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2013socialresponsibilityoverview 2stryker.comAGOODNIGHTSSLEEPBeoreherkneereplacementsurgeriesLynnePergcouldntmovewithoutacaneorawalkerexplainedToddReamMDorthopaedicsurgeonBorgessOrthopedicspartotheBorgessBoneJointInstitute.ThekneereplacementdevicesandtoolsusedinLynnessurgeryweredesignedandmanuacturedbyStryker.LikeLynnecountlesspatientsthroughouttheworldbeneftromStrykerinnovations.TheimprovedmobilityresultsclearlyshowLynnesanactivepersononceagain.MynewStrykerGetAroundKneeallowsmetoactuallyplaywithmygrandchildrensaidLynne.Atersueringimmobilizingpainor10yearsIappreciateeverystepeveryday.TheBorgessBoneJointInstituteisaStryker-designatedCenterorAdvancedRecoveryacilityinjointreplacementthefrsthospitalintheworldtoreceivethishonor.StrykershistorywithBorgessHospitalisalongoneStrykerCorporationwasbornwhenDr.HomerStrykerourounderopenedhisfrstofcetherein1939.1 3Stryker2013SocialResponsibilityOverviewStrykerisoneotheworldsleadingmedicaltechnologycompaniesandtogetherwithourcustomerswearedriventomakehealthcarebetter.TeCompanyofersadiversearrayoinnovativemedicaltechnologiesincludingreconstructivemedicalandsurgicalandneurotechnologyandspineproductstohelppeopleleadmoreactiveandmoresatisyinglives.Strykerproductsandservicesareavailableinover100countriesaroundtheworld.COMPANYOVERVIEW2013ATAGLANCE9.0BILLIONINANNUALSALESGLOBALLYFORTUNE500COMPANYSP500INCLUDEDINTHESTANDARDPOORS500INDEX32MANUFACTURINGANDRDLOCATIONSWORLDWIDE25000EMPLOYEESWORLDWIDE100NUMBEROFCOUNTRIESWHERESTRYKERPRODUCTSARESOLD 4stryker.comThePerryInitiative 5Stryker2013SocialResponsibilityOverviewAtStrykerweareguidedbyourmissionelevenwordsthatserveasaninspirationtoour25000employeesogetherwithourcustomerswearedriventomakehealthcarebetter.ItspeakstotheprinciplesthatweveollowedsinceDr.Strykerstartedthiscompanynearly75yearsagooerhighqualityproductsandservicesandmakeadierenceinthelivesothepeopleinourcommunitiesandaroundtheworld.Wecometoworkeachandeverydaytomakehealthcarebetterbyhelpingourcustomerssaveliveswithourneurotechnologyproductsimprovingsomeonesqualityoliewithaclepalateorjointreconstructionorprovidingequipmentservicesoreducationthatmaketheworkohealthcareproessionalsandcaregiverseasierandmoreecient.TisresponsibilityisingrainedinourpeopleourcultureouractionsandourbusinessandwearepassionateaboutwhatwedoInnovationhasbeenahallmarkoStrykerandwewillcontinuetoadvancehealthcaretechnologyandsolutionswhilereducingcoststhroughourclosecustomerconnections.Protectingcaregiversemployeesourcommunitiesandtheenvironmentwillremainapriorityasweworkintandemwithourpartnersacrosstheglobe.TispastyearStrykerprovidedequipmentpersonnelandundingormedicalmissionsthatbroughtdesperatelyneededcaretoNicaraguaPanamaHaitiPalestineandotherpartsotheworld.StrykercolleaguesromtheU.S.andEuropepartneredtore-inventandtransormthesurgeoneducationexperiencewhilenursestoldusthatwithoutoursupportimportanteducationopportunitieswouldnothavebeenpossible.AhospitalsbusyemergencydepartmentreducedpatientallswhileincreasingcaregiversatisactionandsaetydueinsubstantialparttoStrykerequipment.OurSustainabilitySolutionsdivisionhelpedcustomerseliminatenearlyninemillionpoundsomedicalwastelastyearandredirectfnancialresourcestowardpatientcare.Weshareourcustomerscommitmenttowardoperatingamoresustainablebusinessandimprovingtheenvironmentwhereweworkandlive.WereproudtosaythatweveaddedmoreacilitiestoourlistoU.S.GreenBuildingCouncilLEED-certifedlocationsandorthefrsttimewereportedcompany-wideleveldataandgoalstoreducetotalgreenhousegasGHGemissions.Weknowthesemetricsareimportantbutnumbersonlytellpartoastory.EverydayIminspiredbythehardworkcreativityandinitiativeoouremployeesastheyulflltheirresponsibilities.YoulllearnmoreabouttheirworkcommitmentandbestpracticesinthisSocialResponsibilityOverview.Wewelcomeyourcommentsandquestionsregardingsocialresponsibility.Youcanemailusatsocialresponsibilitystryker.com.SincerelyKevinA.LoboChairmanandChieExecutiveOcerOURMISSIONTogetherwithourcustomerswearedriventomakehealthcarebetter.OURVALUESIntegrityWedowhatsrightAccountabilityWedowhatwesayPeopleWegrowtalentPerformanceWedeliverMESSAGEFROMOURCHAIRMANANDCHIEFEXECUTIVEOFFICER 6stryker.comCONTENTSOURRESPONSIBILITIESTOOURCUSTOMERSWeempowercaregiverswithsupportproductsandeducationtorestorehealthtotheirpatientsadvancetheirtrainingandprotectthemselvesrominjuries.Forhealthcareorganizationsweprovidestrategiesandservicestoimproveclinicalefciencyandredirectvaluableresourcestoenhancepatientcareandquality.TOOUREMPLOYEESANDSHAREHOLDERSWeoermeaningulemploymentwithtoolsandresourcestosupportourcolleaguesstrengthsandtalentsinaninclusiveethicalandtransparentculture.TOOURENVIRONMENTWepursuebestpracticestousenaturalresourceswiselyandminimizeenvironmentalimpact.TOOURCOMMUNITIESWesupportpeopleinneedandthecommunitiesinwhichweliveandworkwithresourcestoimprovelives.7INNOVATIONTHATHEALSANDPROTECTS12EDUCATIONTHATADVANCESEXPERTISEANDCARE16HEALTHCARESUSTAINABILITY18STRYKERSUSTAINABILITY21CAREERSTHATHAVESPECIALMEANING27CAREFOROURCOMMUNITIESWewelcomeyourcommentsandquestionsregardingsocialresponsibilityatsocialresponsibilitystryker.com. 7Stryker2013SocialResponsibilityOverviewSinceourcompanywasstartedweveocusedonmakinghealthcarebetterthroughscienceandinnovation.FounderDr.HomerStrykerwasanorthopaedicsurgeondriventoinventnewsolutionsthataddressedunmetpatientneedsalegacythatcontinues.Ournearly75yearsoinnovationhaveledtoabroadanddeepportoliooproductsandserviceswhichrangeromreconstructiveimplantstostate-o-the-artmedicalandsurgicalequipmenttoneurotechnologyandspineproducts.Alldesignedwiththesamepurposeulintenttomakehealthcarebetterbyenhancingorsavinglives.Wepushtherontiersomedicalresearchwithuncompromisingclinicalintegrityandinnovativetechnologiestoimprovethelivesopatientsaroundtheworld.Closerelationshipswithourcustomershelpusunderstandtheirneedssothatwecanassisttheminprovidingthebestcareortheirpatients.Asatrustedpartnerweworkdirectlywiththousandsohealthcareproessionalstoprovidetheproductsandservicestheyneed.In2013weinvested536millioninresearchanddevelopmentRDuprom471milliontheyearprior.TisisconsistentwithourannualtrendoallocatingbetweenfveandsevenpercentoannualrevenuetowardRD.Bytheendo2013weowned5203patentsgloballyuprom4768in2012.Acquisitionsin2013helpedusadvanceourrateoinnovationexpandourproductportolioandincreaseglobalreach.WeacquiredMAKOSurgicalCorp.anindustryleaderthathasrevolutionizedroboticarmassistedsurgeryinorthopaedics.MAKOmarketsitsINNOVATIONTHATHEALSANDPROTECTS60000PRODUCTSSERVICESSTRYKEROFFERS536MINVESTEDINRESEARCHANDDEVELOPMENTIN20136.0OFREVENUEIN2013INVESTEDINRESEARCHANDDEVELOPMENTPARTNERINGWITHTOPMEDICALINSTITUTIONSOurnewlyacquiredTrausonbusinesssignedacooperationagreementwithBeijingJiShuiTanHospitaloneoChinastoporthopaedicmedicalinstitutions.Theagreementstrengthensourrelationshipwithakeycustomerandallowsustoworkcloselyontheresearchanddevelopmentoartifcialjointproductsandotherorthopaedictechnologicalinnovations. 