Académique Documents
Professionnel Documents
Culture Documents
2017
To experience our online,
interactive Annual Review and
learn more about Taylor’s story,
please visit stryker.com/2017.
On the cover:
Rosemary Buckle, M.D.,
Brent Benoit, Stryker
sales representative
and Taylor Koob
A Hurricane Harvey
orthopaedic success story
As Hurricane Harvey barreled toward Houston,
Texas, St. Joseph Medical Center prepared for
the worst. The staff’s stamina would be severely
tested over the next five days, as historic amounts
of rain pummeled the area, sending scores of
desperate people to the hospital.
One such patient, Taylor Koob, External Fixation system, frame about infection over the long
arrived by ambulance with a components used in conjunction term, because Taylor’s open
shattered ankle and floodwater- with Apex Pins to stabilize the wounds had been exposed
soaked gashes on his leg. The open and/or unstable fracture. to contaminated water for
25-year-old had narrowly escaped Made of lightweight carbon- several hours.
from his submerged Jeep by based materials, the product
kicking out the windshield. is designed to address patient After his hospital stay, Taylor
comfort while postoperative was able to go home and continue
With the water coming in so corrections and treatments with antibiotic treatment for
fast, “I knew my only option for soft-tissue damage can several weeks before Dr. Buckle
was, I kick out this window or be performed with the frame removed the frame. Taylor was
I die,” Taylor says. “That’s when in place. then able to receive physical
everything goes blank.” He’s therapy to restore his strength
still not sure how he got out In the tense situation at the and range of motion. While his
of the Jeep. hospital, Stryker’s representatives doctors still monitor him for
communicated regularly with infection, they expect him
Houston firefighters from a Taylor’s team of physicians on to make a full recovery.
nearby station eventually found adjusting the frame, given the
him bobbing in the floodwaters. serious nature of his injuries, “I can’t say enough about
But because of the intense according to Dr. Rosemary the doctors who saved
downpour, it took eight hours Buckle, an orthopaedic surgeon my life,” Taylor says.
to make the 11-mile trek to the who played an instrumental role “Every time I see
hospital, beginning on a city in Taylor’s treatment. “I rely on Dr. Buckle, I just
dump truck used to transport my team at Stryker to have what smile.” Noting
people in high-water conditions I need for my patients,” she says. how lucky he is,
and continuing by rescue boat “Without them, I can’t do what he displays his
and ambulance. I need to do.” Hoffmann External
Fixator in his house,
Five surgeries and Nearly a week after his arrival as a reminder of
an external fixator at the hospital, Taylor returned his ordeal.
Taylor’s leg was so seriously to the operating room, where
injured that he required five Dr. Buckle cleaned his ankle
surgeries, a significant amount wounds and cultured them for
of antibiotics and a month of signs of bacteria, which she Taylor’s surgeons:
recuperation at the hospital. would need to eliminate before Rosemary
she inserted Stryker’s plates Buckle, M.D.
Key to this treatment was and screws to repair the bone. and William
Stryker’s Hoffmann 3 Modular Dr. Buckle also was concerned Sherman, M.D.
2
our reported net earnings declined on our manufacturing facility in Looking ahead
38.1 percent due to significant one- Puerto Rico and affected business Stryker continues to have a bright
time charges related to U.S. tax in Florida and Houston. We also future. We remain confident in our
reform legislation, we delivered managed through significant ability to grow sales at the high end
strong adjusted net earnings growth regulatory challenges with Sage of the medical technology industry,
of 12.3 percent. Products, a part of our Medical while driving leveraged earnings.
business, that required a product Our strategy, people and culture will
We continued to generate healthy recall and lengthy product holds
operational cash flow that contributed enable us to maintain our strong
on the majority of its portfolio. performance in the years ahead,
to a year-end cash and marketable
securities position of $2.8 billion, I would like to acknowledge the which is evident in our financial
enabling us to increase our dividend way our employees rallied in the face guidance for 2018.
rate by 11 percent for the January of these challenges to support each I would like to thank our manage-
2018 payment. other and minimize the impact on our ment teams, our Board of Directors,
customers. We recovered well from and our 33,000 employees worldwide
Successes and challenges both issues by the end of the year who make healthcare better each
In 2017, our growth was well and expect only modest headwinds and every day.
balanced across businesses and to linger into 2018.
geographies. We generated double-
digit organic growth in Endoscopy, Cost transformation
Neurotechnology, and Trauma & Our efforts to systematically reduce
Extremities in the United States. costs, which is a multi-year process,
We also had strong performances continue to progress. We are focused
in Joint Replacement, Instruments on product-line rationalization;
and categories within Medical indirect procurement optimization;
(EMS and Acute Care). Europe, global enterprise resource planning Kevin A. Lobo
Canada and Australia continued (ERP) system implementation; Chairman and Chief Executive Officer
to perform well, and we had shared services transformation; and
encouraging performances in manufacturing-site consolidation.
emerging markets.
