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2012socialresponsibilityoverview BrainTumorRemoved24HoursafterDiagnosisJust24hoursaferbeingdiagnosedwithabraintumorthesizeoanorangeJulieLumbergunderwentsurgerytohaveitremoved.Tealternativewastowaitandriskmoreacutecomplications.imewasotheessenceandthetoolsneededtoremovethetumorwerenotavailableatthehospital.TesurgeoncontactedStrykerSalesRepresentativeoddCouchandrequestedtheSonopetultrasonicaspiratorasystemthatprovidesprecisecontrolortissueandbonedissectionlocatedclosetodelicateanatomicstructureslikeJuliesbrain.odddrovethroughthenighttodeliverittothehospitalintimeorJuliessurgeryandthetumorwassuccessullyremoved.FivemonthslaterspeedmatteredagaintoJulieshetooksecondplaceinheragegroupinalocal5Krun. 3Stryker2012SocialResponsibilityOverviewStrykerisoneotheworldsleadingmedicaltechnologycompaniesandisdedicatedtohelpinghealthcareproessionalsperormtheirjobsmoreecientlywhileenhancingpatientcare.TeCompanyofersadiversearrayoinnovativemedicaltechnologiesincludingreconstructiveimplantsmedicalandsurgicalequipmentandneurotechnologyandspineproductstohelppeopleleadmoreactiveandmoresatisyinglives.Companyoverview2012ATAGLANCE8.7bllinannualsalesgloballyForTUne500companySp500includedintheStandardPoors500Index22000employeesworldwide100countrieswhereStrykerproductsaresold29manufacturingandRDlocationsworldwide PrimeTCTransportChair 5Stryker2012SocialResponsibilityOverviewWewelcomeyourcommentsandquestionsregardingsocialresponsibilitysocialresponsibilitystryker.comTelastewyearshavebroughtalotochangestoStrykerchangesintheworldeconomicenvironmentchangesinthehealthcareindustryandleadershipandorganizationalchangeswithinourcompany.Evensoin2012ouremployeescontinuedtheirocusondoingtherightthingsorourcustomersandourcommunities.Wehavecontinuedtomakeadierencewithabusinessstrategythatrecognizestheneedorinnovativeandcosteectivehealthcareproductsutilizesourkeenknackorinnovationandcreativesolutionsandbuildsonthestrongrelationshipswehaveestablishedwithcaregivers.Everyyearweintroduceproductsandservicesthatpushmedicaltechnologyandtreatmentorwardand2012wasnodierent.Whetheritisadevicethatallowsasurgeontorestorebloodsupplytoastrokevictimsbrainwithin15minutesoarrivaltoasurgicalsuiteortheintegratedergonomicsoatransportchairthateliminatestheneedoracaregivertocontinuouslybendoverStrykersinnovationhelpssavelivesandprotectsbothcaregiversandpatients.Weurtherbroadenedourglobalreachandimpactthroughinternalandexternalcollaborationsacquisitionsneweducationinitiativesmedicalmissionsandphilanthropy.Additionallyweremainedthemedicaldevicesegmentleaderinhelpinghealthcareorganizationsmanagereuseandredirectscarceresourceswhileminimizingnegativeenvironmentalimpacts.Webelievethemoresustainableandecientahealthcareorganizationisthebetterpositioneditistoimprovethequalityaccessibilityandaordabilityopatientcare.Likewisewecontinuedtodrivesustainabilityeciencyandqualitythroughoutourowncompany.WeexpandedthenumberoLEEDandBREEAMenvironmentalcertifedlocationsandcompletedtheduediligencenecessarytopubliclydiscloseandcommittoutureenvironmentalgoalsthroughparticipationintheCarbonDisclosureProjectin2013.WhilethislevelopublicreportingwillbeneworStrykertheactionswehavetakenin2012andinthepasttobeamoreenvironmentallyandsociallyresponsibleorganizationarenot.IntheollowingpagesyouwillreadaboutbestpracticeprogramsandactivitiestakingplacegloballyatStrykertoulflltheresponsibilitieswebelievearemostimportanttoourcustomersemployeescommunitiesandindustry.SincerelyKvinA.LbPresidentandChieExecutiveOcerMessAgefroMourCeoSincejoiningStrykerroughlytwoyearsagoIhavehadtheprivilegeoconnectingwithmanyoour22000-plusemployeesaroundtheglobe.Toseexperienceshaveunderscoredtheprideanddedicationthateachousbringtowhatwedoonadailybasis.Ourprivilegeandourresponsibilityistocreatemedicaltechnologythatexceedsourcustomersexpectationsandimprovespeopleslivesaroundtheworld.Tishasbeenandwillremainattheverycoreoourpurposeandcultureaswegoorward. 6stryker.comConTenTSOurrEsPONsibiLiTiEsTooUrCUSTomerSWeempowercaregiverswithsupportproductsandeducationtorestorehealthtotheirpatientsadvancetheirtrainingandprotectthemselvesrominjuries.Forhealthcareorganizationsweprovidestrategiesandservicestoimproveclinicaleciencyandredirectvaluableresourcestoenhancepatientcareandquality.TooUremployeeSandShareholderSWeofermeaningulemploymentwithtoolsandresourcestosupportourcolleaguesstrengthsandtalentsinaninclusiveethicalandtransparentculture.TooUrSUrroUndingSWepursuebestpracticestousenaturalresourceswiselyandminimizeenvironmentalimpact.TooUrCommUniTieSWesupportthecommunitieswhereweliveandworkandpeopleinneedwithresourcestoimprovelives.7iNNOvATiONTOHEALANdPrOTECT12EduCATiONTOAdvANCEExPErTisEANdCArE16HEALTHCArEsusTAiNAbiLiTy19sTrykErsusTAiNAbiLiTy23dEdiCATiONANdPAssiONfOrWHATWEdO27CArEfOrOurCOmmuNiTiEs 7Stryker2012SocialResponsibilityOverviewItisbothourlegacyandouruture.Dailyitisourguidingresponsibilitytodevelopandprovidesolutionsthatadvancehealingandhelpsavelives.CarryingonthelegacyoourounderDr.HomerStrykerwearerelentlesslyocusedoninnovationthatenablesustoconsistentlydeveloparangeolie-changingproducts.Tisrecordoinnovationisbuiltonahistoryocollaborationwithpatientsclinicianshospitalleadershipandregulatoryagenciesthathasallowedustoullyunderstandpracticeenvironmentstreatmentprotocolsandunmetneeds.In2012wespent471milliondollarsonresearchanddevelopmentRDandcontinuedatrendoinvestingbetweenveandsevenpercentoourannualrevenueinRD.Bytheendo2012weownedmorethan4700patentsgloballya94increaseover2008.Acquisitionshelpedusurtherthepaceoinnovation.In2011webeganaseriesoacquisitionstocomplementourmarket-leadinghemorrhagicstrokeportoliostartingwithConcentricMedicalandollowedbySurpassMedicalin2012.Teseacquisitionshavealreadyresultedinnextgenerationtreatmenttechnologies.JustdaysaertheFDAclearedStrykersrevoProRetrieverorsalethedevicewasusedtotreatastrokepatient.TerevoProRetrieverisengineeredtoremovebloodclotsinpatientssueringromacuteischemicstrokewithineighthoursotheonsetostrokesymptoms.Tebloodclotblocksthefowobloodinthebrain.Dr.ErolVeznedaroglutherstneurosurgeontousethenewrevodevicerestoredbloodsupplytohispatientsbrainwithin15minutesoherarrivalintheangiographysuiteatCapitalHealthRegionalMedicalCenterinrentonNewJersey.CapitalHealthRegionalMedicalCenterbecamethersthospitalinthecountrytotreatastrokepatientusingStrykersrevoProRetrieverSystemjustdaysaertheFDAcleareditorsale.Strykeroers59000productsservicesInnovAtIontoheALAndProteCtPicturedr.Erolveznearogludr.vezisitswithpatientElisakahn. 8stryker.comWithatimecriticaldiseaselikestrokepatientsneedtreatmentastandhavingabroadrangeotreatmentoptionsavailableisessentialtoprovidingpatientswiththebestchanceatsurvivingandlimitingassociateddisabilitiessaidDr.Veznedaroglu.Forusasphysiciansconstantlyadvancingthetoolsavailabletousenablesustomoreeectivelytreatthesepatients.Whatmakestherevodevicesuchapowerultoolisthatthebloodclotisquicklyintegratedintothedeviceandremovalcanrestorebloodfow.5.4orevenueinvestedinresearchanddevelopmentin2012471millioninvestedinresearchanddevelopmentin2012MethodistHospitalsUnveilsNewHigh-TechSurgicalSuiteMethodistHospitalinMerrillvilleIndianapartotheMethodistHospitalssystembecamethersthospitalinthenorthwestpartothestatetoinstallamulti-specialtycomputer-assistedsurgicalsuitethatusesStrykernavigationandothertechnologiestopinpointasurgicalinstrumentwithin0.07millimeters.TesystemwhichactslikeaGPSclearsupspaceintheoperatingroomandeliminatestheneedorX-raysaswellaspatientexposuretoradiationtohelpsurgeonsplaceandnavigatetheirinstruments.MethodistHospitalsPresidentandCEOIanMcFaddenspeakingtothelocalmediasaidthatthetechnologywillgivenorthwestIndianaresidentstheopportunitytoreceivethebestcareavailablewithouthavingtotraveloutothearea.Itsaverysignicantinvestmenthesaid.NotjustbecauseitstherstandonlybutbecauseMethodistHospitalshavealwaysmadethecommitmenttobethebestplaceorpatientstoreceivethebestcareavailableandthebestplaceorourphysicianstopracticemedicine. 9Stryker2012SocialResponsibilityOverviewInNovemberStrykerlaunchedthenextgenerationdeviceintherevoRetrieveramilytherevoProVueRetriever.Tisistherstclotremovaldeviceullyvisibleduringtheprocedureorprecisepositioningwithintheclotandhasbeencalledanothergreatstrideintheevolutionostrokecare.Iamimpressedwithhowulldevicevisibilityprovidesmoreinormationduringtheproceduretoquicklyandeasilypositionthedeviceandenablesreal-timeeedbackoranewlevelocondencetoopenbloodvesselssaidProessorLiebigM.D.HeadoNeuroradiologyatGermanysUniversityoCologne.TeSurpassFlowDiverterisanothermilestonemedicaldevelopmentthatenablesthetreatmentocomplexbrainaneurysmswithminimallyinvasiveendovascularmethods.ApprovedoruseinEuropeandusingauniquemeshdesignanddeliverysystemtheSurpassFlowDiverterisdesignedtoredirectbloodfowawayromananeurysmallowingastableclottobeormedwithintheaneurysm.TeSurpassFlowDiverterisCEMarkedandiscurrentlybeingsoldoutsidetheU.S.InadditionStrykerisenrollingpatientsinanFDA-approvedstudywhichisacriticalsteptowardregulatoryclearanceintheU.S.paTienTandCaregiverComForTandSaFeTyWhenapatientarrivesatahospitalemergencyroompositiveoutcomesdependontimelyandeectivediagnosisandtreatment.Teequipmentusedbyhospitalstacanmakeanimportantdierence.Ourtransportproductsaredesignedtosaeguardbothpatientsandstainwhatareoenphysicallydemandingjobs.In2012weintroducedtheStrykerPrimeXstretcherwhichreducesoreliminatestheneedorapatienttranserorx-raysbecauseitallowscaregiverstotakeawidevarietyohighqualitydiagnosticimagesdirectlyonthestretcher.20004000100030005000NumberofGlobalPateNts2012476820114035201030702009261520082460aPioNeeriNtechNoloGyDeveloPmeNtTeSocietyorBrainMappingandTerapeuticshonoredStrykerwithits2012PioneerinechnologyDevelopmentAwardnotingTeawardscommitteehasbeenimpressedwithpioneeringworkdonebyStrykerCorporationtoaddresshealthdisparities.WehopeStrykercontinuesitscontributiontotheeldandsupportogame-changingmedicalresearchwithcuttingedgetechnologythatcouldonedayturnintorestorativesolutionsorpatientswithneurologicaldisorders. 10stryker.comComfortAidsRecoveryWhatwedoatStrykermattersWeshouldbeproudthatweprovidequalityproductsandservicestohospitalsthathelpsaveliveseverydayevenourownchildrenslivesexplainedDerekBoyntonaStrykerMaterialsCoordinatorwhosefour-year-oldsonAlexanderspentnearlyamonthinthehospitalrecoveringfromaskullinjury.TroughouttheentireprocessdoctorsusedStrykerproductstotreatAlexanderfromsurgicalinstrumentstoscrewstobeds.MysonsleptcomfortablyeverynightDereksaid.AtonepointAlexandersnurseaskedifhewascomfortableinhisbedtowhichherepliedYesmydaddymadethisStrykerbedAlexanderhascompletelyrecoveredfromhisinjuries. 