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_____________________________ Stryker Fact Book 2009-2010
Fact
Investor Relations Katherine A. Owen Vice President, Strategy and Investor Relations Public & Media Relations J. Patrick Anderson Vice President, Corporate Affairs 2825 Airview Boulevard Kalamazoo, MI 49002 t: 269 385 2600
Book 2009-2010
_____________________________ Stryker Fact Book 2009-2010
Table of
Stryker Overview Company Leadership ............................................................................................................ 1 Summary of Results ............................................................................................................. 2 Net Sales ............................................................................................................................... 3 Net Earnings as Reported ..................................................................................................... 4 Adjusted Net Earnings from Continuing Operations ............................................................ 5 Diluted Net Earnings per Share as Reported ........................................................................ 6 Adjusted Diluted Net Earnings per Share from Continuing Operations ............................... 7 2009 Product Portfolio Sales ................................................................................................ 8 2009 Orthopaedic Implants Product Sales ............................................................................ 9 2009 MedSurg Equipment Sales .......................................................................................... 10 2009 Sales by Geography ..................................................................................................... 11
Market Segment Overview Medical Technology Overview
2009 Worldwide Market ...................................................................................................... 13
Orthopaedic Market Segment Overview 2009 Worldwide Market by Product .................................................................................... 14 2009 Worldwide Market by Company ................................................................................. 15 2009 Worldwide Market by Geography ............................................................................... 16
Orthopaedic Implant Segment Overview 2009 Worldwide Reconstructive Market .............................................................................. 17 2009 Worldwide Spinal Market ........................................................................................... 18 2009 Worldwide Trauma & Craniomaxillofacial Market .................................................... 19 2009 Worldwide Orthobiologics Market .............................................................................. 20
MedSurg Equipment Segment Overview 2009 Worldwide Operating Room Equipment Market ........................................................ 21 2009 Worldwide Endoscopy Market .................................................................................... 22 2009 North American Patient Handling Market ................................................................... 23
Contents
_____________________________ Stryker Fact Book 2009-2010
Stryker Overview
_____________________________ Stryker Fact Book 2009-2010
Company CORPORATE OFFICERS OPERATING GROUPS AND DIVISIONS
Stephen P. MacMillan MEDSURG AND SPINE Chairman, President and Chief Executive Officer Timothy J. Scannell – Group President Jeanne M. Blondia Instruments Vice President and Treasurer James N. Heath – President Lonny J. Carpenter Medical Group President, Global Quality and Operations Bradford L. Saar – President Andrew G. Fox-Smith Endoscopy Group President, International William R. Enquist – Global President Curtis E. Hall Spine Vice President and General Counsel James R. Lawson – President Curt R. Hartman ORTHOPAEDICS Vice President and Chief Financial Officer Michael P. Mogul – Group President James E. Kemler Osteosynthesis Group President, Biotech and Development Vivian Masson – President Eric Lum INTERNATIONAL Vice President, Tax Andrew G. Fox-Smith – Group President Tony M. McKinney Europe Vice President, Chief Accounting Officer Laura Piccinini - President Michael P. Mogul Emerging Markets Group President, Orthopaedics Jim L. Cunniff – President Katherine A. Owen Japan Vice President, Strategy and Investor Relations Xavier Berling – President Michael W. Rude Canada Vice President, Human Resources David Murphy – General Manager Timothy J. Scannell South Pacific Group President, MedSurg and Spine Phillip S. Nicholl – Managing Director Elizabeth A. Staub BIOTECH Vice President, Regulatory Affairs and Quality Assurance James E. Kemler – Group President Bronwen R. Taylor Biotech Vice President, Internal Audit and Compliance David A. Renker – General Manager Thomas R. Winkel Vice President and Secretary
Leadership
1
_____________________________ Stryker Fact Book 2009-2010
2
Stryker Overview As Reported
2009 2008 % ChangeNet Sales $6,723 $6,718 --Net Earnings 1,107 1,148 (4)Diluted Net Earnings per Share 2.77 2.78 --
Adjusted Results
2009 2008 % ChangeNet Sales $6,723 $6,718 --
Adjusted Net Earnings 1,180 1,170 1Adjusted Diluted Net Earnings per Share 2.95 2.83 4Adjusted Return on Sales 18% 17%Adjusted Return on Average Equity 20% 22%
$ in millions (except per share amounts)1. See page 5 for the reconciliation to adjusted net earnings from continuing operations.2. See page 7 for the reconciliation to adjusted diluted net earnings per share from continuing operations.