7.00 6.49
6.00
5.00
4.00
3.00 6.0
2.00
1.00
2012 2017
4.0
Dividends paid
$ per share of common stock
1.50
1.00
0.50
Financial overview
($ in millions, except per share amounts) 2017 2016 % Change
Net sales $ 12,444 $ 11,325 9.9
Earnings before income taxes 2,063 1,921 7.4
Income taxes 1,043 274 280.7
Net earnings 1,020 1,647 (38.1)
Adjusted net earnings1 2,465 2,194 12.3
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.
4
Leading
in medtech
e
& Spin
gy
nolo
h
te c
ro 6%
eu
N
16%
11%
Me
dic
al &
3%
Surgica
$12.4B 14%
l (MedSurg)
10%
in global sales
12% 13%
Or
tho
pa
ics
ed
13% 2%
45%
16% Medical
38%
13% Knees
17%
11% Neurotechnology
14% Instruments 12% Trauma & Extremities 6% Spine
13% Endoscopy 10% Hips
2% Sustainability Solutions 3% Other
A miracle rescue
When paramedics in Gloucester,
Massachusetts, arrived on the scene, they
didn’t know they were about to lead one
of the most dramatic lifesaving rescues of
their careers.
6
The first responders kept the patient The LUCAS Chest Compression System “And with the LUCAS, there’s no
alive for more than three hours, from standardizes chest compressions in interference with the other tasks
the time he first received treatment accordance with the latest scientific we’re performing, like supplying
through his time at Addison Gilbert guidelines, providing the same quality medications intravenously, which we
Hospital. At the hospital, Sherman for all patients, independent of often do in tight quarters or in a high-
and Brancaleone stayed on the scene transport conditions, rescuer fatigue speed ambulance where paramedics
to help with treatment and make sure or variability in the experience level of can get hurt.”
the LUCAS device remained powered the caregiver. This frees up rescuers to
at all times. The treatment included focus on other lifesaving tasks. Studies “This case and several others we’ve
delivering some 20 defibrillation show that the controlled mechanical been involved with prove that LUCAS
shocks to restore the patient’s heart LUCAS compressions can sustain a saves lives. Patients who might not
to a normal rhythm. This required the higher blood flow to the brain and heart have made it were able to go home to
use of four new batteries, each lasting compared to manual compressions.1 their families,” says Fire Department
45 minutes. Captain Jamie Santos. “That’s why we
have them in each of our ambulances
When the patient was finally stabi- Setting a record and two more in the engine company.”
lized, he was flown to Lahey Hospital
& Medical Center in Burlington for
in tight corners “It was a team effort from the very
continued treatment. The patient beginning,” Gloucester Fire Chief Eric
“The patient’s survival would not
made a full recovery and was released Smith adds. “We are so grateful to
have been possible without the
approximately two weeks later. have the LUCAS device at our disposal,
LUCAS Chest Compression System,”
as it provides nonstop compressions.
says Sherman. “Even after five or
As it turns out, the case set the record Coupled with the high quality of care,
10 minutes, paramedics doing manual
for the longest continual usage of the this patient is alive today.”
CPR get tired, and it’s almost impossible
LUCAS device in Massachusetts and
to keep up, especially when we’re
New England — a nd the second longest
moving the patient.”
documented save with continual use
in the country.
“The patient’s
survival would not
have been possible
without the LUCAS
Chest Compression
System.”
Doug Sherman
Paramedic
Gloucester, Massachusetts
I’m getting as I which occurs when the surgeon places Also in 2017, the first clinical
outcomes data on Mako Total Knee
the hip or knee implant, using Mako,
take a patient according to the pre-operative plan. were detailed in The Journal of Knee
Surgery by lead author Robert C.
through a dynamic Applications are available for Mako Marchand, M.D. This single-center
arc of motion is Total Hip, Partial Knee and Total prospective study, performed at a
Knee Surgery. Through 2017, more high-volume hospital, showed Mako
something we’ve than 125,000 Mako procedures had Total Knee had significantly lower
“This technology
has made me
a better surgeon.”