11Stryker2012SocialResponsibilityOverviewBecauseheavierpatientshallwayslopesandlongtransportsincreasethedemandsoncaregiversandincreasetheirriskoinjuryStrykersPrimeSeriesstretchersoerachoiceomobilitysolutionsincludingtheZoommotorizeddriveoption.Tiseaturemakesnavigatinghallwaysvirtuallyeortless.OurnewPrimeCtransportchairdesignedinpartnershipwiththeMichaelGravesDesignGroupmarriesintuitiveoperationwithBackSmartergonomicstodeliverasimplesaeandreliablesolutionthattrulyredefnespatienttransport.TeBackSmartpushhandlesaccommodatevirtuallyanyheightocaregivertoreducethebendingandreachingassociatedwithcaregiverinjurywhileFlip-Upootrestsremaininanuprightpositiontoreducepatienttriphazardsastheygetinandoutothechair.Eveninahospitalbedwhichtypicallyisnotthoughtoasthemostcomortablepieceourniturepatientcomortandsaetyisvitaltorecovery.In2012weexpandedoursupportsuraceportoliowiththenewIsoGelAir.Tissystemusesproprietarytechnologiestoprovidepressureredistributionandshearmanagementtohelpdecreasethelikelihoodopressureulcersbedsoresandresultinginectionswhileimprovingoverallcomort.Tesupportsuracealsoprovidesmoisturemanagementthroughabreathablecover.SeekingManyVoicesWhetheritisaformalsurveytalkingone-to-oneorhostingagatheringweareconstantlysolicitingcaregiverfeedbacktolearnhowwecanbettermeetneedsandimprovepatientoutcomes.In2012wehostedaleadershipteamfromtheAssociationofperiOperativeRegisteredNursesAORNanorganizationofmorethan42000registerednurses.WealsohostedavisitfromDr.TakanoriFukushimaahighlyregardedneurosurgeonwithmorethan40yearsofoperatingexperience.Dr.Fukushimapracticesneurosurgeryaroundthegloberemoveshundredsoftumorsperyearandhastrainedover100fellowsandresidentsworldwide.Heishighlyregardedwithintheneurosurgicalspecialtyandtrulymotivatedtoadvancepatientcareandneurosurgery.Dr.FukushimasvisitincludedtimespentinalabwherehewasabletodemoStrykerproductsinasimulatedsetting.Pimex-raystetche 12stryker.comWithoutexperienceandeducationeventhemostinnovativeproductsareuseless.Intheenditistheskillsandknowledgeothecaregiverswhouseourproductsthatultimatelymakeadiferenceinthelivesotheirpatients.Tatiswhywebelieveitisourresponsibilitytosupporthealthcareproessionalsateverystageotheircareerswiththelatesteducationalprogramsandtechnologies.Inalabonlinethroughanappavideoorinthehospitalourglobaleducationprogramsaredesignedtohelpproessionalsachievealeveloexpertisecrucialtotheirwork.Wepartnerwithandsupporttheworldsleadingproessionalassociationshealthcareacilitiesacademicinstitutionsandexpertswithasharedgoaloadvancingmedicalcarethrougheducationandinnovation.TeHomerStrykerCenterlocatedinMahwahNewJerseyisoneoourworld-classcentersorglobaleducationandresearch.TeStrykerGlobalechnologyCenterSGCinGurgaonHaryanaIndiainpartnershipwithStanordUniversitysBiodesigngrouptheSanjayGandhiPostgraduateInstituteoMedicalSciencesandtheAllIndiaInstituteoMedicalSciencesaddressbothunmethealthcareandmedicaleducationneedsthroughnewproductdevelopmenthands-ondemonstrationsandtrain-the-trainerprograms.TeSGCsworkandpartnershipswerecitedina2012researchreportledbyHarvardBusinessSchoolProessorMichaelE.Porter.InChinaweexpandedourmobileeducationprogrammingwiththelaunchotwominiMobilerainingCentersMCinlate2012.TeminiMCseaturethelatestStrykerproductsandinstrumentationwhileprovidinghands-onpracticeandproceduraltrainingeduCAtIontoAdvAnCeexPertIseAndCAre1100healthcareproessionalstrainedin2012byStrykerMobilerainingCentersthroughoutChina 13Stryker2012SocialResponsibilityOverviewStrykersTrainingMarketDevelopmentEffortsinIndiaCitedinResearchReportStrykerseducationprogramsnewproductdevelopmenteortsandpartnershipsatourGlobalTechnologyCenterinIndiawereprofledinaresearchreportCompetingbySavingLivesHowPharmaceuticalandMedicalDeviceCompaniesCreateSharedValueinGlobalHealth.WewerenotedorhiringandtraininglocalRDtalenttodevelopIndia-specifcproducts.InthereportsorewordHarvardBusinessSchoolproessorMichaelE.PorterwritesSomepharmaceuticalandmedicaldevicecompaniesareprioritizingpreviouslyunderservedpatientsandmarkets.Ratherthanseeingeortsinassistinglowerincomecustomersascorporatesocialresponsibilityandphilanthropycompaniesaretransormingtheirproductspricingmanuacturingdistributionandmarketingtoproftablymeetpreviouslyunmetneeds. 14stryker.comledbyStrykersexperiencededucationteam.TeminiMCsare25percentsmallerthanourull-sizedMCintroducedin2011.During2012theull-sizeMCwithitsintegratedoperationsuitetoured13citiesandtrainedmorethan1100healthcareproessionalsaroundChina.ByaddingtwosmallermoremobileMCswecanbringadditionaleducationalopportunitiestohealthcareproessionalsincitieswhereitisdicultorlargetruckstoaccess.IntheUnitedKingdomuturesurgeonswillbeneftromourinvolvementwithandthedevelopmentotheUniversityoGlasgowsnewClinicalAnatomySkillsCentre.TeCentrewhichoersthemostup-to-datehands-onsurgicalskillstrainingintheUKisajointinitiativebetweentheUniversityandtheRoyalCollegeoSurgeonsandPhysiciansGlasgow.StrykerhasextensiveexperienceoutfttingteachinglaboratoriesincludingaLondontrainingacilityortheRoyalCollegeoSurgeonsoEnglandwherewearerecognizedasaPlatinumPartner.AttheUniversityoCaliorniaSanDiegosCenterortheFutureoSurgeryCFoSStrykeroutfttedfveoperatingroomsand22surgicalstationswiththelatestinvisualizationlightingandcommunicationcomponents.Te65millionmedicalsimulationtrainingcenteristhelargestacilityinthenationdedicatedtoeducatingsurgeonsandtestingnewoperatingroomequipmentproceduresandmethods.TeCenterortheFutureoSurgeryisdevelopingrevolutionarysurgicaltechniquesthatwillchangethewaysurgeryisperormedinthenextdecadesaidSantiagoHorganMDproessorosurgeryandCFoSdirector.Asaglobaltrainingcenterourultimategoalistodevelopsaemethodsthatwillresultinbetteroutcomeslesspainandasterrecoveriesoreverypatient.1000participantshaveattendedArgoRegistrarEducationProgramcoursessinceStrykerstartedoeringthetrainingnearlytenyearsagotosupportOrtho-paedicRegistrarsinAustraliaandNewZealand.CenterorthefutureosurgerysandiegoCA 15Stryker2012SocialResponsibilityOverviewEducationProgramFeaturesRenownedExpertsStrykersMusculoskeletalOncologyEducationProgramisatwo-dayintensehands-onprogramororthopediconcologyellowsdesignedorsurgeonswhoacechallengingtreatmentoptionsortheirpatients.Likemanyooureducationprogramstheacultyincludesrenownedexpertsromleadingorthopaediconcologyinstitutions.BecauseStrykerisaleadingmanuactureroproductsusedinsurgicalprocedureswearedeeplycommittedtoadvancingsurgicalcompetenceandultimatelypatientcarethrougheducationandtraining.Webelievethatinnovativesimulationtrainingprovidedbyleadingacademicpartnersisparamounttodevelopingthenextgreatgenerationomedicalproessionals.Aspartoourongoingeortstomakeiteasierorproessionalstoaccesseducationalopportunitiesin2012welaunchedanonlineGlobalEducationCalendarthatoersinormationaboutupcomingStrykercourseseventsandthird-partymeetings.Userscanflterlistingsbycountryandcategory.WealsointroducedtheStrykerEducationChannelaninteractiveondemandvideo-basedlearningsitethateaturesarthroscopygeneralsurgeryandgynecologyinadditiontootherspecialties.AdditionallytoreachhealthcareproessionalsaswellaspatientsandthegeneralpublicwelaunchedtheStrykerChannelonYouube.OurYouubechannelisjustoneoseveralwayswehaveincreasedoutreachdirectlytopatientswhohaveavestedinterestintheirowncare.WeinvestedsignifcantresourcesinournewintegratedGetAroundKneecampaignwhichisdesignedtohelppeopleunderstandoptionstotreatkneepainassociatedclinicalevidenceandhowtofndasurgeon.Whilekneereplacementsurgeryhasbecomerelativelycommonthereisadierenceinimplantdesignamongindustrymanuacturers.StrykersGetAroundKneeSystemhasasingleradiuswithasinglecenterorotationwhichissimilartoacirclebecauseitisdesignedtoreplacethekneesnaturallycircularmotionthroughouttheactiverangeomotion.Otherkneereplacementshaveovaldesignswithdierentcentersorotation.TecampaignstartedinMay2012withVandprintadvertisingandcontinuedthrough-out2012resultinginmorethanahal-millionpatientsvisitingwww.GetAroundKnee.comandsearchingoranorthopaedicsurgeon.TecampaignsreachandimpactwasexpandedlaterintheyearwithdigitaladvertisingandsocialmediacontentincludingtheStrykerHikerappaninteractivepedometerthattracksroutewalkingactivitycaloriesburnedandGetAroundHistory.AdditionallywedevelopedaYouubechanneleaturingacclaimedgolerFredFunksharinghisGetAroundKneeexperiencekneereplacementanimationsandallotheGetAroundKneecommercials.TecommunicationsindustryrecognizedthecampaignwiththeprestigiousCLIOandGoldMarComawards.500000peoplehavevisitedtheGetAroundKneewebsitewww.GetAroundKnee.com 16stryker.comSustainabilityinhealthcaremeanslookingathowscarcehospitalresourcesareutilizedanddisposedoinordertoproducethebestpossiblehealthcarequalitywhileminimizingimpactontheenvironment.Oursustainabilityprogramseectivelyandsaelyalignwiththesekeysustainabilityimperativesthroughreprocessingandremanuacturingtokeepmedicaldevicesoutolandfllsandallowhospitalstoredirectresourcestowardinitiativesthatmayincreasethequalityopatientcare.Strykeraleaderinthemedicaldevicereprocessingindustryisdedicatedtodevelopingthesaestmosteectivereprocessingandremanuacturingpracticessothathospitalscansaelyusereprocessedremanuactureddevicesandliveuptotheirresponsibilitiesasenvironmentallyconsciouspatientcare-ocusedinstitutions.Teideaoreprocessingremanuacturingissimplesingle-usemedicaldevicesSUDsaretreatedasassetsnottrash.MostSUDscannotbeusedagaintheymustbethrownawayorrecycled.HowevermanySUDscanwiththerightclinicalandtechnicalexpertisebereprocessedorremanuacturedtoperormattheiroriginalleveloroneormoreadditionaluses.AccordingtotheAssociationoMedicalDeviceReprocessorsAMDRmorethan3000hospitalsacrosstheU.S.reprocessincludingmostotheU.S.NewsWorldReportHonorRollhospitals.Usingthesedevicessomehospitalssavebetween400000and500000peryearinmedicaldeviceexpensesandcanredirectthesesignifcantresourcestoqualitycareinitiativessuchasaddingnursingstaorupgradingequipment.Substantialimprovementstopatientcarequalitycanbeachievedthisway.Atthesametimebyparticipatinginthereprocessingorremanuacturingprogramthesehealthcareorganizationsreducetheiramountodevicedisposalbyasmuchas50000poundsperyear.heALthCAresustAInAbILItystrykerabestPracticeA2012reportromGreenResearchonmedicaldevicemanuacturersandsustain-abilityrecognizedoureortstosupporthealthcareenvironmentalinitiativesasabestpractice.Tefndingscitedourprogramasoneojustaewthataddressacrucialindustryneedorimprovedwastemanagementprocessesdelivertop-linegrowthandhelptodeepencustomerrelationships.TheThreeRsofHealthcareSustainabilityStrykerallowshospitalsandsurgerycenterstoReducemedicalwastebyhundredsofthousandsofpoundsprotectingourenvironmentbycollectingvaluablemedicaldevicesinsteadofthrowingthemawayRediRectimportantresourcestopatientcarequalityinitiativesbyusingreprocessedremanufactureddevicesRedistRibuteunuseddevicesthatcannotbereprocessedtohospitalsinimpoverishednationsaroundtheworld 17Stryker2012SocialResponsibilityOverviewNewStrykerDeviceProvidesbothEnvironmentalandFinancialBeneftsIn2012StrykerintroducedRestepapioneeringdeepveinthrombosisDVcompressionsleevetherapy.Restepaddressesacriticalmarketneedorcomprehensivedevicesolutionsthatdeliverfscalandenvironmentalvaluetohospitalsbyintegratingoriginalmanuacturedandreprocesseddevices.Teproductlaunchsignifesthegrowingrolesuppliersplayinoeringqualitysolutionsthataddresstheneedsoclinicianshospitalsandpatientswhilebeneftingtheenvironment.WithRestephospitalswillbeabletooptorlessenvironmentallyimpactulproductswithoutsacrifcingqualityorfnancialprudence.Telatex-reeproductsenvironmentalbeneftsincludePVC-reesleevesandtheabilitytobereprocesseduptoourtimes.Reprocessingprogramshavebecomeabestpracticeamong3000hospitalsacrosstheU.S.includingmostothoselistedonU.S.NewsWorldReportsHonorRollhospitals.SupportingtheCliniciansRoleinSustainabilityStrykerunderstandstheimportanceoclinicianinvolvementinsustainabilityinitiatives.AsaresultweprovidedagranttosupporttheLightenYourCarbonFootprinteducationsessionatthe59thAORNCongressinpartnershipwithPfedlerEnterprises.Duringthissessionmorethan800nurseslearnedaboutthelinkbetweenenvironmentalandhumanhealthreviewedenvironmentalbestpracticesanddiscussedstrategiestoreducethecarbonootprintooperatingrooms.Tiswasthethirdyearwesupportedthiseventbecausewebelieveinchampioningthenursesroleandprovidingthemwithmeasurablewaystheycanminimizetheirorganizationsenvironmentalimpact. 