Summary of Results
_____________________________ Stryker Fact Book 2009-2010
3
Stryker Overview
2,1422,421
2,810
3,402
4,0174,609
5,147
6,001
6,718 6,723
0500
1,0001,5002,0002,5003,0003,5004,0004,5005,0005,5006,0006,5007,000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate 8% 13% 16% 21% 18% 15% 12% 17% 12% --
Net Sales
$ in Millions
_____________________________ Stryker Fact Book 2009-2010
4
Stryker Overview
211255
329
434 440
644
778
1,017
1,148 1,107
0
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate N.M.* 21% 29% 32% 1% 46% 21% 31% 13% (4%)
*N.M. = Not Meaningful
$ in Millions
Net Earnings as Reported
_____________________________ Stryker Fact Book 2009-2010
5
Stryker Overview
210 257325
419
559
676
824
999
1,1701,180
0
100
200
300
400
500
600
700
800
900
1,000
1,100
1,200
1,300
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate 29% 22% 26% 29% 33% 21% 22% 21% 17% 1%
* RECONCILIATION TO ADJUSTED NET EARNINGS FROM CONTINUING OPERATIONS ($ Millions)
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009Reported Net Earnings $211.1 $255.2 $328.5 $434.4 $440.0 $643.6 $777.7 $1,017.4 $1,147.8 $1,107.4
Adjustments (Net of Tax):Restructuring, Acquisition-Related, and Other Charges (Credits) (0.7) 0.4 11.5 - - - - - 21.7 5.5Goodwill/Workforce Intangible Amortization 10.9 11.0 - - - - - - - -Purchased In-Process Research & Development - - - - 120.8 15.9 52.7 - - -Income Taxes on Repatriation of Foreign Earnings - - - - - 27.4 - - - 67.1Extraordinary Loss - 4.8 - - - - - - - -Intangible Asset Impairment - - - - - - - 12.7 - -Net Earnings and Gain on Sale of Discontinued Operations (11.4) (14.6) (15.2) (15.8) (2.0) (11.1) (6.3) (30.7) - -
Subtotal (1.2) 1.6 (3.7) (15.8) 118.8 32.2 46.4 (18.0) 21.7 72.6
Adjusted Net Earnings from Continuing Operations $209.9 $256.8 $324.8 $418.6 $558.8 $675.8 $824.1 $999.4 $1,169.5 $1,180.0
$ in Millions
Adjusted Net Earnings from Continuing Operations*
_____________________________ Stryker Fact Book 2009-2010
6
Stryker Overview
0.520.63
0.81
1.07 1.08
1.57
1.89
2.44
2.78 2.77
$0.00$0.20$0.40$0.60$0.80$1.00$1.20$1.40$1.60$1.80$2.00$2.20$2.40$2.60$2.80$3.00
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate N.M.* 21% 29% 32% 1% 45% 20% 29% 14% --
*N.M. = Not Meaningful
Diluted Net Earnings per Share as Reported
_____________________________ Stryker Fact Book 2009-2010
7
Stryker Overview
0.520.63
0.80
1.03
1.37
1.65
2.00
2.40
2.832.95
$0.00$0.20$0.40$0.60$0.80$1.00$1.20$1.40$1.60$1.80$2.00$2.20$2.40$2.60$2.80$3.00$3.20
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate 27% 21% 27% 29% 33% 20% 21% 20% 18% 4%
* RECONCILIATION TO ADJUSTED DILUTED NET EARNINGS PER SHARE FROM CONTINUING OPERATIONS
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Reported Diluted Net Earnings per Share $0.52 $0.63 $0.81 $1.07 $1.08 $1.57 $1.89 $2.44 $2.78 $2.77
