary and/or wages or other amounts payable to you as
provided  for  hereunder.  All  other  Tax-Related  Items  related  to  the  PSUs  and  any  Shares  delivered  in  payment  thereof  are
your sole responsibility.

14.        The  PSUs  are  intended  to  be  exempt  from  the  requirements  of  Code  Section  409A.  The  2011  Plan  and  these
Terms  and  Conditions  shall  be  administered  and  interpreted  in  a  manner  consistent  with  this  intent.  If  the  Company
determines  that  these  Terms  and  Conditions  are  subject  to  Code  Section  409A  and  that  it  has  failed  to  comply  with  the
requirements  of  that  Section,  the  Company  may,  at  the  Company’s  sole  discretion  and  without  your  consent,  amend  these
Terms and Conditions to cause them to comply with Code Section 409A or be exempt from Code Section 409A.

15.        If  you  were  required  to  sign  the  “Stryker  Confidentiality,  Intellectual  Property,  Non-Competition  and  Non-
Solicitation Agreement”  or a similar agreement  in order  to receive  the PSUs or  have  previously  signed such an agreement
and you breach any non-competition, non-solicitation or non-disclosure provision or provision as to ownership of inventions
contained  therein  at  any  time  while  employed  by  the  Company  or  a  Subsidiary,  or  during  the  one-year  period  following
termination of employment, any unvested PSUs shall be rescinded and you shall return to the Company all Shares that were
acquired upon vesting of the PSUs that you have not disposed of. Further, you shall pay to the Company an amount equal to
the profit realized by you (if any) on all Shares that were acquired upon vesting of the PSUs that you have disposed of. For
purposes of the preceding sentence, the profit shall be the Fair Market Value of the Shares at the time of disposition.

16.    The PSUs shall be transferable only by will or the laws of descent and distribution. If you shall purport to make

any transfer of the PSUs, except as aforesaid, the PSUs and all rights thereunder shall terminate immediately.

17.    The PSUs shall not be vested in whole or in part, and the Company shall not be obligated to issue any Shares
subject to the PSUs, if such issuance would, in the opinion of counsel for the Company, violate the Securities Act of 1933 or
any other U.S. federal, state or non-U.S. statute having similar requirements as it may be in effect at the time. The PSUs are
subject to the further requirement that, if at any time the Board of Directors shall determine in its discretion that the listing
or qualification of the Shares subject to the PSUs under any securities exchange requirements or under any applicable law, or
the consent or approval of any governmental regulatory body, is necessary or desirable as a condition of or in connection
with  the  issuance  of  Shares  pursuant  to  the  PSUs,  the  PSUs  may  not  be  vested  in  whole  or  in  part  unless  such  listing,
qualification, consent or approval shall have been effected or obtained free of any conditions not acceptable to the Board of
Directors.

18.    The grant of the PSUs shall not confer upon you any right to continue in the employ of your Employer nor limit in
any way the right of your Employer to terminate your employment at any time. You shall have no rights as a shareholder of
the Company with respect to any Shares issuable upon the vesting of the PSUs until the date of issuance of such Shares.

19.    You acknowledge  and agree  that the 2011  Plan is  discretionary  in nature  and may be amended,  cancelled,  or
terminated  by  the  Company,  in  its  sole  discretion,  at  any  time.  The  grant  of  the  PSUs  under  the  2011  Plan  is  a  one-time
benefit and does not create any contractual or other right to receive a grant of PSUs or any other award under the 2011 Plan
or other benefits in lieu thereof in the future. Future grants, if any, will be at the sole discretion of the Company, including,
but not limited to, the form and timing of any grant, the number of Shares subject to the grant, and the vesting provisions.

Exhibit 10(iii)

Any amendment, modification or termination of the 2011 Plan shall not constitute a change or impairment of the terms and
conditions of your employment with your Employer.

20.    Your participation in the 2011 Plan is voluntary. The value of the PSUs and any other awards granted under the
2011 Plan is an extraordinary item of compensation outside the scope of your employment (and your employment contract,
if any). Any grant under the 2011 Plan, including the grant of the PSUs, is not part of normal or expected compensation for
purposes  of  calculating  any  severance,  resignation,  redundancy,  end  of  service  payments,  bonuses,  long-service  awards,
pension, or retirement benefits or similar payments.

21.    These Terms and Conditions shall bind and inure to the benefit of the Company, its successors and assigns and

you and your estate in the event of your death.

22.    The Company is located at 2825 Airview Boulevard Kalamazoo, Michigan 49002, U.S.A. and grants PSUs under
the 2011 Plan to employees of the Company and Subsidiaries in its sole discretion. In conjunction with the Company’s grant
of  the  PSUs  under  the  2011  Plan  and  its  ongoing  administration  of  such  awards,  the  Company  is  providing  the  following
information about its data collection, processing and transfer practices (“Personal Data Activities”). In accepting the grant of
the PSUs, you expressly and explicitly consent to the Personal Data Activities as described herein.

(a) The  Company  collects,  processes  and  uses  your  personal  data,  including  your  name,  home
address, email address, and telephone number, date of birth, social insurance number or other identification
number, salary, citizenship, job title, any Shares or directorships held in the Company, and details of all PSUs or
any  other  equity  compensation  awards  granted,  canceled,  exercised,  vested,  or  outstanding  in  your  favor,
which the Company receives from you or your Employer. In granting the PSUs under the Plan, the Company
will  collect  your  personal  data  for  purposes  of  allocating  Shares  and  implementing,  administering  and
managing the 2011 Plan. The Company’s legal basis for the collection, processing and usage of your personal
data is your consent.

(b) The  Company  transfers  your  personal  data  to  the  Stock  Plan  Administrator.  In  the  future,  the
Company may select a different Stock Plan Administrator and share your personal data with another company
that serves in a similar manner. The Stock Plan Administrator will open an account for you, if an account is not
already  in  place,  to  receive  and  trade  Shares  acquired  under  the  2011  Plan.  You  will  be  asked  to  agree  on
separate terms and data processing practices with the Stock Plan Administrator, which is a condition to your
ability to participate in the 2011 Plan.

(c) The Company and the Stock Plan Administrator are based in the United States. You should note
that your country of residence may have enacted data privacy laws that are different from the United States.
The Company’s legal basis for the transfer of your personal data to the United States is your consent.

(d) Your participation in the 2011 Plan and your grant of consent is purely voluntary. You may deny
or  withdraw  your  consent  at  any  time.  If  you  do  not  consent,  or  if  you  withdraw  your  consent,  you  may  be
unable to participate in the 2011 Plan. This would not affect your existing employment or salary; instead, you
merely may forfeit the opportunities associated with the 2011 Plan.

You may have a number of rights under the data privacy laws in your country of residence.  For example, your rights may
include the right to (i) request access or copies of personal data the Company processes, (ii) request rectification of incorrect
data, (iii) request deletion of data, (iv) place restrictions

Exhibit 10(iii)

on processing, (v) lodge complaints with competent authorities in your country or residence, and/or (vi) request a list with
the names and addresses of any potential recipients of your personal data. To receive clarification regarding your rights or to
exercise your rights, you should contact your local HR manager or the Company’s Human Resources Department.

23.        The  grant  of  the  PSUs  is  not  intended  to  be  a  public  offering  of  securities  in  your  country  of  residence  (and
country  of  employment,  if  different).  The  Company  has  not  submitted  any  registration  statement,  prospectus  or  other
filing(s) with the local securities authorities (unless otherwise required under local law). No employee of the Company is
permitted to advise you on whether you should acquire Shares under the 2011 Plan or provide you with any legal,
tax or financial advice with respect to the grant of the PSUs. The acquisition of Shares involves certain risks, and you
should carefully consider all risk factors and tax considerations relevant to the acquisition of Shares under the 2011
Plan or the disposition of them. Further, you should carefully review all of the materials related to the PSUs and the
2011  Plan,  and  you  should  consult  with  your  personal  legal,  tax  and  financial  advisors  for  professional  advice  in
relation to your personal circumstances.

