SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K (Mark One) [X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 1993 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from_________ to __________ Commission file number 0-9165 STRYKER CORPORATION (Exact name of registrant as specified in its charter) Michigan 38-1239739 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) P.O. Box 4085, Kalamazoo, Michigan 49003-4085 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: 616/385-2600 Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: Common Stock $.10 par value Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes__X__ No_____. Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [ ] Based on the closing sales price of February 28, 1994 the aggregate market value of the voting stock held by nonaffiliates of the registrant was approximately $1,052,000,000. The number of shares outstanding of the registrant's common stock, $.10 par value, was 48,415,669 at February 28, 1994. DOCUMENTS INCORPORATED BY REFERENCE Portions of the annual stockholders report for the year ended December 31, 1993 are incorporated by reference into Parts II and IV. Portions of the proxy statement filed with the Securities and Exchange Commission relating to the 1994 Annual Meeting of Stockholders (the "1994 proxy statement") are incorporated by reference into Part III. PART I ITEM I. BUSINESS GENERAL Stryker Corporation and its subsidiaries (the "Company" or "Stryker") develop, manufacture and market specialty surgical and medical products, including endoscopic systems, orthopaedic implants, powered surgical instruments, and patient handling equipment, which are sold to hospitals and physicians worldwide. In addition, since 1986 the Company has provided physical therapy services through stand-alone clinics throughout the U.S. Stryker was incorporated in Michigan on February 20, 1946 as the successor to a business founded in 1941 by Dr. Homer H. Stryker, a leading orthopaedic surgeon and the inventor of several innovative orthopaedic products. In October 1992, the Company's subsidiary, Stryker France S.A., acquired Dimso S.A. and its subsidiary companies in France and Spain. Dimso designs and manufactures the Diapason and Stryker 2S spinal implant systems in addition to other orthopaedic products. The Company's European Division had previously marketed the Stryker 2S spinal implant system since 1990. In late 1992, the Company applied to the U.S. Food and Drug Administration (FDA) for approval to market the Stryker 2S spinal implant system in the U.S. In August 1993, the Company purchased 20% of the outstanding shares of Matsumoto Medical Instruments, Inc., Osaka, Japan. Matsumoto began distributing Stryker products in Japan in 1969 and is the exclusive distributor of most Stryker products in that country. PRODUCT SALES The principal classes of products listed below accounted for the following amounts ($000's) and percentages of net sales during each of the three years ended December 31: 1993 1992 1991 $ % $ % $ % Surgical Products 447,042 80 394,111 83 302,938 83 Medical Products 110,293 20 82,943 17 61,887 17 _______ _______ _______ 557,335 100 477,054 100 364,825 100 ======= ======= ======= Approximately two-thirds of the Company's sales in 1993, 1992 and 1991 consisted of products with short lives and service revenues, such as implants (while implants have a long useful life to the patient, they have a one-time use to the hospital), physical therapy revenues, disposables, expendable tools and parts, and service and repair charges. The balance were products that could be considered capital equipment, having useful lives in excess of one year. The Company's backlog of firm orders is not considered material to an understanding of its business. SURGICAL PRODUCTS The principal specialty served by the Company's Surgical products is orthopaedics. Artificial joint replacements, medical video cameras, arthroscopes, heavy-duty powered instruments, and pulsating irrigation systems are manufactured and marketed for use by the orthopaedic surgeon. The Company specializes in the design and manufacture of innovative total and partial hip and knee replacements. These artificial implants are made of cobalt chrome or titanium alloys and are implanted in patients whose natural joints have been damaged by arthritis, other diseases or injury. The Company also designs and manufactures spinal implant systems. These implant systems are used by spinal surgeons in the treatment of degenerative spinal diseases and deformities and to stabilize the spine in trauma cases. Stryker's broad line of powered surgical drills, saws, fixation and reaming equipment and other surgical instruments are used by surgeons for drilling, burring, rasping or curring bone, wiring or pinning bone fractures, preparing hip or knee surfaces for the placement of artificial hip or knee joints, performing cranial operations or treating skin defects by surgical abrasion. Hundreds of different sized and shaped drills bits, burrs, blades, chisels and other attachments are available to the surgeon. Small, light, "micro" powered tools are used in such specialties as maxillofacial surgery, otology, neurosurgery, spinal surgery, podiatry and plastic surgery. In addition, the