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1、2023 Comprehensive ReportFinancial,environmental,social and governanceWe work with our customers every day to make healthcare betterTable of contents2023 in review 2Better healthcare 14Stronger people 24Healthier planet 41Good business 54Appendix 72Stryker is a global leader in medical technologies.

2、We offer innovative products and services in MedSurg,Neurotechnology,Orthopaedics and Spine that help improve patient and healthcare outcomes.2023in reviewIn this sectionA circle of caring 3Our company 62023 fast facts 7CEO message 8Financial highlights 10Committed to corporate responsibility 122Str

3、yker 2023 Comprehensive ReportA circle of caringClose collaboration between an orthopaedic surgeon and Strykers product expert helps a young athlete and advocate getactive againso she can keep inspiring othersOn a late night in February 2021,Dr.Daniel Stahl,an orthopaedic trauma surgeon,was on call

4、at Baylor Scott&White Health in Temple,Texas.He got word of an air ambulance on its way from Waco,transporting a young woman who had been hit by a car.The patient,Jamie Blanek,had a devastating list of injuries,including a fractured skull,broken pelvis and extensive tissue,ligament and tendon damage

5、.Jamies left leg was shattered in multiple places.Her right leg was amputated at the scene.Within minutes of landing at Baylor Scott&White,Jamie went into surgery to stabilize her left leg and save her life.Confident care amid the unexpectedUnlike elective surgeries planned weeks or months in advanc

6、e,the work of a trauma surgeon is nearly impossible to plan for or predict.Every minute counts,and surgeons need the best tools and knowledge at the ready.As Dr.Stahl prepared for surgery,one of his first calls was to BJ Williams,a trauma sales representative within Strykers Trauma Business.Strykers

7、 trauma sales representatives operate on call and around the clock,much like the healthcare professionals they support.They are often present in the operating room,providing guidance throughout a procedure on the safe and effective use of our products.When it comes to orthopaedic surgery,they are eq

8、uipped to answer technical questions related to the size and positioning of the orthopaedic implant.“I called BJ to discuss options,”says Dr.Stahl.“Every bone in Jamies left leg was broken,including multiple complex fractures.BJ offered guidance on the available product options,including screws,the

9、length of the implant and plate selection.”“And he provided that information to me quicklyso I could begin surgery as soon as possible.”2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report3In that moment,he gave me hope that even though my life was going to be d

10、ifferent,there was light at the end of the tunnel.”Jamie BlanekStaying active,no matter whatAs Dr.Stahl rapidly learned,Jamie was not just any patient.A former Miss Waco pageant winner,Jamie was well-known in the community for her many charitable endeavors,including her work at an animal shelter and

11、 with autistic children.She was also passionate about fitness.“The first actual conversation I remember after the accident was with Dr.Stahl,”Jamie says.“In that conversation,we talked about my life before.I told him,Im very active.I snowboard.I travel.I dance.I work out every day.”“I think in that

12、conversation,he understood that I was a person who was not going to give up.He said that eventually Id be able to do almost everything I used to do.”What he said next surprised her most:“He said,next year,well run a Spartan race together.”“In that moment,he gave me hope that even though my life was

13、going to be different,there was light at the end of the tunnel.”Cutting-edge treatmentOver the course of five surgeries,Dr.Stahl used a range of Strykers trauma products to repair Jamies left leg.A Hoffmann 3 external fixation system stabilized the bones from the outside.Later,a combination of a T2

14、Alpha intramedullary nail and VariAx 2 plates were implanted as a solution for internal stability.2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report4Because I had people helping me,now I can keep helping others.”Jamie BlanekAn inspiring recoveryThree years aft

15、er her accident,Jamie is even more active than she was before.She moved to Utah and now snowboards competitively,ranking second in the 2023 Europa Cup and seventh at the Para Snowboard World Championships in boardercross.These achievements are about more than medalsthey are helping prove that athlet

16、es with lower limb disabilities like hers can compete at the highest levels.Shes also involved with the Range of Motion Project,which provides custom prosthetics for people with amputations in Ecuador,Guatemala and the United States.In 2022,Dr.Stahl kept his promise by running a Spartan race with Ja

17、mietackling not only a 5K,but also a course at 9,000 feet of elevation and multiple obstacles along the way.“Im so fortunate that Dr.Stahl has been with me through this entire process,”Jamie says.“I couldnt have been placed in a better hospital,in a better operating room,than with him.From the first

18、 conversation we had,hes had faith in me,and Ive had faith in him.”After her recovery,Jamie also met BJ,whose product offering guidance helped inform Dr.Stahls course of treatment.“My recovery is proof that their collaboration worked.Im fortunate that there are people who want to do their best work,

19、so I can live my best life.”“Its a circle of helping people,and thats really the good of this story.Because I had people helping me,now I can keep helping others.”2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report5Our companyStryker is a global leader in medic

20、al technologies and,together with our customers,we are driven to make healthcare better.We offer innovative products andservices in MedSurg,Neurotechnology,Orthopaedics and Spine that help improve patient and healthcare outcomes.Alongside our customers around the world,we impact more than150 million

21、 patients annually.More information is available at Focus areas Biologics Clinical Communication and Workflow Craniomaxillofacial Digital and Enabling Technologies Emergency and Acute Care Foot and Ankle Hips Infrastructure and Integration Knees Minimally Invasive and Open Surgical Visualization Neu

22、rosurgical Neurovascular Otolaryngology Power Tools Reprocessing Robotic-Assisted Surgery Spine Sports Medicine Surgical Equipment Trauma Upper ExtremitiesGlobal recognition Great Place to Work Worlds Best Workplaces Fortune 100 Best Companies to Work For Fortune Worlds Most Admired Companies Fortun

23、e Best Workplaces for Women Fortune Best Workplaces for Millennials2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report62023 fast facts$20.5B global sales52,000 employees75 countries we reachSYK stock symbol(NYSE)Better healthcareOver 150M*patients impactedgloba

24、lly$1.4B R&D spend12,900 patents owned globallyHealthier planet70%of 2022 North American electricity volume will be covered by our Renewable Power Purchase agreement annually8 sites added to Strykers renewable energy portfolio through electrical agreementsGood business50%of Strykers Board memberside

25、ntify as people ofcolor,and 40%identify aswomen$1B spend with diverse-ownedand small businesses inthe U.S.59%of direct suppliers(by spend)assessed on environmental,social and governance(ESG)performanceStronger people$8.2M in employee and matchcontributions to globalnonprofitsNamed a Worlds Best Work

26、place for the seventh yearin a rowScored in the top 15%companies Gallup surveyed foremployee engagement*Figure based on 2022 data.We regularly update our methodology to reflect our business footprint and data availability,which may result in changes to our reported metric.2023 in review Healthcare P

27、eople Planet Business AppendixStryker 2023 Comprehensive Report7Dear stakeholders,A message from Strykers Chairand CEO,Kevin LoboWorking together with our customers,we are making healthcare better and growing our impact around the world.During 2023,we surpassed$20 billion in sales,and,with this mile

28、stone,we also understand that our responsibility to our stakeholders grows accordingly.Our strong culture,led by mission-driven employees,is key to our ability to support our customers.Together,our momentum continues as we are driving tremendous innovation through specialization.Id like to thank our

29、 employees and customers for their determination and dedication to make a positive impact now and into the future.CultureOur mission and values unify our employees,and our culture is built on purpose,talent,relationships and growth.We hire people who are curious and humble and who believe that resul

30、ts matter.Behind our strong culture is a robust talent offense that values diverse strengths,listens to employees and prioritizes engagement and development.Aligned with our values,we continue to advance our Diversity,Equity and Inclusion efforts that support our continued success.In recognition of

31、our culture,Stryker continues to be honored as a Great Place to Work,Worlds Best Workplaces,Fortune 100 Best and Best Workplaces for Women.InnovationInnovation is the lifeblood of our company,and we have healthy product pipelines across our business units.Our deep customer insights allow us to bette

32、r understand their needs and build technologies and solutions to address them.We had numerous high-impact product launches in 2023 that contributed to our strong growth and will continue to have an impact into 2024 and beyond.Digital and robotic technologies are powering the surgical guidance and pl

33、anning software features of many of our products,including Mako Total Knee 2.0.Our Trauma and Extremities Division has had another year of multiple product launches,adding to a robust list since the acquisition of Wright Medical.Expanding on a strong history of visualization innovation,our Endoscopy

34、 Business has launched the 1788 Platform,which helps surgeons see better and helps them to better We are well-positioned to continue our momentum and deliver strong performance for all stakeholders in the years ahead.”Kevin Lobo,Chair and CEO2023 in review Healthcare People Planet Business AppendixS

35、tryker 2023 Comprehensive Report8identify cancer in different parts of the anatomy for treatment using CYTALUX.Our Medical Division introduced the Prime Connect Stretcher and the Xpedition Powered Stair Chair,while our Instruments Division launched the Neptune S Waste Management System,to name a few

36、.PerformanceIn 2023,Strykers sales grew over 11%organically.We continue to specialize and diversify our portfolio with a focus on organic innovation and non-organic innovation through mergers and acquisitions,including more than 50 acquisitions in the last 10 years.We remain focused on advancing glo

37、balization,and our international success continued with double-digit organic sales growth in 2023.With the U.S.representing more than 70%of our sales,the international market opportunity remains significant.We are also well-positioned to benefit from the trend in shift of site of care for certain pr

38、ocedures to ambulatory surgery centers(ASCs).With our ASC offense,we have a focused approach for our customers that provides strong support to them as they build,expand and renovate their centers.Our broad portfolio across capital equipment,implants and surgical disposables is well-suited for their

39、needs.Corporate responsibilityOur positive impact is built on responsible,sustainable practices,and Strykers commitment to a better,healthier world starts with our Corporate Responsibility framework of stronger people,healthier planet and good business.Its been a challenging year for many across the

40、 globe.Stryker and our employees provide support through our signature partners,including American Red Cross/Red Crescent societies and Project C.U.R.E,as well as our employee volunteering,giving and company match programs.We also know that there is a connection between human health and the health o