24.        All  questions  concerning  the  construction,  validity  and  interpretation  of  the  PSUs  and  the  2011  Plan  shall  be
governed and construed according to the laws of the state of Michigan, without regard to the application of the conflicts of
laws provisions thereof. Any disputes regarding the PSUs or the 2011 Plan shall be brought only in the state or federal courts
of the state of Michigan.

25.    The Company may, in its sole discretion, decide to deliver any documents related to the PSUs or other awards
granted  to  you  under  the  2011  Plan  by  electronic  means.  You  hereby  consent  to  receive  such  documents  by  electronic
delivery and agree to participate in the 2011 Plan through an on-line or electronic system established and maintained by the
Company or a third party designated by the Company.

26.        The  invalidity  or  unenforceability  of  any  provision  of  the  2011  Plan  or  these  Terms  and  Conditions  shall  not

affect the validity or enforceability of any other provision of the 2011 Plan or these Terms and Conditions.

27.    If you are resident outside of the United States, you acknowledge and agree that it is your express intent that
these  Terms  and  Conditions,  the  2011  Plan  and  all  other  documents,  notices  and  legal  proceedings  entered  into,  given  or
instituted pursuant to the PSUs be drawn up in English. If you have received these Terms and Conditions, the 2011 Plan or
any  other  documents  related  to  the  PSUs  translated  into  a  language  other  than  English  and  the  meaning  of  the  translated
version is different than the English version, the English version will control.

28.    You acknowledge that, depending on your or your broker's country of residence or where the Shares are listed,
you may be subject to insider trading restrictions and/or market abuse laws which may affect your ability to accept, acquire,
sell or otherwise dispose of Shares, rights to Shares (e.g., PSUs) or rights linked to the value of Shares during such times you
are considered to have “inside information” regarding the Company as defined in the laws or regulations in your country of
employment (and country of residence, if different).  Local insider trading laws and regulations may prohibit the cancellation
or amendment of orders you placed before you possessed inside information.  Furthermore, you could be prohibited from (i)
disclosing the inside information to any third party (other than on a “need to know” basis) and (ii) “tipping” third parties or
causing them otherwise to buy or sell securities.  Third parties include fellow employees.  Any restrictions under these laws
or regulations are separate from and in addition to any restrictions that may be imposed under any

Exhibit 10(iii)

applicable Company insider trading policy.  You acknowledge  that it is your responsibility to comply with any restrictions
and are advised to speak to your personal advisor on this matter.

29.    Notwithstanding any provisions of these Terms and Conditions to the contrary, the PSUs shall be subject to any
special  terms  and  conditions  for  your  country  of  residence  (and  country  of  employment,  if  different)  set  forth  in  an
addendum to these Terms and Conditions (an “Addendum”). Further, if you transfer your residence and/or employment to
another  country  reflected  in  an  Addendum  to  these  Terms  and  Conditions  at  the  time  of  transfer,  the  special  terms  and
conditions for such country will apply to you to the extent the Company determines, in its sole discretion, that the application
of such special terms and conditions is necessary or advisable in order to comply with local law, rules and regulations, or to
facilitate the operation and administration of the award and the 2011 Plan (or the Company may establish alternative terms
and  conditions  as  may  be  necessary  or  advisable  to  accommodate  your  transfer).  In  all  circumstances,  any  applicable
Addendum shall constitute part of these Terms and Conditions.

30.    The Company reserves the right to impose other requirements on the PSUs, any Shares acquired pursuant to the
PSUs and your participation in the 2011 Plan to the extent the Company determines, in its sole discretion, that such other
requirements  are  necessary  or  advisable  in  order  to  comply  with  local  law,  rules  and  regulations,  or  to  facilitate  the
operation  and  administration  of  the  award  and  the  2011  Plan.  Such  requirements  may  include  (but  are  not  limited  to)
requiring you to sign any agreements or undertakings that may be necessary to accomplish the foregoing.

31.        This  Section  31  applies  only  to  those  persons  whom  the  Company’s  Recoupment  Policy  applies  (the
corporate  officers  elected  by  the  Company’s  Board  of  Directors  other  than  Assistant  Controllers,  Assistant
Secretaries  and  Assistant  Treasurers).  Notwithstanding  any  other  provision  of  these  Terms  and  Conditions  to  the
contrary,  you  acknowledge  and  agree  that  your  PSUs,  any  Shares  acquired  pursuant  thereto  and/or  any  amount  received
with respect to any sale of such Shares are subject to potential cancellation, recoupment, rescission, payback or other action
in accordance with the terms of the Company’s Recoupment Policy as in effect on the date of grant (a copy of which has been
furnished to you) and as the Recoupment Policy may be amended from time to time in order to comply with changes in laws,
rules  or  regulations  that  are  applicable  to  such  PSUs  and  Shares.  You  agree  and  consent  to  the  Company’s  application,
implementation  and  enforcement  of  (a)  the  Recoupment  Policy  and  (b)  any  provision  of  applicable  law  relating  to
cancellation,  recoupment,  rescission  or  payback  of  compensation  and  expressly  agree  that  the  Company  may  take  such
actions as are necessary to effectuate the Recoupment Policy (as applicable to you) or applicable law without further consent
or action being required by you. For purposes of the foregoing, you expressly and explicitly authorize the Company to issue
instructions, on your behalf, to any brokerage firm and/or third party administrator engaged by the Company to hold your
Shares and other amounts acquired under the 2011 Plan to re-convey, transfer or otherwise return such Shares and/or other
amounts to the Company. In the case of a conflict between these Terms and Conditions and the Recoupment Policy, the terms
of the Recoupment Policy shall prevail.

32.    By accepting the grant of the PSUs, you acknowledge that you have read these Terms and Conditions, the
Addendum to these Terms and Conditions (as applicable) and the 2011 Plan and specifically accept and agree to the
provisions therein.

***********************

STRYKER CORPORATION

ADDENDUM TO
TERMS AND CONDITIONS
RELATING TO PERFORMANCE STOCK UNITS GRANTED
PURSUANT TO THE 2011 PLAN, AS AMENDED AND RESTATED

Exhibit 10(iii)

In  addition  to  the  terms  of  the  2011  Plan  and  the  Terms  and  Conditions,  the  PSUs  are  subject  to  the  following  additional
terms and conditions (the “Addendum”). All capitalized terms as contained in this Addendum shall have the same meaning as
set forth in the 2011 Plan and the Terms and Conditions. Pursuant to Section 29 of the Terms and Conditions, if you transfer
your residence and/or employment to another country reflected in an Addendum at the time of transfer, the special terms
and  conditions  for  such  country  will  apply  to  you  to  the  extent  the  Company  determines,  in  its  sole  discretion,  that  the
application of such terms and conditions is necessary or advisable in order to comply with local law, rules and regulations, or
to  facilitate  the  operation  and  administration  of  the  award  and  the  2011  Plan  (or  the  Company  may  establish  alternative
terms and conditions as may be necessary or advisable to accommodate your transfer).

Data Privacy Information: European Union (“EU”) / European Economic Area (“EEA”) / Switzerland and the United
Kingdom*

*The below information is for data privacy purposes only and you should determine whether any other special terms
and conditions apply to your awards in these jurisdictions.
    1.    Data Privacy. If you reside and/or you are employed in the EU / EEA, Switzerland or the United Kingdom the following
provision replaces Section 22 of the Terms and Conditions:

The Company is located at 2825 Airview Boulevard Kalamazoo, Michigan 49002, U.S.A. and grants PSUs under the 2011 Plan
to employees of the Company and its Subsidiaries in its sole discretion. You should review the following information about
the Company’s data processing practices.