18stryker.comFordevicesthatcannotbereprocessedremanuacturedweworkwithlocalrecyclingcompaniestobreakthemdownintotheircomponentpartssotheycanberecycledappropriatelyandkeptoutolandflls.TehealthcareindustryisoneothelargestcontributorstolandfllwasteintheUnitedStates.Insideournationsmedicalacilitiesoperatingroomscontributeapproximatelyonethirdoallwasteromeachacility.ByhelpinghealthcareorganizationsreprocessremanuacturemedicaldevicesweareacilitatingoneothemostimpactulsustainabilityinitiativescurrentlyundertakenbyU.S.hospitals.In2012Strykerhelpedhospitalsandambulatorysurgerycentersdivert7.5millionpoundsomedicalwasteromlandfllsandsave240millioninsupplyexpenses.GenesisHealthSystemAimstobeaGreenHealthSystemGenesisHealthSystemprovidescompassionatequalityhealthcaretoa10-countyregionotheQuadCitiesmetropolitanareaandthesurroundingcommunitiesoIowaandIllinois.Tehospitalalsoeelsanobligationtocareortheenvironmentandconstantlyexploreswaystominimizepollutionconserveresourcesandincreaseoperationaleciencywhilestillbeingfscallyresponsible.Welookatsingle-useequipmentasassetsthatcanberepurposednotastrash.WhenitispossibletosaelyreprocessandremanuactureadevicewearedoingthatsaidSteveTomaspurchasingmanagerGenesisHealthSystem.Tatincludeseverythingromdrillbitstosawbladesandsuppliesweuseintheoperatingroomsandthecardiaccatheterizationlabs.ForexampleworkingwithStrykerGenesisMedicalCenterinDavenportIowadivertednearly7000poundsowastebyreprocessingandremanuacturingmedicalsuppliesin2012. 19Stryker2012SocialResponsibilityOverviewJustaswestriveeachyeartoexpandtherangeosustainabilitysolutionsweoerourhealthcarecustomerswelookinwardorourownopportunitiestobeamoresustainableandenvironmentallyresponsiblebusiness.Traditionallyourstrategiestominimizeourenvironmentalimpactandadoptglobalbestpracticeshavebeenmanagedmonitoredandmeasuredatthedivisionandacilitylevels.Duetoanincreasingdemandorinormationatthecompany-widelevelespeciallyabouteortsandgoalstoreducetotalgreenhousegasGHGemissionsin2012webeganthenecessarystepstoparticipateintheCarbonDisclosureProjectsCDPannualsurvey.Wecollecteddataorthepastthreeyears20102012onGHGemissionsrom24oour29manuacturingsites.SitesnotincludedwerepartorecentacquisitionswhereGHGinormationwasnotyetavailable.Withthisdatain2013wecanestablishabaselineromwhichwecansetandannounceuturereductionstrategiesandtargetsandbeginreportingthisinormationtotheCDPandallinterestedstakeholders.Ourenvironmentalpracticesaredesignedtocomplywithorgobeyondindustryandgovernmentregulations.FurthertheU.S.FDAmonitorsandregulatesStrykermanuacturingwithamuchhigherstandardthanconventionalmanuacturing.In2012wereceivedtheU.S.GreenBuildingCouncilsLEEDLeadershipinEnergyEnvironmentalDesigncertifcationorExistingBuildingsOperationsMaintenanceatourMahwahNewJerseyacility.Withnearly500000squareeetthisisStrykerslargestmanuacturingacilitytoreceiveLEEDcertifcation.Attheendo2012ourMahwahlocationbecame100percentelectricitycarbonneutralthroughthepurchaseowindrenewableenergycreditsRECs.Additionallyinmid-2012theacilityimplementedanewenergyecientlightingsystemthatreducesannualelectricalenergyusagestryKersustAInAbILItyOurMahwahNewJerseyplantsnewenergyecientlightingsystemhasanannualenvironmentalimpactequalto225carsremovedromtheroadornearly29500treesplanted SeveraltimesayearourJapancolleaguesparticipateinvolunteerriceplantingsintheTohokuregion.AteamoStrykeremployeesromourCorkIrelandlocationstookanafernoonotohelpcleanupnearbyGarryvoeBeach. 21Stryker2012SocialResponsibilityOverviewby1.32millionkWhsandwillreducecarbondioxidenitrogenoxideandsulurdioxideemissionswithanannualenvironmentalimpactequaltoremoving225carsromtheroadorplantingnearly29500trees.TisplantjoinsourLEEDGoldLEEDorNewConstructioncertifedacilityinSuzhouChinaandLEEDSilverLEEDorExistingBuildingsOperationsMaintenancecertifedacilityinPortageMichigan.WealsohavecertifcationunderwayoracorporateocelocationinPortagealeasedlocationinKalamazooMichiganandamanuacturingacilityinSanJoseCaliornia.InEuropetwooourlocationswereawardedBREEAMBuildingResearchEstablishmentEnvironmentalAssessmentMethodcertifcationin2012.OurVenlodistributioncenterintheNetherlandsreceivedaverygoodratingwhileournewacilityinNewburyUnitedKingdomreceivedanexcellentrating.BREEAMisanotherenvironmentalassessmentmethodandratingsystemorbuildingdesignconstructionandoperationandhasbecomeoneothemostcomprehensiveandwidelyrecognizedmeasuresoabuildingsenvironmentalperormance.AssessmentmeasuresrepresentabroadrangeocategoriesincludingenergyandwateruseinternalenvironmentszhochinaNwcntutinOneoonlyveacilitiesinChinatoachievethisratingPortageMihiganexitingbuidingoptinmintnnFirstmanuacturingacilityinMichigantoreceivethiscerticationMahwahNewJereyexitingbuidingoptinmintnnLargestStrykermanuacturingacilitytoreceivethiscerticationTstykiitihndleeDtiftinndtwhndbreeamtiftin.VenloNetherlandvyGdrtingFirstdistributioncenterinEuropeNewryberkhireuKexntrtingPostconstructionreviewoStrykersnewUnitedKingdomofceCentralizedDistributionBeneftsCustomersandEnvironmentStrykerhascreatedcentralizeddistributioncentersinIndianapolisIndianaandVenloNetherlandstomoreefcientlyserveourcustomers.Tesecrossdivisionalacilitiesapplyleanprinciplestoreduceredundancyandoptimizeourdistributionnetworktolimitproductmovesbeorearrivingatthecustomer.Troughconsolidatedshipmentswehavereducedtransportationneedsaswellasthetheresultingenergyconsumptionandcarbonootprint. 22stryker.comhealthandwell-beingpollutiontransportmaterialswasteecologyandmanagementprocesses.Aacilitysenvironmentalperormanceiscomparedtoestablishedbenchmarkstoevaluatebuildingspecifcationdesignconstructionanduse.Strykerconstantlylooksorwaystouselesselectricityandwaterandreducewastewhetheritischangingbehaviorsupgradingsystemsorimplementingnewtechnologies.InFreiburgGermanyweswitchedromelectrictogroundwatercooling-basedorairconditioninginourmanuacturingareasandinFreiburgandStettenweestablishedacilitymanagementsystemsthatmonitorheatingcoolingandventilationsitewide.OurSelzachandLaChaux-de-FondsSwitzerlandlocationsalsoimplementedsimilaracilitymanagementsystems.AdditionallythetwoSwitzerlandacilitieshaveorareintheprocessoimplementingheatreclamationsystemsthatrecoverheatromaircompressorsandventilationunitsorhotwaterbuildingheatingandotheruses.Tesetwolocationshavealsostartedthetransitiontoreecoolingsystems.Whentheambientairtemperaturedropstoasettemperatureallorpartothechilledwaterbypassesexistingchillersandrunsthroughthesystem.Tissavespowerbyusingthelowerambientairtemperaturetocoolthewaterinthesystem.ForwastereductioneortsourcolleaguesinPuertoRicocontinuetosetthestandardintheirregionbyannuallyincreasingtheamountomaterialrecoveredoreachothepastfveyears.In2012ourArroyoacilityrecyclednearly80percentotheirwasteandreclaimedabout2.8millionpoundsomaterial.TisrecyclingsuccessisachievedpartlybyaprogramtheArroyoacilitydevelopedtocollectrepackagereuseandrecyclerawmaterialsandwasteincooperationwiththemunicipalityotherindustriesschoolsandsuppliers.Company-widewecontinuetoworktoreducetheamountandimpactoresourcesusedduringpackagingandshipping.Mostoourpackagesuse100percentrecyclablematerialswhilestillcomplyingwithregulatorysterilityandqualityrequirements.Weincreasinglyusereusableshippingcontainersandrecyclewoodpalletstohelpminimizetheenvironmentalimpactoproductdistribution.Asacompanyinthebusinessocareweconsiderthehealthotheworldaroundusasvitalasthehealthothepeoplewholiveinit.Award-WinningEnvironmentalStewardshipTeKalamazooMIRegionalChamberoCommercerecognizedStrykersDarcyNelles-Serbawiththeir2012EnvironmentalAwardpartotheirannualCommunityAwardsprogram.Teawardispresentedtoabusinessthatexhibitsexemplarypracticesinoperatinginanenvironmentallyriendlymannerorthathasmadeasignifcantcontributiontoanenvironmentalprocessprogramorimprovement.PriDeiNDoiNGthiNGsriGhtAllousatStrykerprideourselvesindoingtherightthingorcustomerspatientsemployeescommunitiesinvestorsandotherimportantstakeholders.WemakeapersonalcommitmenttoconductourselvesincompliancewithallapplicablelawsandregulationsaccordingtothehighestethicalstandardsandactwithunquestionableintegrityhonorandinullcompliancewithourCodeoConduct.YouwillfndmorecomprehensiveinormationonthistopicintheCorporateGovernancesectionoourwebsite. 23Stryker2012SocialResponsibilityOverviewStrykerisrepeatedlyrecognizedorourcaringandhardworkingemployeeswhoareinspireddailybytheopportunitytomakeadierenceinthelivesocaregiverspatientsandtheiramilies.OurpeopleandtheirdedicationandpassionorwhatwedoiswhatmakesStrykeragreatplacetowork.ForthethirdconsecutiveyearStrykerwasnamedoneothe100BestCompaniestoWorkForintheU.S.inFORUNEMagazinesannualsurveyothetop-ratedworkplacesintheUnitedStates.Ourcurrentrankingo61wasa19-spotleapoverourpreviouslisting.ochoosethe100BestCompaniesFORUNEpartnerswiththeGreatPlacetoWorkInstitutetoconductthemostextensiveemployeesurveyincorporateAmerica.wo-thirdsoacompanysscoreisbasedonthiseedback.StrykerwaslistednumbertwoonthemagazineslistoopenPerksromBestCompanies.TemagazinehighlightedaStrykerbeneftthatallowsemployeestoborrowourpatientcarebedsorthemselvesoramilymemberswhorequirehomerehabilitationollowingsurgeryoraredealingwithterminalillness.WealsoreceivedtheGallupGreatWorkplaceAwardorthesixthtimein2013.Strykerwasoneoonly32globalcompanieshonoredoutothethousandsthatwereeligibleortheaward.Basedonthemostrigorousworkplaceresearcheverconductedtheawardhonorsorganizationswhoseemployeeengagementresultsdemonstratetheyhavethemostproductiveandengagedworkorcesintheworld.Strykerisoneoonlyfvecompaniesthathavereceivedthishonoratleastsixtimes.dedICAtIonAndPAssIonforWhAtWedoinshorttheseGllupGretWorkplceawrdwnnersremprovnglvesstheymprovetheoverllperformnceofthercompnes.JamesK.HarterPh.D.GallupsChiefScientistofWorkplaceManagementandWellbeingWorldwideWorkplaceRecognitionGlobalFORUNEWorldsMostAdmiredCompaniesGlobalGallupGreatWorkplaceAwardu.s.FORUNE100BestCompaniestoWorkForu.s.WorkforceDiversityforEngineeringandIProfessionalsOneofTop50CompaniesNoRtheRNcalifoRNiaSanFranciscoBusinessimesandtheSiliconValleySanJoseBusinessJournalBestPlacestoWorkintheBayAreaNoRtheRNcalifoRNiaSanJoseMercuryNewsTopWorkplaceforLargeCompaniesintheBayAreacaNadaTeGlobeandMailCanadasTop100EmployerscaNadaGreatPlacetoWorkInstituteBestWorkplacesinCanadalistuNitedKiNGdoMSundayimesBestCompaniestoWorkFor OurOpinionsCountWeviewourownemployeesasexpertsonmanymattersandvaluetheircreativethinking.TeOurOpinionsCountprogramatourSuzhouChinaacilityencouragesemployeestoputtheircreativeideasandinnovationsintopractice.In2012morethan135opinionsthatweimplementedledtocostsavingsefciencyimprove-mentsorproductqualityenhancementsincludinganewlyopenedtoolshop. 