8stryker.comRIORoboticArmInteractiveOrthopaedicSystemwhichprovidesalessinvasivemethodorkneeresuracingandanewprocedureorotalHipArthroplasty.Telong-termpotentialoeredbythistechnologyplatormcombinedwithStrykersdecadesoexperienceinjointreconstructionholdsthepromiseotransormingreconstructivesurgeryandincreasingpatientsatisaction.OuracquisitionoPatientSaetyechnologiesInc.refectsourcontinuedcommitmenttoprovidesolutionsthatincreasethequalityocareandlevelosaetyorbothpatientsandhealthcareproessionals.TecompanysproprietarySaety-SpongeSystemandSurgiCount360compliancesowarehelppreventretainedoreignobjectsRFOsintheoperatingroom.Tesystemincludesbar-codedsurgicalspongesandtowelsanintegratedbarcodescannerandcompliancetrackingsoware.RFOsarethemostcommonoperatingroomNeverEventintheU.S.Spongesarethemostcommonretainedobjectwithapproximately2300incidentsreportedannuallyatanaveragecostperincidentoover400000.TeSurgiCountSaety-SpongeSystemoersawaytoeliminateunnecessarycostsromthehealthcaresystemwhileimprovingqualityocareandsaety.WecompletedourrstacquisitioninChinawithrausonHoldingsCompanyLimitedthecountrysleadingtraumamanuacturerandamajorcompetitorinthespinesegment.TeacquisitionunderscoresourcommitmenttostrengtheningourglobalpresenceandisacriticalsteptowardbroadeningourpresenceinChinaanddevelopingavaluesegmentplatormortheemergingmarkets.rausonsresearchanddevelopmentexpertisemanuacturingcapabilitiesandstrongdistributionnetworkhelpstosupportStrykersgrowthinservinghealthcareproessionalsandmedicalinstitutionsinChinaandotheremergingmarketsoryearstocome.8THCONSECUTIVEYEARthatStrykersbeenlistedontheOceanTomo300PatentIndexNUMBEROFGLOBALPATENTS2615307040354768520320092013201220112010 9Stryker2013SocialResponsibilityOverviewBESTINSHOWReadersoSurgicalProductsmagazinechoseStrykerEndoscopysSDC3anall-in-onedatamanagementsolutionasthe2013FirstPlaceBestinShowwinnerinthepublicationsannualExcellenceinSurgicalProductsawards.TheSDC3eaturesdeviceandvoicecontrolcapabilitiesallowingbothsurgeonandstatocontrolthelightsourcearthroscopypumpinsufatorcameracapturedevicelightsandmoreromanywhereintheOR.Theseandothercapabilitiesarealldesignedtoimproveeciencyandsavetimeintheoperatingroom.MINIMIZINGRISKTOHEALTHCAREWORKERSStrykerreceived510kclearanceortheNeptune2WasteManagementSystemromtheU.S.FoodandDrugAdministration.TheNeptune2WasteManagementSystemminimizesrisktohealthcareworkersbyeliminatingharmulexposuretofuidsandsmokeintheoperatingroom.Thisconstantlyclosedsystemcollectsanddisposesosurgicalwastewithminimaloperatorassistancetopreventcontactwithinectiousfuidsandsurgicalplumes.Nearly3000hoursoresearchinputrommorethan1000customersandperspectivesromseveralregulatoryagencieshelpedcreatetheupgradedsurgicalwastemanagementsystem.TheupgradesincludeaddedsaetyeaturesgreatereaseouseandexpandedlabelingandtrainingmodulesallaimedathelpingsurgicalstamaketheORenvironmentasmodernsaeandecientaspossible.TOPHOSPITALARAWARDStrykerwasawardedtheTopHospitalarAwardintheOrthopaedicscategory.ThishonorispartoanannualprestigiousawardsprograminBrazilsmedicaldevicemarketandisbasedondirecteedbackrommorethan300customers.Surveysaskrespondentstorateallsuppliersonavarietyoactorsincludingqualityandservice.WewerealsoanalistinthePatientCareandHospitalFurniturecategories. 10stryker.comAcquisitionscomplementedourcontinuedtrendolaunchingproductsandservicesthattransormcareandtreatmentsuchastheUniversalSMARLockHybridMMFSystemaglobalinnovationormanagingacialtrauma.Tesystemrepresentsourdedicationtoprovidingpatientsandphysicianswiththemostadvancedtoolsavailabletotreatmandibularandmaxillaryracturesandsetsanewstandardinmaxillomandibularfxationanimportantstepintreatingractures.TeUniversalSMARLockHybridMMFSystemisaneectiveandtechnicallysimpleprocessthatmaychangethesurgicalmanagementomaxillaryandmandibularfxationorallsurgicalspecialtiessaidDr.JairoBastidasDMDDeputyDirectorOMFSatMonteforeMedicalCenter.Dr.MichaelD.urnerDDSMDFACSAssociateProgramDirectorandDirectoroOralMaxilloacialSurgeryattheJacobiMedicalCenteraddedTeStrykerHybridMMFSystemiseasytoapplycomortableorthepatientsandmayimpressivelyincreaseasurgeonseciency.Alsoin2013weaddedtoourever-growingportolioolessinvasivetechnologieswiththelaunchotheES2SpinalSystemprovidingphysicianswithapowerulnewsystemtotreatpatientsundergoingminimallyinvasiveprocedures.ES2isbuiltonStrykerstrustedXia3pediclescrewtechnologywhichhasbeenusedinapproximately500000casesworldwide.Butinnovationaloneisnotwhatexcitesandmotivatesus.Itstheresultstheoutcomesthatollow.KnowingthatpatientallsareamajorconcernorhospitalswewerethefrsttomarkettheChaperoneStretcherExitSystemin2010.UsingloadcelltechnologytheChaperoneStretcherExitSystemtracksthepatientscenterogravityandallowsacilitiestosetoneotwozonestoalertcaregiverstoapotentialmovementoothestretcher.AeranintensivetrialperiodthatimmediatelydemonstratedthepotentialorreducingpatientallsandincreasingpatientandstasatisactionPenroseHospitalsEmergencyDepartmentEDmadeStrykersPrimeBigWheelElectricStretcherequippedwiththeChaperoneStretcherExitSystemthedepartmentsstandardocare.AsaresultduringthefrstsixmonthsollowingtheequipmentimplementationandthedepartmentsadoptionoanewlyrevisedpatientallpreventionprotocoltherewerenopatientallsinthehospitalsbusyColoradoSpringsColoradoemergencydepartment.InadditiontoreducingpatientallsPenrosealsosawimprovementinEDemployeesatisactionandengagement.AccordingtothehospitalsMay2013PressGaneyEmployeeSurveyStaPartnershipscoresincreasedby10percentandthelargestdierencesinmeanscoreromtheprioryearwerethequestionsrelatedtoequipmentandworkspace.UniversalSMARTLockHybridMMFSystemES2SpinalSystem 