        (a)    Data Collection, Processing and Usage. Pursuant to applicable data protection laws, you are hereby notified that the
Company  collects,  processes  and  uses  certain  personally-identifiable  information  about  you  for  the  legitimate  interest  of
implementing, administering and managing the 2011 Plan and generally administering equity awards; specifically, including
your  name,  home  address,  email  address  and  telephone  number,  date  of  birth,  social  insurance  number  or  other
identification number, salary, citizenship, job title, any Shares or directorships held in the Company, and details of all options
or any other awards granted, canceled, exercised, vested, or outstanding in your favor, which the Company receives from you
or your Employer. In granting the PSUs under the 2011 Plan, the Company will collect your personal data for purposes of
allocating Shares and implementing, administering and managing the 2011 Plan. The Company’s collection, processing, use
and transfer of your personal data is necessary for the performance of the Company’s contractual obligations under the Plan
and pursuant to the Company’s legitimate interest of managing and generally administering employee equity awards. Your
refusal to provide personal data would make it impossible for the Company to perform its contractual obligations and may
affect your ability to participate in the 2011 Plan. As such, by participating in the 2011 Plan, you voluntarily acknowledge the
collection, processing and use of your personal data as described herein.

               (b)         Stock  Plan  Administration  Service  Provider.  The  Company  transfers  participant  data  to  the  Stock  Plan
Administrator. In the future, the Company may select a different Stock Plan Administrator and share your data with another
company  that  serves  in  a  similar  manner.  The  Stock  Plan  Administrator  will  open  an  account  for  you,  if  an  account  is  not
already in place, to receive and trade Shares acquired under the 2011 Plan. You will be asked to agree on separate terms and
data

Exhibit 10(iii)

processing practices with the Stock Plan Administrator, which is a condition to your ability to participate in the 2011 Plan.

        (c)    International Data Transfers. The Company and the Stock Plan Administrator are based in the United States. The
Company  can  only  meet  its  contractual  obligations  to  you  if  your  personal  data  is  transferred  to  the  United  States.  The
Company’s legal basis for the transfer of your personal data to the United States is to satisfy its contractual obligations to you
and/or its use of the standard data protection clauses adopted by the EU Commission.

        (d)    Data Retention. The Company will use your personal data only as long as is necessary to implement, administer and
manage your participation in the 2011 Plan or as required to comply with legal or regulatory obligations, including under tax
and security laws. When the Company no longer needs your personal data, the Company will remove it from its systems. If
the  Company  keeps  your  data  longer,  it  would  be  to  satisfy  legal  or  regulatory  obligations  and  the  Company’s  legal  basis
would be for compliance with relevant laws or regulations.

        (e)    Data Subject Rights. You may have a number of rights under data privacy laws in your country of residence. For
example,  your  rights  may  include  the  right  to  (i)  request  access  or  copies  of  personal  data  the  Company  processes,  (ii)
request rectification of incorrect data, (iii) request deletion of data, (iv) place restrictions on processing, (v) lodge complaints
with  competent  authorities  in  your  country  of  residence,  and/or  (vi)  request  a  list  with  the  names  and  addresses  of  any
potential recipients of the Participant’s personal data. To receive clarification regarding your rights or to exercise your rights,
you should contact your local HR manager or the Company’s Human Resources Department.

ARGENTINA

No country specific provisions.

AUSTRALIA

    1.    PSUs Conditioned on Satisfaction of Regulatory Obligations. If you are (a) a director of a Subsidiary incorporated in
Australia, or (b) a person who is a management-level executive of a Subsidiary incorporated in Australia and who also is a
director of a Subsidiary incorporated outside of the Australia, the grant of the PSUs is conditioned upon satisfaction of the
shareholder approval provisions of section 200B of the Corporations Act 2001 (Cth) in Australia.

The Australian Offer document can be accessed here [UBS INSERT LINK HERE]

AUSTRIA

No country specific provisions.

BELGIUM

No country specific provisions.

BRAZIL

Exhibit 10(iii)

    1.     Labor Law Acknowledgment. By accepting the PSUs, you acknowledge and agree, for all legal purposes, that (a) the
benefits provided under the Terms and Conditions and the 2011 Plan are the result of commercial transactions unrelated to
your  employment;  (b)  the  Terms  and  Conditions  and  the  2011  Plan  are  not  a  part  of  the  terms  and  conditions  of  your
employment; and (c) the income from the PSUs, if any, is not part of your remuneration from employment.

    2.    Compliance with Law. By accepting the PSUs, you acknowledge and agree to comply with applicable Brazilian laws and
to pay any and all applicable taxes associated with the vesting of the PSUs, the issuance and/or sale of Shares acquired under
the 2011 Plan and the receipt of any dividends.

CANADA

    1.    Settlement in Shares. Notwithstanding anything to the contrary in the Terms and Conditions or the 2011 Plan, the PSUs
shall be settled only in Shares (and may not be settled in cash).

    2.    Termination of Employment. The following supplements Section 8(b) of the Terms and Conditions as well as any other
section required to give effect to the same:

In  the  event  of  your  termination  of  employment  for  any  reason  (other  than  by  reason  of  death,  Disability  or  Retirement),
either by you or by the Employer, with or without cause, your rights to vest or to continue to vest in the PSUs and receive
Shares under the 2011 Plan, if any, will terminate as of the actual Termination Date. For this purpose, the “Termination Date”
shall mean the last day on which you are actively employed by the Employer, and shall not include or be extended by any
period following such day during which you are in receipt of or eligible to receive any notice of termination, pay in lieu of
notice  of  termination,  severance  pay  or  any  other  payments  or  damages,  whether  arising  under  statute,  contract  or  at
common law.

Notwithstanding the foregoing, if applicable employment standards legislation explicitly requires continued entitlement to
vesting during a statutory notice period, your right to vest in the PSUs under the 2011 Plan, if any, will terminate effective as
of the last day of your minimum statutory notice period, but you will not earn or be entitled to pro-rated vesting if the vesting
date falls after the end of your statutory notice period, nor will you be entitled to any compensation for lost vesting.

    3.    Use of English Language.  If you are a resident of Quebec, by accepting your PSUs, you acknowledge and agree that it is
your  wish  that  the  Terms  and  Conditions,  this  Addendum,  as  well  as  all  other  documents,  notices  and  legal  proceedings
entered into, given or instituted pursuant to your PSUs, either directly or indirectly, be drawn up in English.

Langue anglaise. En acceptant l'allocation de vos PSUs, vous reconnaissez et acceptez avoir souhaité que le Termes
et Conditions, le présent avenant, ainsi que tous autres documents exécutés, avis donnés et procédures judiciaires
intentées, relatifs, directement ou indirectement, à l'allocation de vos PSUs, soient rédigés en anglais.

BY SIGNING BELOW, YOU ACKNOWLEDGE, UNDERSTAND AND AGREE TO THE PROVISIONS OF THE 2011 PLAN, THE
TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

Exhibit 10(iii)

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

CHILE

    1.    Private Placement. The following provision shall replace Section 23 of the Terms and Conditions:

The grant of the PSUs hereunder is not intended to be a public offering of securities in Chile but instead is intended to be a
private placement.

a) The starting date of the offer will be the grant date, and this offer conforms to General Ruling no. 336 of the Chilean

Commission for the Financial Markets (“CMF”);

b) The offer deals with securities not registered in the registry of securities or in the registry of foreign securities of the

CMF, and therefore such securities are not subject to its oversight;

c) The Company, as the issuer, is not obligated to provide public information in Chile regarding the foreign securities, as

such securities are not registered with the CMF; and

d) The  Shares,  as  foreign  securities,  shall  not  be  subject  to  public  offering  as  long  as  they  are  not  registered  with  the

corresponding registry of securities in Chile.

a) La fecha de inicio de la oferta será el de la fecha de otorgamiento y esta oferta se acoge a la norma de Carácter General

n° 336 de la Comisión para el Mercado Financiero Chilena (“CMF”);

b) La oferta versa sobre valores no inscritos en el registro de valores o en el registro de valores extranjeros que lleva la

CMF, por lo que tales valores no están sujetos a la fiscalización de ésta;

c) Por tratar de valores no inscritos no existe la obligación por parte del emisor de entregar en chile información pública

respecto de esos valores; y

d) Esos  valores  no  podrán  ser  objeto  de  oferta  pública  mientras  no  sean  inscritos  en  el  registro  de  valores

correspondiente.