25Stryker2012SocialResponsibilityOverviewWorkforceat-a-GlaNceMorethan22000employeesworldwidewith40outsidetheU.S.Womenmakeup35oourglobalmanuacturingworkorce.Morethan50oourU.S.proessionalworkorcearewomenandminorities.Morethan25oourcorporateocersarewomen.Womenandminoritiesmakeup55oourboardodirectors.WhyisemployeeengagementsovitalAccordingtoJamesK.HarterPh.D.GallupsChieScientistoWorkplaceManagementandWellbeingEngagedemployeesaremoreproductivesaermorecustomer-centricandmoreproftable.Teyarealso3.5timesmorelikelytobethrivingintheiroveralllivesexperiencebetterdaysandhaveewerunhealthydays.Inshortthesewinnersareimprovinglivesastheyimprovetheoverallperormanceotheircompanies.Ourapproachbeginswithattractingandretainingthebestpeople.Wecreateaworkenvironmentthattrulyengagesemployeesmakingthemeelvaluedandallowingthemtodowhattheydobest.WeencourageemployeestotakeanactiveroleindevelopingtheirStrykercareersandprovidethemwiththenecessarytoolsandresourcestomakeinormeddecisionsandchartidealcareerpaths.Oneothemostimportantthingswecandotoensurethatwecontinuetobeagreatcompanyandosterourcultureistopromotedevelopmentandinternalmovementoouremployees.In2012welaunchedMyStrykerCareeranewglobalonlineresourcethatprovidesemployeesthevisibilitytosearchandapplyoravailablepositionsatStrykeraroundtheworld.Temicrositeandpostingprocessisintegratedwithinourapplicanttrackingsystemtoecientlyassessandmatchemployeesproessionalinterestswithavailablepositions.Asourglobalpresenceexpandsandourmarketplacecontinuestoevolveitisincreasinglyimportantorourpeopletohaveexperienceacrossdivisionsgeographiesandbusinessunctions.GreatAdventureChallengeStrykeremployeeshavemanyopportunitiestonetworkandshareexperiencesonsiteandoutinthecommunity.InAustraliaseveralStrykerteamscompetedagainstotherAustraliancompaniesintheGreatAdventureChallengetoraisemoneyortheStarlightChildrensFoundation.TroughacombinationoourSouthPacifcdivisionandemployeedonationsStrykerraisedmorethan300000ortheStarlightChildrensFoundationduring2012. 26stryker.comAnotheronlinetoolweoerisMentorshipMatchasiteweexpandedin2012toallemployees.Tistoolprovidesvisibilitytopotentialmentorsandmenteesandincludesvideotutorials.Whetheritisonlineorinpersoninaconerenceroomorinthecommunityouremployeeshavenumerousopportunitiestoconnectwithcolleaguesandshapetheircareers.Perhapsnothingengagesandinspiresourcolleaguesmorethanhearingandseeingrsthandhowtheirworkchangeslives.AnnuallycliniciansandpatientscomeromallovertheU.S.toKalamazooMichiganorourPatientClinicianUeventdesignedtohelpouremployeesunderstandtheimpactotheirdailywork.MedicalproessionalsandormerpatientssharedramaticandcompellingstoriesthatmaynothavebeenpossiblewithoutStrykerproductsandpersonnelinthehandsotalentedclinicians.Withourtalentandcultureamongourcompanysgreateststrengthswewillcontinuetoinvestinouremployeesandprovidethemwiththesupportandenvironmenttheyneedtobesuccessulandknowthattheirworkmatters.EmergingLeadersGatherinAmsterdamWestartedtheAcceleratedDevelopmentProgramADPin2012toacceleratethedevelopmentohighpotentialemployeesinpreparationorbroaderkeyleadershiproleswithinStryker.Teyear-longprogramgoesbeyondtheclassroomtoincludeindividualcoachingeedbackandnetworkingactivities.Equallyimportantistheocusondevelopingleaderswhorecognizeandunderstandtheimportanceoservicecontributionandcollaboration..WhenADPparticipantsgatheredinAmsterdamoroneotheirgroupdevelopmentsessionstheyspenttwodaysinworkshopsplusanafernoondevotedtocommunityservice.Teseemergingleadersassistedseniorhousingresidentswithgardeningcleanupandmaintenanceprovidinganopportunitybothtogivebackandtomoreullyexperienceanotherculture. 27Stryker2012SocialResponsibilityOverviewCAreforourCoMMunItIesOurresponsibilityasahealthcarecompanyistohelppeoplethatareinneedespeciallythosedevastatedbypovertypoorhealthanddisaster.In2012wecontinuedtoshareourtimeexpertiseandresourcesbyproviding25.8million1worthonancialandproductsupportaroundtheworldasignicantincreaseovertheprioryear.Wedeterminephilanthropicsupportbasedonproessionalandcommunityneedsandemployeeinterests.Mostoourassistanceisorprogramsthatprovidehumanitarianaidaccesstomedicalcareandothercharitableassistance.Forexamplesince2005StrykerhaspartneredwithEsperanaanddonatedmorethan7millionworthomedicalsupplies.In2012weprovidedmorethan170boxesosuppliestoNicaraguaoruseinreesurgeriesincludingthosetocorrectayoungmansclefpalateandtreatoursisterswithsevereacialburns.Yourdonationsaretrulyalie-savinggif.Duetoextremepovertymanyamiliesthatweservelivewithoutpropermedicalcare.BeassuredthatyouarehelpinguspreventsueringandlossoliebyyourdonationexplainedomEganPresidentandCEOoEsperana.Welookorwardtoourcontinuedpartnershiptoimprovethelivesothousandsinthedevelopingworld.InMay2012Strykermedicalequipmentandgoodswereamongthenearly1millionworthoproductdonatedtoVirtueFoundationssurgicalteachingmissioninUlaanbaatarandKhovdMongolia.Duringthemissiontwodozenhealthcareproessionalsperormedreeessentialsurgicalcareandtrainedlocalsurgeons.Teyservedmorethan750patientsperormedapproximately175surgeriesandprovidedmorethan900hoursobest-in-classclinicaltrainingusingthelatestinnovationsinsurgicaltechniques.Wecontributed25.8million1worthonancialandproductsupportworldwidein2012. GivingSmilesSince1999StrykerhasprovidedOperationSmilewithnearly1millionincashandproductdonationssupportedhundredsofmedicalprofessionalsfromaroundtheworldthroughthePhysiciansTrainingProgramandsponsorednearly100plasticsurgeryresidentsintheStrykerFellowshipprogram.PicturedisVivianMassonpresidentofourTraumaExtremitiesbusinesswhotravelledtoBogotColumbiaasanon-medicalvolunteerwithOperationSmilein2012. 29Stryker2012SocialResponsibilityOverviewInGhanaDr.JoeMarottaandhisvolunteerteamomedicalproessionalssuccessullycompletedtherstorthopaedicsurgeriesaspartothemissionoMedicusinChristi.Tenon-protoundedbyDr.Marottaprovidesmedicalcareequipmentandtrainingtotheimpoverishedindevelopingcountries.TesurgeonandhisteamuseddonatedStrykersurgicalimplantsandinstruments.IwouldventuretosaythattheteamandIperormedproceduresavailablenowhereelseinGhanaormostotheentirecontinentoAricanotedDr.Marotta.Teconceptoprovidingstateotheartboneandjointcareorthepeopleothisregioniscomingclearerintoviewwitheachandeverysmallstepwemake.Allothehardworkplanningandgenerousdonationshavecometogethertoallowthismissionocharitytooccur.LimerickIrelandemployeesrolleduptheirsleevestobuildaruitandvegetablegardenorAdaptHouseasaeplaceorwomenandchildrenaectedbydomesticviolence.StrykerCanadaHelpfortheHolidaysForpeopleinneedtheholidayseasonisnotalwaysajoyousone.TatiswhyStrykercontributed20000topurchaseandpersonallydeliversuppliesandgifstoourHamilton-areacharities.TeHamiltonFoodSharesupportsoodbanksandhotmealprogramsFood4KidsprovidesbackpacksohealthyoodorkidswithlimitedornoaccesstooodonweekendstheNeighbour-2-NeighbourCentresNewMomsProgramdistributesgifbagsclothingblanketsandtoiletryproductstonewmothersinneedandtheChildrensAidSocietyoHamiltonsupportstheoyRoomProgramtohelpbringjoytoamiliesandchildrenthatarelessortunate. 30stryker.comForoursurplusomedicalsuppliesthereisasecondlieindevelopingcountriesthroughapartnershipwithMedShare.Teorganizationulllsadualmissiontodeliversurplusmedicalsuppliesrommanuacturersandhospitalstounderservedpopulationsinnearly90developingcountriesaroundtheworldwhilelesseningtheimpactomedicalwasteintheU.S.Ouremployeesalsoventurearromtheirhomeseveryyeartoprovidesupportonmedicalmissions.VivianMassonpresidentoourraumaExtremitiesdivisiontravelledtoBogotColombiatoworkasanon-medicalvolunteerorOperationSmile.Since1982theinterna-tionalchildrensmedicalcharityhasprovidedmorethan200000reesurgeriesorchildrenandyoungadultsbornwithacialdeormitiessuchacleflipandclefpalate.Techarityalsotrainslocaldoctorsindevelopingcountriesandstrengthenshealthcaresystemssomorechildreninsomeothepoorestareasintheworldcanbetreated.AssociateSalesRepresentativerentAllenparticipatedinanOperationNewLiesurgicalmissioninegucigalpaHondurasthepoorestcountryinthewesternhemisphere.OperationNewLieisMakingaDifferenceAcrossEasternEuropetheMiddleEastAfricabaleRNaswitzeRlaNdDonatedinstrumentsormusicaltherapytoaounda-tionthathelpsrehabilitatepeoplewithdisabilitiesandintegratethemintosociety.buchaRestRoMaNiaOrganizedasummercamporchildrenwithdisabilitieswheretheyparticipatedinnumerousactivitiesthatencouragedtheirrecovery.dubaiuNitedaRabeMiRatesDonatedairconditioningsystemsrerigeratorstofnanciallychallengedpeoplelivinginanareawithextremelyhightemperaturesallyear.istaNbultuRKeyProvidedfnancialandemotionalsupportorawheelchairbasketballteam.JohaNNesbuRGsouthafRicaFoughttosavetherhinosindangeroextinctionandoeredabetterlietotheamiliesothegamerangersthatgotjobsasaresultothetrainingStrykercoordinated.MoNtReuxswitzeRlaNdBuiltaplaygroundorunaccompaniedminorsrequestingasyluminSwitzerlandandlivinginabuildingclosetotheStrykeroce.MoscowRussiaBuiltaplaygroundorlong-termhospitalizedchildren.waRsawPolaNdPurchasedschoolequipmentortheSOSChildrenVillageinSiedlce. 31Stryker2012SocialResponsibilityOverviewstrykeraociateareapaionateabouttheircommunitieatheyareabouttheirwork.Teirdeiretomakeadiferencemanietiteleverydayrommallinteractionwithcolleaguetograndgeturewithtrangerinneighborhoodhalaworldaway.JimHeathPresidentInstrumentsdivisionFeedingOurCommunitiesInAugust2012Strykeremployeesdonatedmorethan30000and3000poundsooodtotheKalamazooLoavesFishesKLFemergencyeedingprograms.Employeesorganizedanumberoactivitiestoraiseundsincludingbakesalesandapancakebreakast.Attheendothemonth60employeesspentadayllingoodpacksorlocalschoolchildrenaspartotheWeekendFoodPackProgramthatissupportedbyKLFandtheFoodBankoSouthCentralMichigan.StrykerhassupportedKLFannuallyorthepastthreeyearsdonatingatotalomorethan90000and8000poundsoood.amedicalsurgicalandteachingministrythatservesthepoorinasaehospitalenvironmentbypartneringwithandeducatinglocalsurgicalteams.Overaneight-dayperiodrentsmissionteamhandlednearly25casesincludingtraumaorthognathicclefpalateandtumorresection.Manyoourcharitableeortsareorganizedbyourcolleagues.EachregionthatisapartoaStrykerEasternEuropeMiddleEastandAricaemployeephilanthropyandvolunteerprogramreceivesa2000grantorapreerredcommunityprojectandiseligibleoruptoanadditional2000inmatchedundsordonationsthatemployeesraise.Anadditional5000grantisawardedtotheregionthatraisesthemostmoney.TankstotheeortsotheStrykerteaminurkeywhowonthecontesttheAnadoluYakasWheelchairBasketballeamreceivednancialhelpaswellascareandsupport.Teteamoorthopaedicallydisabledathletesneededphysicalandpsychologicalrehabilitationsotheycouldbetterintegrateintosociety.TeStrykerteambroughtthembasketballequipmenthadtheirbrokenwheelchairsrepairedcreatedawebsiteorthemtoadvertisetheirmatcheswenttoseemanyotheirgamesandevenplayedamatchwiththem.TeStrykerteaminurkeyplanstousetheir5000granttopurchaseanddonatewheelchairstoorthopaedicallydisabledpeoplewhocannotaordtobuythem. styeCopoatonWolweHeaqate2825Aewboleakalaazoomchgan49002u.s.A.269.385.2600tye.costyeCopoatonotonoothecopoateaflateentteowneohaeappleotheollowngtaeaoeceabacsatlp-upGetAonkneeHoestyeCenteioGelAPeseePeTCPexretepsonopetstyestyeHespaTeoTeoPoveZoo.Allothetaeaaetaeaotheepecteowneohole.OpeatonsleaegteetaeaoOpeatonsleinc.TheLEEdCetfcatonmaaegteetaeaowneytheu.s.GeenblngConclanewthpeon.FORTUNEmagazne242013312013an592013.FORTUNEaegteetaeaoTeinc.anenelcene.FORTUNEanTeinc.aenotaflatewthanonotenoepoctoeceostye.1.Chataleconttonnclecahpoctonatonanhonoagant.Poctonatonaealeataaetale.ontCoeAocatesalerepeentateTentAllenaghtpatcpatenanOpeatonNewLegcalonnTegcgalpaHonaalongwththeollowngolnteeolettoghtd.CaloLanezgenealgeonanaloaeentnplatcgeynHonakLcentalatantanOratantooalanalloacalgeyd.bllAlonooalanalloacalgeonanco-onepeentOpeatonNewLeand.JanCalorogezheaooalanalloacalgeyHonanunetysyte.baccoeCaptalHealthregonalmecalCented.Eolvezneaogld.vezwatheftneogeontoteatatoepatentElakahnngstyeTeoPoreteesyte.Pnteon10potconeecyclepape.manactewthGeen-ecetfewnpowe.oetstewahpConclcetfe.