11Stryker2013SocialResponsibilityOverviewWHENOURPRODUCTSTOUCHOUROWNLIVESIjustwantedtothankyoualloryourdedicationtocreatingworldclassproductsthataretrulychangingthelivesopatientsandprovidingasolutionorsurgeons.ThishasgivenmeanewperspectiveandhelpedmerealizethatourjobismorethanajobwroteCassandraRisketoherStrykerNeuroSpineENTcolleagues.Cassandraormedthisnewperspectiveaterhersisters51-year-oldmother-in-lawwasdiagnosedwithanaggressivebraintumorandgivenonlytwotoourmonthstolive.ThewomanunderwentsurgerytoremovethebraintumorandthesurgeonunbeknownsttotheamilyusedStrykersSonopetUltrasonicAspiratorwhicheaturesaproprietarytechnologythatmakesthisdevicetherstoitskind.AterwardsheexplainedWiththedeviceweusedwewereabletoremovemuchothetumor98withtheleastamountodamagetothehealthytissueandsurroundingstructures.Themother-in-lawlivedanother10monthsevenjoiningtheamilyoravacation.ThestorydidnthaveamiraculousendingthecancerwasnotcuredbutCassandrawroteWearetrulydevelopingandsellingproductsthatimpactthelivesopatientsandtheiramilies.TheColoradoSpringshospitalbecamethersthospitalinthecountrytoreplaceitsentirehospitalwheelchairfeetwith75oourPrimeTCTransportChairsintroducedin2013anddesignedinpartnershipwiththeMichaelGravesDesignGroup.Thenewchairsweremadepossiblethroughadonationromoneothehospitalsmainbeneactorsandalong-timevolunteerThelmaMoricishownherewithEricHeimStrykerspatienthandlingaccountmanager.PENROSEHOSPITALFIRSTTOREPLACEENTIREWHEELCHAIRFLEETWITHPRIMETCTRANSPORTCHAIR 12stryker.comProductsandservicesalonecantimprovehealthcareortreatmentoutcomes.Suchchangedependsontheskillsandexperienceothemedicalproessionalsandinstitutionsresponsibleorpatientcarewhichiswhyeveryyearweeducatethousandsohealthcareproessionalsworldwidewiththeintentoadvancingknowledgeandhealing.Weusethelatestteachingmethodsandtechnologiestoreachproessionalsintheirhospitalsandateducationalinstitutionsonlineandontheroadliterallyinmobiletrainingcentersthroughvideoandsmartdeviceappsandinourrenownededucationalacilities.Oneotheseistheworld-classHomerStrykerCenterHSClocatedinMahwahNewJersey.In2013HSCcollaboratedwithStrykerEuropeseducationteamtolaunchanewapproachthathastransormedthesurgeoneducationexperience.Traditionallysurgeoneducationusedadidacticmodelheavyonslidedecksandlengthylecturesleavinglittleroomoropendialogueinteractionorhands-onlearning.ButwithourActiveTrainingapproachweeducatesurgeonsinahighlyinteractivesmallgrouplearningenvironmentthatallowsorsignifcantlymorepersonalizedpractice-relevantdiscussionsbetweenacultyandpeers.Additionallysurgeonsreceivemorehands-onsegmentedtrainingEDUCATIONTHATADVANCESEXPERTISEANDCARESTRYKERTRAUMAEXTREMITIESMEDICALEDUCATIONTRAINEDNEARLY7300HEALTHCAREPROFESSIONALSIN2013. SocietyofNeurologicalSurgeonsBootCamp13Stryker2013SocialResponsibilityOverviewbothintheclassroomandinthelab.Participantpreandpostsel-assessmentsshowthisnewapproachhasledtoanoverallincreaseinknowledgeskillandinormationretention.Forspinesurgeonsweheldour10thannualStrykerSpineInternationalSymposiuminSydneyAustralia.Nearly90thoughtleadersromAustraliaCanadaChinaKoreaMalaysiaSingaporeandtheU.S.cametogetherorinteractivediscussionsontheoptimalclinicalandsurgicalmanagementospinepathologiesthatresultromdegenerativediseasesdeormitiestraumaortumors.Teeventwasco-chairedbyDr.imothySteelromAustraliaDr.JefreyRohromtheU.S.andProessorYanWangPresidentotheChineseOrthopaedicAssociation.Attendeesparticipatedinlecturespatientcasereviewshands-onworkshopsandocussessionsthatconcentratedonvariousspinetreatmentapplicationsandtechniques.ourtherelevatepatientandcaregiversaetywedevelopedournewSurgicalSuctionAcademyora2014rollout.Teinherenthazardsrelatedtosurgicalsuctioningandthelackorecommendedguidelinesandprotocolweretheimpetusoraddingthiseducationprogram.Ourgoalistoeducatemorethan2400perioperativenursessurgicaltechnologistsandotherhealthcareproessionalswhousesurgicalsuctiondevicesthroughouttheU.S.Anotherneweducationalendeavorwecreatedin2013wasourEarlyMobilityprogram.EarlyMobilityisaseriesoplannedmovementsbeginningwithpatientsperormingactivemovementsinbedprogressingtostandingtranserringtoachairandeventuallywalking.TemovementsaretypicallyconductedwithacaregiverHANDS-ONEXPERIENCEWITHCOMPUTERASSISTEDSURGERYTECHNIQUESAsaleaderinthedevelopmentofcomputerassistedsurgerytechnologiestwiceayearweholdworkshopsonthesafeandeffectiveuseofStrykerNavigationproductsforsurgicalnavigationoforthopaedicspineandcranialprocedures.Ledbyanesteemedteachingfacultythiseducationalopportunitycombinesdidacticsessionswithhands-oncadavericdissectionstoallowparticipantstoapplythelatestcomputerassistedsurgerytechniques.Emphasisisplacedonunderstandingtheconceptsofimage-guidedsurgery. 14stryker.comatthebedsideoccurwithin2448hoursoadmissiontoacriticalcaresettingandhelpreturnthepatientbacktotheirunctionalbaselinestatussoonerandstronger.EarlyMobilityisasaeandeectivepatientrehabilitationprocesstoincreasepositiveoutcomesorIntensiveCareUnitpatientsincludingshortenedhospitalstayslowerincidenceohospitalacquiredconditionsimprovedphysicalunctionandbetterqualityolie.TroughourEarlyMobilityProgramweprovidearameworkthatassistsacilitiesastheydevelopproperpoliciesandproceduresaroundearlymobilityusingevidence-basedtoolsthathelpdrivecontinuousqualityimprovement.TeprogramalsoincludesContinuingEducationworkshopscenteredonearlymobilityintheacutecaresetting.Furtherin2013weconductedmorethan300preventionocusedworkshopswithhealthcareprovidersthroughouttheU.S.thataddressedallpreventionpressureulcerpreventionend-o-lieskincareandbestpracticesinthecriticalcaresetting.Inadditiontointroducingandholdingourowneducationalprogramswepartnerwithandsupportmanyindustry-leadingproessionalassociationsandmedicalmissionsreadmoreonpage27withfnancialproductandpersonnelresources.ForthepastthreeyearswehavebeentheprimarysponsorortheSocietyoNeurologicalSurgeonsBootCampFundamentalSkillsCourse.Tesearesixregionaltwo-dayprogramsorfrstyearneurosurgeryresidentsintheU.S.thatocusonskillssuchasneurologicalassessmentemergencyevaluationandproessionalism.Besidesfnancialsupportweprovidealltheequipmentnecessaryorthecraniotomyskillsportionothecourse.In2013morethan200residentsand90acultymembersnationwideparticipated.A2013JournalofNeurosurgerypublishedonlineApril162013DOI10.31712013.3.JNS122114.articlevalidatedthepositiveimpactthesecourseshaveonresidenteducation.TearticleabstractnotedDataromthesecoursesdemonstratedsignifcantdidacticlearningandhighacultyandresidentsatisactionwithINSPIRINGWOMENLEADERSINORTHOPAEDICSANDENGINEERINGInasingledayonacollegecampushighschoolgirlsstabilizedmockracturesalleviatedscoliosiswithscrewsandsuturedpigseetaspartosimulatedsurgeriesnotusuallytaughtuntilmedicalschool.Thehands-onprogramisorganizedbyThePerryInitiativeanon-proftorganizationStrykersupportsthatscommittedtoinspiringyoungwomentobeleadersinthefeldsoorthopaedicsurgeryandengineering.Womenconstituteonly12percentotheacademicacultyinorthopaedicsand7percentopracticingorthopaedistsaccordingtotheAmericanAcademyoOrthopaedicSurgeons.Atengineeringschoolswomenmakeuponly11percentotheaculty.Engineersandorthopaedicsurgeonsworkhand-in-handtodevelopsaeandeectiveimplantsorrepairingbrokenbonestornligamentsandworn-outjoints.Strongpartnershipsbetweensurgeonsandengineersareessentialorimprovingtheperor-manceoorthopaedicimplantsandcreatingsolutionstounmetclinicalneeds.Strykerundshelpsupporttheorganizationshands-onoutreachprogramsacrosstheU.S.oremalestudentsinhighschoolcollegeandmedicalschool.InfveyearsthePerryInitiativeprogramhasexpandedto1500womenin27cities.ArthroscopyUniversity 