CHINA

    1.    PSUs Conditioned on Satisfaction of Regulatory Obligations. If you are a People’s Republic of China (“PRC”) national, the
grant of the PSUs is conditioned upon the Company securing all necessary approvals from the PRC State Administration of
Foreign  Exchange  to  permit  the  operation  of  the  2011  Plan  and  the  participation  of  PRC  nationals  employed  by  your
Employer, as determined by the Company in its sole discretion.

    2.    Sale of Shares. Notwithstanding anything to the contrary in the 2011 Plan, upon any termination of employment with
your  Employer,  you  shall  be  required  to  sell  all  Shares  acquired  under  the  2011  Plan  within  such  time  period  as  may  be
established by the PRC State Administration of Foreign Exchange.

Exhibit 10(iii)

    3.     Exchange Control Restrictions. You acknowledge and agree that you will be required immediately to repatriate to the
PRC the proceeds from the sale of any Shares acquired under the 2011 Plan, as well as any other cash amounts attributable
to  the  Shares  acquired  under  the  2011  Plan  (collectively,  “Cash  Proceeds”).  Further,  you  acknowledge  and  agree  that  the
repatriation  of  the  Cash  Proceeds  must  be  effected  through  a  special  bank  account  established  by  your  Employer,  the
Company or one of its Subsidiaries, and you hereby consent  and agree that the Cash Proceeds  may be transferred  to such
account by the Company on your behalf prior to being delivered to you. The Cash Proceeds may be paid to you in U.S. dollars
or local currency at the Company’s discretion. If the Cash Proceeds are paid to you in U.S. dollars, you understand that a U.S.
dollar bank account must be established and maintained in China so that the proceeds may be deposited into such account. If
the Cash Proceeds are paid to you in local currency, you acknowledge and agree that the Company is under no obligation to
secure any particular exchange conversion rate and that the Company may face delays in converting the Cash Proceeds to
local  currency  due  to  exchange  control  restrictions.  You  agree  to  bear  any  currency  fluctuation  risk  between  the  time  the
Shares are sold and the Cash Proceeds are converted into local currency and distributed to you. You further agree to comply
with any other requirements that may be imposed by your Employer, the Company and its Subsidiaries in the future in order
to facilitate compliance with exchange control requirements in the PRC.

COLOMBIA

    1.    Nature of Grant. In addition to the provisions of Section 20 of the Terms and Conditions you acknowledge that, pursuant to
Article 128 of the Colombian Labor Code, the 2011 Plan and related benefits do not constitute a component of your “salary” for any
legal purpose. Therefore, they will not be included and/or considered for purposes of calculating any and all labor benefits, such as
legal/fringe  benefits,  vacations,  indemnities,  payroll  taxes,  social  insurance  contributions  and/or  any  other  labor-related  amount
which may be payable.

    2.    Securities Law Information. The Shares subject to the PSUs are not and will not be registered in the Colombian registry
of  publicly  traded  securities  (Registro  Nacional  de  Valores  y  Emisores)  and  therefore  the  Shares  may  not  be  offered  to  the
public in Colombia. Nothing in this document should be construed as the making of a public offer of securities in Colombia.

COSTA RICA

No country specific provisions.

DENMARK

    1.    Treatment of PSUs upon Termination of Employment. Notwithstanding any provision in the Terms and Conditions or
the  2011  Plan  to  the  contrary,  unless  you  are  a  member  of  registered  management  who  is  not  considered  a  salaried
employee, the treatment of the PSUs upon a termination of employment which is not a result of death shall be governed by
Sections 4 and 5 of the Danish Act on Stock Option in Employment Relations. However, if the provisions in the Terms and
Conditions or the Plan governing the treatment of the PSUs upon a termination of employment are more favorable, then the
provisions of the Terms and Conditions or the 2011 Plan will govern.

Exhibit 10(iii)

FINLAND

    1.    Withholding of Tax-Related Items. Notwithstanding anything in Section 13 of the Terms and Conditions to the contrary,
if you are a local national of Finland, any Tax-Related Items shall be withheld only in cash from your regular salary/wages or
other  amounts  payable  to  you  in  cash  or  such  other  withholding  methods  as  may  be  permitted  under  the  2011  Plan  and
allowed under local law.

FRANCE

    1.    Use of English Language.  By accepting your PSUs, you acknowledge and agree that it is your wish that the Terms and
Conditions,  this  Addendum,  as  well  as  all  other  documents,  notices  and  legal  proceedings  entered  into,  given  or  instituted
pursuant to your PSUs, either directly or indirectly, be drawn up in English.

Langue anglaise. En acceptant l'allocation de vos PSUs, vous reconnaissez et acceptez avoir souhaité que le Termes
et Conditions, le présent avenant, ainsi que tous autres documents exécutés, avis donnés et procédures judiciaires
intentées, relatifs, directement ou indirectement, à l'allocation de vos PSUs, soient rédigés en anglais.

BY SIGNING BELOW, YOU ACKNOWLEDGE, UNDERSTAND AND AGREE TO THE PROVISIONS OF THE 2011 PLAN, THE
TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

GERMANY

No country specific provisions.

Exhibit 10(iii)

HONG KONG

    1.    Importance Notice. Warning: The contents of the Terms and Conditions, this Addendum, the 2011 Plan, and all other
materials pertaining to the PSUs and/or the 2011 Plan have not been reviewed by any regulatory authority in Hong Kong.
You  are  hereby  advised  to  exercise  caution  in  relation  to  the  offer  thereunder.  If  you  have  any  doubts  about  any  of  the
contents of the aforesaid materials, you should obtain independent professional advice.

    2.    Lapse of Restrictions. If, for any reason, Shares are issued to you within six (6) months of the grant date, you agree that
you will not sell or otherwise dispose of any such Shares prior to the six-month anniversary of the grant date.

    3.    Settlement in Shares. Notwithstanding anything to the contrary in this Addendum, the Terms and Conditions or the
2011 Plan, the PSUs shall be settled only in Shares (and may not be settled in cash).

       4.         Nature  of  the  Plan.  The  Company  specifically  intends  that  the  2011  Plan  will  not  be  treated  as  an  occupational
retirement  scheme  for  purposes  of  the  Occupational  Retirement  Schemes  Ordinance  (“ORSO”).  To  the  extent  any  court,
tribunal  or  legal/regulatory  body  in  Hong  Kong  determines  that  the  2011  Plan  constitutes  an  occupational  retirement
scheme for the purposes of ORSO, the grant of the PSUs shall be null and void.

INDIA

    1.    Repatriation Requirements. You expressly agree to repatriate all sale proceeds and dividends attributable to Shares
acquired under the 2011 Plan in accordance with local foreign exchange rules and regulations. Neither the Company, your
Employer or any of the Company’s Subsidiaries shall be liable for any fines or penalties resulting from your failure to comply
with applicable laws, rules or regulations.

IRELAND

No country specific provisions.

ITALY

No country specific provisions.

JAPAN

No country specific provisions.

Exhibit 10(iii)

MEXICO

    1.    Commercial Relationship. You expressly recognize that your participation in the 2011 Plan and the Company’s grant of
the PSUs does not constitute an employment relationship between you and the Company. You have been granted the PSUs as
a consequence of the commercial relationship between the Company and the Subsidiary in Mexico that employs you, and the
Company’s Subsidiary in Mexico is your sole employer. Based on the foregoing, (a) you expressly recognize the 2011 Plan
and the benefits you may derive from your participation in the 2011 Plan do not establish any rights between you and the
Company’s  Subsidiary  in  Mexico  that  employs  you,  (b)  the  2011  Plan  and  the  benefits  you  may  derive  from  your
participation  in  the  2011  Plan  are  not  part  of  the  employment  conditions  and/or  benefits  provided  by  the  Company’s
Subsidiary  in  Mexico  that  employs  you,  and  (c)  any  modification  or  amendment  of  the  2011  Plan  by  the  Company,  or  a
termination of the 2011 Plan by the Company, shall not constitute a change  or impairment of the terms and conditions of
your employment with the Company’s Subsidiary in Mexico that employs you.

