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Stryker Annual Report 2018 Full Report v18
Stryker Annual Report 2018 Full Report v18
2018
Salt Lake City
Learning Center and
Trevo Retriever
Trevo manufacturing
Utah
and Benjamin
Saving a life … and a way of living.
Feb. 2018 — Trevo
Retriever receives
Seventh-grader Benjamin Bubis was going to soccer expanded indication
for stroke treatment
practice, as usual. When he got in the car with his up to 24 hours in U.S.
Boris, who is 71, suddenly stopped Dr. Puri. “We call that a large “I feel lucky, because if it weren’t
talking during the drive. When vessel occlusion. He could not for Ben, if I was alone in the
Benjamin realized something was move the entire right side of his car — I’m pretty sure I was going
wrong with his grandfather, he body. He could not speak at all, 65 miles an hour — I would crash
grabbed the steering wheel to and he was having a severe gaze somewhere,” says Boris.
avoid crashing and guided the preference,” which indicates eye
car to the side of the highway movement limitation.
to call 911.
Boris’s best chance for recovery
“I started to scream and scream, with a large vessel occlusion was
and he didn’t respond at all,” to have the clot removed using
Benjamin recalls. “I was scared, a stent retriever, a minimally
so I called my mom and she told invasive procedure that is now
me to call 911. I pressed all the the standard of care for large
buttons, and I’m not sure what vessel blockages. Dr. Puri guided
stopped the car.” Stryker’s Trevo Retriever from
Boris’s femoral artery in his leg up
“I lost everything. I couldn’t hear to the brain, where the retriever
anything, and I could only see ensnared the clot. Dr. Puri was
from the left side,” says Boris. then able to remove the retriever
An ambulance arrived to take with the clot back through
him to UMass Memorial Medical a catheter.
Center in Worcester, MA, where With Dr. Puri’s extensive
he was seen by Dr. Ajit Puri, an experience using the stent
experienced neurointervention retriever, the procedure, from
specialist who uses minimally the time the catheter was inserted,
invasive techniques to treat only took 21 minutes to restore
stroke, brain aneurysms and blood flow to the brain. As a result,
carotid stenosis. Boris was soon able to move the
“Boris had a massive stroke where right side of his body and his
the main artery of the brain, speech is now back to normal.
called the middle cerebral artery,
was blocked by a big clot,” says
Dr. Ajit Puri, Neurointervention specialist, and
Chris Lear, Stryker Territory Manager, Neurovascular
May 2018 — Trevo Retriever receives To experience our online,
expanded indication for stroke interactive Annual Review and
treatment up to 24 hours in Europe learn more about Boris’s story,
please visit stryker.com/2018.
We surpassed $13 billion in sales for the first time, (MedSurg) and Spencer Stiles (Neurotechnology,
recorded our 39th consecutive year of sales growth, Instruments and Spine) — and, like Tim, both are
posted strong adjusted earnings, completed numerous longtime Stryker employees who have demonstrated
acquisitions and garnered accolades as a great place excellent performance. Viju Menon also joined the
to work. company as Group President of Global Quality and
Operations after a successful career in the technology
Culture and leadership industry. Howard Cox retired from our Board and was
named Director Emeritus, while two new directors
Our mission — Together with our customers, we are were added: Sheri McCoy and Rajeev Suri.
driven to make healthcare better — is a unifying
force in the company, as are our values: Integrity,
Accountability, People and Performance. Our people
Financial performance
are driven, team-oriented and humble. We continue Our organic sales growth of 7.9 percent (which excludes
to be seen as a great place to work (see page 12) and the impact of acquisitions, foreign currency exchange
are honored to have received many international and and the adoption of Accounting Standards update
diversity and inclusion recognitions. ASC 606) was once again at the high end of the medical
technology industry and marked our sixth consecutive
Our leadership team (see page 16) has changed year of accelerating organic growth. Our sales growth
following the retirement of Lonny Carpenter and was well balanced across geographies, with strong
David Floyd, who both made significant contributions performances in the United States, South Pacific, Japan,
to our success. Tim Scannell was appointed President Europe, Latin America and emerging markets. In fact,
and Chief Operating Officer, and I look forward to our organic sales growth outside the United States was
his leadership in driving performance across our higher than our United States growth. Reported sales
businesses and regions. We named two new growth was 9.3 percent, including 1.9 percent growth
commercial Group Presidents — Andy Pierce
2
from acquisitions and increased unit volume partially
offset by a 1.4 percent impact from lower prices.