41、f our planet,and were making strides in reducing our environmental footprint.We are building initiatives aimed at integrating sustainable practices into our businesses,embedding Corporate Responsibility Champions across the company,and adding a new R&D environmental sustainability design award.Colla

42、boration across the industry and with our customers is key to collective progress,and we held our first Climate Week Town Hall this year,inviting customers and employees to discuss sustainability issues most important to them.Together with our customers,we impact more than 150 million patients annua

43、lly,a number that helps quantify our reach and inspires us to push further.We are well-positioned to continue our momentum and deliver strong performance for all stakeholders in the years ahead.We are winning with our employees and customers and continuing to make strong progress in corporate respon

44、sibility.Please enjoy reading this report,which should leave you as excited as I am about our prospects for the future.2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report9Financial highlightsFinancial overview($in millions,except per share amounts)2023 2022%Cha

45、ngeNet sales$20,498$18,449 11.1%Earnings before income taxes 3,673 2,683 36.9%Income taxes 508 325 56.3%Net earnings 3,165 2,358 34.2%Adjusted net earnings*4,066 3,571 13.9%Net earnings per diluted share of common stock Reported 8.25 6.17 33.7%Adjusted*10.60 9.34 13.5%Dividends paid per share of com

46、mon stock 3.00 2.78 7.9%Cash,cash equivalents and marketable securities 3,053 1,928 58.4%*Adjusted net earnings and adjusted net earnings per diluted share are non-GAAP financial measures.Refer to page 95 for a reconciliation to the most directly comparable GAAP financial measures,net earnings and n

47、et earnings per diluted share.2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report10Financial highlights continuedMedSurg and Neurotechnology 58%Orthopaedics and Spine42%2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report11

48、Committed to corporate responsibilityWere working to create a better,healthier world by positively impacting our employees,communities and environmentOur mission to make healthcare better drives us to innovate tirelessly to provide game-changing technologies for the continuum of patient care,includi

49、ng ambulances,operating rooms and hospitals.We know that growing our business is not enoughwe must also scale our impact.Thats why we invest in the health of our people,communities and planet.Our Corporate Responsibility framework reflects this holistic approach,with three pillars focusing on one ke

50、y objective:creating a better,healthier world.2023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive Report12Reporting approach and stakeholder engagementStrykers corporate responsibility,or ESG,reporting focuses on the priority topics noted above for each of our three p

51、illars.We identified these topics through a prioritization assessment involving engagement with key internal and external stakeholders,peer benchmarking and ESG trend analysis.We monitor our priority issues,as well as the evolving ESG landscape and regulation,to continue to report and disclose on th

52、e most relevant topics and frameworks.Our reporting is informed by the Taskforce for Climate-related Financial Disclosure(TCFD),and our emissions goals are aligned with the 1.5-degree threshold for science-based targets.We also report our greenhouse gas emissions data and reduction initiatives annua

53、lly through CDP,an internationally recognized nonprofit organization that collects and reports environmental metrics.We are regularly exploring emerging topics and standards,where appropriate,and will continue to evolve our reporting practice to meet the needs of our business and stakeholders.Engagi

54、ng our stakeholdersWe are in regular communication with the diverse set of stakeholder groups that we serve,continually evolving our engagement approach based on the needs of our stakeholders and our business.Key stakeholder groups engaged on ESG topicsEmployees,customers,investors,suppliers,communi

55、ty members,regulatorsHow we engageFormal surveys,interviews,focused assessments,supplier roundtables,industry initiativesIndustry engagementAmerican College of Clinical Pharmacy,AdvaMed,MedTech Europe,APACMed,Decarbonizing the Healthcare Value Chain initiative2023 in review Healthcare People Planet

56、Business AppendixStryker 2023 Comprehensive Report13Better healthcareIn all that we do,Stryker works with customers to make healthcare better.“Better”means different things in different contexts,which is why we tackle it from many angles,including innovation,access and affordability,product quality

57、and safety,and education for healthcare providers worldwide.In each of these efforts,our goals are the same:enhance the experience of giving and receiving careand improve patient outcomes.In this sectionInnovating to improve healthcare 15Supporting access to quality healthcare 18Dedication to produc

58、t quality and safety 2114Stryker 2023 Comprehensive ReportInnovating to improve healthcareFueling progress through growthWe are building the future of medical technology to support customers,care teams and patients and drive business growth.In 2023,Strykers growth was built on the strength of our in

59、novation,with several key products launching during the year,as well as key acquisitions,such as Cerus Endovascular.Strykers commitment to innovation has yielded products that make healthcare better for providers and patients.Were supporting healthcare professionals through personalized tools and co

60、nnected technologies that strengthen care,support informed decision making and make healthcare better for all.Offering personalized tools to support outcomesStryker is a leader in offering tools across specialties that allow healthcare professionals to address a patients unique anatomy.For example,o

61、ur TMJ Concepts implants are built specifically for each patient and have become a standard in temporomandibular joint(TMJ)reconstruction.We also pair personalization with other innovative products.One example is our Shoulder iD Solution,which uses our Blueprint 3D Planning Software to support preop

62、erative planning based on a patients anatomy.1Restoring function and hopeEmily2 suffered from Parry-Romberg syndrome,which causes the slow deterioration of the skin and soft tissue in half the face.After years of painful spasms,liquid diets and ineffective treatments,her doctor recommended a jaw rep

63、lacement.Her surgeon decided to pursue a customized TMJ Concepts jaw replacement.The surgery was a success,and Emily now has a functioning jaw and an improved quality of life.152023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportIntegrating robotics and connecte

64、d technologies to enhance careWe have developed connected technologies that make healthcare more precise and efficient,as well as more personalized.Mako SmartRobotics with its 3D personalized CT-based planning and AccuStop haptic technology enables accurate implant positioning3,4,5,6 and can help le

65、ad to better patient outcomes such as less pain and shorter recovery times compared to manual surgery.7,8,9 Vocera Engage,our intelligent rules engine,integrates with ProCuity beds and Prime Connect stretchers,allowing bed exit alarms to be sent to the right person almost instantly on their mobile c

66、ommunication device.10 The Q Guidance System with Spine and Cranial Guidance Software aims to deliver more surgical planning and navigation capabilities,helping to simplify complex surgical tasks.It boasts full-spectrum active and passive hybrid optical tracking with a redesigned,state-of-the-art ca

67、mera,enhanced spinal and cranial software applications and sophisticated processing algorithms and instrumentation.Mako continues to scaleglobally,advancing innovation that empowers outcomes.With over 1 million procedures performed,Makois impacting patients inmore than 40 countries.11Strykers AI opp

68、ortunityStrykers expertise in digital,robotics and enabling technologies creates products that help drive improved outcomes and provide a seamless customer experience across the continuum of care from pre-planning and automation to clinical decision support and personalization.This expertise has als

69、o opened avenues for harnessing cutting-edge technologies like artificial intelligence(AI)and machine learning to propel innovation further.Continuing our AI expertise,Stryker has developed a Blueprint 3D Planning software that allows the surgeon to create a customized plan for their patient.When pa

70、ired with the Microsoft HoloLens 2 and Strykers Blueprint Mixed Reality software,an interactive stereoscopic 3D image view of the plan can be brought into the OR to guide their technique and positioning.Separately,Triton is an AI-enabled platform that assesses real-time blood loss during birth and p

71、ostpartum care.12Back on the runAfter a 20-year career as an operating room nurse and avid runner,Carolyn,one of Strykers employees,was diagnosed with osteoarthritis in her hip.The pain became severe,preventing her from sleeping and impacting every aspect of her life.To address her debilitating hip

72、pain,Carolyn received a Mako Total Hip replacement and was able to begin moving again the same day as her surgery.“The Mako Total Hip replacement was a great choice for me,”she says.“I feel better than I have in a long time and can get back to the activities that I love to do.”162023 in review Healt

73、hcare People Planet Business AppendixStryker 2023 Comprehensive ReportNew tools to support informed decision-makingWe continue to develop new tools to give healthcare professionals an edge when it matters,both in the operating room and by a patients bedside.Surgical visualization tools,which give pr

74、oviders greater insight into each patient under their care,are ever evolving.We offer a variety of these tools,including our newest 1788 camera platform,a minimally invasive surgical camera that visualizes blood flow and critical anatomy across multiple specialties,and our SPY-Portable Handheld Imag

75、ing system(SPY-PHI),which uses fluorescence imaging technology to visualize blood flow and perfusion during surgery.In 2023,SPY-PHI was approved for use in breast cancer surgeries,increasing the number of patients we can serve.13We continue to champion products that give surgeons more control in the

76、 operating room.The new CD NXT power tool system for orthopaedic procedures streamlines instrumentation and surgical steps,offering an accurate and reproducible measurement while reducing risk of errors commonly associated with a manual depth gauge.14 Our newest power tool offering,System 9,offers f

77、irst-of-its-kind wireless charging,a battery status indicator for clear indication of power levels,ergonomically designed handles to reduce the number of pressure points while cutting and advanced safety features to help prevent accidental activation.15Making healthcare safety a priorityStryker shar

78、es our customers commitment to the safety and wellbeing of care team members,both inside and outside of the hospital.Recent product launches include the Xpedition stair chair,helping emergency responders safely transport patients,and the Prime Connect stretcher,designed to support fall prevention pr

79、otocols from anywhere in a facility.The Neptune S,Strykers constantly closed waste management system,is designed to protect staff against unintentional exposures and spills.16,17 Mako SmartRobotics,a part of the DART(Direct Anterior Reconstructive Technology)ecosystem,has demonstrated accuracy to su

80、rgical plan in total hip arthroplasty without the use of fluoro.18,19 Mako can help surgeons reduce intraoperative radiation and join the journey to a fluoro-free operating room.Additionally,our clinical communication and workflow solutions have care team safety and wellbeing in mind,by enabling con

81、nectivity to the right people and information quickly in critical situations.Winning togetherLin Smith,a former airline pilot,was diagnosed with stage 3 colorectal cancer and told he only had six months to live.After consulting a specialist,Dr.Janice Rafferty,Lin learned that surgery would be requir

82、ed given the stage and location of his cancer.Dr.Rafferty used Strykers SPY-PHI fluorescence imaging technology to visualize Lins blood flow intraoperatively,giving her critical information during surgery.With a successful surgery to remove his cancer,Lin is now cancer-free.172023 in review Healthca

83、re People Planet Business AppendixStryker 2023 Comprehensive ReportSupporting access to quality healthcareIncreasing access,affordability and understandingWe recognize that limited resources make quality care especially difficult to deliver in some communities,and that structural inequities persist.