    2.    Extraordinary Item of Compensation. You expressly recognize and acknowledge that your participation in the 2011
Plan is a result of the discretionary and unilateral decision of the Company, as well as your free and voluntary decision to
participate in the 2011 Plan in accord with the terms and conditions of the 2011 Plan, the Terms and Conditions, and this
Addendum.  As  such,  you  acknowledge  and  agree  that  the  Company  may,  in  its  sole  discretion,  amend  and/or  discontinue
your participation in the 2011 Plan at any time and without any liability. The value of the PSUs is an extraordinary item of
compensation  outside  the  scope  of  your  employment  contract,  if  any.  The  PSUs  are  not  part  of  your  regular  or  expected
compensation for purposes of calculating any severance, resignation, redundancy, end of service payments, bonuses, long-
service  awards,  pension  or  retirement  benefits,  or  any  similar  payments,  which  are  the  exclusive  obligations  of  the
Company’s Subsidiary in Mexico that employs you.

BY SIGNING BELOW, YOU ACKNOWLEDGE, UNDERSTAND AND AGREE TO THE PROVISIONS OF THE 2011 PLAN, THE
TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

NETHERLANDS

       1.         Waiver  of  Termination  Rights.  As  a  condition  to  the  grant  of  the  PSUs,  you  hereby  waive  any  and  all  rights  to
compensation or damages as a result of the termination of your employment with the Company and your Employer for any
reason  whatsoever,  insofar  as  those  rights  result  or  may  result  from  (a)  the  loss  or  diminution  in  value  of  such  rights  or
entitlements under the 2011 Plan, or (b) you ceasing to have rights under or ceasing to be entitled to any awards under the
2011 Plan as a result of such termination.

Exhibit 10(iii)

       2.         Tax  Deferral  Upon  Retirement.  Unless  you  otherwise  elect  by  contacting  Stryker  no  later  than  April  30,  2021,  you
hereby agree that upon Retirement eligibility, the PSUs shall not become taxable until the date of settlement when Shares are
actually delivered or otherwise made available.

NEW ZEALAND

    1.    WARNING. You are being offered PSUs to be settled in the form of shares of Stryker Corporation common stock. If the
Company  runs  into  financial  difficulties  and  is  wound  up,  you  may  lose  some  or  all  your  investment.  New  Zealand  law
normally requires people who offer financial products to give information to investors before they invest. This requires those
offering financial products to have disclosed information that is important for investors to make an informed decision. The
usual rules do not apply to this offer because it is an offer made under the Employee Share Scheme exemption. As a result,
you  may  not  be  given  all  the  information  usually  required.  You  will  also  have  fewer  other  legal  protections  for  this
investment. You should ask questions, read all documents carefully, and seek independent financial advice before accepting
the offer. The Company’s Shares are currently traded on the New York Stock Exchange under the ticker symbol “SYK” and
Shares acquired under the 2011 Plan may be sold through this exchange. You may end up selling the Shares at a price that is
lower than the value of the Shares when you acquired them. The price will depend on the demand for the Company's Shares.
The  Company’s  most  recent  annual
 statements)  is  available  at
[http://phx.corporate-ir.net/phoenix.zhtml?c=118965&p=irol-irhome]. You are entitled to receive a copy of this report, free of
charge, upon written request to the Company at STOCKPLANADMINISTRATION@STRYKER.COM.

 report  (which  includes  the  Company’s  financial

POLAND

No country specific provisions.

PORTUGAL

No country specific provisions.

PUERTO RICO

No country specific provisions.
ROMANIA

No country specific provisions.

RUSSIA

    1.    IMPORTANT EMPLOYEE NOTIFICATION. If you are a citizen of the Russian Federation, any cash proceeds derived from
the 2011 Plan (including any dividend equivalents payable in cash but excluding cash dividends) must be remitted directly to
a  personal  bank  account  opened  with  an  authorized  bank  in  the  Russian  Federation  (an  “Authorized  Russian  Account”).
Thereafter, you may, in your sole discretion, personally transfer such amounts from your Authorized Russian Account to a
bank account legally established outside of the Russian Federation with a non-Russian bank located in the Organization for
Economic Co-operation and Development or the Financial Action Task Force countries (an “Authorized Foreign Account”).
Cash  dividends  (but not dividend  equivalents  payable  in cash)  can  be remitted  directly  to  an Authorized  Foreign  Account.
However,  you  are  required  to  notify  the  Russian  tax  authorities  within  one  month  of  opening  or  closing  an  Authorized
Foreign Account or changing the account details. You also are required to file quarterly reports of any transactions involving
any Authorized Foreign Account you hold with the Russian tax authorities.

Exhibit 10(iii)

    2.    SECURITIES LAW NOTIFICATION. The grant of PSUs and the issuance of Shares upon vesting are not intended to be an
offering of securities with the Russian Federation, and the Terms and Conditions, the 2011 Plan, this Addendum and all other
materials that you receive in connection with the grant of PSUs and your participation in the 2011 Plan (collectively, “Grant
Materials”)  do  not  constitute  advertising  or  a  solicitation  within  the  Russian  Federation.  In  connection  with  your  grant  of
PSUs, the Company has not submitted any registration statement, prospectus or other filing with the Russian Federal Bank or
any  other  governmental  or  regulatory  body  within  the  Russian  Federation,  and  the  Grant  Materials  expressly  may  not  be
used, directly or indirectly, for the purpose of making a securities offering or public circulation of Shares within the Russian
Federation.

       3.         EXCHANGE CONTROL NOTIFICATION.  You  are  solely  responsible  for  complying  with  applicable  Russian  exchange
control regulations. Since the exchange  control regulations change  frequently and without notice, you should consult your
legal advisor prior to the acquisition or sale of Shares under the 2011 Plan to ensure compliance with current regulations. As
noted,  it  is  your  personal  responsibility  to  comply  with  Russian  exchange  control  laws,  and  neither  the  Company  nor  any
Subsidiary will be liable for any fines or penalties resulting from failure to comply with applicable laws.

       4.         ANTI-CORRUPTION NOTIFICATION.  Anti-corruption  laws  prohibit  certain  public  servants,  their  spouses  and  their
dependent  children  from  owning  any  foreign  source  financial  instruments  (e.g.,  shares  of  foreign  companies  such  as  the
Company). Accordingly, you should inform the Company if you are covered by these laws as this relates to your acquisition of
Shares under the 2011 Plan.

SINGAPORE

    1.    Qualifying Person Exemption. The following provision shall replace Section 23 of the Terms and Conditions:

The  grant  of  the  PSUs  under  the  2011  Plan  is  being  made  pursuant  to  the  “Qualifying  Person”  exemption”  under  section
273(1)(f) of the Securities and Futures Act (Chapter 289, 2011 Ed.) (“SFA”). The 2011 Plan has not been lodged or registered
as a prospectus with the Monetary Authority of Singapore. You should note that, as a result, the PSUs are subject to section
257 of the SFA and you will not be able to make (a) any subsequent sale of the Shares in Singapore or (ii) any offer of such
subsequent sale of the Shares subject to the PSUs in Singapore, unless such sale or offer is made pursuant to the exemptions
under Part XIII Division (1) Subdivision (4) (other than section 280) of the SFA (Chapter 289, 2011 Ed.).

    2.    Director Reporting Notification. If you are a director, associate director or shadow director of a Singapore company,
you  are  subject  to  certain  notification  requirements  under  the  Singapore  Companies  Act.  Among  these  requirements  is  an
obligation to notify the Singapore company in writing when you receive an interest (e.g., PSUs or Shares) in the Company or
any  related  company.  In  addition,  you  must  notify  the  Singapore  company  when  you  sell  Shares  (including  when  you  sell
Shares acquired at vesting of the Performance Stock Units). These notifications must be made within two business days of
acquiring or disposing of any interest in the Company or any related company. In addition, a notification must be made of
Participant’s interests in the Company or any related company within two business days of becoming a director.

Exhibit 10(iii)

SOUTH AFRICA

    1.    Withholding Taxes. In addition to the provisions of Section 13 of the Terms and Conditions, you agree to notify your
Employer in South Africa of the amount of any gain realized upon vesting of the PSUs. If you fail to advise your Employer of
the  gain  realized  upon  vesting  of  the  PSUs,  you  may  be  liable  for  a  fine.  You  will  be  responsible  for  paying  any  difference
between the actual tax liability and the amount withheld.