Adjustments (Net of Tax):Restructuring, Acquisition-Related and Other Charges (Credits) - - 0.03 - - - - - 0.05 0.01Goodwill/Workforce Intangible Amortization 0.03 0.03 - - - - - - - -Purchased In-Process Research & Development - - - - 0.30 0.04 0.13 - - -Income Taxes on Repatriation of Foreign Earnings - - - - - 0.07 - - - 0.17Extraordinary Loss - 0.01 - - - - - - - -Intangible Asset Impairment - - - - - - - 0.03 - -Net Earnings and Gain on Sale of Discontinued Operations (0.03) (0.04) (0.04) (0.04) - (0.03) (0.02) (0.07) - -
Subtotal - - (0.01) (0.04) 0.29 0.08 0.11 (0.04) 0.05 0.18
Adjusted Diluted Net Earnings per Share from Continuing Operations $0.52 $0.63 $0.80 $1.03 $1.37 $1.65 $2.00 $2.40 $2.83 $2.95
Adjusted Diluted Net Earnings per Share from Continuing Operations*
_____________________________ Stryker Fact Book 2009-2010
8
Stryker Overview
Knees
HipsOther Reconstructive
Endoscopy
Spinal
Trauma and Craniomaxillofacial
Operating RoomEquipment
$ in Millions
2009 2008 % ChangeConstant Currency
Orthopaedic Implants $4,120 $3,967 4% 6%MedSurg Equipment 2,603 2,751 (5%) (4%)
Total $6,723 $6,718 -- 2%
Orthopaedic Implants
2009 Product Portfolio Sales
Orthopaedic Implants
61%
MedSurg Equipment
39%
MedSurg Equipment
Medical Beds & Stretchers
_____________________________ Stryker Fact Book 2009-2010
9
Stryker Overview
Other Reconstructive
Hips
Knees
Spinal
1,406 1,537 1,798
2,192
2,5562,850
3,123
3,587
3,967 4,120
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate 5% 9% 17% 22% 17% 12% 10% 15% 11% 4%
Trauma and Craniomaxillofacial
2009 Orthopaedic Implants Product Sales
61% of Total Company Sales $ in Millions
_____________________________ Stryker Fact Book 2009-2010
10
Stryker Overview
736884 1,012
1,210
1,461
1,759
2,024
2,413
2,7512,603
0
300
600
900
1,200
1,500
1,800
2,100
2,400
2,700
3,000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Annual Growth Rate 14% 20% 14% 20% 21% 20% 15% 19% 14% (5%)
Endoscopy
Operating Room Equipment
2009 MedSurg Equipment Sales
39% of Total Company Sales
$ in Millions
Medical Beds & Stretchers
_____________________________ Stryker Fact Book 2009-2010
11
Stryker Overview
Japan
EMEA
$ in Millions
2009 2008 % ChangeConstant Currency
United States $4,317 $4,282 1% 1%International 2,406 2,436 (1%) 3%Total $6,723 $6,718 -- 2%
United States
2009 Sales by Geography
Canada & Latin America
United States: 64% International: 36%
Pacific
_____________________________ Stryker Fact Book 2009-2010
12
Market The data set forth in this Market Segment Overview is derived, in part, from third party sources, including publicly reported information to the extent available. We are unable to independently verify the information that comes from third party sources. Moreover, the total market segment size and the market segment share of the companies included is necessarily based on estimates as many companies do not report the specific information identified by market segments as classified in this Market Segment Overview. The data presented is based on our definition of the market segments. Accordingly, while we believe that this data is representative, it is presented only to provide the reader with a broad overview and should not be relied on. Note: Numbers in this section may not add to totals due to rounding.
