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Stryker (SYK) Q2 FY26 earnings call: guidance and Q&A

Earnings call· Jun 2026 (Q2 FY26)· Health Care· Jul 30, 2026

Source: earnings call transcript

Executive summary

Stryker Q2 FY26 — Strong Organic Growth and Production Recovery

Stryker delivered robust Q2 FY26 results, demonstrating resilience in recovering from the Q1 cybersecurity incident with 9% organic sales growth and 17.9% adjusted EPS growth. The company is experiencing strong demand for capital products, leading to an elevated backlog, and expects continued momentum in the second half. Despite a supply disruption in Peripheral Vascular, management is confident in its ability to meet narrowed full-year guidance and resume share repurchases.

Highlights

5
  • Delivered strong organic sales growth of 9%, with high single-digit growth from both MedSurg and Neurotechnology and Orthopedics businesses.

  • Achieved adjusted EPS growth of 17.9% to $3.69, reflecting improved gross margins and rigorous operational execution.

  • Recorded the best-ever Q2 for Mako installations in the U.S. and internationally, with utilization rates trending upward.

  • Exited the quarter with an elevated backlog and strong orders for capital products, indicating continued demand.

  • Plans to resume share repurchases in Q3 FY26, with $1 billion authorized, supported by strong cash flow generation.

Concerns

3
  • Experienced supply disruptions in the Peripheral Vascular business, leading to a 6.7% decline in U.S. organic sales and a meaningful backorder situation.

  • Full-year EPS guidance is being offset by costs from the Q1 cybersecurity event, including lost absorption from manufacturing and ongoing IT remediation expenses.

  • Noted a slight slowdown in procedure volumes in Europe, though the U.S. procedural environment remains stable.

Guidance & targets

CategoryTargetConfidence
Full-year organic net sales growth
8.3% to 9.3%
high materiality
High
Full-year adjusted net earnings per share
$14.95 to $15.10
high materiality
High
Full-year 2026 adjusted other income and expense
approximately $420 million
medium materiality
High
Full-year 2026 effective tax rate
15% to 16%
medium materiality
High
Share repurchases
resume share repurchases
medium materiality
High
Operating margin expansion
150 basis points
high materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
MedSurg and Neurotechnology
Strong performance across the segment, with broad strength internationally. Includes Instruments, Endoscopy, Medical, and Vascular businesses.
U.S. organic growth: 8.9%International organic growth: 10.5%
—9.2%——
Instruments U.S.
Growth driven by robust double-digit performance in intervental spine paying portfolio and strong performance from Surgical Technologies (Neptune Waste Management, smoke evacuation, surg account products).
Prior year comparable: 16.3%
—84%——
Endoscopy U.S.
Reflecting strong demand across multiple areas, including operating group infrastructure and renovations (Oculi Life), urology, connected OR products, and double-digit growth in sports medicine.
—10.2%——
Medical U.S.
Led by very strong double-digit performances from Sage and emergency care businesses. Growth from preoperative products, powered cots, and LIFEPAK 35. Capital demand remains elevated.
—13.1%——
Vascular U.S.
Decline due to operational disruption in peripheral vascular, partially offset by solid growth in hemorrhagic portfolio (Surpass Elite flow diverting stents).
—-6.7%——
Orthopaedics
Solid growth across knees, hips, trauma, and OrthoTec. International growth led by Canada, South Korea, Australia, New Zealand, Brazil, and India.
U.S. organic growth: 9.1%International organic growth: 7.5%
—8.6%——
U.S. Knees
Reflecting continued adoption of Mako for robotic-assisted knee procedures and momentum from cementless new products.
—6.2%——
U.S. Hips
Reflecting ongoing success of Insignia Hip Stem and Mako Robotic Hip platform, with expanded ability for difficult primary hip cases and revisions.
—4.9%——
U.S. Trauma and Extremities
Strong double-digit sales growth in trauma and upper extremities businesses. Pangea is a key driver. Multiyear growth momentum in shoulders from differentiated portfolio and Mako shoulder on Mako 4 launch.
—12.5%——
U.S. OrthoTec
Driven by robust Mako installations.
—9.2%——

Product announcements

ProductTypeDetails
Mako RPSlaunch
Triathlon Goldlaunch
Triathlon medial stabilized insertlaunch
Encompass total ankle replacement systemlaunch
Pangea trauma plating systemlaunch
Sonopet 3 ultrasonic aspiratorlaunch
Mako shoulderlaunch

Deals & partnerships

ADS Acquisition of a company with IVL (Intravascular Lithotripsy) technology

The ADS acquisition closed in the quarter. Its IVL product for above-the-knee peripheral vascular is submitted for approval, with potential sales by year-end.

Risks & headwinds

Peripheral Vascular Supply Disruption Q2 FY26, backorders to Q3 FY26

6.7% decline in U.S. organic sales

Mitigation:Issue addressed, back orders expected to reach a manageable level by end of Q3. Sales force is now stable and going back on offense to recapture business.

Cybersecurity Incident Costs FY26

Offsetting Q2 tariff benefits for full-year EPS

Mitigation:Ongoing remediation and stabilization efforts, including IT costs and recovery from lost absorption from manufacturing.