15Stryker2013SocialResponsibilityOverviewhands-ontraining.Sixmonthsaercoursecompletion99orespondentsbelievedthebootcampcoursesbeneftedbeginningneurosurgeryresidentsandimpartedskillsandknowledgethatwouldimprovepatientcare.Othereducationalopportunitieswemadepossiblein2013includedagranttotheCenteroOrthopaedicTraumaAdvancementtohelpund23ellowships.WealsoundedthreeellowshipsthroughtheAmericanSocietyorSurgeryotheHand.InpartnershipwithAORNAssociationoperiOperativeRegisteredNursesweprovidedagranttoundscholarshipsornursestoattendtheAORNSurgicalConerenceandExpotheproessionspremiereeducationalevent.Asaresultoourgrant179nurseswereawardedscholarships.WereceivedthankyounotesromalmostallothemincludingMajorJeremySlaughterRNBSNCNORwhowroteWithoutthisassistanceromStrykerthisAORNconerencewouldbeoutomyreach.Strykerhasalwaysbeenaleaderintheindustryandshowntheutmostincustomerservicewithintheperioperativesetting.IlovemeetingpeopleaskingquestionsandlearningallIcantoexpandmyhorizonsinthefeldoORnursing.IplantotakethisknowledgebacktomyworkatGradyMemorialHospitalinAtlantaGeorgiaandshareitwithmyco-workers.Notjustnursesandscrubtechsbutmedicalstudentsandresidentsandenvironmentalservicesandcentralprocessing.KimberlyDonaldsonStrykerscholarshiprecipientAORNSurgicalConferenceExpo.AStrykergrantmakesitpossiblefornearly200nursestoattendtheAORNSurgicalConferenceExpo. 16stryker.comTehealthcaresectorwastesmassiveamountsoresourcesthatcanhaveanenormousimpactbothonthequalityohealthcareandtheenvironment.Operatingroomsaresomeothemostresource-intensiveandwaste-producingplacesinhospitalsgeneratingbetween20and30percentoaacilityswaste.Muchothatwasteisdisposedoasregulatedmedicalwastewhichcosts10to15timesmoretodisposeothanregularwaste.Tosefnancialresourcescouldberedirectedtowardinitiativesthatmayenhancethequalityopatientcare.Atatimewhentheresanintenseneedtoimproveourhealthcaresystemandenvironmentalinitiativesareincreasinglyimportantsustainabilityinitiativesarethecornerstoneoresponsiblehospitalbehavior.Strykersleadershipinthemedicaldeviceindustryspansmanyacetsincludingpioneeringsustainabilitysolutionsthatenablehospitalsandsurgerycenterstousetheirresourcesinasmarterwaythroughnextgenerationsustainabledevicesolutions.Ourservicesincludeprovidingmedicaldevicereprocessingandremanuacturingaswellascomprehensiveredistributionprograms.Reprocessinghasgainedpopularityasapreeminentsustainabilityinitiativebecausefrstandoremostthereisahighleveloconfdenceinthesaetyandecacyoreprocessedsingle-usedevicesSUDs.TeyundergoarigorousprocessotestingandinspectiontoensureequivalentperormancetotheoriginaldevicewhileadheringtoFDA-regulatedmanuacturingprocessesandcontrols.Secondlyareprocessingprogramcanprovidesignifcantcostsavingsthatenablehealthcareinstitutionstostretchlimitedfnancialresources.Supplycostsavingsromreprocessingallowshospitalstoredirectundstowardstrategiesthatcouldimprovepatientcaresuchashiringhealthcareprovidersorpurchasingnewtechnologiesthatmayhelpimproveclinicaloutcomes.HEALTHCARESUSTAINABILITYCHAMPIONFORCHANGEStrykerwasnameda2013ChampionforChangeawardwinnerbyPracticeGreenhealththeleadingorganizationforsustainablehealthcarepractices.Theannualawardisreservedfororganizationalpartnerssupplyinghealthcareproductsandservicesthatareconsiderateoftheearthanditsresources.AspostedonPracticeGreenhealthsblogStrykerwasrecognizedforoursuccessingreeningitsorganizationandassistingotherswhoarecommittedtoimprovingtheirenvironmentalperformance.StrykerSustainabilitySolutionshelpshospitalslookingtomakeapositiveimpactontheirbottomlineaswellastheenvironment.Awell-integratedreprocessingprogramnotonlysavesmoneybutalsosignifcantlydecreasestheimpactontheenvironment.HealthcareacilitiesarethesecondleadingcontributorowasteintheUnitedStatesproducingmorethan4billionpoundsowasteannually.Usingreprocesseddevicescanhelpmitigatethesenumbers.CarynHumphreyRNBSNMBAStrykerSustainabilitySolutionsproductmanagerwritinginAmericanNurseodayApril2013 17Stryker2013SocialResponsibilityOverviewOverthepasttwodecadesreprocessinghasevolvedromanemerginghealthcaretrendtoawidelyregardedincreasinglystandardpracticeinthousandsoU.S.hospitals.MostotheU.S.NewsWorldReportHonorRollhospitalsusereprocessingprogramsandamajorityothesehospitalspurchasereprocesseddevicesromStryker.Duringthepast20yearsourcustomershavecollectivelyeliminatedanestimated24millionpoundsowasteandreducedinexcesso1billioninsupplycosts.In2013wehelpedmorethan2500hospitalsandhealthsystemssavearecord-setting255millioninsupplyexpensesanddivertcloseto8.9millionpoundsowasteromlandflls.Tatsanincreaseo1.3millionpoundsover2012.In2013wereceivedtwoprestigioussupplierexcellenceawardsromNovationtheleadinghealthcaresupplychainexpertiseanalyticsandcontractingcompanyorthemorethan100000membersandaliatesoVHAInc.UHCtwonationalhealthcarealliancesChildrensHospitalAssociationandProvistaLLC.NovationhonoredStrykerwiththe2012PurchasedServicesSupplierotheYearAwardandEnvironmentalExcellenceAward.Morethan680Novation-servedalliancememberspurchaseawidevarietyoreprocessedSUDsromStrykerincludingcompressionsleevesEPcathetersandlaparoscopicdevices.Reprocessinghelpedthesememberssave75millioninsupplyexpensesanddivertmorethan2.3millionpoundsomedicalwasteromlandfllsin2012.AtNovationwepartnerwithsuppliersthatembraceourpurchasingphilosophyoensuringpatientsaetyenvironmentalresponsibilityandcost-eectivenesstodelivertotalvaluetothemembersweservesaidDavidGillanVicePresidentoSourcingOperationsCustomContractingorNovation.Strykersreprocessingprogramsdeliversignifcantmeasurableresultstohospitalmembershelpinguscreateamoresustainablemodelorhealthcaredelivery.STRYKERHELPEDHOSPITALSDIVERTCLOSETO8.9MILLIONPOUNDSOFMEDICALWASTEFROMLANDFILLSIN2013.THATSANINCREASEOF1.3MILLIONPOUNDSOVER2012.OURSUSTAINABILITYSOLUTIONSHELPEDCUSTOMERSSAVEARECORD-SETTING255MILLIONINSUPPLYEXPENSES.DURINGTHEPAST20YEARSSTRYKERSCUSTOMERSHAVECOLLECTIVELYELIMINATEDANESTIMATED24MILLIONPOUNDSOFWASTEANDREDUCEDINEXCESSOF1BILLIONINSUPPLYCOSTS. 