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2012socialresponsibilityoverview BrainTumorRemoved24HoursafterDiagnosisJust24hoursaferbeingdiagnosedwithabraintumorthesizeoanorangeJulieLumbergunderwentsurgerytohaveitremoved.Tealternativewastowaitandriskmoreacutecomplications.imewasotheessenceandthetoolsneededtoremovethetumorwerenotavailableatthehospital.TesurgeoncontactedStrykerSalesRepresentativeoddCouchandrequestedtheSonopetultrasonicaspiratorasystemthatprovidesprecisecontrolortissueandbonedissectionlocatedclosetodelicateanatomicstructureslikeJuliesbrain.odddrovethroughthenighttodeliverittothehospitalintimeorJuliessurgeryandthetumorwassuccessullyremoved.FivemonthslaterspeedmatteredagaintoJulieshetooksecondplaceinheragegroupinalocal5Krun. 3Stryker2012SocialResponsibilityOverviewStrykerisoneotheworldsleadingmedicaltechnologycompaniesandisdedicatedtohelpinghealthcareproessionalsperormtheirjobsmoreecientlywhileenhancingpatientcare.TeCompanyofersadiversearrayoinnovativemedicaltechnologiesincludingreconstructiveimplantsmedicalandsurgicalequipmentandneurotechnologyandspineproductstohelppeopleleadmoreactiveandmoresatisyinglives.Companyoverview2012ATAGLANCE8.7bllinannualsalesgloballyForTUne500companySp500includedintheStandardPoors500Index22000employeesworldwide100countrieswhereStrykerproductsaresold29manufacturingandRDlocationsworldwide PrimeTCTransportChair 5Stryker2012SocialResponsibilityOverviewWewelcomeyourcommentsandquestionsregardingsocialresponsibilitysocialresponsibilitystryker.comTelastewyearshavebroughtalotochangestoStrykerchangesintheworldeconomicenvironmentchangesinthehealthcareindustryandleadershipandorganizationalchangeswithinourcompany.Evensoin2012ouremployeescontinuedtheirocusondoingtherightthingsorourcustomersandourcommunities.Wehavecontinuedtomakeadierencewithabusinessstrategythatrecognizestheneedorinnovativeandcosteectivehealthcareproductsutilizesourkeenknackorinnovationandcreativesolutionsandbuildsonthestrongrelationshipswehaveestablishedwithcaregivers.Everyyearweintroduceproductsandservicesthatpushmedicaltechnologyandtreatmentorwardand2012wasnodierent.Whetheritisadevicethatallowsasurgeontorestorebloodsupplytoastrokevictimsbrainwithin15minutesoarrivaltoasurgicalsuiteortheintegratedergonomicsoatransportchairthateliminatestheneedoracaregivertocontinuouslybendoverStrykersinnovationhelpssavelivesandprotectsbothcaregiversandpatients.Weurtherbroadenedourglobalreachandimpactthroughinternalandexternalcollaborationsacquisitionsneweducationinitiativesmedicalmissionsandphilanthropy.Additionallyweremainedthemedicaldevicesegmentleaderinhelpinghealthcareorganizationsmanagereuseandredirectscarceresourceswhileminimizingnegativeenvironmentalimpacts.Webelievethemoresustainableandecientahealthcareorganizationisthebetterpositioneditistoimprovethequalityaccessibilityandaordabilityopatientcare.Likewisewecontinuedtodrivesustainabilityeciencyandqualitythroughoutourowncompany.WeexpandedthenumberoLEEDandBREEAMenvironmentalcertifedlocationsandcompletedtheduediligencenecessarytopubliclydiscloseandcommittoutureenvironmentalgoalsthroughparticipationintheCarbonDisclosureProjectin2013.WhilethislevelopublicreportingwillbeneworStrykertheactionswehavetakenin2012andinthepasttobeamoreenvironmentallyandsociallyresponsibleorganizationarenot.IntheollowingpagesyouwillreadaboutbestpracticeprogramsandactivitiestakingplacegloballyatStrykertoulflltheresponsibilitieswebelievearemostimportanttoourcustomersemployeescommunitiesandindustry.SincerelyKvinA.LbPresidentandChieExecutiveOcerMessAgefroMourCeoSincejoiningStrykerroughlytwoyearsagoIhavehadtheprivilegeoconnectingwithmanyoour22000-plusemployeesaroundtheglobe.Toseexperienceshaveunderscoredtheprideanddedicationthateachousbringtowhatwedoonadailybasis.Ourprivilegeandourresponsibilityistocreatemedicaltechnologythatexceedsourcustomersexpectationsandimprovespeopleslivesaroundtheworld.Tishasbeenandwillremainattheverycoreoourpurposeandcultureaswegoorward. 6stryker.comConTenTSOurrEsPONsibiLiTiEsTooUrCUSTomerSWeempowercaregiverswithsupportproductsandeducationtorestorehealthtotheirpatientsadvancetheirtrainingandprotectthemselvesrominjuries.Forhealthcareorganizationsweprovidestrategiesandservicestoimproveclinicaleciencyandredirectvaluableresourcestoenhancepatientcareandquality.TooUremployeeSandShareholderSWeofermeaningulemploymentwithtoolsandresourcestosupportourcolleaguesstrengthsandtalentsinaninclusiveethicalandtransparentculture.TooUrSUrroUndingSWepursuebestpracticestousenaturalresourceswiselyandminimizeenvironmentalimpact.TooUrCommUniTieSWesupportthecommunitieswhereweliveandworkandpeopleinneedwithresourcestoimprovelives.7iNNOvATiONTOHEALANdPrOTECT12EduCATiONTOAdvANCEExPErTisEANdCArE16HEALTHCArEsusTAiNAbiLiTy19sTrykErsusTAiNAbiLiTy23dEdiCATiONANdPAssiONfOrWHATWEdO27CArEfOrOurCOmmuNiTiEs 7Stryker2012SocialResponsibilityOverviewItisbothourlegacyandouruture.Dailyitisourguidingresponsibilitytodevelopandprovidesolutionsthatadvancehealingandhelpsavelives.CarryingonthelegacyoourounderDr.HomerStrykerwearerelentlesslyocusedoninnovationthatenablesustoconsistentlydeveloparangeolie-changingproducts.Tisrecordoinnovationisbuiltonahistoryocollaborationwithpatientsclinicianshospitalleadershipandregulatoryagenciesthathasallowedustoullyunderstandpracticeenvironmentstreatmentprotocolsandunmetneeds.In2012wespent471milliondollarsonresearchanddevelopmentRDandcontinuedatrendoinvestingbetweenveandsevenpercentoourannualrevenueinRD.Bytheendo2012weownedmorethan4700patentsgloballya94increaseover2008.Acquisitionshelpedusurtherthepaceoinnovation.In2011webeganaseriesoacquisitionstocomplementourmarket-leadinghemorrhagicstrokeportoliostartingwithConcentricMedicalandollowedbySurpassMedicalin2012.Teseacquisitionshavealreadyresultedinnextgenerationtreatmenttechnologies.JustdaysaertheFDAclearedStrykersrevoProRetrieverorsalethedevicewasusedtotreatastrokepatient.TerevoProRetrieverisengineeredtoremovebloodclotsinpatientssueringromacuteischemicstrokewithineighthoursotheonsetostrokesymptoms.Tebloodclotblocksthefowobloodinthebrain.Dr.ErolVeznedaroglutherstneurosurgeontousethenewrevodevicerestoredbloodsupplytohispatientsbrainwithin15minutesoherarrivalintheangiographysuiteatCapitalHealthRegionalMedicalCenterinrentonNewJersey.CapitalHealthRegionalMedicalCenterbecamethersthospitalinthecountrytotreatastrokepatientusingStrykersrevoProRetrieverSystemjustdaysaertheFDAcleareditorsale.Strykeroers59000productsservicesInnovAtIontoheALAndProteCtPicturedr.Erolveznearogludr.vezisitswithpatientElisakahn. 8stryker.comWithatimecriticaldiseaselikestrokepatientsneedtreatmentastandhavingabroadrangeotreatmentoptionsavailableisessentialtoprovidingpatientswiththebestchanceatsurvivingandlimitingassociateddisabilitiessaidDr.Veznedaroglu.Forusasphysiciansconstantlyadvancingthetoolsavailabletousenablesustomoreeectivelytreatthesepatients.Whatmakestherevodevicesuchapowerultoolisthatthebloodclotisquicklyintegratedintothedeviceandremovalcanrestorebloodfow.5.4orevenueinvestedinresearchanddevelopmentin2012471millioninvestedinresearchanddevelopmentin2012MethodistHospitalsUnveilsNewHigh-TechSurgicalSuiteMethodistHospitalinMerrillvilleIndianapartotheMethodistHospitalssystembecamethersthospitalinthenorthwestpartothestatetoinstallamulti-specialtycomputer-assistedsurgicalsuitethatusesStrykernavigationandothertechnologiestopinpointasurgicalinstrumentwithin0.07millimeters.TesystemwhichactslikeaGPSclearsupspaceintheoperatingroomandeliminatestheneedorX-raysaswellaspatientexposuretoradiationtohelpsurgeonsplaceandnavigatetheirinstruments.MethodistHospitalsPresidentandCEOIanMcFaddenspeakingtothelocalmediasaidthatthetechnologywillgivenorthwestIndianaresidentstheopportunitytoreceivethebestcareavailablewithouthavingtotraveloutothearea.Itsaverysignicantinvestmenthesaid.NotjustbecauseitstherstandonlybutbecauseMethodistHospitalshavealwaysmadethecommitmenttobethebestplaceorpatientstoreceivethebestcareavailableandthebestplaceorourphysicianstopracticemedicine. 9Stryker2012SocialResponsibilityOverviewInNovemberStrykerlaunchedthenextgenerationdeviceintherevoRetrieveramilytherevoProVueRetriever.Tisistherstclotremovaldeviceullyvisibleduringtheprocedureorprecisepositioningwithintheclotandhasbeencalledanothergreatstrideintheevolutionostrokecare.Iamimpressedwithhowulldevicevisibilityprovidesmoreinormationduringtheproceduretoquicklyandeasilypositionthedeviceandenablesreal-timeeedbackoranewlevelocondencetoopenbloodvesselssaidProessorLiebigM.D.HeadoNeuroradiologyatGermanysUniversityoCologne.TeSurpassFlowDiverterisanothermilestonemedicaldevelopmentthatenablesthetreatmentocomplexbrainaneurysmswithminimallyinvasiveendovascularmethods.ApprovedoruseinEuropeandusingauniquemeshdesignanddeliverysystemtheSurpassFlowDiverterisdesignedtoredirectbloodfowawayromananeurysmallowingastableclottobeormedwithintheaneurysm.TeSurpassFlowDiverterisCEMarkedandiscurrentlybeingsoldoutsidetheU.S.InadditionStrykerisenrollingpatientsinanFDA-approvedstudywhichisacriticalsteptowardregulatoryclearanceintheU.S.paTienTandCaregiverComForTandSaFeTyWhenapatientarrivesatahospitalemergencyroompositiveoutcomesdependontimelyandeectivediagnosisandtreatment.Teequipmentusedbyhospitalstacanmakeanimportantdierence.Ourtransportproductsaredesignedtosaeguardbothpatientsandstainwhatareoenphysicallydemandingjobs.In2012weintroducedtheStrykerPrimeXstretcherwhichreducesoreliminatestheneedorapatienttranserorx-raysbecauseitallowscaregiverstotakeawidevarietyohighqualitydiagnosticimagesdirectlyonthestretcher.20004000100030005000NumberofGlobalPateNts2012476820114035201030702009261520082460aPioNeeriNtechNoloGyDeveloPmeNtTeSocietyorBrainMappingandTerapeuticshonoredStrykerwithits2012PioneerinechnologyDevelopmentAwardnotingTeawardscommitteehasbeenimpressedwithpioneeringworkdonebyStrykerCorporationtoaddresshealthdisparities.WehopeStrykercontinuesitscontributiontotheeldandsupportogame-changingmedicalresearchwithcuttingedgetechnologythatcouldonedayturnintorestorativesolutionsorpatientswithneurologicaldisorders. 10stryker.comComfortAidsRecoveryWhatwedoatStrykermattersWeshouldbeproudthatweprovidequalityproductsandservicestohospitalsthathelpsaveliveseverydayevenourownchildrenslivesexplainedDerekBoyntonaStrykerMaterialsCoordinatorwhosefour-year-oldsonAlexanderspentnearlyamonthinthehospitalrecoveringfromaskullinjury.TroughouttheentireprocessdoctorsusedStrykerproductstotreatAlexanderfromsurgicalinstrumentstoscrewstobeds.MysonsleptcomfortablyeverynightDereksaid.AtonepointAlexandersnurseaskedifhewascomfortableinhisbedtowhichherepliedYesmydaddymadethisStrykerbedAlexanderhascompletelyrecoveredfromhisinjuries. 