84、Stryker is working to address healthcare inequalities through product development,broader market access,advocacy and education.Championing access from the startConsiderations about healthcare access begin at the earliest stages of product development and in the clinical trials process.Stryker is com

85、mitted to evolving clinical development to support health equity,knowing this can lead to better patient outcomes.Efforts have begun within clinical trials to address this need by tracking diversity and conducting outreach to underserved populations.For example,the COVID-19 pandemic led to increased

86、 use of pulse oximeters.A recent publication demonstrated impact of skin tone,20 creating the potential for delayed treatment and poor outcomes.In response,Strykers Sustainability Solutions reprocessing business completed a clinical study that successfully enrolled a diverse patient population.The s

87、tudy demonstrated that the reprocessed devices fulfill all FDA pulse oximetric accuracy requirements.21Additionally,Stryker considers disease prevalence in patient populations when determining enrollment in trials,and our R&D Clinical Teams emphasize the importance of diversity of perspective in cli

88、nical development.For example,scarcity of care is a barrier to stroke treatment in many parts of the world.Strykers Neurovascular Division has responded by opening a state-of-the-art facility in India designed to accelerate stroke-related innovation in the Asia-Pacific region.This facility offers a

89、simulated neurovascular catheterization lab and opportunities for hands-on training and collaboration among customers,product development engineers and other key stakeholders.Stryker strives to respond to the needs of customers and patients in local markets and develop solutions that meet their need

90、s.Colorectal cancer is the number one cause of cancer deaths among Japanese women and the second highest among men.Stryker supported a clinical study involving 839 patients across over 40 different Japanese surgical centers that assessed the use of fluorescence imaging for minimally invasive rectal

91、cancer surgery.The study demonstrated that blood perfusion assessment by indocyanine green fluorescence imagining(ICG-FI)significantly reduced complications(anastomotic leakage rate)by 4.2 percent compared to conventional blood perfusion methods,allowing us to advocate with our customers for the sol

92、utions that offer their patients better clinical results.22,23182023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportTackling affordabilityTodays dynamic economic environment,with high inflation,rising labor costs and elevated interest rates,creates challenges fo

93、r many providers working to deliver high-quality patient care.We work to make our products more accessible by:Offering flexible payment solutions.Our Flex Financial Business continues to offer healthcare facilities comprehensive solutions to meet their clinical and financial goals,including traditio

94、nal finance and operating leases,deferred payments,step payments and usage-based options.Reprocessing high-quality equipment.Strykers Sustainability Solutions Business is a leading provider of reprocessing in the global healthcare market,helping extend the life of thousands of medical devices that w

95、ould otherwise be disposed of after a single use.After carefully reprocessing devices,we resell them at discounted ratesmaking them not only more sustainable,but also more accessible economically.In 2023,Strykers Sustainability Solutions helped their customers divert more than 5 million pounds of wa

96、ste from the landfill through our reprocessing programs,saving 3,250 customers approximately$238 million.In the same time period,we have helped nearly 50 Integrated Delivery Networks save over$1 million annually in supply chain costs.Tailoring our solutions for regional needs.We are working to expan

97、d access,as well as invest in education campaigns with public health authorities to inform decision-making around greater availability of our technologies.We continue to expand access through our use of design transfers,which give local manufacturers the ability to produce products tailored to local

98、 needs.Trauson,a subsidiary of Stryker and leading provider of orthopaedic solutions in China,has used a design transfer from Stryker to release Superadius,a knee prosthesis developed for the mid-tier markets with quality at an affordable price.24 Providing access across dynamic sites of care.In the

99、 past several years,many procedures have shifted from the inpatient,acute care hospital setting to the outpatient surgery setting,specifically ambulatory surgery centers(ASCs).This shift became more pronounced and accelerated during the pandemic.According to research by the ASC Association,25,26 ASC

100、s can be more efficient,help to increase patient satisfaction,reduce hospital-related infections and reduce procedural and operational costs.Stryker supports this shift toward outpatient surgery with a dedicated ASC Business tailored toward the goals of these customers.Strykers Emergency Care Busine

101、ss operates a certified pre-owned program for its Power-PRO XT powered ambulance cot,the LIFEPAK 15 defibrillator monitor and,since 2023,its Power-LOAD cot fastener.Over the past three years,the program has recertified and resold 113 tons of medical devices.192023 in review Healthcare People Planet

102、Business AppendixStryker 2023 Comprehensive ReportHow we support medical educationStryker regularly brings together medical professionals,students,customers and other stakeholders to further the collective knowledge of the industry.Here are a few ways that we engage:MedEd SummitOur MedEd summit is a

103、n annual event during which we share information among our Medical Education Teams.The 2023 event focused on ways to support diversity in MedEd,share best practices in communication and understand compliance initiatives across the organization.MedEd AwardsIn 2023,we recognized Stryker teams that hav

104、e made exceptional contributions to advancing medical education and training healthcare professionals.Categories include awards for best In-Person Program,Virtual Program,Collaboration and Innovation.Mobile labsWe have a fleet of 14 mobile labs around the globe,each fully equipped with surgical tabl

105、es and a variety of solutions across Strykers specialties.Through hands-on demonstrations and expert guidance,we use mobile labs to train and empower surgeons and healthcare professionals with a deeper understanding of the latest advancements in Strykers portfolio.Workshops for customersWe regularly

106、 educate customers on the proper use of Stryker products.Courses offered in 2023 focused on disaster management,professional operating room(OR)practices and the mobile experience.In our OR workshop,participants engaged in structured exercises to practice assembling and using surgical components.Outr

107、each to diverse communities We hosted two events at Historically Black Colleges and Universities,part of our efforts to engage people who are underrepresented in the medical profession.This year we hosted an event at Meharry Medical College,focusing on our neurotechnology portfolio,for medical stude

108、nts interested in a career in neurosurgery.This event was in collaboration with the American Society of Black Neurosurgeons.We also supported a workshop at Morehouse School of Medicine focused on foot and ankle surgery.Stryker trained over 132,000 healthcare professionalsand held over8,000events in2

109、023202023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportDedication to product quality and safetyBuilding a culture of qualityAt Stryker,were driven by a simple belief:reliable healthcare starts with dependable products.With more than 80 years in the industry,we

110、ve earned a reputation as a trusted healthcare partner.From meeting global regulatory standards to setting stringent quality and safety benchmarks,Stryker is committed to going above and beyond customer expectations.Our Quality Policy guides our approach,ensuring that our healthcare solutions not on

111、ly meet but exceed safety,efficacy and efficiency standards.Our global design and manufacturing sites hold International Organization for Standardization(ISO)13485:2016 certification for Medical Devices and meet numerous other relevant standards.Stryker has more than 100 certifications and accredita

112、tions for quality and safety acquired from respected organizations like ASTM International and ISO.These certifications play a pivotal role in shaping our product design,manufacturing and distribution processes.We also have dedicated teams focused on transitioning products and solutions obtained via

113、 acquisitions to our quality standards.Stryker undergoes rigorous independent assessments for quality,including over 175 external quality audits in 2023.Covering our design,manufacturing,logistics and distribution sites,these audits ensure that our operations consistently meet industry standards.Alo

114、ngside external evaluations,Stryker also conducted more than 300 independent internal quality audits in 2023.The insights gained from these assessments drive continuous improvement in product design,manufacturing and distribution.At Stryker,our dedication to quality isnt just a promiseits ingrained

115、in our culture.We understand that building trust and delivering top-notch healthcare solutions hinge on our unwavering commitment to quality and safety standards.212023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportQuality trainingTraining at all levels of the

116、organization is at the core of our quality culture.We require all employees to complete quality-related training applicable to their roles,using self-paced reading,web-based training and in-person training as required.When procedures change,we retrain employees as needed.Quality monitoringStrykers q

117、uality processes are supported by a robust quality data program that includes key process indicators for different dimensions of quality.The data we collect guide us in managing day-to-day quality activities and are regularly reviewed with executive leadership.Quality management metrics202120222023R

118、ecalls reported to U.S.Food and Drug Administration(FDA)Number of FDA Class I recallsNumber of FDA Class II recalls282729Number of FDA Class III recalls2Recalls pending classification4Normalized by revenueRecalls reported to U.S.FDA per billion dollars in revenue1.641.581.61U.S.FDA Warning Letters F

119、DA Warning Letters receivedFDA Warning Letters resolvedInspections Number of inspections by Notified Bodies and worldwide regulatory agencies187181191Average findings per audit0.850.690.76Number of FDA inspections457Average observations per FDA inspection0.750.000.43Number of corporate quality audit

120、s conducted292335World Quality WeekEach year,Strykers sites around the world celebrate World Quality Week,a global campaign led by CQI(formerly Chartered Quality Institute)to raise awareness of the quality management profession.The 2023 campaign theme was“Realizing Your Competitive Potential.”The ev

121、ents highlighted that quality improvement principles and methods can help organizations quickly and effectively address inherent inefficiencies,allowing them to meet changing customer expectations faster,more economically and more sustainably than their competitors.222023 in review Healthcare People

122、 Planet Business AppendixStryker 2023 Comprehensive ReportDesigning for qualityMaintaining Strykers industry-leading quality standards starts with our product development process,where we design for quality,manufacturability,serviceability,product security and reliability.A key tenet of our quality

123、culture is that responsibility for quality lies with each of us.We have dedicated Quality Teams working throughout the new product development process to challenge assumptions and drive high standards for product validations.These teams partner with our Design Engineering Teams to instill our qualit