18stryker.comWeshareourcustomerscommitmenttooperatingamoresustainableandenvironmentally-sensitivebusiness.Weroutinelyadoptglobalbestpracticesdesignedtocomplywithorgobeyondindustryandgovernmentenvironmentalregulations.FurthermoretheU.S.FDAmonitorsandregulatesStrykermanuacturingmorestringentlythanthestandardusedorconventionalmanuacturing.Weexecutestrategiestoreducemanageandmeasureenvironmentalimpactsatthebusinessdivisionandacilitylevels.Additionallyin2013wereportedorthefrsttimecompany-wideleveldataandgoalstoreducetotalgreenhousegasGHGemissionsthroughtheCDPormerlyknownastheCarbonDisclosureProject.CDPisaninternationalnot-or-proftorganizationthatprovidestheonlyglobalsystemorcompaniesandcitiestomeasuredisclosemanageandsharevitalenvironmentalinormation.Accordingtothe2013CDPGlobal500ClimateChangeReporthealthcareisthesecondlowestemittingsectorrepresentingonly0.8percentototalreportedscope1and2emissions.Yetthesectorhasthesecondhighestpercentageocompaniesreportingabsolutereductiontargets.Ourreportingwasbasedon2012calendaryeardataandnotedweusedapproximately152500megawatt-hoursMWhoenergyelectricityandnaturalgas.CorrespondingGHGemissionsequaledapproximately65087metrictonnesequivalentcarbondioxideCO2e.Normalizedtorevenuethatwas7.52metrictonnesCO2epermilliondollarsorevenue.TroughcontinueduseoenergyconservationtechnologiesincludingenergyecientlightingandventilationsystemsandautomatedbuildingcontrolswereportedthatweexpecttodecreaseCO2eemissionspermilliondollarsorevenuebyapproximatelytwopercentin2013tonomorethan7.37metrictonnes.STRYKERSUSTAINABILITYOURKIELGERMANYLOCATIONPURCHASES100OFTHEIRELECTRICITYTHROUGHHYDROELECTRICPOWERPRODUCTIONINNORWAYWHICHIS100CARBONFREE.SHARINGBESTPRACTICESDuring2013StrykerPuertoRicosEnvironmentalHealthSaetyEHSManagerTaniaAlvarezvisitedourSuzhouChinaacilitytomeetwithPlantManagerMelissaOrtizandsharebestpracticesorenvironmentalmanagement.Bothlocationsarerecognizedleadersinsustainabilitystewardshipintheircountries.SuzhouisaLEEDGoldcertifedacilityandStrykersArroyoPuertoRicolocationrepeatedlywinshonorsoritsenvironmentaleorts.TaniaAlvarezthirdfromleftacceptingtheEnvironmentalExcellenceAwardonbehalfoftheArroyoPuertoRicofacility. 19Stryker2013SocialResponsibilityOverviewOurlocationsincludeseveralacilitiesthathavereceivedU.S.GreenBuildingCouncilLEEDLeadershipinEnergyEnvironmentalDesignandEuropesBREEAMBuildingResearchEstablishmentEnvironmentalAssessmentMethodologycertications.OurnewestLEED-certiedlocationachievedin2013isnearly100000squareeetonewly-renovatedleasedocespaceinanexistingbuildinginPortageMichiganthatwasvacantormanyyears.Tislocations300employeesworkincorporatesharedservicesunctions.TecerticationLEEDorInteriorDesignandConstructionLEEDIDCrecognizesthesustainablechoiceswemadeasanenvironmentallyconscioustenantoraspacewherewedonothavecontrolovertheentirepropertysoperations.Wemadeanumberokeysustainabilitydecisionsindevelopingthisspace.Werenovatedanexistingbuildinginthecommunitypreservingunusedlandusednativeplantsaspartoourlandscapingandinstalledawhiterootorefectsolarheat.Whiteroosalsoreducecoolingenergyloadairpollutionandgreenhousegasemissionswhileimprovingoccupantcomort.oimproveenergyconservationweinstalledecientlightxturesandHVACunitsandpurchasedU.S.EPAEnergyStar-ratedequipmentincludingcomputersandcopiers.Furthermorewereusinganon-ozonedepletingrerigerantintheHVACandcoolingequipmentandwithbuildingenergysystemsandsub-meteringwemeasureandmonitorecienciesonanongoingbasis.Inadditioninstallingnewbathroomfushvalvesinthisbuildinghasreducedourwaterusageby30percent.Morethan90percentotheprojectmaterialswepurchasedcontainedrecycledcontentandSUZHOUCHINANewConstructionOneoonlyfveacilitiesinChinatoachievethisratingPORTAGEMICHIGANExistingBuildingsOperationsMaintenanceFirstStrykermanuacturingacilityinMichigantoreceivethiscertifcationMAHWAHNEWJERSEYExistingBuildingsOperationsMaintenanceLargestStrykermanuacturingacilitytoreceivethiscertifcationPORTAGEMICHIGANInteriorDesignandConstructionSharedServicesRecognizedorsustainablechoicesasatenantFOURSTRYKERFACILITIESHAVEEARNEDLEEDCERTIFICATIONStrykerCorporateSharedServicesPortageMichiganU.S.A. 20stryker.comallothewoodweusedmettheForestStewardshipCouncilcerticationstandard.Wecollectedandrecycledconstructionwastedivertingmorethan70percentothewasteromlandlls.InMahwahNewJerseywedivertedmorethan23tonsooodwasteromlandllsin2013.At500000squareeetthislocationisourlargestLEED-certiedmanuacturingacility.Tesiteusesanumberoleadingenvironmentalpracticesincludingahigh-volumeorganicwastedecompositionsystem.MahwahsEco-SaeDigestercandigestupto2500poundsovirtuallyeverytypeooodwastedailywithdecompositionoccurringwithin24hours.Tesystemrapidlydigestsoodwasteintoanutrient-neutralliquidefuentsuitableordischargeintomunicipalsewersystemswhichisthentransportedtowastewatertreatmentplantswhereitisurtherdigested.TeDigesterconsumed46259poundsin2013.Oursustainabilitystrategiesincludeprovidingresourcesandopportunitiesthatmakeiteasierorourcolleaguestobemoreenvironmentallyresponsiblesuchasalternativetransportationprograms.StrykersFreiburgGermanylocationwasawardedthecitysEco-ransportSealwhichispresentedtothosecompaniesthatencourageandoeremployeesenvironmentally-riendlyoptionsorcommuting.InFreiburgweprovideemployeeswithapre-undedannualregionaltransportationpasshaveincreasedthenumberobikeracksavailableandoersharedtaxiserviceorlateandnightshiemployeestothelocaltramstop.AtourCestasFrancelocationwelaunchedacarsharingsowaresystemtohelpconnectemployeesthatareinterestedincarpooling.Whilewepursuetheseinitiativesaspartoourresponsibilitytocareorandprotectoursurroundingssucheortsalsobenettheworkenvironmentwecreateorouremployees.ELIMINATINGPOLLUTANTSANDPOTENTIALLYHARMFULSUBSTANCESBenzinealsoknownasbenzinisavolatilefammableliquidmixturederivedrompetroleumusedasacleaningsolvent.ButbecauseotheinherentresaetyandpollutionhazardsourSelzachSwitzerlandacilityhasreplacedthissolventwithultrasonicbathsthatcontainacleaningsolutionmixode-ionizedwaterand3salt-reedetergentthatsnowusedtodegreaseparts.23TONSOFFOODWASTEWASDIVERTEDFROMLANDFILLSIN2013ATOURMAHWAHNEWJERSEYPLANT.STRYKERSMEDICALDIVISIONINPORTAGEMICHIGANRECYCLES16DIFFERENTTYPESOFWASTESTREAMS.AudreyMahwahsEco-SafeDigester 21Stryker2013SocialResponsibilityOverviewStrykersworldwideteamoover25000employeesismadeupopassionateandhighlyengagedindividuals.Ouremployeesaremotivateddailybytheopportunitytousetheircreativityandinitiativeorthebeneftocaregiverspatientsandthehealthcareindustryasawhole.TispastyearleadingorganizationsandpublicationscontinuedtorecognizeStrykerandouremployeeswithsomeothemostprestigiousaccolades.FortheseventhtimewewereincludedamongadistinctgroupoglobalcompanieshonoredwiththeannualGallupGreatWorkplaceAward.EachyearGalluprecognizesexceptionalorganizationswhoseleadersunderstandthatemployeeengagementdrivesrealbusinessoutcomesandhavemasteredhowtoengagetheirworkorces.GallupGreatWorkplaceAwardwinnersrepresentallacetsobusinessandspantheglobewithheadquartersintheU.S.UnitedArabEmiratesSingaporeIndiaandTailand.Te36organizationshonoredincludingStrykeraveragearatioonineengagedemployeestooneactivelydisengagedemployeewhichismorethanfvetimestheU.S.ratioandmorethan16timestheratioorworkorcesglobally.IntheU.S.wewerenamedoneothe100BestCompaniestoWorkForinFORTUNEMagazinesannuallistotop-ratedworkplaces.TiswastheourthconsecutiveyearStrykermadethelistandourrankingincreasedto42rom61theprioryear.wo-thirdsoacompanysscoreisbasedontheresultsoanextensiveemployeesurveythatasksquestionsrelatedtoattitudesaboutmanagementscredibilityemployeesjobsatisactionandcamaraderieintheworkplace.AccordingtoFORUNEsGreatRatedreview95percentoourcompanysmorethan11000U.S.employeesareproudtoworkCAREERSTHATHAVESPECIALMEANING 