11Stryker2012SocialResponsibilityOverviewBecauseheavierpatientshallwayslopesandlongtransportsincreasethedemandsoncaregiversandincreasetheirriskoinjuryStrykersPrimeSeriesstretchersoerachoiceomobilitysolutionsincludingtheZoommotorizeddriveoption.Tiseaturemakesnavigatinghallwaysvirtuallyeortless.OurnewPrimeCtransportchairdesignedinpartnershipwiththeMichaelGravesDesignGroupmarriesintuitiveoperationwithBackSmartergonomicstodeliverasimplesaeandreliablesolutionthattrulyredefnespatienttransport.TeBackSmartpushhandlesaccommodatevirtuallyanyheightocaregivertoreducethebendingandreachingassociatedwithcaregiverinjurywhileFlip-Upootrestsremaininanuprightpositiontoreducepatienttriphazardsastheygetinandoutothechair.Eveninahospitalbedwhichtypicallyisnotthoughtoasthemostcomortablepieceourniturepatientcomortandsaetyisvitaltorecovery.In2012weexpandedoursupportsuraceportoliowiththenewIsoGelAir.Tissystemusesproprietarytechnologiestoprovidepressureredistributionandshearmanagementtohelpdecreasethelikelihoodopressureulcersbedsoresandresultinginectionswhileimprovingoverallcomort.Tesupportsuracealsoprovidesmoisturemanagementthroughabreathablecover.SeekingManyVoicesWhetheritisaformalsurveytalkingone-to-oneorhostingagatheringweareconstantlysolicitingcaregiverfeedbacktolearnhowwecanbettermeetneedsandimprovepatientoutcomes.In2012wehostedaleadershipteamfromtheAssociationofperiOperativeRegisteredNursesAORNanorganizationofmorethan42000registerednurses.WealsohostedavisitfromDr.TakanoriFukushimaahighlyregardedneurosurgeonwithmorethan40yearsofoperatingexperience.Dr.Fukushimapracticesneurosurgeryaroundthegloberemoveshundredsoftumorsperyearandhastrainedover100fellowsandresidentsworldwide.Heishighlyregardedwithintheneurosurgicalspecialtyandtrulymotivatedtoadvancepatientcareandneurosurgery.Dr.FukushimasvisitincludedtimespentinalabwherehewasabletodemoStrykerproductsinasimulatedsetting.Pimex-raystetche 12stryker.comWithoutexperienceandeducationeventhemostinnovativeproductsareuseless.Intheenditistheskillsandknowledgeothecaregiverswhouseourproductsthatultimatelymakeadiferenceinthelivesotheirpatients.Tatiswhywebelieveitisourresponsibilitytosupporthealthcareproessionalsateverystageotheircareerswiththelatesteducationalprogramsandtechnologies.Inalabonlinethroughanappavideoorinthehospitalourglobaleducationprogramsaredesignedtohelpproessionalsachievealeveloexpertisecrucialtotheirwork.Wepartnerwithandsupporttheworldsleadingproessionalassociationshealthcareacilitiesacademicinstitutionsandexpertswithasharedgoaloadvancingmedicalcarethrougheducationandinnovation.TeHomerStrykerCenterlocatedinMahwahNewJerseyisoneoourworld-classcentersorglobaleducationandresearch.TeStrykerGlobalechnologyCenterSGCinGurgaonHaryanaIndiainpartnershipwithStanordUniversitysBiodesigngrouptheSanjayGandhiPostgraduateInstituteoMedicalSciencesandtheAllIndiaInstituteoMedicalSciencesaddressbothunmethealthcareandmedicaleducationneedsthroughnewproductdevelopmenthands-ondemonstrationsandtrain-the-trainerprograms.TeSGCsworkandpartnershipswerecitedina2012researchreportledbyHarvardBusinessSchoolProessorMichaelE.Porter.InChinaweexpandedourmobileeducationprogrammingwiththelaunchotwominiMobilerainingCentersMCinlate2012.TeminiMCseaturethelatestStrykerproductsandinstrumentationwhileprovidinghands-onpracticeandproceduraltrainingeduCAtIontoAdvAnCeexPertIseAndCAre1100healthcareproessionalstrainedin2012byStrykerMobilerainingCentersthroughoutChina 13Stryker2012SocialResponsibilityOverviewStrykersTrainingMarketDevelopmentEffortsinIndiaCitedinResearchReportStrykerseducationprogramsnewproductdevelopmenteortsandpartnershipsatourGlobalTechnologyCenterinIndiawereprofledinaresearchreportCompetingbySavingLivesHowPharmaceuticalandMedicalDeviceCompaniesCreateSharedValueinGlobalHealth.WewerenotedorhiringandtraininglocalRDtalenttodevelopIndia-specifcproducts.InthereportsorewordHarvardBusinessSchoolproessorMichaelE.PorterwritesSomepharmaceuticalandmedicaldevicecompaniesareprioritizingpreviouslyunderservedpatientsandmarkets.Ratherthanseeingeortsinassistinglowerincomecustomersascorporatesocialresponsibilityandphilanthropycompaniesaretransormingtheirproductspricingmanuacturingdistributionandmarketingtoproftablymeetpreviouslyunmetneeds. 14stryker.comledbyStrykersexperiencededucationteam.TeminiMCsare25percentsmallerthanourull-sizedMCintroducedin2011.During2012theull-sizeMCwithitsintegratedoperationsuitetoured13citiesandtrainedmorethan1100healthcareproessionalsaroundChina.ByaddingtwosmallermoremobileMCswecanbringadditionaleducationalopportunitiestohealthcareproessionalsincitieswhereitisdicultorlargetruckstoaccess.IntheUnitedKingdomuturesurgeonswillbeneftromourinvolvementwithandthedevelopmentotheUniversityoGlasgowsnewClinicalAnatomySkillsCentre.TeCentrewhichoersthemostup-to-datehands-onsurgicalskillstrainingintheUKisajointinitiativebetweentheUniversityandtheRoyalCollegeoSurgeonsandPhysiciansGlasgow.StrykerhasextensiveexperienceoutfttingteachinglaboratoriesincludingaLondontrainingacilityortheRoyalCollegeoSurgeonsoEnglandwherewearerecognizedasaPlatinumPartner.AttheUniversityoCaliorniaSanDiegosCenterortheFutureoSurgeryCFoSStrykeroutfttedfveoperatingroomsand22surgicalstationswiththelatestinvisualizationlightingandcommunicationcomponents.Te65millionmedicalsimulationtrainingcenteristhelargestacilityinthenationdedicatedtoeducatingsurgeonsandtestingnewoperatingroomequipmentproceduresandmethods.TeCenterortheFutureoSurgeryisdevelopingrevolutionarysurgicaltechniquesthatwillchangethewaysurgeryisperormedinthenextdecadesaidSantiagoHorganMDproessorosurgeryandCFoSdirector.Asaglobaltrainingcenterourultimategoalistodevelopsaemethodsthatwillresultinbetteroutcomeslesspainandasterrecoveriesoreverypatient.1000participantshaveattendedArgoRegistrarEducationProgramcoursessinceStrykerstartedoeringthetrainingnearlytenyearsagotosupportOrtho-paedicRegistrarsinAustraliaandNewZealand.CenterorthefutureosurgerysandiegoCA 15Stryker2012SocialResponsibilityOverviewEducationProgramFeaturesRenownedExpertsStrykersMusculoskeletalOncologyEducationProgramisatwo-dayintensehands-onprogramororthopediconcologyellowsdesignedorsurgeonswhoacechallengingtreatmentoptionsortheirpatients.Likemanyooureducationprogramstheacultyincludesrenownedexpertsromleadingorthopaediconcologyinstitutions.BecauseStrykerisaleadingmanuactureroproductsusedinsurgicalprocedureswearedeeplycommittedtoadvancingsurgicalcompetenceandultimatelypatientcarethrougheducationandtraining.Webelievethatinnovativesimulationtrainingprovidedbyleadingacademicpartnersisparamounttodevelopingthenextgreatgenerationomedicalproessionals.Aspartoourongoingeortstomakeiteasierorproessionalstoaccesseducationalopportunitiesin2012welaunchedanonlineGlobalEducationCalendarthatoersinormationaboutupcomingStrykercourseseventsandthird-partymeetings.Userscanflterlistingsbycountryandcategory.WealsointroducedtheStrykerEducationChannelaninteractiveondemandvideo-basedlearningsitethateaturesarthroscopygeneralsurgeryandgynecologyinadditiontootherspecialties.AdditionallytoreachhealthcareproessionalsaswellaspatientsandthegeneralpublicwelaunchedtheStrykerChannelonYouube.OurYouubechannelisjustoneoseveralwayswehaveincreasedoutreachdirectlytopatientswhohaveavestedinterestintheirowncare.WeinvestedsignifcantresourcesinournewintegratedGetAroundKneecampaignwhichisdesignedtohelppeopleunderstandoptionstotreatkneepainassociatedclinicalevidenceandhowtofndasurgeon.Whilekneereplacementsurgeryhasbecomerelativelycommonthereisadierenceinimplantdesignamongindustrymanuacturers.StrykersGetAroundKneeSystemhasasingleradiuswithasinglecenterorotationwhichissimilartoacirclebecauseitisdesignedtoreplacethekneesnaturallycircularmotionthroughouttheactiverangeomotion.Otherkneereplacementshaveovaldesignswithdierentcentersorotation.TecampaignstartedinMay2012withVandprintadvertisingandcontinuedthrough-out2012resultinginmorethanahal-millionpatientsvisitingwww.GetAroundKnee.comandsearchingoranorthopaedicsurgeon.TecampaignsreachandimpactwasexpandedlaterintheyearwithdigitaladvertisingandsocialmediacontentincludingtheStrykerHikerappaninteractivepedometerthattracksroutewalkingactivitycaloriesburnedandGetAroundHistory.AdditionallywedevelopedaYouubechanneleaturingacclaimedgolerFredFunksharinghisGetAroundKneeexperiencekneereplacementanimationsandallotheGetAroundKneecommercials.TecommunicationsindustryrecognizedthecampaignwiththeprestigiousCLIOandGoldMarComawards.500000peoplehavevisitedtheGetAroundKneewebsitewww.GetAroundKnee.com 16stryker.comSustainabilityinhealthcaremeanslookingathowscarcehospitalresourcesareutilizedanddisposedoinordertoproducethebestpossiblehealthcarequalitywhileminimizingimpactontheenvironment.Oursustainabilityprogramseectivelyandsaelyalignwiththesekeysustainabilityimperativesthroughreprocessingandremanuacturingtokeepmedicaldevicesoutolandfllsandallowhospitalstoredirectresourcestowardinitiativesthatmayincreasethequalityopatientcare.Strykeraleaderinthemedicaldevicereprocessingindustryisdedicatedtodevelopingthesaestmosteectivereprocessingandremanuacturingpracticessothathospitalscansaelyusereprocessedremanuactureddevicesandliveuptotheirresponsibilitiesasenvironmentallyconsciouspatientcare-ocusedinstitutions.Teideaoreprocessingremanuacturingissimplesingle-usemedicaldevicesSUDsaretreatedasassetsnottrash.MostSUDscannotbeusedagaintheymustbethrownawayorrecycled.HowevermanySUDscanwiththerightclinicalandtechnicalexpertisebereprocessedorremanuacturedtoperormattheiroriginalleveloroneormoreadditionaluses.AccordingtotheAssociationoMedicalDeviceReprocessorsAMDRmorethan3000hospitalsacrosstheU.S.reprocessincludingmostotheU.S.NewsWorldReportHonorRollhospitals.Usingthesedevicessomehospitalssavebetween400000and500000peryearinmedicaldeviceexpensesandcanredirectthesesignifcantresourcestoqualitycareinitiativessuchasaddingnursingstaorupgradingequipment.Substantialimprovementstopatientcarequalitycanbeachievedthisway.Atthesametimebyparticipatinginthereprocessingorremanuacturingprogramthesehealthcareorganizationsreducetheiramountodevicedisposalbyasmuchas50000poundsperyear.heALthCAresustAInAbILItystrykerabestPracticeA2012reportromGreenResearchonmedicaldevicemanuacturersandsustain-abilityrecognizedoureortstosupporthealthcareenvironmentalinitiativesasabestpractice.Tefndingscitedourprogramasoneojustaewthataddressacrucialindustryneedorimprovedwastemanagementprocessesdelivertop-linegrowthandhelptodeepencustomerrelationships.TheThreeRsofHealthcareSustainabilityStrykerallowshospitalsandsurgerycenterstoReducemedicalwastebyhundredsofthousandsofpoundsprotectingourenvironmentbycollectingvaluablemedicaldevicesinsteadofthrowingthemawayRediRectimportantresourcestopatientcarequalityinitiativesbyusingreprocessedremanufactureddevicesRedistRibuteunuseddevicesthatcannotbereprocessedtohospitalsinimpoverishednationsaroundtheworld 17Stryker2012SocialResponsibilityOverviewNewStrykerDeviceProvidesbothEnvironmentalandFinancialBeneftsIn2012StrykerintroducedRestepapioneeringdeepveinthrombosisDVcompressionsleevetherapy.Restepaddressesacriticalmarketneedorcomprehensivedevicesolutionsthatdeliverfscalandenvironmentalvaluetohospitalsbyintegratingoriginalmanuacturedandreprocesseddevices.Teproductlaunchsignifesthegrowingrolesuppliersplayinoeringqualitysolutionsthataddresstheneedsoclinicianshospitalsandpatientswhilebeneftingtheenvironment.WithRestephospitalswillbeabletooptorlessenvironmentallyimpactulproductswithoutsacrifcingqualityorfnancialprudence.Telatex-reeproductsenvironmentalbeneftsincludePVC-reesleevesandtheabilitytobereprocesseduptoourtimes.Reprocessingprogramshavebecomeabestpracticeamong3000hospitalsacrosstheU.S.includingmostothoselistedonU.S.NewsWorldReportsHonorRollhospitals.SupportingtheCliniciansRoleinSustainabilityStrykerunderstandstheimportanceoclinicianinvolvementinsustainabilityinitiatives.AsaresultweprovidedagranttosupporttheLightenYourCarbonFootprinteducationsessionatthe59thAORNCongressinpartnershipwithPfedlerEnterprises.Duringthissessionmorethan800nurseslearnedaboutthelinkbetweenenvironmentalandhumanhealthreviewedenvironmentalbestpracticesanddiscussedstrategiestoreducethecarbonootprintooperatingrooms.Tiswasthethirdyearwesupportedthiseventbecausewebelieveinchampioningthenursesroleandprovidingthemwithmeasurablewaystheycanminimizetheirorganizationsenvironmentalimpact. 