oral surgeon is served by the Company's line of dental implants and powered oral surgery instruments. The Company also produces a number of other operating room products. The Company's CBC-Constavac(T) system is a post-operative wound drainage and blood reinfusion device that enables joint replacement patients to receive their own blood rather than donor blood. In conjunction with joint replacement surgery, the Company's High Vacuum Cement Injection System is used to mix and inject cement under high vacuum for cemented implant applications. The Company's endoscopic systems include medical video cameras, light sources, laparoscopes, powered instruments, and manual instruments. These systems are used in less-invasive surgery, such as arthroscopy and cholecystectomy (gall bladder removal) in which the surgeon operates on a patient through a series of small punctures rather than an open incision as required by conventional surgery. MEDICAL PRODUCTS The Company's Medical product line consists primarily of specialty stretchers and beds, which facilitate the transportation, transfer and treatment of patients within the hospital. The Company designs and manufactures innovative specialty stretchers/beds for many departments within the hospital, including emergency, recovery, intensive care, surgery, maternity and the general patient room. These products service the particular treatment needs of each department by providing multiple or custom combinations of hydraulic jacks, removable top sections, built-in weighing systems, on-board x-ray equipment, patient-warming systems and a vast number of additional standard or optional features. These products are assembled on a design-to-order basis. Also included in Medical product sales is revenue of the Company's Physiotherapy Associates subsidiary. This organization operates outpatient rehabilitation centers, which offer physical, occupational and speech therapy to patients who have suffered orthopaedic or neurological injuries. It focuses, in particular, on expediting injured workers' return to work. PRODUCT DEVELOPMENT Most of the Company's products and product improvements have been developed internally. In addition, the Company maintains close working relationships with physicians and medical personnel in hospitals and universities who assist in product research and development. New and improved products play a critical role in the Company's sales growth. The Company has placed increased emphasis on the development of proprietary products and product improvements to complement and expand its existing product lines. Total expenditures for product research, development and engineering were $36,199,000 in 1993; $32,313,000 in 1992; and $23,703,000 in 1991. Research, development and engineering expenses increased in 1993 and 1992 due principally to the development of new implant designs (the Series 7000 Total Knee System introduced in 1992, with modular and posterially stabilized components added to the line in 1993), the further application of hydroxylapatite (HA) technology for arthroplasty, the development of advanced powered instruments and video technology (the Company's third generation 3-Chip and 1-Chip Camera systems introduced in 1992 and Quadracut ACL/Shaver system for arthroscopy introduced in 1993), the development of new specialized operating room equipment (the Company's Surgilav Plus pulsed irrigation system introduced in 1993 and the High Vacuum Cement Injection system for applying bone cement introduced in 1992), the development of new patient handling and patient care equipment (a warming stretcher for the recovery room introduced in 1992 and a general patient hospital bed introduced in 1993) and clinical trials of the Company's Osteogenic Protein Device. At the end of 1990, the Company's Osteonics subsidiary became the first company to receive clearance from the U.S. FDA to commercially release for sale in the U.S. a hip implant with HA surface treatment. HA is a naturally occurring calcium phosphate material that demonstrates a high level of biocompatibility due to its resemblance to human bone. Osteonics' clinical experience with HA-coated hip implants now extends over five years and on the industry's standard measure of performance, the Harris Hip Score, these implants earned an average rating of 97 out of 100--a record unmatched by any other hip prosthesis reported in the professional literature. These excellent clinical results have further strengthened the Company's belief that HA has significant potential as a means of improving the performance and longevity of implants. In 1991 the Company received FDA approval to begin human clinical trials of its Osteogenic Protein Device which was developed by Creative BioMolecules, Inc. (Creative), a biopharmaceutical company, as part of a long-term research program funded by Stryker since 1985. This device is composed of a recombinant human osteogenic protein and a bioresorbable carrier. This osteogenic protein is naturally present in the human body and is directly implicated in a cascade of cellular events that result in bone growth. In preclinical studies, the Osteogenic Protein Device has induced the formation of new bone when implanted into bone defect sites. The human clinical studies, which began in 