Segment
Overview
_____________________________ Stryker Fact Book 2009-2010
13
Medical Technology Market Overview
Rank Company
Total Estimated Med Tech
Sales
Total Estimated Company
Sales1. J&J 23.6 61.92. Siemens 16.4 103.73. G.E. 16.0 156.84. Medtronic 15.5 15.55. Baxter 12.6 12.66. Philips 10.9 32.37. Covidien 10.9 10.98. Boston Scientific 8.2 8.29. Becton Dickinson 7.4 7.410. Abbott 7.3 30.811. Stryker 6.7 6.712. Cardinal Health 6.7 101.713. B. Braun 5.6 5.614. St. Jude 4.7 4.715. 3M 4.3 23.116. Zimmer 4.1 4.117. Hospira 3.9 3.918. Smith & Nephew 3.8 3.819. Toshiba 3.7 71.119. Olympus 3.7 9.421. Synthes 3.4 3.422. Terumo 3.3 3.322. Beckman Coulter 3.3 3.324. Danaher 3.1 11.225. Alcon 3.0 6.526. Fresenius 2.9 11.227. Biomet 2.6 2.628. C.R. Bard 2.5 2.529. Carestream Health 2.4 2.430. Varian Medical 2.2 2.2
Top Medical Technology Companies ($ in Billions)*
*All numbers have been converted to USD at the 2009 average exchange rate and are for the twelve month period ending December 31, 2009.
2009 Worldwide Market
_____________________________ Stryker Fact Book 2009-2010
14
Orthopaedic Market Segment Overview
Reconstructive Joint Replacement
Spinal
Trauma and Craniomaxillofacial
Orthobiologics
Operating Room Equipment Arthroscopy
Hyaluronic Acid
Other
Estimated ($ in Billions)
SalesPercent
of MarketGrowth
Rate$6.9 19% 11%
Knees 6.6 18% 2%5.4 15% 6%
Hips 5.4 15% 1%2.9 8% 7%
Hyaluronic Acid 1.1 3% 7%1.1 3% 6%
$29.5 80% 5%
SalesPercent
of MarketGrowth
RateOperating Room Equipment $3.3 9% (3%)Arthroscopy 2.8 8% (4%)Other 1.4 4% 2%Subtotal $7.6 20% (2%)
Total Orthopaedic Market $37.1 100% 4%
Equipment & Other
Orthobiologics
Subtotal
ImplantsSpinal Devices
Trauma & Craniomaxillofacial
Extremities & Bone Cement
2009 Worldwide Market by Product
Market Size: $37.1 Billion
$ Growth: 4%
Stryker participates in shaded areas above
_____________________________ Stryker Fact Book 2009-2010
15
Orthopaedic Market Segment Overview
Zimmer
Other
Biomet
Smith & Nephew
Synthes
Medtronic
J&J
Stryker
Estimated ($ in Billions)
CompanyTotal Sales
Orthopaedic Sales
Orthopaedic Market Share
Orthopaedic Growth Rate
Stryker $6.7 $5.6 15% 3%
J&J 61.9 4.9 13% 6%
Zimmer 4.1 3.9 10% 0%
Medtronic 15.5 3.8 10% 3%
Synthes 3.4 3.4 9% 8%
Smith & Nephew 3.8 2.8 8% 1%
Biomet 2.6 2.2 6% 6%
Other N/A 10.5 28% 4%
Total Market N/A $37.1 100% 4%
2009 Worldwide Market by Company
Market Size: $37.1 Billion $ Growth: 4%
_____________________________ Stryker Fact Book 2009-2010
16
Orthopaedic Market Segment Overview
United States EMEA Region
Japan
Pacific Region
Estimated ($ in Billions)
Geographic Market 2009Percent of
MarketGrowth
RateConstant Currency
Growth RateUnited States $22.4 60% 5% 5%
EMEA Region 9.0 24% (3%) 5%
Japan 2.4 7% 15% 5%
Pacific Region 2.2 6% 6% 12%
Canada & Latin America Regions 1.1 3% 3% 3%
Total Market $37.1 100% 4% 5%
2009 Worldwide Market by Geography
Market Size: $37.1 Billion
$ Growth: 4%
Stryker participates in all geographic regions
Canada & Latin America Regions
_____________________________ Stryker Fact Book 2009-2010
17
Orthopaedic Implant Segment Overview
Knees
Hips
Extremities & Bone Cement
CompanyEstimated
Market Share Zimmer 24%
J&J 22%
Stryker 19%
Biomet 12%
Smith & Nephew 11%
Other 12%
2009 Worldwide Reconstructive Market
Market Size: $13.2 Billion
$ Growth: 2%
Stryker Growth: 3%