124、y culture into the product lifecycle.They analyze the risks of health and safety impacts for our products and assess them for improvements.We also take feedback from current-generation products to R&D Teams to improve next-generation designs.Continuous improvementStryker uses an industry-leading Cor

125、rective and Preventive Action(CAPA)program to drive continuous improvement.This program follows a rigorous process to determine the root causes of defects and develop improvement plans to eliminate recurrence.One vital input to our program is post-market surveillance,where we evaluate customer-repor

126、ted issues.The program helps us identify ways to improve our products and processes.This information feeds into our CAPA system,providing a feedback loop directly from customers into future product and process designs.Our continuous improvement program also encourages employees to be proactive in th

127、eir quality improvement work,keeping us at the leading edge of quality across the industry.Clinical trialsTo generate data and establish evidence on the safety and efficacy of our products in humans,Strykers Clinical Teams conduct and oversee clinical trials,including Stryker-sponsored and investiga

128、tor-initiated studies.We conduct clinical trials in line with specific business needs by division and product family.Our clinical trials follow all divisional,corporate clinical and company policies,as well as regional regulations.Strykers clinical trials comply with Good Clinical Practice(GCP),the

129、international ethical and scientific quality standard for the design,conduct,recording and reporting of human subject trials.In addition to clinical trial data credibility,compliance with GCP provides assurance that the rights,safety and wellbeing of trial participants are protected according to pri

130、nciples derived from the Declaration of Helsinki.Clinical trials also comply with other applicable standards by geography.232023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportStrongerpeopleMany companies say that people are their most important assets.For Stryk

131、er,our people are the heart of our company and core to our mission.Strykers employeesour most important competitive advantagedevelop innovative technologies to help healthcare professionals do their jobs efficiently,effectively and safely,so they can deliver better outcomes for patients.This commitm

132、ent occurs in scores of local communities around the world where our employees,customers and patients live and work.In this sectionEmployees 25 Diversity,equity and inclusion 25 Wellbeing and mental health 31 Career development 32 Environment,health and safety 34Communities 36 Making a difference wi

133、th signature profits 37 Impact:employee giving and volunteering 3924Stryker 2023 Comprehensive ReportEmployeesA collective sense of purposePeople are the heart of our organization.Each person contributes their unique and diverse strengths to power Strykers success.The caring and collaborative relati

134、onships we foster are fundamental to creating a supportive,dynamic and inclusive work environment.Our passion for continuous improvement and innovation supports our unwavering focus on growth.Together,these elements form the foundation of a culture committed to making a positive impact in the health

135、care landscape.Diversity,equity and inclusionAt Stryker we believe that when each one of us feels seen,heard and valued,we will advance our mission to make healthcare better.By valuing diverse approaches and prioritizing inclusion,we can develop healthcare solutions that meet the varied and unique n

136、eeds of our customers and patients.In 2023,we aimed to increase representation of women and racially/ethnically diverse talent guided by labor market availability,measure sentiment through regular engagement surveys,ensure inclusion and belonging across demographic groups,invest in diversity recruit

137、ment and measure progress through diverse interview slates.To make progress,we have focused our DE&I initiatives in these three key areas:Increasing access to talent through strategic partnerships and campaigns Growing and engaging people with a range of opportunities to learn and develop Scaling ou

138、r DE&I effortsOur DE&I commitmentsStrengthen the diversity of our workforceAdvance a culture of inclusion,engagement and belongingMaximize the power of inclusion to drive innovation and growth252023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportIncreasing acces

139、s to talentOur Talent Acquisition Team is dedicated to sourcing the best talent for open roles by increasing efforts in employer branding,recruitment marketing,and outreach and engagement to broaden our reach in underrepresented communities.We provide our talent acquisition,human resources and hirin

140、g managers with training on inclusive interviewing and hiring globally.These efforts are leading to increased applications from diverse applicant pools and more diverse interview slates.We have strong external partnerships that give us access to a diverse selection of talent.A few examples of how we

141、 leveraged these partnerships in 2023 include:Continuing to build our relationship with the National Sales Network to discover interns and early-career professionals from diverse backgrounds Partnering with Incluyeme to provide training on inclusive interviewing and hiring,including specific trainin

142、g in Latin America on hiring individuals with disabilities Growing our global presence in partnership with PowerToFly to connect with and attract historically excluded talent worldwideOur University Relations Team expanded their focus to extend to campuses that serve underrepresented students to inc

143、rease early access to additional talent pools.We have also organized diversity-focused events and partnered with organizations such as the Society of Women Engineers,National Society of Black Engineers and Society of Hispanic Professional Engineers.In 2023,we worked with HBCU 20 x20 to develop a mar

144、keting fellowship that included an education series with marketing leaders and members of Strykers African Ancestry Network(SAAN)employee resource group(ERG).Workplace awardsGreat Place to Work Worlds Best Workplaces 2023Great Place to Work Best Workplaces for Parents 2023Fortune 100 Best Companies

145、to Work For 2023Fortune Worlds Most Admired Companies 2023Fortune Best Workplaces for Women2023(Large)Fortune Best Workplaces for Millennials2023(Large)Fortune Best Workplaces in Manufacturing&Production 2023(Large)Human Rights Campaign Foundation Top Scorer,Corporate Equality Index 20232024Diversit

146、y First Top 50 Companies for DiversityDisability:IN Best Places to Work for DisabilityInclusionYello Top 100 Internship ProgramMilitary Times Best Companies for Vets 2023262023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportGrowing and engaging our talentStryker

147、s nine ERGs play a pivotal role in building an inclusive,engaging work environment.Events that our ERGs organized in 2023 include:Asian Community Empowerment held a series of events in November in celebration of Diwali,the Hindu festival of lights.The events provided employees an opportunity to lear

148、n about the holiday and appreciate colleagues cultural heritage.Strykers Emerging Professionals recognized Generations Working Together month with various events,including a global town hall,external speaker on generations at work and intern engagement opportunities.Strykers Womens Network partnered

149、 with Cru Women-to-Women Peer Coaching to help women realize their career objectives through peer coaching sessions.Allies for All Abilities teams from around the United States partnered with Magic Wheelchair to create unforgettable moments for children by transforming their wheelchairs into epic co

150、stumes.Strykers Allies for Equality celebrated Ally Week in October with various events dedicated to raising awareness of LGBTQ+inclusion,including recognition of National Coming Out Day,allyship training in several locations and Ally Week facts to encourage education about the topic.SAAN and SOMOS

151、communities sponsored the Talent Spark program,which focuses on professional development and networking opportunities.Scaling our DE&I effortsBeyond recruiting and engaging employees,we look for opportunities to further embed a culture of belonging.The 2023 global DE&I Summit focused on amplifying a

152、 workplace culture in which every employee feels seen,heard and valued.The two-day virtual Summit featured 19 speakers who shared insights and stories of their unique life journeys,with over 6,000 employees tuning in.CEO Kevin Lobo candidly responded to questions from ERG members.The summit also inc

153、luded our inaugural DE&I Leadership Forum,which brought together leaders of Strykers ERGs to share perspectives and exchange ideas toward advancing an inclusive workplace culture.In 2023,we also introduced Inclusion Challenges,a series of on-demand videos that highlight ways to drive inclusion and m

154、itigate bias.Each quarter,we released one challenge to employees globally.Topics included giving and receiving feedback,development conversations,diversifying networks and inclusion in meetings.To help reinforce these lessons,we asked people leaders to take actions such as discussing each challenge

155、among their teams and including at least two actions theyve taken in their year-end performance reviews.Congratulations to Stryker in Australia,winner of the 2023 Women in MedTech(WiMT)Champion AwardThe awards are presented by the Medical Technology Association of Australia to an individual and a co

156、mpany who have helped advance the WiMT mission or goals within their company or the industry.Stryker earned the award for its strong women leadership representation and programs to support womens personal and professional growth.272023 in review Healthcare People Planet Business AppendixStryker 2023

157、 Comprehensive ReportImpacting our communities with CareerRight HereCareer Right Here is a program designed to create career opportunities for talent in Kalamazoo,Michigan,the city where Stryker was founded.In 2023 we advanced this program by partnering with the Kalamazoo Youth Development network a

158、nd other community partners to create an immersive career exploration experience called Stryker Day.For this event,Stryker gave more than 300 middle school and high school students an overview of various career paths and an understanding of education and training requirements necessary for a career

159、in medical technology.We also hosted Higher Promise interns.Higher Promise connects post-secondary talent and interns to learning experiences in their fields of interest in the business community.In addition,Stryker was a significant contributor in developing the curriculum and video content for the

160、 Kalamazoo Regional Educational Service Agency(KRESA)s Career Connect Discovery Lab.KRESAs Discovery Lab is a mobile facility equipped with multimedia tools and interactive exhibits that provides accessible,hands-on career awareness and exploration experiences,especially for young learners.Progress

161、toward our DE&I goals in2023Increase representation of women and racially/ethnically diverse talent to reflect the communities we serve0.6%increase in representation of women(global)0.4%increase in race/ethnicity representation(U.S.only)compared to 2022Measure employee sentiment through regular enga

162、gement surveys and ensure inclusion and belonging across demographic groups4.26score on Gallup Annual Engagement Survey Inclusiveness IndexTop 15%of companies that Gallup surveysContinue investment in diversity recruitment and measure progress through diverse interview slates70.8%diverse interview s

163、lates in U.S.282023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportRepresentation data292023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportRepresentation data*This data does not include Puerto Rico.*Includes American Indian

164、,Native Alaskan,Native Hawaiian,Pacific Islander,and two or more races.Calculated on the day the directors were elected at the annual shareholders meetings in 2022 and 2023.302023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportWellbeing and mental healthSupporti

165、ng employees wellbeing,both physically and mentally,is vital to their success and ours.In 2023,Stryker took a significant step toward prioritizing the health and wellbeing of our workforce by introducing a comprehensive,global wellbeing framework worldwide that is focused on five core areas:physical