22stryker.comhereandproudowhattheyaccomplishaspartotheStrykerteam.Inaddition9outo10employeessaythattheirworkhasspecialmeaningthroughchallengingpositionsromengineeringandregulatorycompliancetotechnologyandsales.CitinganexampleowhatmakesStrykergreatFORTUNEpostedonitswebsiteTemedicaldevicemakerprovidesopportunitiesoremployeestoseeproductsinactionbyobservingsurgeries.Forexample200oourFreiburgGermanycolleaguesincollaborationwithUniversityMedicalCenterFreiburgobservedlivesurgeriesomandibularretrognathia.StrykeremployeeswhoattendedourEndoscopyDivisionsArthroscopyUniversitylearnedaboutanatomyphysiologypathologyoperatingroomworkfowandsurgicaltechniquewithStrykerproducts.Sincetheprogramsstartin2011morethan100colleagueshavecompletedArthroUKneeandothose50alsocompletedArthroUShoulder.HeindrickSosaidthetrainingwasoneothebestopportunitiesIvehadatStrykersoarputseverythingwedointomuchbetterperspective.WhileDaveBennettcommentedIthinkthecontextthisgivesusinourworkisincrediblyvaluable.Everybusinessleaderworldwidehasaresponsibilitytoraisethebarandtrulyembracestrategiesorengagementastheleadersandorganizationsawardedtodayhave.Tissignifcantstepisnotonlykeytoimprovingbusinessoutcomesbutisalsovitaltoachievingsustainablegrowthorcompaniescommunitiesandcountriesandorgettingtheglobaleconomybackontracktowardamoreprosperousuture.EdOBoyleGlobalPracticeLeaderandJimHarterPh.D.ChiefScientistofWorkplaceManagementandWellbeingGallupspeakingabouttheGallupGreatWorkplaceAwardwinningcompaniesNORTHERNCALIFORNIASanFranciscoBusinessTimesandtheSiliconValleySanJoseBusinessJournal125BestPlacestoWorkintheBayAreaandBayAreaNewsSanJoseMercuryNewsTopWorkplacesUNITEDKINGDOMSundayTimesBestCompaniestoWorkForCANADAGreatPlacetoWorkInstituteBestWorkplacesinCanadaandTheGlobeandMailCanadasTop100EmployersWORKPLACEACCOLADESEmployeesobservelivesurgeriesatUniversityMedicalCenterFreiburg. STRYKERSUZHOULEADSTHEWAYFORWOMENINMANUFACTURINGTodaymanycompaniesinChinaactivelypromotediversitytoincreasethenumberofwomeninprofessionalandleadershiprolesincludingStryker.SinceourSuzhouplantwasestablishedin2008thenumberofwomeninbothprofessionalandmanagementroleshasincreasedby46percent.RecognizingourleadershipintheseeffortstheAmericanChamberofCommerceinChinainvitedStrykerSuzhouPlantManagerMelissaOrtiztotheWomeninManufacturingLeadershipRoundtabletosharehowStrykerisworkingtosupportwomenintheChineseworkplace.WORKFORCEAT-A-GLANCEMorethan25000employeesworldwidewith43outsidetheU.S.Womenmakeup35oourglobalmanuacturingworkorceMorethan46oourU.S.proessionalworkorcearewomenandminoritiesMorethan30oourcorporateofcersarewomenWomenandminoritiesmakeup55oourboardodirectors 24stryker.comHONOREDFORQUALITYANDTRUSTWORTHINESSTheChinaQualityAssociationforPharmaceuticalspresentedourTrausonbusinesswiththeorganizationsChinaPharmaandMedicalDeviceQualityTrustworthyAward.TrausonaleadingmanufactureroforthopaedicproductsinChinawastheonlycompanyintheorthopaedicssectorhonored.AllStrykeremployeesmakethepersonalcommitmenttoactwithunquestionableintegrityandhonorandinfullcompliancewiththeethicalandlegalstandardssetoutinourCodeofConduct.Wehavelongbeencommittedtoconductingouraffairsincompliancewithallapplicablelawsandregulationsandinaccordancewiththehighestethicalstandards.LookformoreinformationonthistopicintheComplianceandCorporateGovernancesectionsonourwebsite. 25Stryker2013SocialResponsibilityOverviewWhetheronsiteathospitalsorattheirStrykerlocationouremployeeshavemanyopportunitiestoengagewithsurgeonsandotherhealthcareproessionalswhouseourproducts.OnesuchopportunitycamewhenDr.adashiKikuchioBangeKoseiHospitalpresentedalectureatourJapanheadquarterstocommemoratehis5000thotalKneeArthroscopy.Oeringtheseexperiencesthatreinorceourworkalongwithcomprehensivecareerandproessionaldevelopmentisacornerstonetoemployeeengagement.Sincethe2012launchoourglobalonlinecareerresourceMyStrykerCareerthousandsoouremployeeshavechartedtheiridealcareerpathacrossdivisionsbusinessunctionsandgeographies.Tesitewasurtherenhancedin2013withourInternalMobilityProgramwhichhelpedomManningafnanceproessionalromRaleighNorthCarolinaswitchtoanewroleinSydneyAustralia.Withaninterestinaninternationalassignmentomjoinedourtalentcommunityonthesiteandcompletedanonlineproflesothathewouldbealertedonewpositionsastheywerepostedthatmatchedhissearchcriteria.Morethan2100employeeshavejoinedthecommunityandthroughtheprogram300oourcolleaguesincludingomhavesuccessullytransitionedintonewroles.AtStrykerattractingdevelopingandretaininggreatemployeesareascriticaltooursuccessasourproductsandservices.Tatswhywellcontinuetoexplorenewandinnovativemethodstobuildourtalentcapabilitiesandculture.GLOBALCONNECTIONSConnectourglobalintranetlaunchedin2013ischangingthewaywecollaborateandcommunicateacrossStryker.Thesitehasbuilt-infeaturesinspiredbysocialmediaplatformssuchasLinkedInFacebookandTwitterthatallowcolleaguestoconnectdirectlyacrossdepartmentsdivisionsandregions.Thesitealsoservesasanewsandinformationresourcewithvideosdirectoriesexpertslistsandmore.TomManningutilizedtheStrykerInternalMobilityProgramtofndanewpositionandrelocatehisamilytoAustralia. 26stryker.comSAFETYANDWELLBEINGOurpassionorcareandprotectionextendstoourcolleagueswithsaetyandwellbeingprogramsdesignedtolookaterthewholeperson.Ourocusonsaetyandmanagementsystemscomplywithandwheneverpossiblegobeyondleadingsaetystandardsregulationsandlaws.OurArroyoPuertoRicolocationorexampleisthefrstandonlymedicaldeviceacilityinthecommonwealthtoachieveafveyearre-certifcationromthePuertoRicoOccupationalSaetyandHealthAdmin-istrationsVoluntaryProtectionProgram.ThiscertifcationisreservedorthoseacilitiesthathavemaintainedinjuryandillnessratesbelowthenationalBureauoLaborStatisticsaveragesortheirrespectiveindustries.TheprocessalsoincludesanextensiveauditprocesswithOSHA.IntheU.S.ourMahwahNewJerseysitereceivedtheRecognitionAwardaspartotheGovernorsOccupationalSaetyandHealthAwardsProgramorouroutstandingperormanceinthepreventionoworkplaceinjuriesandillnesses.TheAmericanHeartAssociationnamedStrykertoits2013listoFit-FriendlyWorksitesHonorRollrecognizingusasacompanythatgoesaboveandbeyondwhenitcomestoouremployeeshealth.Weprovideemployeesawiderangeohealthandftnessoeringsthatincludeinsomelocationsonsiteftnesscenterspersonaltrainersmassagesyogaandmanyotherftnessclasses.Manyoouremployeesparticipateinnumerouscompany-sponsoredsportingleaguesandendurancecharityevents.Strykeremployeestakepartinnumerouscompany-sponsoredsportingleaguesandcharityteams.StrykerlocationsshownhereclockwisefromtopleftareSwitzerlandPennsylvaniaMichiganExecutiveLeadershipUnitedWayBasketballTournamentteamandfansandAustralia. 