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Revenue Recognition
 6 Months Ended
Jun. 30, 2023
Revenue Recognition [Abstract]  
Revenue Recognition REVENUE RECOGNITION
Our policies for recognizing sales have not changed from those described in our Annual Report on Form 10-K for 2022.
We disaggregate our net sales by business and geographic location for each of our segments as we believe it best depicts how the nature, amount, timing and certainty of our net sales and cash flows are affected by economic factors.
Beginning in the first quarter 2023 we consolidated Other MedSurg and Neurotechnology into Endoscopy as Other MedSurg and Neurotechnology (primarily Sustainability Solutions) has been fully integrated into our Endoscopy business. Endoscopy includes sales related to Other of $87 and $77 for the three months 2023 and 2022 and $168 and $146 for the six months 2023 and 2022. We have reflected these changes in all historical periods presented.
Net Sales by Business
Three MonthsSix Months
2023202220232022
MedSurg and Neurotechnology:
Instruments$630 $563 $1,205 $1,091 
Endoscopy705 677 1,403 1,284 
Medical841 666 1,619 1,330 
Neurovascular311 306 595 607 
Neuro Cranial373 337 728 660 
$2,860 $2,549 $5,550 $4,972 
Orthopaedics and Spine:
Knees$562 $500 $1,128 $964 
Hips393 364 768 691 
Trauma and Extremities766 676 1,535 1,361 
Spine296 290 580 569 
Other119 114 213 211 
$2,136 $1,944 $4,224 $3,796 
Total$4,996 $4,493 $9,774 $8,768 
Net Sales by Geography
Three Months 2023Three Months 2022
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$512 $118 $451 $112 
Endoscopy568 137 548 129 
Medical682 159 536 130 
Neurovascular123 188 113 193 
Neuro Cranial306 67 281 56 
$2,191 $669 $1,929 $620 
Orthopaedics and Spine:
Knees$406 $156 $368 $132 
Hips249 144 230 134 
Trauma and Extremities559 207 489 187 
Spine221 75 209 81 
Other85 34 86 28 
$1,520 $616 $1,382 $562 
Total$3,711 $1,285 $3,311 $1,182 
Net Sales by Geography
Six Months 2023Six Months 2022
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$962 $243 $865 $226 
Endoscopy1,132 271 1,034 250 
Medical1,294 325 1,061 269 
Neurovascular241 354 223 384 
Neuro Cranial595 133 545 115 
$4,224 $1,326 $3,728 $1,244 
Orthopaedics and Spine:
Knees$822 $306 $713 $251 
Hips485 283 432 259 
Trauma and Extremities1,113 422 976 385 
Spine433 147 409 160 
Other146 67 158 53 
$2,999 $1,225 $2,688 $1,108 
Total$7,223 $2,551 $6,416 $2,352 
Contract Assets and Liabilities
On June 30, 2023 and December 31, 2022 contract assets recorded in our Consolidated Balance Sheets were not significant.
Our contract liabilities arise as a result of consideration received from customers at inception of contracts for certain businesses or where the timing of billing for services precedes satisfaction of our performance obligations. This occurs primarily when payment is received upfront for certain multi-period extended service contracts. Our contract liabilities of $784 and $741 on June 30, 2023 and December 31, 2022 are classified within accrued expenses and other liabilities and other noncurrent liabilities within our Consolidated Balance Sheets based on the timing of when we expect to complete our performance obligations.