18stryker.comFordevicesthatcannotbereprocessedremanuacturedweworkwithlocalrecyclingcompaniestobreakthemdownintotheircomponentpartssotheycanberecycledappropriatelyandkeptoutolandflls.TehealthcareindustryisoneothelargestcontributorstolandfllwasteintheUnitedStates.Insideournationsmedicalacilitiesoperatingroomscontributeapproximatelyonethirdoallwasteromeachacility.ByhelpinghealthcareorganizationsreprocessremanuacturemedicaldevicesweareacilitatingoneothemostimpactulsustainabilityinitiativescurrentlyundertakenbyU.S.hospitals.In2012Strykerhelpedhospitalsandambulatorysurgerycentersdivert7.5millionpoundsomedicalwasteromlandfllsandsave240millioninsupplyexpenses.GenesisHealthSystemAimstobeaGreenHealthSystemGenesisHealthSystemprovidescompassionatequalityhealthcaretoa10-countyregionotheQuadCitiesmetropolitanareaandthesurroundingcommunitiesoIowaandIllinois.Tehospitalalsoeelsanobligationtocareortheenvironmentandconstantlyexploreswaystominimizepollutionconserveresourcesandincreaseoperationaleciencywhilestillbeingfscallyresponsible.Welookatsingle-useequipmentasassetsthatcanberepurposednotastrash.WhenitispossibletosaelyreprocessandremanuactureadevicewearedoingthatsaidSteveTomaspurchasingmanagerGenesisHealthSystem.Tatincludeseverythingromdrillbitstosawbladesandsuppliesweuseintheoperatingroomsandthecardiaccatheterizationlabs.ForexampleworkingwithStrykerGenesisMedicalCenterinDavenportIowadivertednearly7000poundsowastebyreprocessingandremanuacturingmedicalsuppliesin2012. 19Stryker2012SocialResponsibilityOverviewJustaswestriveeachyeartoexpandtherangeosustainabilitysolutionsweoerourhealthcarecustomerswelookinwardorourownopportunitiestobeamoresustainableandenvironmentallyresponsiblebusiness.Traditionallyourstrategiestominimizeourenvironmentalimpactandadoptglobalbestpracticeshavebeenmanagedmonitoredandmeasuredatthedivisionandacilitylevels.Duetoanincreasingdemandorinormationatthecompany-widelevelespeciallyabouteortsandgoalstoreducetotalgreenhousegasGHGemissionsin2012webeganthenecessarystepstoparticipateintheCarbonDisclosureProjectsCDPannualsurvey.Wecollecteddataorthepastthreeyears20102012onGHGemissionsrom24oour29manuacturingsites.SitesnotincludedwerepartorecentacquisitionswhereGHGinormationwasnotyetavailable.Withthisdatain2013wecanestablishabaselineromwhichwecansetandannounceuturereductionstrategiesandtargetsandbeginreportingthisinormationtotheCDPandallinterestedstakeholders.Ourenvironmentalpracticesaredesignedtocomplywithorgobeyondindustryandgovernmentregulations.FurthertheU.S.FDAmonitorsandregulatesStrykermanuacturingwithamuchhigherstandardthanconventionalmanuacturing.In2012wereceivedtheU.S.GreenBuildingCouncilsLEEDLeadershipinEnergyEnvironmentalDesigncertifcationorExistingBuildingsOperationsMaintenanceatourMahwahNewJerseyacility.Withnearly500000squareeetthisisStrykerslargestmanuacturingacilitytoreceiveLEEDcertifcation.Attheendo2012ourMahwahlocationbecame100percentelectricitycarbonneutralthroughthepurchaseowindrenewableenergycreditsRECs.Additionallyinmid-2012theacilityimplementedanewenergyecientlightingsystemthatreducesannualelectricalenergyusagestryKersustAInAbILItyOurMahwahNewJerseyplantsnewenergyecientlightingsystemhasanannualenvironmentalimpactequalto225carsremovedromtheroadornearly29500treesplanted SeveraltimesayearourJapancolleaguesparticipateinvolunteerriceplantingsintheTohokuregion.AteamoStrykeremployeesromourCorkIrelandlocationstookanafernoonotohelpcleanupnearbyGarryvoeBeach. 21Stryker2012SocialResponsibilityOverviewby1.32millionkWhsandwillreducecarbondioxidenitrogenoxideandsulurdioxideemissionswithanannualenvironmentalimpactequaltoremoving225carsromtheroadorplantingnearly29500trees.TisplantjoinsourLEEDGoldLEEDorNewConstructioncertifedacilityinSuzhouChinaandLEEDSilverLEEDorExistingBuildingsOperationsMaintenancecertifedacilityinPortageMichigan.WealsohavecertifcationunderwayoracorporateocelocationinPortagealeasedlocationinKalamazooMichiganandamanuacturingacilityinSanJoseCaliornia.InEuropetwooourlocationswereawardedBREEAMBuildingResearchEstablishmentEnvironmentalAssessmentMethodcertifcationin2012.OurVenlodistributioncenterintheNetherlandsreceivedaverygoodratingwhileournewacilityinNewburyUnitedKingdomreceivedanexcellentrating.BREEAMisanotherenvironmentalassessmentmethodandratingsystemorbuildingdesignconstructionandoperationandhasbecomeoneothemostcomprehensiveandwidelyrecognizedmeasuresoabuildingsenvironmentalperormance.AssessmentmeasuresrepresentabroadrangeocategoriesincludingenergyandwateruseinternalenvironmentszhochinaNwcntutinOneoonlyveacilitiesinChinatoachievethisratingPortageMihiganexitingbuidingoptinmintnnFirstmanuacturingacilityinMichigantoreceivethiscerticationMahwahNewJereyexitingbuidingoptinmintnnLargestStrykermanuacturingacilitytoreceivethiscerticationTstykiitihndleeDtiftinndtwhndbreeamtiftin.VenloNetherlandvyGdrtingFirstdistributioncenterinEuropeNewryberkhireuKexntrtingPostconstructionreviewoStrykersnewUnitedKingdomofceCentralizedDistributionBeneftsCustomersandEnvironmentStrykerhascreatedcentralizeddistributioncentersinIndianapolisIndianaandVenloNetherlandstomoreefcientlyserveourcustomers.Tesecrossdivisionalacilitiesapplyleanprinciplestoreduceredundancyandoptimizeourdistributionnetworktolimitproductmovesbeorearrivingatthecustomer.Troughconsolidatedshipmentswehavereducedtransportationneedsaswellasthetheresultingenergyconsumptionandcarbonootprint. 22stryker.comhealthandwell-beingpollutiontransportmaterialswasteecologyandmanagementprocesses.Aacilitysenvironmentalperormanceiscomparedtoestablishedbenchmarkstoevaluatebuildingspecifcationdesignconstructionanduse.Strykerconstantlylooksorwaystouselesselectricityandwaterandreducewastewhetheritischangingbehaviorsupgradingsystemsorimplementingnewtechnologies.InFreiburgGermanyweswitchedromelectrictogroundwatercooling-basedorairconditioninginourmanuacturingareasandinFreiburgandStettenweestablishedacilitymanagementsystemsthatmonitorheatingcoolingandventilationsitewide.OurSelzachandLaChaux-de-FondsSwitzerlandlocationsalsoimplementedsimilaracilitymanagementsystems.AdditionallythetwoSwitzerlandacilitieshaveorareintheprocessoimplementingheatreclamationsystemsthatrecoverheatromaircompressorsandventilationunitsorhotwaterbuildingheatingandotheruses.Tesetwolocationshavealsostartedthetransitiontoreecoolingsystems.Whentheambientairtemperaturedropstoasettemperatureallorpartothechilledwaterbypassesexistingchillersandrunsthroughthesystem.Tissavespowerbyusingthelowerambientairtemperaturetocoolthewaterinthesystem.ForwastereductioneortsourcolleaguesinPuertoRicocontinuetosetthestandardintheirregionbyannuallyincreasingtheamountomaterialrecoveredoreachothepastfveyears.In2012ourArroyoacilityrecyclednearly80percentotheirwasteandreclaimedabout2.8millionpoundsomaterial.TisrecyclingsuccessisachievedpartlybyaprogramtheArroyoacilitydevelopedtocollectrepackagereuseandrecyclerawmaterialsandwasteincooperationwiththemunicipalityotherindustriesschoolsandsuppliers.Company-widewecontinuetoworktoreducetheamountandimpactoresourcesusedduringpackagingandshipping.Mostoourpackagesuse100percentrecyclablematerialswhilestillcomplyingwithregulatorysterilityandqualityrequirements.Weincreasinglyusereusableshippingcontainersandrecyclewoodpalletstohelpminimizetheenvironmentalimpactoproductdistribution.Asacompanyinthebusinessocareweconsiderthehealthotheworldaroundusasvitalasthehealthothepeoplewholiveinit.Award-WinningEnvironmentalStewardshipTeKalamazooMIRegionalChamberoCommercerecognizedStrykersDarcyNelles-Serbawiththeir2012EnvironmentalAwardpartotheirannualCommunityAwardsprogram.Teawardispresentedtoabusinessthatexhibitsexemplarypracticesinoperatinginanenvironmentallyriendlymannerorthathasmadeasignifcantcontributiontoanenvironmentalprocessprogramorimprovement.PriDeiNDoiNGthiNGsriGhtAllousatStrykerprideourselvesindoingtherightthingorcustomerspatientsemployeescommunitiesinvestorsandotherimportantstakeholders.WemakeapersonalcommitmenttoconductourselvesincompliancewithallapplicablelawsandregulationsaccordingtothehighestethicalstandardsandactwithunquestionableintegrityhonorandinullcompliancewithourCodeoConduct.YouwillfndmorecomprehensiveinormationonthistopicintheCorporateGovernancesectionoourwebsite. 23Stryker2012SocialResponsibilityOverviewStrykerisrepeatedlyrecognizedorourcaringandhardworkingemployeeswhoareinspireddailybytheopportunitytomakeadierenceinthelivesocaregiverspatientsandtheiramilies.OurpeopleandtheirdedicationandpassionorwhatwedoiswhatmakesStrykeragreatplacetowork.ForthethirdconsecutiveyearStrykerwasnamedoneothe100BestCompaniestoWorkForintheU.S.inFORUNEMagazinesannualsurveyothetop-ratedworkplacesintheUnitedStates.Ourcurrentrankingo61wasa19-spotleapoverourpreviouslisting.ochoosethe100BestCompaniesFORUNEpartnerswiththeGreatPlacetoWorkInstitutetoconductthemostextensiveemployeesurveyincorporateAmerica.wo-thirdsoacompanysscoreisbasedonthiseedback.StrykerwaslistednumbertwoonthemagazineslistoopenPerksromBestCompanies.TemagazinehighlightedaStrykerbeneftthatallowsemployeestoborrowourpatientcarebedsorthemselvesoramilymemberswhorequirehomerehabilitationollowingsurgeryoraredealingwithterminalillness.WealsoreceivedtheGallupGreatWorkplaceAwardorthesixthtimein2013.Strykerwasoneoonly32globalcompanieshonoredoutothethousandsthatwereeligibleortheaward.Basedonthemostrigorousworkplaceresearcheverconductedtheawardhonorsorganizationswhoseemployeeengagementresultsdemonstratetheyhavethemostproductiveandengagedworkorcesintheworld.Strykerisoneoonlyfvecompaniesthathavereceivedthishonoratleastsixtimes.dedICAtIonAndPAssIonforWhAtWedoinshorttheseGllupGretWorkplceawrdwnnersremprovnglvesstheymprovetheoverllperformnceofthercompnes.JamesK.HarterPh.D.GallupsChiefScientistofWorkplaceManagementandWellbeingWorldwideWorkplaceRecognitionGlobalFORUNEWorldsMostAdmiredCompaniesGlobalGallupGreatWorkplaceAwardu.s.FORUNE100BestCompaniestoWorkForu.s.WorkforceDiversityforEngineeringandIProfessionalsOneofTop50CompaniesNoRtheRNcalifoRNiaSanFranciscoBusinessimesandtheSiliconValleySanJoseBusinessJournalBestPlacestoWorkintheBayAreaNoRtheRNcalifoRNiaSanJoseMercuryNewsTopWorkplaceforLargeCompaniesintheBayAreacaNadaTeGlobeandMailCanadasTop100EmployerscaNadaGreatPlacetoWorkInstituteBestWorkplacesinCanadalistuNitedKiNGdoMSundayimesBestCompaniestoWorkFor OurOpinionsCountWeviewourownemployeesasexpertsonmanymattersandvaluetheircreativethinking.TeOurOpinionsCountprogramatourSuzhouChinaacilityencouragesemployeestoputtheircreativeideasandinnovationsintopractice.In2012morethan135opinionsthatweimplementedledtocostsavingsefciencyimprove-mentsorproductqualityenhancementsincludinganewlyopenedtoolshop. 