166、,emotional,financial,career and social.This launch was supported by a communications campaign aimed at bringing employee stories to the forefront,providing a platform for mutual support while encouraging people to prioritize their overall health.It builds upon an already strong wellness program,whic

167、h includes gyms at many locations,fitness and nutrition classes,and access to mindfulness partners and mental health resources.Global wellbeing at a glanceHeres a look at other ways we supported our employees health and wellbeing in 2023:New U.S.benefits Expanded vacation benefits for regular employ

168、ees Health advocacy program for finding providers and getting treatment advice,as well as second opinions Specialized LGBTQ+health services through Included Health Kaia virtual online physical therapy Coverage for acupuncture Transgender-inclusive benefits Expanded life insurance coverageGlobal and

169、business-level engagements 64%of eligible U.S.employees and 71%of eligible Latin America-based employees participated in our Strive wellbeing initiative 28 virtual sessions focused on emotional,social,physical,career and financial wellbeing in Europe,the Middle East and Africa,with more than 2,000 e

170、mployees participating Online yoga sessions for employees in the Asia Pacific(APAC)region The Trauma and Extremities Wellbeing Blue Chip Purpose initiative helped managers and employees prioritize wellbeing practices Support offered for U.S.families with children or elder care expenses through day c

171、are flexible spending accounts,referral services*through TELUS health and paid parental and dependent care leave Maternity support programs offered to U.S.employees for personal guidance through all stages of pregnancy and delivery.In addition,U.S.employees have access to the Milk Stork program,whic

172、h helps support working mothers who need pumping support during business travel In the U.S.,we offer high-quality fertility guidance and care through United Healthcares(UHC)Fertility Solutions programIncorporating wellbeing into work practices Flexible work options,including remote and hybrid work,f

173、ield-based work,flexible working hours and split shifts and reduced working days for some manufacturing employees Our Portage,Michigan,office building received the Platinum-level WELL award for features designed to promote wellness 250 support services(including financial,counseling and removal of t

174、ransportation-related barriers)provided to Michigan-based manufacturing employees through our Employee Resource Network*Availability varies by countryThrough Included Health,Stryker offers personalized healthcare support for U.S.-based employees,with a specific program to focus on the LGBTQ+communit

175、y.Included Health provides guidance to navigate the healthcare system,expert second opinions from world-class physicians and behavioral/mental health resources,among other benefits.312023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportCareer developmentThe succe

176、ss of our company is intricately linked to the growth,fulfillment and wellbeing of our employees.For this reason,Stryker has implemented a comprehensive approach to attract,engage,align and develop talentwhat we call our Talent Offense.This framework is built on four pillars.In 2023,Stryker continue

177、d to focus on providing our employees with the resources needed to advance their careers.By making space for open dialogues with managers and communicating directly with employees,we are working to ensure that our teams understand the pathways to success within the organization,the various career op

178、portunities available across the company and the host of development tools available to help them achieve their goals.Management and leadership development trainingStryker understands the critical role leadership plays in the success of our organization,and we are invested in cultivating strong and

179、effective leaders at every level.Our People and Organizational Development Team designs and delivers management and leadership development offerings aimed at honing the skills and capabilities of our talent.Stryker has more than 300 coaches on staff who specialize in specific tools for career growth

180、,with whom employees can connect for individualized development.We also help employees focus on gaining valuable on-the-job experiences to accelerate their growth.Attractfuture candidates and hire the best peopleDevelopour current employees to maximize their full potentialEngageour current employees

181、 toensure they are thriving and feel a connection to their managers,each other and our missionAlignpeople to the right roles,at the right time,focused on the right outcomes322023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportFinding new ways to develop people l

182、eadersIn 2023,we launched six new initiatives to support people leaders.These included Grow-on-the-Go,a new mobile app through which employees can complete activities to support their professional development.To date,623 people in 11 countries have participated in two pilots of the program.In the Tr

183、auma and Extremities pilot,93 percent of participants said they would like to continue the initiative in the future.The Leadership Playbook program is another new development initiative.Available to all managers with less than six months in a management role,this program helps new people leaders mak

184、e the transition to managing others.The program has reached 74 percent of new people leaders as of December 2023,helping to set them up for success in their new roles.Supporting employee performance and developmentManagers play a key role in our Talent Offense strategy,engaging with and supporting e

185、mployees as they set goals and advance in their careers.We encourage open dialogue between managers and employees by offering two formal manager-employee progress check-ins during the year in addition to an annual performance review.These check-ins ensure there is a clear understanding of expectatio

186、ns,performance progress and opportunities for development.Managers and employees alike value these sessions,as evidenced by increased utilization during 2023.Many employees also work with managers to create individual development plans to drive focus on outcomes and behaviors.Broad surveys of our em

187、ployee population also provide insights that managers can use to inform development conversations.More than 40,000 employees participated in our latest pulse survey,with many confirming they have had meaningful development discussions with their manager within the last six months.332023 in review He

188、althcare People Planet Business AppendixStryker 2023 Comprehensive ReportEnvironment,health and safetyEnsuring the health and safety of our employees and the protection of the environment are some of our top priorities.Our Environment,Health and Safety(EHS)program establishes standards we require ac

189、ross our organization.This program fosters a culture of responsibility and continuous improvement,and is grounded in four essential pillars:people,compliance,engagement and agility.Prevention of injury is paramount to all EHS efforts.We engage site leaders and local EHS committees to implement our s

190、trategies and maintain a safe environment and continually improve our safety culture.Key areas of continued and increased focus are:Ergonomic safety Slip,trip and fall prevention Control of hazardous energy and substances Safe operation of powered industrial vehicles Radiation safety Fire safety Ele

191、ctrical safetySafety performance across our facilitiesThrough our Engagement and Culture improvement initiatives,we experienced a lower total recordable injury rate in Global Quality and Operations(GQO),reinforcing the impact of individual employee actions on delivering a safe work environment.Our l

192、ost time injury rate for GQO in 2023 was significantly lower than the industry average.Stryker is committed to improving EHS communication with both frontline employees and executive leadership.Monthly EHS Leadership Forums engage key stakeholders to highlight exceptional performance while sharing o

193、pportunities for improvement.We strengthened our safety culture through our annual Safety Month,as well as year-round activities like compression-only cardiopulmonary resuscitation(CPR)training,workplace walkthroughs and encouraging employees to share their personal safety stories.As a result of the

194、se initiatives there was a significant increase in the number of employee-initiated safety improvement opportunities,which improved our safety culture and reduced risks.In 2023,we launched a new risk stratification and injury reporting system.We also expanded our leading indicators for EHS performan

195、ce,such as the closure of safety observations,which are critical in correcting potentially unsafe behaviors or conditions.342023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportEHS governance and policiesStrykers Corporate EHS Leadership Team has developed six EH

196、S Management and Technical Standards tailored to our major risk areas and aligned with ISO 14001 and ISO 45001.Our Global EHS Leader ensures execution of these standards,and a designated owner for each of the six standards ensures implementation at the facility level.Each standard includes an implem

197、entation guide and regular training for every EHS point of contact.We continue to strengthen our EHS model with expertise in process safety,industrial hygiene,radiation physics,combustible dust hazards and other domains.Strykers global EHS network includes over 41 manufacturing plants.We are in the

198、process of drafting an updated EHS Policy to formalize our global EHS strategy and supporting framework.The policy outlines the long-term direction of the company to support and continually improve EHS performance.Focus on our key risk areasBecause Stryker manufactures and sells imaging equipment,en

199、suring safe practices by all who come into contact with it is paramount.Over the past several years,we have rolled out a program to educate radiation workers,X-ray equipment operators,lab managers and Sales Teams on the proper use of dosimeters,which are wearable devices used to monitor radiation ex

200、posure.This initiative resulted in a 30 percent increase in employee data registration and monitoring.We also consider the environmental attributes of our safety equipment and recently transitioned to personal protective equipment that is lighter weight and environmentally compliant.In 2023,Stryker

201、consolidated its U.S.and international radiation safety programs into a Global International Radiation Safety Committee and provided instructor-led training for 200 X-ray equipment operators to meet regulatory requirements.Supported by the Radiation Safety Champion and EHS Point of Contact networks,

202、it expanded global governance and oversight,and increased transparency around radiation safety through audits and a new internal resource page.In 2023,Stryker partnered with an external consultant to address and identify opportunities for improvement related to fire safety at high-risk manufacturing

203、 sites.We conducted onsite assessments to identify and address site-specific opportunities,and this is part of our ongoing commitment to a safe and sustainable future.Strykers EHS network includes over 41 manufacturing plants,many of which are ISO-14001 certified,commercial labs and offices,each und

204、er the management of an EHS leader and designated Point of Contact.We are in the process of drafting an updated EHS Policy to formalize our global EHS strategy and supporting framework.The policy outlines the long-term direction of the company tosupport and continually improve EHS performance.352023

205、 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportCommunitiesDelivering greater impact for more peopleStrykers social impact initiatives are guided by four areas of focus:advancing healthcare,supporting education,improving environmental health and enriching commun

206、ity culture,all viewed through the lens of equity.As we consider social impact programming,we seek out the work of nonprofits run by and serving marginalized groups.We continue to deepen and expand our portfolio of signature partners.Signature partnerships are funded and managed at the company level

207、,and opportunities to engage are accessible to all employees.Advancing healthcareProvide access to safe,timely healthcare to underresourced groupsWe fund initiatives and medical education programming that help improve outcomes and increase surgical capacity with a focus on low-and middle-income coun

208、tries.Supporting educationHelp public education prepare every child to achieve their potentialWe help prepare students by supporting causes spanning the continuum of education:early childhood prep,reading proficiency,STEM curriculum,mentoring and post-secondary preparedness.Improving environmental h

209、ealthImprove environmental healthWe support global nonprofits that tackle the worlds sustainability challenges as well as local groups that protect and preserve our environment for generations to come.Enriching community cultureEnrich quality of life through the artsWe seek opportunities to connect

210、people,strengthen community and empower our citizens to imagine a more vibrant futureall of which are aligned with our ERG objectives.362023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportMaking a difference with signature partnersOur charitable donations play a