Raw Material Pressures Ongoing

Some pressures on oil and other raw materials

Mitigation:Managed within overall full-year guidance.

Europe Procedure Slowdown Q2 FY26

Slight slowdown

Mitigation:Diversified portfolio, strong demand in the United States and other markets.

Medicare Reimbursement Pressure Future

Proposed rules for large joint replacement show 'sticker shock'

Mitigation:Expect normalization after industry feedback; shift of orthopedic procedures to ASCs is a favorable trend for Stryker.

What to watch in Q3 FY26

Peripheral Vascular backorder situation

End of Q3
Current Meaningful backorder situation
Target Manageable level

Why it matters

Resolution is key for the recovery and growth of the Peripheral Vascular business, which saw a 6.7% decline in Q2 due to supply disruption.

We have addressed the issue and back orders should reach a manageable level by the end of Q3.

Find out whether SYK delivers this. Inve re-checks your case every morning.

Q&A highlights

Why was guidance narrowed, especially lowering the top end? How should H2 revenue growth be viewed? Why isn't the Q2 EPS beat fully flowing through to full-year guidance?

The narrowed guidance reflects current visibility and the remaining work for the year, with confidence in the 8.3-9.3% range. The Q2 EPS beat was partially due to tariff refunds, but full-year guidance is offset by ongoing costs from the Q1 cyber event, including lost manufacturing absorption and IT remediation expenses. H2 growth depends on production ramp and new product launches.

“So from an EPS standpoint, when we look at the beat in the quarter, it is driven partially by the tariff refunds that are happening that happened in the quarter. But as a reminder, when we talked about the first quarter earnings, and those were obviously well below expectations driven by the cyber event. There are costs that are coming through from a cyber perspective, both lost absorption from manufacturing as well as our IT costs that we have that we're planning for as we come through the remediation that will offset that benefit.”

asked by Joanne Wuensch · answered by Preston Wells

3 min read 7 chapters

Detailed narrative

Cybersecurity Recovery and Production Ramp

Stryker continued its recovery from the Q1 cybersecurity incident, successfully ramping overall production to meet ongoing demand. Management noted that plants have been operating consistently since April 1, providing clear visibility for the second half. This production ramp is crucial for fulfilling the elevated backlog, particularly for capital equipment, and is expected to drive strong growth through the remainder of the year.

Capital and Procedural Environment

Capital delivery was a key driver of Q2 growth, with the company exiting the quarter with an elevated backlog and strong orders. Demand for capital products remains robust, and the hospital capital environment is expected to stay strong. The U.S. procedural environment is stable, with Stryker's diversified portfolio primarily supporting high-acuity, medically necessary care, which continues to see strong clinical demand, underpinned by an aging population and chronic disease trends.

Mako Robotics Platform and New Product Launches

The Mako robotics platform achieved its best-ever Q2 for installations both domestically and internationally, with utilization rates trending upward. The Mako RPS (Robotic-assisted Positioning System) recently moved to full commercial launch in the U.S., expanding the robotics portfolio. Additionally, new products like Triathlon Gold, its medial stabilized insert, and the Encompass total ankle replacement system (with PROPHECY planning) are rapidly moving to full commercial launch, with the Pangea trauma plating system launching in Europe in Q4.

Peripheral Vascular Business Challenges

The Peripheral Vascular business experienced a significant setback with a 6.7% decline in U.S. organic sales due to an acute supply disruption at one plant, leading to a meaningful backorder situation and lost sales. Management has addressed the issue and expects backorders to reach a manageable level by the end of Q3.

Despite the hiccup, confidence remains high in the long-term outlook for the business, including the recently closed ADS acquisition, and the sales force is now stable and focused on recovery.

Capital Allocation and Share Repurchases

M&A remains Stryker's primary capital allocation priority, with a robust pipeline of opportunities. However, given strong cash flow generation and current valuation compression in the medtech sector, the company plans to resume opportunistic share repurchases in Q3 FY26. A prior Board approval provides approximately $1 billion for buybacks, with the exact amount and timing dependent on deal flow and stock valuation.

Reimbursement and ASC Trends

Regarding Medicare reimbursement for large joint replacement, management views initial proposed rules with 'sticker shock' as a recurring pattern, expecting them to normalize after industry feedback. The shift of orthopedic procedures to Ambulatory Surgical Centers (ASCs) continues steadily, now representing high teens percent (pushing 20%) of procedures, up from 5% pre-COVID.

Stryker sees this trend as favorable, as it can win in ASCs across its portfolio and assists customers in designing these facilities.

Mechanical Thrombectomy Market Outlook

The mechanical thrombectomy market holds significant growth potential, with a major catalyst expected from the Peerless 2 study readout in mid-2027. This high-powered clinical trial is anticipated to 'blow the market open.' While new competitors are emerging, primarily in aspiration, Stryker offers a full suite of products.

The company is also excited about the ADS acquisition, with its IVL product for above-the-knee peripheral vascular potentially launching by year-end, and a coronary indication trial underway.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.