    2.    Exchange Control Obligations. You are solely responsible for complying with applicable exchange control regulations
and rulings (the “Exchange Control Regulations”) in South Africa. As the Exchange Control Regulations change frequently and
without notice, you should consult your legal advisor prior to the acquisition or sale of Shares under the 2011 Plan to ensure
compliance with current Exchange Control Regulations. Neither the Company nor any of its Subsidiaries will be liable for any
fines or penalties resulting from your failure to comply with applicable laws.

       3.         Securities  Law  Information and Deemed  Acceptance  of PSUs.  Neither  the  PSUs  nor  the  underlying  Shares  shall  be
publicly offered or listed on any stock exchange in South Africa.  The offer is intended to be private pursuant to Section 96 of
the Companies Act and is not subject to the supervision of any South African governmental authority. Pursuant to Section 96
of the Companies Act, the PSU offer must be finalized on or before the 60th day following the grant date.  If you do not want
to accept the PSUs, you are required to decline the PSUs no later than the 60th day following the grant date.  If you do not
reject the PSUs on or before the 60th day following the grant date, you will be deemed to accept the PSUs.

SOUTH KOREA

No country specific provisions.

SPAIN

    1.    Acknowledgement of Discretionary Nature of the 2011 Plan; No Vested Rights. In accepting the PSUs, you acknowledge
that  you  consent  to  participation  in  the  2011  Plan  and  have  received  a  copy  of  the  2011  Plan.  You  understand  that  the
Company has unilaterally, gratuitously and in its sole discretion granted PSUs under the 2011 Plan to individuals who may
be employees of the Company or its Subsidiaries throughout the world. The decision is a limited decision that is entered into
upon the express assumption and condition that any grant will not economically or otherwise bind the Company or any of its
Subsidiaries on an ongoing basis. Consequently, you understand that the PSUs are granted on the assumption and condition
that the PSUs and the Shares acquired upon vesting of the PSUs shall not become a part of any employment contract (either
with  the  Company  or  any  of  its  Subsidiaries)  and  shall  not  be  considered  a  mandatory  benefit,  salary  for  any  purposes
(including severance compensation) or any other right whatsoever. In addition, you understand that this grant would not be
made to you but for the assumptions and conditions referenced above. Thus, you acknowledge and freely accept that should
any or all of the assumptions be mistaken or should any of the conditions not be met for any reason, the PSUs shall be null
and void.

You understand  and agree  that, as a condition  of the grant  of the PSUs,  any unvested  PSUs  as of the date you cease  active
employment will be forfeited without entitlement to the underlying Shares or to any amount of indemnification in the event
of  the  termination  of  employment  by  reason  of,  but  not  limited  to,  (i)  material  modification  of  the  terms  of  employment
under Article 41 of the Workers’ Statute or (ii) relocation under Article 40 of the Workers’ Statute. You acknowledge that you
have  read  and  specifically  accept  the  conditions  referred  to  in  the  Terms  and  Conditions  regarding  the  impact  of  a
termination of employment on your PSUs.

BY SIGNING BELOW, YOU ACKNOWLEDGE, UNDERSTAND AND AGREE TO THE PROVISIONS OF THE 2011 PLAN, THE
TERMS AND CONDITIONS AND THIS ADDENDUM.

PLEASE  SIGN  AND  RETURN  THIS  ADDENDUM  VIA  EMAIL  NO  LATER  THAN  APRIL  30,
STOCKPLANADMINISTRATION@STRYKER.COM.

 2021  TO

Exhibit 10(iii)

___________________________________     ______________________________
Employee Signature                    Employee Name (Printed)

_____________________
Date    

SWITZERLAND

       1.         Securities  Law  Information.  Neither  this  document  nor  any  other  materials  relating  to  the  RSUs  (a)  constitutes  a
prospectus  according  to  articles  35  et  seq.  of  the  Swiss  Federal  Act  on  Financial  Services  (“FinSA”)  (b)  may  be  publicly
distributed or otherwise made publicly available in Switzerland to any person other than an employee of the Company or (c)
has  been  or  will  be  filed  with,  approved  or  supervised  by  any  Swiss  reviewing  body  according  to  article  51  FinSA  or  any
Swiss regulatory authority, including the Swiss Financial Supervisory Authority, FINMA.

TAIWAN

    1.    Securities Law Notice. The offer of participation in the 2011 Plan is available only for employees of the Company and
its Subsidiaries. The offer of participation in the 2011 Plan is not a public offer of securities by a Taiwanese company.

THAILAND

No country specific provisions.

TURKEY

    1.    Securities Law Information. Under Turkish law, you are not permitted to sell any Shares acquired under the 2011 Plan
within Turkey. The Shares are currently traded on the New York Stock Exchange, which is located outside of Turkey, under
the ticker symbol “SYK” and the Shares may be sold through this exchange.

    2.    Financial Intermediary Obligation. You acknowledge that any activity related to investments in foreign securities (e.g.,
the sale of Shares) should be conducted through a bank or financial intermediary institution licensed by the Turkey Capital
Markets Board and should be reported to the Turkish Capital Markets Board. You solely are responsible for complying with
this requirement and should consult with a personal legal advisor for further information regarding any obligations in this
respect.

Exhibit 10(iii)

UNITED ARAB EMIRATES

        1.        Securities  Law  Information.  The  offer  of  the  PSUs  is  available  only  for  select  Employees  of  the  Company  and  its
Subsidiaries and is in the nature of providing incentives in the United Arab Emirates. The 2011 Plan and the Terms and Conditions
are  intended  for  distribution  only  to  such  individuals  and  must  not  be  delivered  to,  or  relied  on  by  any  other  person.  Prospective
purchasers of securities should conduct their own due diligence.

The Emirates Securities and Commodities Authority has no responsibility for reviewing or verifying any documents in connection
with  this  statement,  including  the  2011  Plan  and  the  Terms  and  Conditions,  or  any  other  incidental  communication  materials
distributed  in  connection  with  the  PSUs.  Further,  neither  the  Ministry  of  Economy  nor  the  Dubai  Department  of  Economic
Development  has  approved  this  statement  nor  taken  steps  to  verify  the  information  set  out  in  it,  and  has  no  responsibility  for  it.
Residents  of  the  United  Arab  Emirates  who  have  any  questions  regarding  the  contents  of  the  2011  Plan  and  the  Terms  and
Conditions should obtain independent advice.

UNITED KINGDOM

    1.    Income Tax and Social Insurance Contribution Withholding. The following provision shall supplement Section 13 of the
Terms and Conditions:

Without limitation to Section 13 of the Terms and Conditions, you agree that you are liable for all Tax-Related
Items and hereby covenant to pay all such Tax-Related Items, as and when requested by the Company, your Employer or by
Her Majesty’s Revenue and Customs (“HMRC”) (or any other tax authority or any other relevant authority). You also agree to
indemnify and keep indemnified the Company and your Employer against any Tax-Related Items that they are required to
pay or withhold or have paid or will pay to HMRC on your behalf (or any other tax authority or any other relevant authority).

       2.         Exclusion of Claim.  You  acknowledge  and  agree  that  you  will  have  no  entitlement  to  compensation  or  damages  in
consequence of the termination of your employment with the Company and your Employer for any reason whatsoever and
whether  or  not  in  breach  of  contract,  insofar  as  any  purported  claim  to  such  entitlement  arises  or  may  arise  from  your
ceasing to have rights under or to be entitled to vest in the PSUs as a result of such termination of employment (whether the
termination is in breach of contract or otherwise), or from the loss or diminution in value of the PSUs. Upon the grant of the
PSUs, you shall be deemed irrevocably to have waived any such entitlement.