211、 pivotal role in addressing disparities,improving access to technology,fostering community engagement and strengthening healthcare systems for the long term.These efforts go beyond financial contributions,demonstrating our commitment to creating a healthier and more equitable world.We added two new

212、partners in 2023,signaling a broadening of our social impact strategy beyond access and affordability.Operation Smile:creating smiles and transforming global healthcareOperation Smile is a global nonprofit that delivers free surgical care,trains healthcare workers and supports health systems in low-

213、and middle-income countries.In 2023 we deepened our commitment to this partner,enabling access to medical education and training programs for 1,500 healthcare providers in India,Madagascar,Rwanda and other locations.In addition,our Operation Smile ambassador networka group of Strykers employees who

214、champion and fundraise for the organizationhelped drive two global fundraising campaigns that raised over$379,000,helping provide more than 1,500 life-changing surgeries to children and adults in need.In China and India,Strykers employees joined Operation Smile to serve as nonmedical volunteers duri

215、ng two week-long medical programs in each respective location.Strykers team in China also donated supplies for the program.Employees from APAC coordinated a move-a-thon called“Go the Distance,”where they walked,ran,sailed or cycled the distance from our offices in India to New Zealand,raising enough

216、 funds for 122 surgeries.Employees from the U.S.and Canada also joined Operation Smile in Rwanda to serve as nonmedical volunteers during a medical education training program.In Colombia,Strykers employees hosted patients from Operation Smile at our office for Bring Your Child to Work Day and co-hos

217、ted a speech therapy session with patients and the children of our employees.Signature partners Operation Smile Project C.U.R.E.Red Cross Dr.Lorna Breen Heroes Foundation Visit.org372023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportProject C.U.R.E.:supplying m

218、uch-needed medical equipmentAnother signature partner is Project C.U.R.E.,the worlds largest distributor of donated medical equipment and supplies to resource-limited communities.Together,we have collaborated on product shipments across Strykers specialties,from hospital beds and gurneys to personal

219、 protective and surgical equipment,and we continue to expand our partnership to new product lines and divisions.In 2023,Strykers support of Project C.U.R.E.helped to provide shipments of medical equipment and supplies into countries around the world.Project C.U.R.E.also expanded their relief efforts

220、 in 2023,including shipments to Ukraine,which contained Stryker neurovascular supplies,orthopaedic drills,beds and gurneys.Addressing urgent health needsWeve partnered with the Red Cross for 12 years to help people recover in the face of natural and manmade disasters.In 2023,we increased our commitm

221、ent and joined the Annual Disaster Giving Program to help fuel Red Cross preparedness efforts and meet the needs of people affected by disasters big and small.Through donations from members,the Red Cross can ensure that it is resourced to respond at a moments notice,providing relief,comfort and hope

222、 to people during what can be the worst days of their lives.Stryker provides opportunities for employees to step up and serve.Many of our divisions and employee resource groups(ERGs)have organized local blood drives for the Red Cross in the past year.In honor of Dr.Martin Luther King Jr.Day,Strykers

223、 SAAN ERG organized blood drives to help keep the blood supply strong and improve health outcomes for those suffering from sickle cell disease.Caring for those who care for othersOur social impact work is rooted in access to healthcare.We recognize that thriving healthcare professionals are a critic

224、al part of a healthy healthcare ecosystem,so were growing our signature partnerships.The Dr.Lorna Breen Heroes Foundation focuses on protecting the safety and wellbeing of healthcare providers.Specifically,the foundation advises the healthcare industry on implementing wellbeing initiatives,works to

225、reduce stigma around seeking mental healthcare and funds research and programs to reduce healthcare provider burnout.27 382023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportImpact:employee giving and volunteeringEmployees are important contributors to our socia

226、l impact programs and use Impact,our global giving and volunteering platform,to track their efforts.For every hour of volunteer time tracked,employees earn money to donate to a nonprofit of their choice.In 2023,we launched a Volunteer Challenge,encouraging all employees to volunteer one day with loc

227、al organizations.The Challenge inspired 1,700 employees to volunteer.For employees who want to engage even further,we launched a Global Volunteer Network through which employees can organize their own volunteer opportunities and inform their colleagues of upcoming opportunities.Our new signature par

228、tnership with Visit.org,an organization that connects businesses with curated nonprofit volunteer opportunities,makes it possible to provide every employee,no matter where they are in the organization,the opportunity to volunteer.Our donation matching program has enabled our employees to amplify the

229、ir support of the nonprofits they care about.We offer a 1:1 employer match year-round.Throughout 2023,we maximized the impact of our employees worldwide by holding eight special match campaigns featuring 2:1 matches and a 3:1 match on Giving Tuesday.In 2023,6,900 employees participated in our compan

230、y match and volunteer program on Impact,resulting in 22,500 volunteer hours and$8.2 million contributed to 3,600 nonprofits.Our employee impact in 2023$8.2Mcontributed through our matching program22,500hours volunteered6,900employee donors andvolunteers3,600nonprofits supported392023 in review Healt

231、hcare People Planet Business AppendixStryker 2023 Comprehensive ReportTaking saving lives to heartIn the U.S.alone,more than 350,000 people have a cardiac arrest every year.Of that number,about 60 to 80 percent die before reaching a hospital.28,29,30,31 When these events occur,every minute counts.Au

232、tomated external defibrillators(AEDs)can potentially restore a hearts normal rhythm after cardiac arrest.These tools,when used in a timely fashion with high-quality CPR,can save lives.Strykers Emergency Care Team engaged in a number of ways in 2023 to increase awareness and provide products for resp

233、onding to cardiac arrest.Delivering equipment Worked with a charitable trust to supply more than 25,000 AEDs to first responders across multiple states Made AEDs available for Strykers employees to purchase at deep discountsfor their personal use or to donate into their communities Our Forward Heart

234、s program lets survivors of a sudden cardiac arrest(SCA)event,in which a HeartSine AED has been used,to pay it forward and potentially save another life by donating an AED to the organization of the survivors choiceat least one additional life has been saved by a Forward Hearts donated deviceIncreas

235、ing knowledge Participated and supported the American Heart Association Heart Walk near our Redmond office to encourage CPR training and medical research Partnered with the Nick of Time Foundation to train high school students and staff on the warning signs of SCA Participated in World Restart a Hea

236、rt Day,a global campaign to raise awareness of cardiac arrest Teamed up with USA Lacrosse,U.S.Soccer and the U.S.Council for Athletes Health to bring CPR training and AEDs to communities across the country402023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportHea

237、lthierplanetWe work to create a healthier world not only through our products and services,but also through our commitments to responsible operations.At Stryker,our growth is fueled by innovation and rooted in the understanding that human health relies on the health of our planet.In this sectionOper

238、ational carbon emissions 42Value chain carbon emissions 46Design for sustainability 47Water and waste reduction 51Employee engagement on sustainability 5241Stryker 2023 Comprehensive ReportOperational carbon emissionsMaking progress on our commitmentsStrykers ambitious goals for greenhouse gas(GHG)e

239、missions reduction drive us to operate more sustainably,which,in turn,helps us achieve our mission of making healthcare better.Our environmental commitments are organized around a long-term goal for Stryker facilities to be carbon neutral(Scopes 1 and 2)by 2030.We recognize that achieving this goal

240、will require a multipronged strategy.As a part of our 2030 strategy,Stryker plans to continue to explore and invest in opportunities in renewable energy,energy efficiency,electrification,low-carbon fuels and low-carbon processes.To help us achieve this longer-term goal,we have set milestones along t

241、he way to keep us on track.Progress on our path to carbon neutral by 2030GoalProgressReduce Scope 1 and 2 carbon emissions for Stryker facilities by 20%by 2024(compared to a 2019 baseline)*13%reduction as of year-end 2022Power all facilities with 100%renewable electricity by 202721global sites are n

242、ow powered by renewable energy contractsMake all Stryker facilities carbon neutral(Scopes 1 and 2)by 2030*45projects completed in 2023For more information on our GHG emissions and energy consumption,please see our 2022 environmental performance data in the appendix.*Our 2022 Scope 1 and 2 carbon emi

243、ssions received external verification using the ISO 14064-3:2019 standard.To meet future assurance standards requirements,we initiated external data assurance for 2023 data using the ISAE 3000 standard;emissions will be reported once the assurance process is complete.As our methodologies evolve,this

244、 may result in updates to our future emissions reporting.422023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportInvesting in renewable energyRenewable energy is core to meeting our 2027 and 2030 goals.In 2023,we continued to scale the use of renewable energy for

245、our operations,helping to reduce our carbon footprint,strengthen our resiliency and mitigate against energy cost inflation.Stryker continues to make strategic investments in renewable procurement.In 2023,eight sites signed new agreements for 100 percent renewable electricity.More than 90 percent of

246、our electricity use in Europe is renewable,and we are on track to be powered by 100 percent renewable electricity globally by 2027.A core component of our approach is the use of virtual power purchase agreements(VPPAs).Through our VPPA partnership with global clean energy leader rsted,operations com

247、menced in October at the Sunflower Wind project in Marion County,Kansas.Sunflower Wind will allocate around 37 megawatts of wind power to Stryker,which will account for approximately 70 percent of our current electricity consumption for our facilities in North America over the next 12 years.We are c

248、urrently pursuing an EU VPPA to cover our European footprint.We are also taking action to increase the renewable energy in our power supply through onsite solar installations.In China,the photovoltaic installations at our Changzhou(Trauson and Orthmed)and Suzhou facilities are projected to result in

249、 a combined carbon savings of over 1,000 MT.Strykers Freiburg,Germany,site also added onsite solar,with a projected generation of over 400,000 kWh.432023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportFocusing on energy conservationWere continuously looking for

250、ways to conserve energy across our business and thereby reduce our carbon footprint.In 2020,we committed to investing$20 million through 2023 in projects that contribute to energy efficiency savings or renewable energy.Our investment was more than financial.We helped our sites to identify potential

251、energy-reduction projects through the development and dissemination of an energy playbook.This playbook enables sites to self-assess opportunities for energy reduction,providing guidance and case studies for implementation.The U.S.Department of Energy recognized our playbook through its 2023 Better