Cost transformation
Our multi-year effort to systematically reduce costs
We also continued to generate healthy operational continues to progress. We were pleased to deliver 40
cash flow that contributed to a year-end cash and basis points of adjusted operating margin expansion
marketable securities position of $3.7 billion, enabling in 2018 (excluding the impact of ASC 606), despite
us to increase our dividend rate by 10.6 percent for significant dilution from acquisitions. And we continue
the January 2019 payment. Our reported net earnings to make progress establishing shared services in Human
grew 248.3 percent, aided by the favorability of Resources and Finance and implementing a single ERP
onetime tax events, and our adjusted net earnings system to support our commercial businesses and
grew by 12.7 percent. optimize our manufacturing and supply chain.
Mission
New acquisitions
strengthen our future
Our disciplined approach to business development
drives our growth and future innovation.
4
K2M
K2M is a global leader of complex spine and
minimally invasive products designed to achieve
three-dimensional Total Body Balance. Spine
surgeons use these technologies and techniques
to treat some of the most complicated spinal
pathologies. K2M’s innovative product portfolio
and robust pipeline strengthen our leadership
in the spine and neurotechnology markets,
while expanding our global footprint.
Entellus
This high-growth global medical technology company focuses on
minimally invasive devices that enable physicians to conveniently
and comfortably perform a broad range of Ear, Nose and Throat (ENT)
procedures, including the treatment of nasal airway obstructions. As
a leader in the ENT segment, Entellus brings a comprehensive portfolio
of products that deliver superior patient and physician experiences.
HyperBranch
Supporting our growth strategy
within our Neurotechnology
business, HyperBranch develops
and markets products for dural
repair. The addition of its
Adherus AutoSpray dural sealant
to our cranial closure portfolio
strengthens our position of
Invuity
excellence in the dural The leader in advanced photonics
repair space. and single-use, lighted instruments
delivers enhanced visualization for a
wide variety of clinical applications,
serving a number of segments, including
orthopaedic and spine surgery, general
surgery and women’s health procedures.
These innovative products, which are
market leaders in illumination to help
make surgery more precise, efficient
and safe, are highly complementary
to our Instruments business.
The studies concluded that Mako Total Knee with Triathlon was associated with:
The Amsterdam Skills Centre (ASC), Our new Asia Pacific Training The Mako Education Center is
which opened its doors in February Center in Hong Kong will provide a premier training facility for
2019, offers medical specialists surgeons in the region with world- surgeons, with a primary focus
and other healthcare professionals class training and simulated on Mako Robotic-Arm Assisted
from all over the world an operations using the Mako Surgery training and education.
innovative learning environment. Robotic-Arm Assisted system. The 45,000-square-foot training
A collaboration of Amsterdam The 6,000-square-foot space will center features a custom wet
University’s Academic Medical also be a top venue for seminars, lab that accommodates 12 Mako
Center and Stryker, which invested workshops and hands-on training stations, reflecting the importance
in the building and equipment, in surgical education. Through the of cutting-edge technology in
the ASC features 12 high-tech center, surgeons can strengthen medical and surgical applications.
operating rooms, operating robots, their surgical competencies and Following the ribbon-cutting, our
virtual reality simulators and share knowledge of the latest Chairman and CEO, Kevin Lobo,
educational facilities. techniques in robotic surgery. hosted a global town hall for
More than 100 guests were on Stryker’s more than 200 team
hand to celebrate the opening in members in the area.
October 2018.
Driven to innovate
Customers and patients are at the heart of everything we do.
We nurture innovation to address customer challenges.
That approach began with our Our deep understanding of our time, reflecting the importance of
founder, Dr. Homer Stryker, an customers helps us design and innovation and collaboration to help
orthopaedic surgeon in Kalamazoo, manufacture products and services solve customer problems and develop
Michigan, who invented products in that make a difference for them. products and services that advance
the local community hospital where our mission.
he worked to better serve the needs We collaborate across the company
of his patients. and leverage our talented innovators Nominated by their R&D leader and
to develop meaningful technology division president, Fellows have
This spirit of innovation continues to and solutions. And we recognize developed breakthrough technology
drive us today. We collaborate with our best. and market-leading products that
hospitals and healthcare providers have influenced the direction of
to make sure we understand their Our R&D Fellows Award recognizes our business.
practice environment, treatment significant accomplishments in
protocols and unmet needs. research and development over
Early in his career, John played a key role in Robert’s many contributions to the advancement
developing and introducing many new knee, hip of hip and knee products over the years are evident
and bone cement products before leading teams in the 28 patents for which he is responsible,
in the development of our additive manufacturing including the tibial component delta fit keel design,
technology. His work included technical and process which is integral to tibial component stability and
design as well as the creation of a software and initial fixation. Robert was also instrumental in
equipment supplier base for producing high-quality, transitioning Mako robotics from being a niche
innovative additive products. John’s leadership player in partial knee replacement to establishing
resulted in the launch of our first additive implant, a broad-based arthroplasty platform, while guiding
the Triathlon Tritanium Tibial Baseplate, in the development process and regulatory strategy
June 2013, and many others that followed. for Mako Total Knee.
8
Diversity and inclusion
We encourage, value and leverage the differences in people and
perspectives to make healthcare better.
58%
Graduate Rotational Program, the
in STEM RISE Engineering Program, the
Global Engineering Development
We understand that the future of
medical device innovation relies
Program and various internships.
of the students
on exceptional talent in Science,
Technology, Engineering and Math
We also had interactive, hands-on
demonstrations of our products
earning a
(STEM). That’s why our Stryker’s and technologies that improve and degree in the
Women’s Network (SWN) partnered
with I WISH (Inspiring Women in
save lives, including defibrillators,
endoscopes, cranial drills,
United States
STEM), an initiative to inspire and biomaterials, stents, catheters, are women
motivate young female students to ultrasonics and robots, among others.
pursue careers in STEM. I WISH
encourages female role models to
Employee resource
39%
share their experiences, from school
subject choices and college and groups (ERGs)
career choices to day-to-day work
SWN enhances opportunities for
as engineers.
members through networking, of STEM
The statistics tell the story:
58 percent of students earning a
professional development, leadership
messages, community outreach and
graduates
degree in the United States are educational projects that drive the are women
women, but only 39 percent of attraction, development, engagement
students earning STEM degrees and retention of talented women.
are women. The network is open to all employees,
Our commitment
to people and planet
As an industry leader, we believe corporate responsibility is a strategic
priority, and we invest time and resources in the areas that are most
important to our employees, customers and the communities where
we live and work.
10
Below are a few highlights of our commitment to people and planet
Key initiatives in 2018 and our 2018 achievements, through our key focus areas.
Operation Smile
Improving caregiver
safety through the
491 Neptune 3 Waste
Management System
life-changing
A closed mobile technology that
surgeries funded manages hazardous fluids and
by employee the smoke evacuation of harmful
particles, eliminating the need to
and company dump or solidify waste from a
donations standard canister.
Visit smile.stryker.com
to learn more
$200M
Sustainability Solutions spent with minority-,
13.2M
women- and
veteran-owned
pounds of businesses
waste diverted
from landfills
$575M
$339.5M
spent with small
businesses supporting
saved in manufacturing
supply costs or delivery of our
products
Global
recognition
Women’s
Choice Awards FORTUNE
FORTUNE Best
2018 awards Workplaces (U.S.) World’s
named to three lists including Best Workplaces
100 Best Workplaces for Women,
For Women, 2018
100 Best Companies for Millennial
recipient for the second time #12 in 2018
Women and 50 Best Companies for
out of 25 companies —
Multicultural Women
For Diversity, 2018 recipient for the second time
#40 out of 100 companies —
recipient for the second
consecutive year
12
Financial
highlights
Net earnings History of net sales growth 13.6
2013 2018
10.0
8.00 7.31
6.00
4.00
6.0
2.00
2013 2018
4.0
Dividends paid
$ per share of common stock
1.50
1.00
0.50
Financial overview
($ in millions, except per share amounts) 2018 2017 % Change
Net sales $ 13,601 $ 12,444 9.3
Earnings before income taxes 2,356 2,063 14.2
Income taxes (1,197) 1,043 (214.8)
Net earnings 3,553 1,020 248.3
Adjusted net earnings1 2,779 2,465 12.7
1. Adjusted net earnings and adjusted net earnings per diluted share are non-GAAP financial measures. Refer to page 17 for a reconciliation to the most
directly comparable GAAP financial measures, net earnings and net earnings per diluted share.
Leading
in medtech
ne
d Spi
y an
l og
hno
ec
6%
16%
t
ro
eu
M
13%
N
ed
ica
lan
dS
urgic
3%
$13.6B
al (MedSurg)
13%
13%
12%
O
rth
op
ed
12%
a
ic 2%
s
44%
16% Medical
37%
12% Knees
19%
13% Neurotechnology
13% Instruments 12% Trauma & Extremities 6% Spine
13% Endoscopy 10% Hips
2% Sustainability Solutions 3% Other
14
Board of
Directors
Pictured below from left to right Chairman Emeritus
Rajeev Suri **
Sherilyn S. McCoy † ‡
Chairman of the Board
Lead Independent Director
** Audit Committee
† Compensation Committee
‡ G overnance and Nominating Committee
Leadership
team
Pictured below from left to right Division Presidents
16
Other Officers With appreciation
Refer to our 2018 Annual Report on Form 10-K, available at stryker.com, for additional information regarding our non-GAAP financial measures.
Our Annual Review contains many of the valuable trademarks owned and/or used by Stryker and our subsidiaries and affiliates in the U.S.
and internationally to distinguish products and services of outstanding quality. All other trademarks featured herein are the property of their
respective owners. 17
Orthopaedics
© 2019 Stryker