27Stryker2013SocialResponsibilityOverviewPainandneedknownoboundaries.Assuchulfllingourmissiontomakehealthcarebetterisnotlimitedtothoseocertainfnancialcircumstancesorgeographiclocation.In2013wecontributed27.5million2worthofnancialandproductsupportdirectingmostoourassistancetoorganizationsandprogramsthatprovideaccesstomedicalcarehumanitarianaideducationandtrainingandotherormsocharitablerelie.ProjectC.U.R.E.andAmigosorChristweretwoothoseorgani-zations.ProjectC.U.R.E.isthelargestproviderodonatedmedicalsuppliesandequipmenttodevelopingcountriesaroundtheworld.AmigosorChristworkingwiththeNicaraguanMinistryoHealthandlocalhospitalsprovidessurgicalservicestothosewhoaresueringandhavenoalternatives.In2013withoursupportandemployeeparticipationaGeneralSurgicalBrigadeorganizedbyAmigosorChristtraveledtoChinandegasHospitalEspaatoperormstate-o-the-arthipreplacements.CAREFOROURCOMMUNITIESWECONTRIBUTED27.5MILLIONWORTHOFFINANCIALANDPRODUCTSUPPORTWORLDWIDEIN2013.PartnersinHealthMedicalMission2 28stryker.comAmigosforChristMedicalMission 29Stryker2013SocialResponsibilityOverviewFor50yearsLuissueredromadebilitatinghipconditionthatcausedhimtolimpandputhiminperpetualpain.FromapoorruralNicaraguanamilyhewasturnedawayromeveryhospitalandclinichiswholelie.Hisdreamtolivewithoutpainseemedlikeitmightnevercometrue.TepainissobadthatIcantsleepatnight.Iaskedandaskedandnoonewouldlookatme.Butonedaytheycalledme.TeysaidYouneedtocometoHospitalEspaa.AmedicalbrigadeosurgeonswithhipprostheticsiscomingFormetheyaremakingmydreamarealityIwonthavetosueranymore.Itsnotjustmebuteveryonewhowillreceivethesesurgerieswontsueranymore.StrykeremployeesalsojoinedamedicalmissiontoPanamaorganizedbyOperationWalksSyracuseNewYorkchapterinpartnershipwiththePanamaMinistryoHealth.OperationWalkprovidesreesurgicaltreatmentsorpatientsindevelopingcountriesandtheU.S.thatsuerromdebilitatingboneandjointconditionsanddonothaveaccesstomedicalcare.Volunteerorthopaedicsurgeonsanesthesiologistsandoperatingteamsperormed100totaljointreplacementsandtraumaproceduresoveraour-dayperiod.BesidesparticipatinginthemissionStrykeremployeevolunteersspenthoursmeticulouslysortingcountinglabelingandboxingdonatedproductaswellasassistingwithpackingcargo.Sponsoringaprogramatthislevelandmagnitudeisarefectiononanorganizationscommitmenttocaringortheunderserved.WearehumbledandmostgrateulorStrykerspartnershipwithOperationWalkSyracusetoensurethattheindigentandsueringinPanamareceivelie-alteringsurgerynotedOperationWalkSyracusesexecutiveandclinicaldirectorsinathankyouletter.Tenancialexpenditureandoperationalsupportthatyouareprovidingisatestimonytotheboththecorporateandindividualdedicationtophilanthropy.PartnersinHealthPIHisanon-protorganizationocusedonbringingthebenetsomodernmedicalsciencetothosemostinneed.AspartoStrykersworldwidecommitmenttoeducatehealthcareproessionalswebeganworkingwithPIHonaprogramin2012thatteachestraumaracturecaretechniquestoorthopaedicsurgeonsromHaiti.FourteenHaitiansurgeonswentthroughtheprogramin2013.Tesephysicianstoldusthattheknowledgegainedhasbeeninvaluableandwillgreatlyimprovetheirabilitytoservetheorthopaedicneedsintheirlocalcommunities.WhilemanycompanieshaveprovidedcharitablesupporttoHaititomeetemergencyneedswereprovidingmedicaleducationandtrainingthatwilllastalietime.InPalestineournancialandproductassistancehashelpedtoadvancethetrainingolocalsurgeonswhoprovidecareorchildrenwithclesthroughthePalestinianCleSociety.TeorganizationwasoundedbyDr.JohnvanAalstAssociateProessoroSurgeryandDirectoroPediatricandCranioacialPlasticSurgeryattheUniversityoNorthCarolina.Dr.vanAalsthastrainedsixlocalsurgeonswhocollectivelyhaveperormedmorethan450cases.HesaidStrykerssupporthasbeeninvaluableinorderorustoaccomplishwhatwevedoneoverseas.StrykersassistancehasmadeitpossibleorDr.vanAalsttohosteducationalconerencesandalsotobringcraniomaxilloacialellowstoPalestine.DONATEDSTRYKERPRODUCTSWEREUSEDIN100FREETOTALJOINTREPLACEMENTSANDTRAUMAPROCEDURESPERFORMEDOVERAFOUR-DAYPERIODDURINGANOPERATIONWALKMEDICALMISSIONINPANAMA.PATIENTFROMGUATEMALABROUGHTTOU.S.FORFREEADVANCEDTREATMENTEvenduringthosetimeswhenapatientsneedsareartooextremetobetreatedonlocationduringmedicalmissionsoursupportstillmakesitpossibleorthosepatientstotraveltoapropersettingorreecareandrehabilitation.RaulLeonardoSagastuyHerreraorLeowasoneothosepatientsin2013.HoustonOrthopedicSpineHospitalsurgeonDr.BrianParsleyfrstmetLeoage49throughoneohisFaithinPracticemedicalmissionsinGuatemala.Leosmedicalchallengesandextremepainstartedwhenhewas18anddiagnosedwithbonecancer.Butaterafve-hoursurgeryperormedbyDr.ParsleyinHoustonLeosaidIthinkmyqualityolieis100percent 30stryker.comAcrossourcompanydivisionsandregionsweencourageouremployeestoidentiycommunityneedsandorganizesupportsuchasourChampionsorChangeprogramlaunchedlastyearbyourInstrumentsDivision.TeprogramisintendedtobuildamorepersonalandlastingrelationshipbetweenStrykeremployeesandorganizationsintheircommunityhelpingthemtomakeameaninguldierenceinpeopleslives.In2013nearly100employeesadoptedeightcommunityorganizationsincludingTeSalvationArmyAnimalRescueProjectandMinistrywithCommunity.TeyalsoparticipatedinfvehomebuildsthroughHabitatorHumanityandservedasmentorsthroughBigBrothersBigSistersACommunityoCaring.InJapanStrykeremployeesvolunteeronthefrstSaturdayothemonthatPandaHouselocatednearbyatFukushimaUniversityHospitalwhichprovidesadvancedtreatmentsorpediatriccancer.PandaHouseisahomeawayromhomeoramiliesopediatricpatients.Strykervolunteersassistwithbothindoorsandoutdoorscleaningcharitysalesandotherundraisingactivities.AdditionallyourcolleaguescollectanddonatetravelsizetoiletriesromtheirhotelstaysandhaveplacedaboxintheJapanoceormonetarygis.TenumberothatchildrenwithpediatriccancerisexpectedtoriseinFukushimaasaresultodamagetonuclearelectricgenerationacilitiesromthe2011tsunamiearthquake.BecauseothatincreasingneedPandaHousehasstartedaundraisingcampaigntosupportplanstoexpandromthreetosixbedrooms.Whetheritsbuildingsaerplaygroundsservingmealstothehomelessbikingcross-countrytopromotehearthealthorfllingHolidaystockingsorthemilitarywesupportouremployeescustomersandindustrypartnersastheyserveandcareorcommunitiesinallcornersotheworld.NEWPROJECTC.U.R.E.WAREHOUSESince2011StrykerhasworkedcloselywithProjectC.U.R.E.thelargestproviderodonatedmedicalsuppliesandequipmenttodevelopingcountriesaroundtheworld.Overthepasttwoyearswevedonated150setsosurgicalpowertoolsandrelateddisposables.ProjectC.U.R.E.usestheseproductsorsurgicaleducationandoperationsthatwithoutassistanceromcompanieslikeourswouldnotbepossible.In2013ProjectC.U.R.E.openedawarehouseinGrandRapidsMichiganprovidinganopportunityorouremployeestourthersupporttheorganizationwithvolunteers.SUPPORTINGSURGICALTRAININGINDEVELOPINGNATIONSSIGNFractureCareInternationalisahumanitarianorganizationrespondingtotheneedtoprovideorthopaedictreatmenttotraumavictimsindevelopingcountries.SIGNocusesonthepoorestcountrieswhereroadtrafcinjuriescausethemostdisabilityandlossolie.Theirworkincludestraininglocalsurgeonsonmodernracturecaresotheycanprovideimmediatesurgicaltreatment.In2013StrykerwasoneotheleadingsupportersoSIGNsinternationalannualconerenceTreatmentoDifcultFracturesAroundtheWorldandwedonatedproducttoBlackLionHospitalinAddisAbabaEthiopia. 31Stryker2013SocialResponsibilityOverviewMISSIONANDPURPOSEDAYOverthecourseofasingledayseventeamsofemployeesfromStrykerlocationsintheMiddleEastandAfricaPolandRomaniaRussiaSouthAfricaSwitzerlandandTurkeymadeadifferenceforcaregiversandcommunitiesthroughvolunteerandproductsupport.Insomelocationsourcolleaguescontinuetosupporttheseorganizationsthroughouttheyear.MIDDLEEASTAFRICABuiltaspacewhere150caregiverscanrestandeatwhennotassistinghundredsofthousandsofSyrianrefugeesatJordansZAATARIcamp.POLANDOrganizedasummercampwiththeMarianPriestsHospiceforchildrenwhohavelostparentstocancer.ROMANIARefurbishedalocalclinicthathadnotbeenrenovatedinmorethan50years.RUSSIAInstalledphysicaltherapyequipmentinthecourtyardofapediatrichospitalinMoscow.SOUTHAFRICACleanedthemedicalsupplystoreroomprovidedmedicalsuppliesandservicedthevehiclesforWestGautengHospice.SWITZERLANDDonatedinnovativetherapyequipmenttoaclinicthatservesautisticpatientsandtogetherwiththeclinicdevelopedasocialintegrationsportsprogram.TURKEYDonatedequipmentforthehandcraftclassrenovatedthegreenhousebroughtequipmentforthefoodandbeverageworkshopsandadaptedtheareaforphysicallydisabledchildrenfortheMentallyDisabledEducationRehabilitationSchool.StrykersInstrumentsdivisionlaunchedChampionsorChangeallowingemployeespaidtimeotovolunteerororganizationsincludingHabitatorHumanitywheretheyparticipatedinhomebuilds.Orthopaedicsemployeesfllstockingswithvarioussnackandtoiletryitemstosendtoourtroopsoverseasduringtheholidayseason.JapanemployeessorttravelsizetoiletriesorPandaHouseahomeoramiliesopediatricpatientsatFukushimaUniversityHospital. FRONTCOVERITSASMALLWORLDBeoreStrykeremployeeKeithTaylormethisadopteddaughterMailisheandanotherlittlegirlnamedZoehadcletlipsurgeryperormedbyOperationSmilewhiletheywerelivinginaChineseorphanage.Since1999Strykerhasdonatedmorethan1.1millionincashandproducttoOperationSmileandsupportedandsponsoredmedicalproessionalsandsurgicalresidentsthroughthePhysiciansTrainingPrograms.MailiandZoeseerontcovernowliveacrosstownromeachotherinDenverandplaytogethereveryweek.StrykerCorporationWorldwideHeadquarters2825AirviewBoulevardKalamazooMichigan49002U.S.A.269.385.2600stryker.comWewelcomeyourcommentsandquestionsregardingsocialresponsibility.Pleaseemailusatsocialresponsibilitystryker.com.Pleaseconsidertheenvironmentbeforeprinting.BACKCOVERStrykeremployeesvolunteertobuildaplaygroundordisadvantagedamiliesatFaithCommunityoSaintSabinaChurchChicagoIllinoisinMarcho2013.TheeventishostedandcoordinatedbytheAmericanAcademyoOrthopaedicSurgeonsAAOS.StrykerCorporationoritsdivisionsorothercorporateafliatedentitiesownuseorhaveappliedortheollowingtrademarksorservicemarksBigWheelChaperoneES2GetAroundKneeHomerStrykerCenterMAKOplastyMAKOSurgicalCorp.NeptunePrimeTCRESTORISRIOSaety-SpongeSDC3SMARTLockSonopetStrykerSurgiCountXia.Allothertrademarksaretrademarksotheirrespectiveownersorholders.OceanTomo300isaregisteredtrademarkoOceanTomoLLC.OperationSmileisaregisteredtrademarkoOperationSmileInc.TheLEEDCertifcationMarkisaregisteredtrademarkownedbytheU.S.GreenBuildingCouncilandisusedwithpermission.FORTUNEMagazine1312014332014and612014.FORTUNEisaregisteredtrademarkoTimeInc.andisusedunderlicense.FORTUNEandTimeInc.arenotafliatedwithanddonotendorseproductsorservicesoStryker.1.ImportantInormationTotalkneereplacementisintendedoruseinindividualswithjointdiseaseresultingromdegenerativerheumatoidandpost-traumaticarthritisandormoderatedeormityotheknee.Kneereplacementsurgeryisnotappropriateorpatientswithcertaintypesoinectionsanymentalorneuromusculardisorderwhichwouldcreateanunacceptableriskoprosthesisinstabilityprosthesisfxationailureorcomplicationsinpostoperativecarecompromisedbonestockskeletalimmaturitysevereinstabilityothekneeorexcessivebodyweight.Aswithanysurgerykneereplacementsurgeryhasseriousriskswhichincludebutarenotlimitedtoperipheralneuropathiesnervedamagecirculatorycompromiseincludingdeepveinthrombosisbloodclotsinthelegsgenitourinarydisordersincludingkidneyailuregastrointestinaldisordersincludingparalyticileuslossointestinaldigestivemovementvasculardisordersincludingthrombusbloodclotsbloodlossorchangesinbloodpressureorheartrhythmbronchopulmonarydisordersincludingembolistrokeorpneumoniaheartattackanddeath.Implantrelatedriskswhichmayleadtoarevisionincludedislocationlooseningracturenervedamageheterotopicboneor-mationabnormalbonegrowthintissuewearotheimplantmetalsensitivitysottissueimbalanceosteolysislocalizedprogressivebonelossandreactiontoparticledebris.Theinormationpresentedisoreducationalpurposesonly.Kneeimplantsmaynotprovidethesameeelorperormancecharacteristicsexperiencedwithanormalhealthyjoint.Speaktoyourdoctortodecideijointreplacementsurgeryisappropriateoryou.Individualresultsvaryandnotallpatientswillreturntothesameactivitylevel.Thelietimeoanydeviceislimitedanddependsonseveralactorslikeweightandactivitylevel.Yourdoctorwillhelpcounselyouaboutstrategiestopotentiallyprolongthelietimeothedeviceincludingavoidinghigh-impactactivitiessuchasrunningaswellasmaintainingahealthyweight.AskyourdoctoritheGetAroundKneeisrightoryou.Theinormationpresentedisoreducationalpurposesonly.Speaktoyourdoctortodecideijointreplacementsurgeryisrightoryou.Individualresultsvaryandnotallpatientswillreceivethesamepostoperativeactivitylevel.Thelietimeoajointreplacementisnotinfniteandvarieswitheachindividual.Yourdoctorwillhelpcounselyouabouthowtobestmaintainyouractivitiesinordertopotentiallyprolongthelietimeothedevice.Suchstrategiesincludenotengaginginhigh-impactactivitiessuchasrunningaswellasmaintainingahealthyweight.2.Charitablecontributionsincludecashproductdonationsandhonorariumsgrants.Productdonationsarevaluedatairmarketvalue.