252、Practice Award for innovative and industry-leading accomplishments in implementing and promoting practices,principles and procedures of energy management.Stryker is proud to have 10 Leadership in Energy and Environmental Design(LEED)-certified buildings in our portfolio.Strykers sites implemented 45

253、 projects in 2023.Were continuing to see the impact of these projects.They included:Replacing our 650-ton conventional chillers in Mahwah,New Jersey,with higher energy efficiency chillers,helping us save 1.9 million kWh of electricity per year.Installing automatic gate valves for fume/smoke extracto

254、r systems on welding stations in Portage,Michigan,resulted in 400,000 kWh of electricity savings per year.Upgrading the HVAC system in the coatings area at our Tullagreen,Ireland,facility with a heat pump system that will run solely on renewable energy,not natural gas.This resulted in an estimated a

255、nnual savings of over 200,000 kWh of electricity and 1,200,000 kWh of gas.Upgrading lighting at our distribution center in Plainfield,Indiana,to energy-efficient LEDs,which will save nearly 2 million kWh of energy annually.As a global healthcare leader,we understand the growing link between human he

256、alth and environmental health and our role to deliver sustainable solutions.Securing renewable energy at large scale helps us play a role in decarbonizing the healthcare sector.”Viju Menon,Group President,Global Quality and Operations at StrykerEmergency care vehicles go electricStrykers Sales Teams

257、 often travel to meet with customers,and we have upgraded our sales vans to electric vehicles for selected sales territories.These new vehicles include a state-of-the-art mobile showroom that allows our sales force to demonstrate Emergency Cares full continuum of care to customers.Our new electric s

258、ales vans not only help move us toward our 2030 goals,but also reduce costs of vehicle maintenance by 40 percent over the lifetime of the vehicle.Its a win for Stryker,a win for the environment and a win for our customers.442023 in review Healthcare People Planet Business AppendixStryker 2023 Compre

259、hensive ReportOur multi-year energy reduction investments continue to deliver value.In 2023,we were excited to see a combined heat and power(CHP)electricity co-generator come online at our Arroyo,Puerto Rico,facility.This new CHP plant is the first of its kind across Strykers network and is able to

260、meet 100 percent of the facilitys electricity needs.Moreover,the project will help Stryker reduce its emissions by nearly 50 percent at the Arroyo facility.In addition to its environmental benefits,the project is expected to save more than$1 million annually in electricity costs and allow the plant

261、to continue operating in the event of power outages,reducing the need for diesel-consuming generators.These projects will collectively reduce our carbon emissions by approximately 5 percent annually beginning in 2024.At many sites,we reduced the remaining emissions by procuring renewable energy.Adju

262、sting our methodologyPreviously,we stated that we had exceeded our 2024 target to reduce our Scope 1 and 2 emissions by 20 percent.In 2023,we adjusted our methodology for calculating emissions to more fully account for our Scope 1 and 2 emissions based on the GHG Protocol.The inclusion of fugitive e

263、missions and fleet emissions resulted in an adjustment to our 2019 baseline and is reflected in our 13 percent reduction as of the end of 2022.Based on our revised baseline,energy efficiency projects,renewable energy use and the power purchase agreement that is online as of 2023,we are on track to m

264、eet our 20 percent carbon emissions reduction goal by 2024.Strykers first combined heat and power project will reduce carbon emissions from our Arroyo site by50%452023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportValue chain carbon emissionsAssessing and addre

265、ssing our impactsStryker fills a dual role in the healthcare value chain and our efforts to reduce carbon emissions.As a supplier,we strive to incorporate sustainable design into our products and packaging and make progress toward our emissions reduction goals,which helps our customers address their

266、 value chain impacts.As a customer,we expect the same from our own suppliers.Understanding our Scope 3 impactsThe vast majority of our carbon footprint lies in our Scope 3 emissions.This includes our supply chain,transportation,logistics and use of our products,among other categories.At the end of 2

267、023,Stryker signed a commitment letter to the Science Based Targets initiative,signaling our intent to set a science-based goal within two years.Were working on strategies to address our impact compared to the baseline year in each of these areas.We will publish our Scope 3 data once the limited ass

268、urance process is complete.We engage our supply chain partners in training and management to help them assess their environmental,social and governance(ESG)practices and performance(see Supply Chain Management).As suppliers mature in their ESG journeys,we may partner with them to set their own carbo

269、n emissions reduction targets.Partnerships to green the industryIndustry partnerships help us institute best practices,share insights and learn.We are engaging with others throughout the industry to continue identifying opportunities to green our sector.See a complete list of our partnership organiz

270、ations on our Corporate Responsibility website.A few highlights from 2023 include:MedTech EuropeParticipated in MedTech Europe working groups throughout 2023,focused on emerging sustainability regulations under the EU Green Deal designed to improve the sustainable design of products and packaging U.

271、S.Department of Energys Better Climate ChallengeParticipated in working groups around electrification,low-emission alternatives to industrial thermal loads,and onsite renewable energy and storage Additive Manufacturer Green Trade AssociationReceived award for sustainability reporting;created a worki

272、ng sub-group with other users of additive manufacturing to discuss sustainability and best practices Business in the Community Irelands Low Carbon PledgeCommitted to the Low Carbon Pledge Association of Medical Device ReprocessorsWorked closely with the association to educate and promote reprocessin

273、g through the National Academy of Medicines Sustainability Journey Map462023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportDesign for sustainabilityOur products have an environmental impact at all stages of their lifecycle:During manufacturing,we require materi

274、als,energy and water,and often generate waste as a byproduct.In transportation and delivery,we use resources to develop packaging that protects products,which may also create waste.In their use,our products can require energy,and at the end of their life,products can result in waste if theyre not di

275、sposed of with sustainability in mind.It is our responsibility to address these challenges and implement solutions that deliver quality care while lessening our impact.Sustainable innovationEach year,we recognize and promote innovation within our Product Development Teams through the Global Research

276、 and Development awards.In 2023,we launched the Design for Environmental Sustainability Award.The awards criteria include:Customer centeredDoes the innovation meet or exceed customer sustainability requirements?Environmental impactDoes the innovation promote carbon footprint reduction,waste volume o

277、r mass reduction,water reduction or chemical of concern reduction?Business impactDoes the innovation promote supply chain engagement,logistics efficiency,cost reduction,margin improvement or volume increases,among other impacts?Product lifecycleDoes the innovation facilitate lifecycle assessments or

278、 management,material sourcing or selection,improved design for manufacturing,improved design for manufacturing processes,design for disassembly or serviceability or application of the 3Rs(reduce,reuse,recycle)?Scalable innovationDoes the innovation facilitate cross-divisional collaboration or platfo

279、rm thinking or promote the use of shared components or technology and materials that can be applied across businesses?InnovationWhat is the degree of novelty in the innovation?472023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportTrauma and Extremities wins firs

280、t Design for Environmental Sustainability AwardIn 2023,we awarded our first Design for Environmental Sustainability Award,honoring the team whose innovation best showcases sustainable design in action.Strykers Trauma and Extremities(T&E)Team won the award for its electronic Instructions For Use(eIFU

281、)solution and multilayer label that meets regulations for medical device packaging while eliminating the need for multiple labels.The peelable label includes three components in one:Product information on the detachable top layer An implant card,which physicians or hospitals must complete and hand t

282、o patients,on the reverse side of the top layer Directions to access the eIFU on the exposed bottom layerThe label includes 300 percent more printed information than a standard label and has helped the T&E Team save nearly 50 tons of paper in its first year of use.Runners up included MyoSure,a repro

283、cessed hysteroscopic tissue removal device from Strykers Sustainability Solutions Business,and the InZone Detachment System from our Neurovascular Team.Reducing our footprintthroughout theproduct lifecycleThrough Strykers Sustainability Solutions Redesigned for Sustainability initiative,we aim to re

284、duce waste and other environmental impacts of manufacturing our products.For example,our reprocessed devices undergo a process that requires significant use of water and chemicals during the cleaning process,ensuring they are safe to be used again.We have found ways to reduce the impact of our clean

285、ing process through automation and more efficient use of our soaking baths and rinse tanks.We also look for ways to reduce emissions when transporting products to customers.At our distribution center in Venlo,Netherlands,we introduced a smaller box for shipping products.With this smaller design,our

286、fill rate of customer shipments increased by 11 percent,while improving customer experience and reducing CO2 emissions and costs due to fewer transportation runs.Finally,were investing in product innovations that reduce customer emissions.A lifecycle assessment(LCA)of our Neptune 3 waste management

287、system found that a single hospital using one Neptune system,rather than a traditional suction canister,could reduce emissions by 294 kg CO2 per year,assuming 400 surgical procedures are performed annually with each procedure producing 24L of fluid waste.32,33The reduction of plastics in medical dev

288、ices is a particular area of opportunity,not only for Stryker,but across the healthcare industry.In 2023,we participated in multiple projects led by the Healthcare Plastics Recycling Council to reduce the use of virgin plastics.These projects covered design for recyclability,use of advanced recycled

289、 plastic and best practices for sustainable use of plastic in packaging.A result of these efforts was the publication of Design Guidelines for Optimal Hospital Plastics Recycling.482023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportDoing more with less through

290、additive manufacturingOne way we are reducing the volume of metal and plastic that goes into creating our products is by investing in additive manufacturing(AM).AM,also known as 3D printing,uses computer-aided design software to create objects one layer at a time.In contrast to conventional,subtract

291、ive manufacturing methods,AM reduces environmental impact by leveraging more efficient material usage and more freedom in product designs,while also allowing for greater product customization.34 AMagine demonstrates Strykers proprietary approach to creating implants using AM.A recent LCA of the Tria

292、thlon tibial baseplate revealed that AM has environmental benefits over subtractive manufacturing that go beyond waste reduction.These benefits include lower contributions to ozone depletion,global warming,smog formation and fossil fuel depletion.In 2023,Stryker expanded production at our AMagine In