Name of Subsidiary

State or Country of Incorporation

STRYKER CORPORATION LIST OF SUBSIDIARIES
As of December 31, 2020

Exhibit 21(i)

2Hip Holdings SAS
Aimago SA
Alcott Indemnity Company
Arrinex, Inc.
Berchtold + Fritz GmbH
Berchtold Corporation
Berchtold GmbH & Co. KG
Berchtold Holding Switzerland GmbH
BioMimetic Therapeutics Pty Ltd
BioMimetic Therapeutics USA, Inc.
BioMimetic Therapeutics, LLC
BioTech Benelux SPRL
BioTech SA
Cartiva, Inc.
Changzhou Orthomed Medical Instrument Company Limited
EnMovi, Ltd.
Entellus Medical Europe Ltd
Entellus Medical, Inc.
Gongping (Shanghai) Medical Devices Trading Co. Ltd.
GYS Tech, LLC
HeartSine Technologies Limited
HeartSine Technologies, LLC
Howmedica International S. de R.L.
Howmedica Osteonics Corp.
Hygia Healthcare Services, Inc.
HyperBranch Medical Technology, Inc.
Imascap LLC
Imascap SAS
Imorphics Limited
Infinity MSD Corp.
Infinity MSF Corp.
InstruMedics, L.L.C
Invuity, Inc.
Ivy Sports Medicine LLC
Jiangsu Chuangyi Medical Instrument Company Limited
Jolife AB
K2M Group Holdings, Inc.
K2M Holdings, Inc.
K2M UK Limited
K2M, Inc.
KHC‐WDM LLC
Loon Intermediateco, LLC
MAKO Surgical Corp
Mobius Imaging, LLC
Muka Metal Ticaret ve Sanayi Anaonim Sirketi
Nettrick Limited
Novadaq Corp
Novadaq Hong Kong Ltd
Novadaq Technologies ULC
NV Stryker SA
OOO "Stryker"
Orneo Özel Sağlık Hizmetleri Medikal Ticaret Anonim Şirketi
OrthoHelix Surgical Designs, Inc.
Orthomed (Hong Kong) Medical Instrument Company Limited
OrthoSensor Korea, Ltd
Orthosensor, Inc.

France
Switzerland
USA - Vermont
USA - Delaware
Germany
USA - Delaware
Germany
Switzerland
Australia
USA - Delaware
USA - Delaware
Belgium
Switzerland
USA - Delaware
China
United Kingdom
United Kingdom
USA - Delaware
China
USA - Delaware
United Kingdom
USA - Delaware
Panama
USA - New Jersey
USA - Alabama
USA - Delaware
USA - Delaware
France
United Kingdom
USA - Delaware
USA - Delaware
USA - Michigan
USA - Delaware
USA - Delaware
China
Sweden
USA - Delaware
USA - Delaware
United Kingdom
USA - Delaware
USA - Delaware
USA - Delaware
USA - Delaware
USA - Delaware
Turkey
Ireland
USA - Delaware
Hong Kong
Canada
Belgium
Russia
Turkey
USA - Delaware
Hong Kong
South Korea
USA - Delaware

Name of Subsidiary

OrthoSpace US Inc.
Ortho-Space, Ltd.
Orthovita, Inc.
P.C. Sweden Holding AB
Pficonprod Pty. Ltd.
Physio-Control (Shanghai) Sales Co., Ltd.
Physio-Control Brazil Vendas Ltda.
Physio-Control Holdings Coöperatief U.A.
Physio-Control Holdings Inc
Physio-Control India Sales Pvt. Ltd
Physio-Control Investments, LLC
Physio-Control Lebanon Sales Offshore s.a.l.
Physio-Control Manufacturing, Inc.
Physio-Control Operations Netherlands B.V.
Physio-Control Sales Limited Liability Company
Physio-Control Singapore Pte. Ltd.
Physio-Control UK Sales Ltd.
Physio-Control, Inc.
PTH West, LLC
SafeAir AG
Sage Products Coӧperatief U.A.
Sage Products Holdings II, LLC
Sage Products Holdings III, LLC
Sage Products, LLC
SCI Calyx SA
Scopis GmbH
Spirox, Inc.
SSI Divestiture, Inc.
Stanmore Implants Worldwide Limited
Stanmore, Inc.
Stryker (Barbados) Foreign Sales Corporation
Stryker (Beijing) Healthcare Products Co., Ltd.
Stryker (Shanghai) Healthcare Products Co., Ltd.
Stryker (Suzhou) Medical Technology Co Ltd
Stryker (Thailand) Limited
Stryker AB
Stryker Acquisitions B.V.
Stryker Asia Holdings CV
Stryker Australia LLC
Stryker Australia Pty. Ltd.
Stryker Austria GmbH
Stryker B.V.
Stryker Berchtold B.V.
Stryker Beteiligungs GmbH
Stryker Canada Holding Company ULC
Stryker Canada Manufacturing ULC
Stryker Canada ULC
Stryker Canadian Management, ULC
Stryker Canadian Sales Holding Company ULC
Stryker Capital B.V.
Stryker China Limited
Stryker Colombia SAS
Stryker Communications, Inc.
Stryker Corporation (Chile) y Compania Limitada
Stryker Corporation (Malaysia) Sdn. Bhd.
Stryker Customs Brokers LLC
Stryker Czech Republic s.r.o.
Stryker Delaware, Inc.
Stryker do Brasil Ltda

Exhibit 21(i)

State or Country of Incorporation

USA - Delaware
Israel
USA - Pennsylvania
Sweden
Australia
China
Brazil
Netherlands
USA - Delaware
India
USA - Delaware
Lebanon
USA - Washington
Netherlands
Russia
Singapore
United Kingdom
USA - Washington
USA - Delaware
Switzerland
Netherlands
USA - Delaware
USA - Delaware
USA - Delaware
France
Germany
USA - Delaware
USA - Massachusetts
United Kingdom
USA - Massachusetts
Barbados
China
China
China
Thailand
Sweden
Netherlands
Netherlands
USA - Delaware
Australia
Austria
Netherlands
Netherlands
Germany
Canada
Canada
Canada
Canada
Canada
Netherlands
Hong Kong
Colombia
USA - Delaware
Chile
Malaysia
USA - Delaware
Czech Republic
USA - Delaware
Brazil

Name of Subsidiary

Stryker EMEA Supply Chain Services B.V.
Stryker Employment Company, LLC
Stryker European Coordination Center B.V.
Stryker European Holdings Coöperatief U.A.
Stryker European Holdings I, LLC
Stryker European Holdings II, LLC
Stryker European Holdings V, LLC
Stryker European Holdings, LLC
Stryker European Operations B.V.
Stryker European Operations Holdings I B.V.
Stryker European Operations Holdings II B.V.
Stryker European Operations Holdings III B.V.
Stryker European Operations Holdings LLC
Stryker European Operations Limited
Stryker European Technologies C.V.
Stryker Far East, Inc.
Stryker Foreign Acquisitions, Inc.
Stryker France Holding SNC
Stryker France MM Holdings SAS
Stryker France SAS
Stryker Funding B.V.
Stryker GI Services CV
Stryker Global Technology Center Private Limited
Stryker GmbH
Stryker GmbH & Co. KG
Stryker Grundstücks GmbH & Co KG
Stryker Grundstücks Verwaltungs GmbH
Stryker Holdings B.V.
Stryker Iberia SLU
Stryker IFSC Designated Activity Company
Stryker India Private Limited
Stryker International Acquisitions B.V.
Stryker International Holdings B.V.
Stryker Investment Holdings B.V.
Stryker Ireland Holding Unlimited Company
Stryker Ireland Limited
Stryker Italia S.r.l.
Stryker Japan Holdings B.V.
Stryker Japan K.K.
Stryker Korea Ltd.
Stryker Lebanon (Offshore) S.A.L.
Stryker Leibinger GmbH & Co. KG
Stryker Luxembourg Holdings S.a.r.l.
Stryker Luxembourg Sarl
Stryker Manufacturing S. de R.L. de C.V.
Stryker Mauritius Holding Ltd.
Stryker Medical London LP
Stryker Medtech K.K.
Stryker Medtech Limited
Stryker Mexico Holdings B.V.
Stryker Mexico SA de CV
Stryker Nederland B.V.
Stryker New Zealand Limited
Stryker NV Operations Limited
Stryker Osteonics AG
Stryker Pacific Limited
Stryker Performance Solutions, LLC
Stryker Polska Sp.z.o.o.
Stryker Portugal - Produtos Medicos, Unipessoal, Lda.