25Stryker2012SocialResponsibilityOverviewWorkforceat-a-GlaNceMorethan22000employeesworldwidewith40outsidetheU.S.Womenmakeup35oourglobalmanuacturingworkorce.Morethan50oourU.S.proessionalworkorcearewomenandminorities.Morethan25oourcorporateocersarewomen.Womenandminoritiesmakeup55oourboardodirectors.WhyisemployeeengagementsovitalAccordingtoJamesK.HarterPh.D.GallupsChieScientistoWorkplaceManagementandWellbeingEngagedemployeesaremoreproductivesaermorecustomer-centricandmoreproftable.Teyarealso3.5timesmorelikelytobethrivingintheiroveralllivesexperiencebetterdaysandhaveewerunhealthydays.Inshortthesewinnersareimprovinglivesastheyimprovetheoverallperormanceotheircompanies.Ourapproachbeginswithattractingandretainingthebestpeople.Wecreateaworkenvironmentthattrulyengagesemployeesmakingthemeelvaluedandallowingthemtodowhattheydobest.WeencourageemployeestotakeanactiveroleindevelopingtheirStrykercareersandprovidethemwiththenecessarytoolsandresourcestomakeinormeddecisionsandchartidealcareerpaths.Oneothemostimportantthingswecandotoensurethatwecontinuetobeagreatcompanyandosterourcultureistopromotedevelopmentandinternalmovementoouremployees.In2012welaunchedMyStrykerCareeranewglobalonlineresourcethatprovidesemployeesthevisibilitytosearchandapplyoravailablepositionsatStrykeraroundtheworld.Temicrositeandpostingprocessisintegratedwithinourapplicanttrackingsystemtoecientlyassessandmatchemployeesproessionalinterestswithavailablepositions.Asourglobalpresenceexpandsandourmarketplacecontinuestoevolveitisincreasinglyimportantorourpeopletohaveexperienceacrossdivisionsgeographiesandbusinessunctions.GreatAdventureChallengeStrykeremployeeshavemanyopportunitiestonetworkandshareexperiencesonsiteandoutinthecommunity.InAustraliaseveralStrykerteamscompetedagainstotherAustraliancompaniesintheGreatAdventureChallengetoraisemoneyortheStarlightChildrensFoundation.TroughacombinationoourSouthPacifcdivisionandemployeedonationsStrykerraisedmorethan300000ortheStarlightChildrensFoundationduring2012. 26stryker.comAnotheronlinetoolweoerisMentorshipMatchasiteweexpandedin2012toallemployees.Tistoolprovidesvisibilitytopotentialmentorsandmenteesandincludesvideotutorials.Whetheritisonlineorinpersoninaconerenceroomorinthecommunityouremployeeshavenumerousopportunitiestoconnectwithcolleaguesandshapetheircareers.Perhapsnothingengagesandinspiresourcolleaguesmorethanhearingandseeingrsthandhowtheirworkchangeslives.AnnuallycliniciansandpatientscomeromallovertheU.S.toKalamazooMichiganorourPatientClinicianUeventdesignedtohelpouremployeesunderstandtheimpactotheirdailywork.MedicalproessionalsandormerpatientssharedramaticandcompellingstoriesthatmaynothavebeenpossiblewithoutStrykerproductsandpersonnelinthehandsotalentedclinicians.Withourtalentandcultureamongourcompanysgreateststrengthswewillcontinuetoinvestinouremployeesandprovidethemwiththesupportandenvironmenttheyneedtobesuccessulandknowthattheirworkmatters.EmergingLeadersGatherinAmsterdamWestartedtheAcceleratedDevelopmentProgramADPin2012toacceleratethedevelopmentohighpotentialemployeesinpreparationorbroaderkeyleadershiproleswithinStryker.Teyear-longprogramgoesbeyondtheclassroomtoincludeindividualcoachingeedbackandnetworkingactivities.Equallyimportantistheocusondevelopingleaderswhorecognizeandunderstandtheimportanceoservicecontributionandcollaboration..WhenADPparticipantsgatheredinAmsterdamoroneotheirgroupdevelopmentsessionstheyspenttwodaysinworkshopsplusanafernoondevotedtocommunityservice.Teseemergingleadersassistedseniorhousingresidentswithgardeningcleanupandmaintenanceprovidinganopportunitybothtogivebackandtomoreullyexperienceanotherculture. 27Stryker2012SocialResponsibilityOverviewCAreforourCoMMunItIesOurresponsibilityasahealthcarecompanyistohelppeoplethatareinneedespeciallythosedevastatedbypovertypoorhealthanddisaster.In2012wecontinuedtoshareourtimeexpertiseandresourcesbyproviding25.8million1worthonancialandproductsupportaroundtheworldasignicantincreaseovertheprioryear.Wedeterminephilanthropicsupportbasedonproessionalandcommunityneedsandemployeeinterests.Mostoourassistanceisorprogramsthatprovidehumanitarianaidaccesstomedicalcareandothercharitableassistance.Forexamplesince2005StrykerhaspartneredwithEsperanaanddonatedmorethan7millionworthomedicalsupplies.In2012weprovidedmorethan170boxesosuppliestoNicaraguaoruseinreesurgeriesincludingthosetocorrectayoungmansclefpalateandtreatoursisterswithsevereacialburns.Yourdonationsaretrulyalie-savinggif.Duetoextremepovertymanyamiliesthatweservelivewithoutpropermedicalcare.BeassuredthatyouarehelpinguspreventsueringandlossoliebyyourdonationexplainedomEganPresidentandCEOoEsperana.Welookorwardtoourcontinuedpartnershiptoimprovethelivesothousandsinthedevelopingworld.InMay2012Strykermedicalequipmentandgoodswereamongthenearly1millionworthoproductdonatedtoVirtueFoundationssurgicalteachingmissioninUlaanbaatarandKhovdMongolia.Duringthemissiontwodozenhealthcareproessionalsperormedreeessentialsurgicalcareandtrainedlocalsurgeons.Teyservedmorethan750patientsperormedapproximately175surgeriesandprovidedmorethan900hoursobest-in-classclinicaltrainingusingthelatestinnovationsinsurgicaltechniques.Wecontributed25.8million1worthonancialandproductsupportworldwidein2012. GivingSmilesSince1999StrykerhasprovidedOperationSmilewithnearly1millionincashandproductdonationssupportedhundredsofmedicalprofessionalsfromaroundtheworldthroughthePhysiciansTrainingProgramandsponsorednearly100plasticsurgeryresidentsintheStrykerFellowshipprogram.PicturedisVivianMassonpresidentofourTraumaExtremitiesbusinesswhotravelledtoBogotColumbiaasanon-medicalvolunteerwithOperationSmilein2012. 29Stryker2012SocialResponsibilityOverviewInGhanaDr.JoeMarottaandhisvolunteerteamomedicalproessionalssuccessullycompletedtherstorthopaedicsurgeriesaspartothemissionoMedicusinChristi.Tenon-protoundedbyDr.Marottaprovidesmedicalcareequipmentandtrainingtotheimpoverishedindevelopingcountries.TesurgeonandhisteamuseddonatedStrykersurgicalimplantsandinstruments.IwouldventuretosaythattheteamandIperormedproceduresavailablenowhereelseinGhanaormostotheentirecontinentoAricanotedDr.Marotta.Teconceptoprovidingstateotheartboneandjointcareorthepeopleothisregioniscomingclearerintoviewwitheachandeverysmallstepwemake.Allothehardworkplanningandgenerousdonationshavecometogethertoallowthismissionocharitytooccur.LimerickIrelandemployeesrolleduptheirsleevestobuildaruitandvegetablegardenorAdaptHouseasaeplaceorwomenandchildrenaectedbydomesticviolence.StrykerCanadaHelpfortheHolidaysForpeopleinneedtheholidayseasonisnotalwaysajoyousone.TatiswhyStrykercontributed20000topurchaseandpersonallydeliversuppliesandgifstoourHamilton-areacharities.TeHamiltonFoodSharesupportsoodbanksandhotmealprogramsFood4KidsprovidesbackpacksohealthyoodorkidswithlimitedornoaccesstooodonweekendstheNeighbour-2-NeighbourCentresNewMomsProgramdistributesgifbagsclothingblanketsandtoiletryproductstonewmothersinneedandtheChildrensAidSocietyoHamiltonsupportstheoyRoomProgramtohelpbringjoytoamiliesandchildrenthatarelessortunate. 30stryker.comForoursurplusomedicalsuppliesthereisasecondlieindevelopingcountriesthroughapartnershipwithMedShare.Teorganizationulllsadualmissiontodeliversurplusmedicalsuppliesrommanuacturersandhospitalstounderservedpopulationsinnearly90developingcountriesaroundtheworldwhilelesseningtheimpactomedicalwasteintheU.S.Ouremployeesalsoventurearromtheirhomeseveryyeartoprovidesupportonmedicalmissions.VivianMassonpresidentoourraumaExtremitiesdivisiontravelledtoBogotColombiatoworkasanon-medicalvolunteerorOperationSmile.Since1982theinterna-tionalchildrensmedicalcharityhasprovidedmorethan200000reesurgeriesorchildrenandyoungadultsbornwithacialdeormitiessuchacleflipandclefpalate.Techarityalsotrainslocaldoctorsindevelopingcountriesandstrengthenshealthcaresystemssomorechildreninsomeothepoorestareasintheworldcanbetreated.AssociateSalesRepresentativerentAllenparticipatedinanOperationNewLiesurgicalmissioninegucigalpaHondurasthepoorestcountryinthewesternhemisphere.OperationNewLieisMakingaDifferenceAcrossEasternEuropetheMiddleEastAfricabaleRNaswitzeRlaNdDonatedinstrumentsormusicaltherapytoaounda-tionthathelpsrehabilitatepeoplewithdisabilitiesandintegratethemintosociety.buchaRestRoMaNiaOrganizedasummercamporchildrenwithdisabilitieswheretheyparticipatedinnumerousactivitiesthatencouragedtheirrecovery.dubaiuNitedaRabeMiRatesDonatedairconditioningsystemsrerigeratorstofnanciallychallengedpeoplelivinginanareawithextremelyhightemperaturesallyear.istaNbultuRKeyProvidedfnancialandemotionalsupportorawheelchairbasketballteam.JohaNNesbuRGsouthafRicaFoughttosavetherhinosindangeroextinctionandoeredabetterlietotheamiliesothegamerangersthatgotjobsasaresultothetrainingStrykercoordinated.MoNtReuxswitzeRlaNdBuiltaplaygroundorunaccompaniedminorsrequestingasyluminSwitzerlandandlivinginabuildingclosetotheStrykeroce.MoscowRussiaBuiltaplaygroundorlong-termhospitalizedchildren.waRsawPolaNdPurchasedschoolequipmentortheSOSChildrenVillageinSiedlce. 31Stryker2012SocialResponsibilityOverviewstrykeraociateareapaionateabouttheircommunitieatheyareabouttheirwork.Teirdeiretomakeadiferencemanietiteleverydayrommallinteractionwithcolleaguetograndgeturewithtrangerinneighborhoodhalaworldaway.JimHeathPresidentInstrumentsdivisionFeedingOurCommunitiesInAugust2012Strykeremployeesdonatedmorethan30000and3000poundsooodtotheKalamazooLoavesFishesKLFemergencyeedingprograms.Employeesorganizedanumberoactivitiestoraiseundsincludingbakesalesandapancakebreakast.Attheendothemonth60employeesspentadayllingoodpacksorlocalschoolchildrenaspartotheWeekendFoodPackProgramthatissupportedbyKLFandtheFoodBankoSouthCentralMichigan.StrykerhassupportedKLFannuallyorthepastthreeyearsdonatingatotalomorethan90000and8000poundsoood.amedicalsurgicalandteachingministrythatservesthepoorinasaehospitalenvironmentbypartneringwithandeducatinglocalsurgicalteams.Overaneight-dayperiodrentsmissionteamhandlednearly25casesincludingtraumaorthognathicclefpalateandtumorresection.Manyoourcharitableeortsareorganizedbyourcolleagues.EachregionthatisapartoaStrykerEasternEuropeMiddleEastandAricaemployeephilanthropyandvolunteerprogramreceivesa2000grantorapreerredcommunityprojectandiseligibleoruptoanadditional2000inmatchedundsordonationsthatemployeesraise.Anadditional5000grantisawardedtotheregionthatraisesthemostmoney.TankstotheeortsotheStrykerteaminurkeywhowonthecontesttheAnadoluYakasWheelchairBasketballeamreceivednancialhelpaswellascareandsupport.Teteamoorthopaedicallydisabledathletesneededphysicalandpsychologicalrehabilitationsotheycouldbetterintegrateintosociety.TeStrykerteambroughtthembasketballequipmenthadtheirbrokenwheelchairsrepairedcreatedawebsiteorthemtoadvertisetheirmatcheswenttoseemanyotheirgamesandevenplayedamatchwiththem.TeStrykerteaminurkeyplanstousetheir5000granttopurchaseanddonatewheelchairstoorthopaedicallydisabledpeoplewhocannotaordtobuythem. styeCopoatonWolweHeaqate2825Aewboleakalaazoomchgan49002u.s.A.269.385.2600tye.costyeCopoatonotonoothecopoateaflateentteowneohaeappleotheollowngtaeaoeceabacsatlp-upGetAonkneeHoestyeCenteioGelAPeseePeTCPexretepsonopetstyestyeHespaTeoTeoPoveZoo.Allothetaeaaetaeaotheepecteowneohole.OpeatonsleaegteetaeaoOpeatonsleinc.TheLEEdCetfcatonmaaegteetaeaowneytheu.s.GeenblngConclanewthpeon.FORTUNEmagazne242013312013an592013.FORTUNEaegteetaeaoTeinc.anenelcene.FORTUNEanTeinc.aenotaflatewthanonotenoepoctoeceostye.1.Chataleconttonnclecahpoctonatonanhonoagant.Poctonatonaealeataaetale.ontCoeAocatesalerepeentateTentAllenaghtpatcpatenanOpeatonNewLegcalonnTegcgalpaHonaalongwththeollowngolnteeolettoghtd.CaloLanezgenealgeonanaloaeentnplatcgeynHonakLcentalatantanOratantooalanalloacalgeyd.bllAlonooalanalloacalgeonanco-onepeentOpeatonNewLeand.JanCalorogezheaooalanalloacalgeyHonanunetysyte.baccoeCaptalHealthregonalmecalCented.Eolvezneaogld.vezwatheftneogeontoteatatoepatentElakahnngstyeTeoPoreteesyte.Pnteon10potconeecyclepape.manactewthGeen-ecetfewnpowe.oetstewahpConclcetfe.