293、stitute in Cork,Ireland.The institute,which opened in 2017,develops breakthrough technologies from early R&D to support full commercial launch and scaling across a broad portfolio of products and services.The AMagine Team,around the world,focuses on developing new implant,component and personalized

294、solutions with innovative platform technologies.The pipeline of products from our AMagine Institute,supports all of Strykers divisions and demonstrates our ability to move AM research into action.Stryker is a member of the Additive Manufacturer Green Trade Association(AMGTA).In 2023,we led the forma

295、tion of a working group in the AMGTA to help users of AM technology connect and collaborate on why and how to use AM for sustainability.Sustainability through digitizationInstructions for use(IFUs)are regulated documents that help patients and doctors use medical devices properly.Typically printed a

296、nd included within a products packaging,IFUs use a significant amount of paper that can be reduced by publishing instructions digitally.*In addition to avoiding waste,eIFUs avoid the risk of instructions being destroyed or lost,can be updated quickly in the event of safety information changes,incorp

297、orate multimedia and can be published in as many languages as necessary.As regulators globally embrace eIFUs,Stryker is increasing use of eIFUs across all units,where allowed by law.100%of T&E products shipped from our Kiel and Selzach sites and StrykersSustainability Solutions products use eIFUsMan

298、y countries that have not permitted the use of eIFUs to date are beginning to introduce legislation to allow their use.*Not all markets allow eIFUs492023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportThrough our Products for the Planet program,we encourage hosp

299、itals to help us collect single-use products for reprocessing.When they achieve annual product collection goals,we donate trees to be planted on their behalf.Since the program began in 2017,we have donated more than 271,000trees through the National Forest Foundation and Tree Canada.Extending the li

300、fe of medical productsMedical products have a relatively short lifespan,with many designed for only a single use.As a result,patients and hospitals send thousands of tons of medical materials to landfills each year.This waste can be reduced in several ways,including through reprocessing,which allows

301、 certain medical devices to be safely reused.According to Strykers Sustainability Solutions most recent peer-reviewed LCA,conducted in 2022,reprocessed single-use medical devices have a lower carbon footprint than the original manufactured devices due mainly to reprocessed devices not requiring the

302、production and manufacturing of new virgin plastic and metal.One product that utilizes reprocessed components is the InZone Detachment System,a sterile,handheld,single-use device designed to help deploy platinum metal coils used in the treatment of aneurysms.The devices contain 213 circuit board com

303、ponents and two AAAA batteries.35 Strykers Sustainability Solutions and our Neurovascular Business Unit collect and reprocess circuit boards and batteries from systems in the U.S.,Europe,Australia,New Zealand and South Korea.In 2023,we collected over 8,000 devices globally.We also distributed our fi

304、rst shipment of InZone Detachment Systems with reprocessed components.As we expand the program,we plan to explore whether we can collect and reuse all of the detachment systems components,not just the circuit board components and batteries.Strykers Emergency Care Business operates a certified pre-ow

305、ned program for its Power-PRO XT powered ambulance cot and,since 2023,its Power-LOAD cot fastener.Over the past three years,the program has recertified and resold 111 tons of medical devices.Product environmental complianceIn response to growing environmental product regulation globally,Strykers Pro

306、duct Environmental Compliance Team evaluated new regulations and integrated relevant regulatory requirements into Strykers internal procedures to ensure that Stryker products continue to be designed to the latest regulatory standards.Through engagement with MedTech Europe,a European trade associatio

307、n representing the medical technology industry,the team focused on several chemicals and circular economy policies that are being introduced under the EUs Green Deal framework.In addition,the team explored opportunities for improving the effectiveness and efficiency of both internal and supply chain

308、 processes,as well as tools for managing compliance to a growing number of product chemical restrictions.502023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportWater and waste reductionReducing our impactsIn addition to carbon emissions,Stryker has identified wat

309、er and waste as key areas through which to reduce our environmental footprint.Water stewardshipStrykers manufacturing process relies on reliable,clean water.With several of our facilities in medium-high water risk regions,we recognize a heightened need for water conservation.To further understand ou

310、r water-related risks,we worked with a third party to conduct a water inventory and risk assessment.Our Ireland sites have completed water stewardship trainings to better educate our teams and guide water conservation in the near term.In addition,we are in the process of completing third-party assur

311、ance of our water-related data and will release water data when the assurance process is complete.Waste managementStrykers waste management strategy centers around efforts to reduce the amount of waste we send to landfill.To achieve this,we focus on reducing the amount of waste we generate and incre

312、asing recycling and reuse where possible.Our strategy is site-specific,given that each location handles different processes and materials.In 2023,we conducted waste audits at our sites in Cary,Illinois;Tijuana,Mexico;and Arroyo,Puerto Rico.In Arroyo,the audit helped us identify and classify our wast

313、e streams,and to highlight 16 initial waste minimization opportunities.By the end of 2023,we developed a waste minimization plan and executed several of these actions,including implementing a process to identify recycling-eligible products from our microbiology laboratory and composting food waste g

314、enerated in the facilitys cafeteria.Stryker has six sites in Ireland that send zero waste to landfillsmeaning that all waste generated onsite is recycled,reused or sent to a waste-to-energy facility.512023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportEmployee

315、engagement on sustainabilityBuilding on the passion of our employeesMany of Strykers employees care deeply about the environment and are working with the company to drive more sustainable practices.Employees can engage in a number of ways,including through Strykers Environmental Alliance,which is an

316、 employee community committed to environmental change.This group continues to grow,with over 840 employees participating and several new chapters opening this year.In 2023,many of Strykers sites hosted energy treasure hunts,first coordinated as an Earth Day activity and then continuing throughout th

317、e year.Energy treasure hunts are events that empower cross-functional teams of employees to walk the facility and discover opportunities for energy savings and build a culture of continuous improvement.Engaging our employees in Climate WeekIn September,Stryker hosted its first-ever Climate Week Town

318、hall.This internal event was broadcast globally to educate employees about Strykers sustainability strategy,key practices and progress toward goals.Approximately 3,000 employees attended the event,which included fireside chats with leadership,a healthcare leader discussion and an employee panel.The

319、exciting conversations focused on how Stryker can collaborate with customers to make healthcare more sustainable and how employees can make a difference.522023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportStrykers Environmental Alliance highlightsAround the gl

320、obe,Strykers Environmental Alliance chapters hosted activities to promote sustainability and engage with their communities.These activities included:Ventura,CAVolunteer day trash pickupSan Jose,CASustainability walks,Earth Day programming,World Bee DayTempe,AZPark cleanup,tree plantingKalamazoo,MIAr

321、boretum fall walk,E-recycling event,park clean up,online sustainability storefrontCary,ILSustainability walks,spring cleanup,fall tree planting,lunch and learnsMahwah,NJEarth Day,park cleanupOntario and Quebec,CanadaEarth Day park cleanupArroyo,Puerto Rico Sustainability fairIrelandOnsite energy tra

322、nsition strategy,branded wastebins,energy kaizenUnited KingdomTrash pickupSouth PacificEnergy audit,lunch and learns,Clean Up Australia Day,Keep New Zealand Beautiful Week532023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportGoodbusinessWithin every area of our

323、business,Strykerstrives to make healthcare better by prioritizing ethical business practices.Our leaders set a standard forquality and integrity that permeates the entire organization and helps us achieve business excellence.In this sectionGovernance 55Business ethics and integrity 60Information sec

324、urity and data privacy 64Human rights 67Supply chain management 6854Stryker 2023 Comprehensive ReportGovernanceLeading with integrityStryker maintains policies,procedures and guidelines,reviewed on a regular basis,that reflect our ethical business standards.Our Board,senior leadership and other memb

325、ers of management provide oversight of these standards.In 2023,we made small changes to Board Committee charters to stay current with new regulations,market trends and investor expectations.Stryker regularly engages with shareholders and considers their proposals.For information on our virtual share

326、holders meeting,as well as the shareholder proposal process,please see our Proxy Statement.Corporate governance information,including our bylaws,charters,guidelines and policies,is available on ,and we include details about governance topics,including the election of directors,in our Proxy Statement

327、.We also provide periodic disclosures in our Securities and Exchange Commission(SEC)filings.Board of DirectorsOur Board brings a diverse set of experiences and expertise.More information about our directors experience is available in our Proxy Statement,and information about the roles and responsibi

328、lities of our Board committees can be found on our website.Our Proxy Statement also includes information on director compensation,as well as say-on-pay shareholder advisory votes.The Board has determined that all of our current directors other than Mr.Lobo,including all members of the Audit Committe

329、e,are independent under the New York Stock Exchange listing standards.Director Srikant Datar has announced that he will not stand for reelection.The Board has nominated Rachel Ruggeri to stand for election at our 2024 annual meeting.50%of Strykers Board of Directors identify as racially/ethnically d

330、iverse40%identify as womenSee Diversity,Equity and Inclusion for full Board diversity metrics.*Chair of the Board Lead Independent Director*Audit Committee Compensation and Human Capital Committee Governance and Nominating Committee552023 in review Healthcare People Planet Business AppendixStryker 2

331、023 Comprehensive ReportSenior Leadership TeamSharing knowledge across our industryMany Stryker executives hold or have held leadership positions in healthcare industry associations.These roles include:Advanced Medical Technology Association(AdvaMed)Kevin Lobo,Chair,March 2019March 2021;Executive Co

332、mmittee Member,March 2013Present Asia Pacific Medical Technology Association(APACMed)John Collings,Chair Healthcare Leadership CouncilAndy Pierce,Council Member Medical Device Manufacturers AssociationSpencer Stiles,Board Member MedTech EuropeStuart Silk,Board Member38%of our Senior Leadership Team

333、identify as racially/ethnically diverse25%identify as women562023 in review Healthcare People Planet Business AppendixStryker 2023 Comprehensive ReportOther Leadership MembersOther OfficersJason Beach Vice President,Investor RelationsBill Berry Vice President,Chief Accounting OfficerJeanne Blondia Vice President,Finance and TreasurerAndrs Cedrn Vice President,Corporate SecretaryRob Cummings Vice P