Exhibit 21(i)

State or Country of Incorporation

Netherlands
USA - Michigan
Netherlands
Netherlands
USA - Delaware
USA - Delaware
USA - Delaware
USA - Delaware
Netherlands
Netherlands
Netherlands
Netherlands
USA - Delaware
Ireland
Netherlands
USA - Delaware
USA - Delaware
France
France
France
Netherlands
Netherlands
India
Switzerland
Germany
Germany
Germany
Netherlands
Spain
Ireland
India
Netherlands
Netherlands
Netherlands
Ireland
Ireland
Italy
Netherlands
Japan
South Korea
Lebanon
Germany
Luxembourg
Luxembourg
Mexico
Mauritius
Canada
Japan
Ireland
Netherlands
Mexico
Netherlands
New Zealand
Ireland
Switzerland
Hong Kong
USA - New Jersey
Poland
Portugal

Name of Subsidiary

State or Country of Incorporation

Exhibit 21(i)

Stryker Professional Latin America S. de R.L. de C.V.
Stryker Puerto Rico Holdings B.V.
Stryker Puerto Rico, LLC
Stryker Puerto RIco Sales, LLC
Stryker Renovation Services, LLC
Stryker Romania SRL
Stryker Sales, LLC (f/k/a Stryker Sales Corporation)
Stryker Servicios Administrativos S.de R.L. de C.V.
Stryker Singapore Private Limited
Stryker South Africa (Proprietary) Limited
Stryker Spine Sarl
Stryker Spine SAS
Stryker Sustainability Solutions, Inc.
Stryker Tibbi Cihazlan Sanayi ve Ticaret Limited Sirketi
Stryker Tijuana Operations, S. de R.L. de C.V.
Stryker Trauma GmbH
Stryker Turkish Holdings B.V.
Stryker UK Limited
Stryker Unite, Ltd.
Stryker Verwaltungs GmbH
Stryker Vietnam Company Limited
SYK Costa Rica Services Sociedad De Responsabilidad Limitada
TMG France SAS
Tornier AG
Tornier Belgium NV
Tornier do Brasil Produtos Medicos Ltda
Tornier Espana, S.A.
Tornier GmbH
Tornier Orthopedics Ireland Limited
Tornier Pty Ltd.
Tornier SAS
Tornier Scandinavia A/S
Tornier UK Limited
Tornier US Holdings, Inc.
Tornier, Inc.
Trauson (China) Medical Instrument Company Limited
Trauson (Hong Kong) Company Limited
Trauson Holdings (B.V.I) Company Limited
Trauson Holdings (Hong Kong) Company Limited
Trauson Holdings Company Limited
Trooper Holdings Inc.
TSO3 Corporation
TSO3 Inc.
Vexim SA
WM Netherlands C.V.
WMG Holding, LLC
Wright Medical Australia Pty Limited
Wright Medical Belgium NV
Wright Medical Brasil Ltda
Wright Medical Costa Rica, S.A.
Wright Medical Deutschland GmbH
Wright Medical Device (Shanghai) Co., Ltd.
Wright Medical Europe Manufacturing SA
Wright Medical Europe SAS
Wright Medical France SAS
Wright Medical Group, Inc.
Wright Medical Italy S.r.l.
Wright Medical K.K.
Wright Medical Netherlands B.V.

Mexico
Netherlands
Puerto Rico
Puerto Rico
USA - Delaware
Romania
USA - Michigan
Mexico
Singapore
South Africa
Switzerland
France
USA - Delaware
Turkey
Mexico
Germany
Netherlands
United Kingdom
Bermuda
Germany
Vietnam
Costa Rica
France
Switzerland
Belgium
Brazil
Spain
Germany
Ireland
Australia
France
Denmark
United Kingdom
USA - Delaware
USA - Delaware
China
Hong Kong
British Virgin Islands
Hong Kong
Cayman Islands
USA - Delaware
USA - North Carolina
Canada
France
Netherlands
USA - Delaware
Australia
Belgium
Brazil
Costa Rica
Germany
China
France
France
France
USA - Delaware
Italy
Japan
Netherlands

Name of Subsidiary

Wright Medical Singapore Pte Ltd
Wright Medical Technology Canada Co.
Wright Medical Technology, Inc.
Wright Medical UK Ltd.
Wright PacRim, Inc.
ZipLine Medical Consulting (Shanghai) Co., Ltd.
ZipLine Medical Hong Kong Limited
ZipLine Medical, Inc.

Exhibit 21(i)

State or Country of Incorporation

Singapore
Canada
USA - Delaware
United Kingdom
USA - Delaware
China
Hong Kong
USA - Delaware

Stryker  Corporation  directly  or  indirectly  owns  100%  of  the  outstanding  voting  securities  of  each  of  the  above-named  subsidiaries,  with  the  exception  of  any
designated by an asterisk (*), which Stryker Corporation directly or indirectly owns a majority of the outstanding voting securities.

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Exhibit 23(i)

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statement (Form S-3 No. 333-229539) of Stryker Corporation, and
(2) Registration Statement (Form S-8 Nos. 333-78201, 333-140961, 333-150396, 333-179142, 333-221958 and 333-221959) of Stryker Corporation;

of  our  reports  dated  February  11,  2021,  with  respect  to  the  consolidated  financial  statements  and  schedule  of  Stryker  Corporation  and  subsidiaries  and  the
effectiveness of internal control over financial reporting of Stryker Corporation and subsidiaries included in this Annual Report (Form 10-K) for the year ended
December 31, 2020.

/s/ ERNST & YOUNG LLP

Grand Rapids, Michigan
February 11, 2021

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
PURSUANT TO SECTION 302
OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31(i)

I, Kevin A. Lobo, certify that:

1. I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2020 of Stryker Corporation;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make
the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by
this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e)  and 15d-15(e))  and internal control over financial reporting  (as defined in Exchange Act Rules 13a-15(f)  and 15d-
15(f)) for the registrant and have:

(a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our
supervision,  to  ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by
others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision,  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;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most
recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely
to materially affect, the registrant's internal control over financial reporting.

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to
the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a)  All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are
reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal
control over financial reporting.

Date:

February 11, 2021

/s/ KEVIN A. LOBO
Kevin A. Lobo
Chairman and Chief Executive Officer

CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER
PURSUANT TO SECTION 302
OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31(ii)

I, Glenn S. Boehnlein, certify that:

1. I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2020 of Stryker Corporation;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make
the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by
this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e)  and 15d-15(e))  and internal control over financial reporting  (as defined in Exchange Act Rules 13a-15(f)  and 15d-
15(f)) for the registrant and have:

(a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our
supervision,  to  ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by
others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision,  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;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most
recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely
to materially affect, the registrant's internal control over financial reporting.

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to
the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a)  All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are
reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal
control over financial reporting.

Date:

February 11, 2021

/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
Vice President, Chief Financial Officer

CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32(i)

In connection with the Annual Report on Form 10-K of Stryker Corporation (the "Company") for the year ended December 31, 2020 (the "Report"), I,
Kevin A. Lobo, Chairman and Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of
the Sarbanes-Oxley Act of 2002, that:

(1)

(2)

The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the
Company.

Date:

February 11, 2021

/s/ KEVIN A. LOBO
Kevin A. Lobo
Chairman and Chief Executive Officer

 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32(ii)

In connection with the Annual Report on Form 10-K of Stryker Corporation (the "Company") for the year ended December 31, 2020 (the "Report"), I,
Glenn  S.  Boehnlein,  Vice  President,  Chief  Financial  Officer  of  the  Company,  certify,  pursuant  to  18  U.S.C.  §  1350,  as  adopted  pursuant  to
Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)

(2)

The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the
Company.

Date:

February 11, 2021

/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
Vice President, Chief Financial Officer