8
Allowing surgeons
to see and do more
Statistics show that roughly one in eight
women in the United States will develop
breast cancer in her lifetime. In fact, about
266,120 new cases of invasive breast cancer
will be diagnosed in American women this
year.1 These are just a few of the reasons
why Stryker, a leader in advanced imaging
and O.R. connectivity, acquired NOVADAQ.
NOVADAQ’s SPY fluorescence imaging
technology allows surgeons to visualize
real-time tissue perfusion during a range
of procedures, including mastectomy and
breast reconstruction.
10
Commercial
launches timeline
Additive
manufacturing Triathlon
2014 Tritanium
Baseplate
3D printing — a lso known as additive
manufacturing (AM) — is one of our
pillars of innovation in Orthopaedics.
This technique takes a computer
model of a medical device and grows
the part layer by layer in a three-
dimensional environment, fusing
one layer of fine metal powder to the Triathlon
previous layers. 2014 Tritanium
Patella
Through AM, we design and bring
to market novel implants for the knee,
spine and hip. We are investing for
the future with this technology —
expanding R&D, opening new facilities,
collaborating with other industry
leaders like GE Additive and launching
new products.
Triathlon
Since 2001, we have invested in addi- 2015 Tritanium
tive manufacturing with academic Cones
research institutions, initially to
find a scalable model for controlling
solid and porous metal zones during
production. In 2012, we validated the
large-scale manufacturing capabilities
of our proprietary process: AMagine.
Commercial launches
Since 2014, we have led the industry
with a steady commercial output of
additive manufactured Tritanium
implants across multiple indications.
Trident II
2018 Tritanium
Save
$326M
With our partners, we help alleviate suffering, restore
function and bring hope to some of the most under-
resourced people in the world. We are also focused on
communities where our employees live and work. We
look for opportunities to advance healthcare and support
in supply costs education and strengthen the vitality of the community.
Divert
Caring for people
and planet
13.4M We are committed to operating in a responsible manner
to deliver lasting social, environmental and economic
pounds of waste value across our operations, products and services.
12
Creating smiles all Managua, Nicaragua
November 2017
over the world
The international medical charity Operation Smile has provided hundreds
of thousands of free surgeries for children and young adults in developing
countries who are born with cleft lip, cleft palate or other facial deformities.
In addition to our product donations, which help Operation Smile deliver Managua,
Nicaragua
safe and effective surgical care for these young patients, our financial
contributions help it expand surgical services and conduct targeted education
programs for surgeons in countries that critically lack trained healthcare
professionals and surgical specialists.
116
Operation Smile has been able to leverage our support to expand educational
and training programs for surgeons and maximize its impact on local health
systems in marginalized communities across the globe.
To learn how our support helped triple the number of cleft care providers in
Rwanda, visit Smile.Stryker.com.
surgeries
performed
Providing crucial nonmedical support over 5 days
We also sponsor groups of Stryker employees as nonmedical mission volun-
teers. In November 2017, eight employees traveled to Managua, Nicaragua,
as part of a team of 97 volunteers from around the world who comforted and
supported patients and their families before, during and after 116 surgeries
performed over five days.
“As a volunteer, you are able to follow the entire cycle of emotions that
these families experience firsthand,” says Kris Sanders, a Senior Business
Program Manager. “The process is so personal, and there aren’t words
for the joy and happiness that these parents display when they first see
their child [after surgery].”
Raising funds
Meanwhile, our employees back home volunteer to raise funds each year
for Operation Smile programs. In 2017, they raised nearly $55,000, with the
company providing a dollar-for-dollar match.
“With success
comes responsibility.”
Kevin Lobo
Chairman and Chief Executive Officer
Stryker
2018 award
For Giving Back, 2018 FORTUNE 100
out of 50 companies recognized —
on list for the second consecutive year
recipient for the second Best Companies to
consecutive year Work For (U.S.)
#16 in 2018
recipient for the eighth
consecutive year
14
Board of
Directors
Pictured below from left to right Other Officers
16
Additional information
Refer to our 2017 Annual Report on Form 10-K, available at www.stryker.com, for additional information regarding our non-GAAP financial measures.
Power Tools & Computer Minimally- Infrastructure & Pre-hospital Reprocessing and
Surgical Assisted Surgery Invasive & Integration and Acute Care remanufacturing
Equipment Open Surgical
Solutions