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Revenue Recognition
 9 Months Ended
Sep. 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 $84 and $72 for the three months 2023 and 2022 and $252 and $218 for the nine months 2023 and 2022. We have reflected these changes in all historical periods presented.
Net Sales by Business
Three MonthsNine Months
2023202220232022
MedSurg and Neurotechnology:
Instruments$628 $535 $1,833 $1,626 
Endoscopy738 662 2,141 1,946 
Medical798 765 2,417 2,095 
Neurovascular311 294 906 901 
Neuro Cranial384 332 1,112 992 
$2,859 $2,588 $8,409 $7,560 
Orthopaedics and Spine:
Knees$515 $481 $1,643 $1,445 
Hips362 347 1,130 1,038 
Trauma and Extremities752 672 2,287 2,033 
Spine291 280 871 849 
Other130 111 343 322 
$2,050 $1,891 $6,274 $5,687 
Total$4,909 $4,479 $14,683 $13,247 
Net Sales by Geography
Three Months 2023Three Months 2022
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$503 $125 $425 $110 
Endoscopy610 128 551 111 
Medical660 138 625 140 
Neurovascular120 191 110 184 
Neuro Cranial315 69 274 58 
$2,208 $651 $1,985 $603 
Orthopaedics and Spine:
Knees$385 $130 $365 $116 
Hips231 131 225 122 
Trauma and Extremities550 202 494 178 
Spine217 74 206 74 
Other87 43 85 26 
$1,470 $580 $1,375 $516 
Total$3,678 $1,231 $3,360 $1,119 
Net Sales by Geography
Nine Months 2023Nine Months 2022
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$1,465 $368 $1,290 $336 
Endoscopy1,742 399 1,585 361 
Medical1,954 463 1,686 409 
Neurovascular361 545 333 568 
Neuro Cranial910 202 819 173 
$6,432 $1,977 $5,713 $1,847 
Orthopaedics and Spine:
Knees$1,207 $436 $1,078 $367 
Hips716 414 657 381 
Trauma and Extremities1,663 624 1,470 563 
Spine650 221 615 234 
Other233 110 243 79 
$4,469 $1,805 $4,063 $1,624 
Total$10,901 $3,782 $9,776 $3,471 
            
Contract Assets and Liabilities
On September 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 $788 and $741 on September 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.