Stryker participates in all segments above
_____________________________ Stryker Fact Book 2009-2010
18
Orthopaedic Implant Segment Overview
Cervical
Electrical Stimulation
Interbody Devices
Thoracolumbar
Company Medtronic
J&J
Synthes
Stryker
Nuvasive
Globus
Zimmer
Other 13%
4%
9%
5%
4%
EstimatedMarket Share
36%
15%
14%
2009 Worldwide Spinal Market Vertebral Compression
Fractures
Market Size: $6.9 Billion
$ Growth: 11%
Stryker Growth: 9% Stryker participates in shaded areas above
_____________________________ Stryker Fact Book 2009-2010
19
Orthopaedic Implant Segment Overview
CompanyEstimated
Market Share
Synthes 41%
Stryker 17%
Smith & Nephew 8%
J&J 5%
Zimmer 4%
Biomet 3%
Other 22%
2009 Worldwide Trauma & Craniomaxillofacial
Hip Fracture
Craniomaxillofacial &
Neuro
Lower Extremity
Upper Extremity
Foot, Deformities,
Pediatric
Market Size: $5.4 Billion
$ Growth: 6%
Stryker Growth: 6%
Stryker participates in all segments above
_____________________________ Stryker Fact Book 2009-2010
20
Orthopaedic Implant Segment Overview
CompanyEstimated
Market Share Medtronic 34% Synthes 7% J&J 3% Osteotech 3% Smith & Nephew 3% Stryker 3% Other 47%
2009 Worldwide Orthobiologics Market Blood Based & Ortho Stem Cells
Demineralized Bone Matrix
Market Size: $2.9 Billion
$ Growth: 7%
Stryker Growth: (19%) Stryker participates in shaded areas above
Growth Factors
Synthetics
Allograft
_____________________________ Stryker Fact Book 2009-2010
21
MedSurg Equipment Segment Overview
CompanyEstimated
Market Share
Stryker 31%
Medtronic 9%
Zimmer 6%
Conmed 4%
J&J 4%
iFlow 4%
Other 42%
2009 Worldwide Operating Room Equipment
Surgical Equipment Navigation
Powered Instruments
Market Size: $3.3 Billion
$ Growth: (3%)
Stryker Growth: (1%)
Stryker participates in all segments above
_____________________________ Stryker Fact Book 2009-2010
22
MedSurg Equipment Segment Overview
Other
Laparoscopy
Other
Implants & Ins
Visualization
Arthroscopy
Urology
Rigid Scopes
CompanyJ&J
Olympus
Covidien
Boston Scientific
Stryker
Karl Storz
Smith & Nephew
Other 29%
4%
4%
4%
7%
EstimatedMarket Share
18%
21%
13%
2009 Worldwide Endoscopy Market
Implants & Instruments
Visualization
Arthroscopy Urology
Rigid Scopes
Market Size: $21.3 Billion
$ Growth: 3%
Stryker Growth: (2%)
Stryker participates in shaded areas above
Other Including: Open Surgery and Other Instrumentation, Other
Capital Equipment and Service, ENT, Oncology, Gynecology & Flexible
Scopes
Laparoscopy
Gastrointestinal
_____________________________ Stryker Fact Book 2009-2010
23
MedSurg Equipment Segment Overview
CompanyEstimated
Market Share Hill-Rom 46%
Stryker 26%
KCI 11%
Ferno-Washington 2%
Other 15%
2009 North American Patient Handling Market
Furniture
EMS
Patient Handling Recovery Transport Surgical
Rentals
Patient Room Med/Surg Maternity
Critical Care Furniture
Market Size: $1.6 Billion
$ Growth: (14%)
Stryker Growth: (22%)
Stryker participates in shaded areas above
_____________________________ Stryker Fact Book 2009-2010
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_____________________________ Stryker Fact Book 2009-2010
Joint Replacements
Trauma, Extremities & Deformities
Craniomaxillofacial
Spine
Biologics
Surgical Products
Neuro & ENT
Interventional Spine
Navigation
Endoscopy
Communications
Imaging
Patient Care & Handling Equipment
EMS Equipment