1992, will compare the efficacy of the Osteogenic Protein Device to autografts in the repair of non-union fractures. Stryker owns the patents on its Osteogenic Protein Device and has the exclusive right to develop, market and sell the Device for local use in the treatment, repair or replacement of bone and joint tissue ("orthopaedic reconstruction"). Creative has the right to use the technology outside the field of orthopaedic reconstruction. MARKETING Most of the Company's products are marketed in the United States directly to more than 7,500 hospitals, and to doctors and other health care facilities, by the Company's sales force consisting of approximately 375 salespersons. Stryker maintains separate and dedicated sales forces for each of its principal product lines to provide focus and a high level of expertise to each medical specialty served. Certain products, primarily orthopaedic implants, are sold to hospitals in the United States principally through independent dealer organizations. Approximately 22% of the Company's domestic revenues in 1993 were accounted for by sales to hospital cooperative buying groups and other large national accounts and 2% by sales to the Veterans Administration and other hospitals operated by the Federal government. International sales accounted for 32% of total revenues in 1993. Stryker products are sold in over 100 foreign countries primarily through more than 350 local dealers whose efforts are coordinated by approximately 250 sales and marketing personnel who are local nationals. Stryker distributes its products through sales subsidiaries with offices located in The Netherlands, Belgium, France, Italy, the United Kingdom, Germany, Spain, Hong Kong, China, Singapore, Korea, India, Taiwan, Japan, Australia, Malaysia, Canada and Moscow. Stryker exports products to dealers in Latin America, the Middle East and Japan, and to customers in the CIS (former Soviet Union). Additional information regarding the Company's foreign and domestic operations andexport sales appearing in "Note 8--Geographic Data" on page 42 (page 45 of the 1993 Annual Report) is incorporated herein by reference. The Company's business is generally not seasonal in nature; however, in 1993 and 1992 sales and earnings have been stronger in the fourth quarter than in the previous three quarters. COMPETITION The Company is one of the two leading competitors in the U.S. market for powered surgical instruments, the other being Zimmer, USA Inc. (a subsidiary of Bristol-Myers, Squibb, Inc.). While competition abroad varies from area to area, the Company believes it is also a leading factor in the international market, with Aesculap-Werke AG, a large European manufacturer, being its principal competitor. In the orthopaedic reconstructive products market Stryker is one of the four market leaders, with the principal competitors being Zimmer, Howmedica, Inc. (a subsidiary of Pfizer, Inc.) and DePuy (a subsidiary of Boehringer Mannheim Corporation, a German company). In the arthroscopy market, the Company considers itself to be one of the three market leaders, with the principal competitors being Dyonics, Inc. (a subsidiary of Smith & Nephew) and Linvatec/Concept, Inc. (a subsidiary of Bristol-Myers, Squibb, Inc.). In the laparoscopic imaging products market, the Company considers itself to be one of the four market leaders with the principal competitors being Karl Stroz GmbH & Co. (a German company), Olympus Optical Co. Ltd. (a Japanese company) and Circon Corporation. The Company's primary competitor in the specialty stretcher/bed market and the general hospital bed market is Hill-Rom (a divison of Hillenbrand Industries). In the outpatient physical therapy market the Company's primary competitors are physician owned/independent practices and hospital-based services. There are also a few national rehabilitation companies, such as HealthSouth Corporation, NovaCare, Inc./RehabClinics, Inc. and Rehability Corporation. The principal factors which the Company believes differentiate its products in these highly competitive markets and enable it to compete effectively are innovative products, reliability, service and reputation. The Company is not able to predict the effect that continuing efforts to reduce health care expenses generally and hospital costs in particular will have on the future sales of its products or its competitive position. (See "Regulation and Product Quality.") The Company believes that its competitive position in the future will depend to a large degree upon the new products and improvements in existing products it is able to develop. While the Company does not consider patents a major factor in its overall competitive success, patents and trademarks are significant to the extent that a product or attribute of a product represents a unique design or process. Patent or trademark protection of such products restricts competitors from duplicating these unique product designs and features. Stryker seeks to obtain patent protection whenever possible on its products. The Company currently has approximately 70 U.S. patents and 10 foreign patents which generally expire in the next 10-15 years. MANUFACTURING AND SOURCES OF SUPPLY The Company's manufacturing processes consist primarily of precision machining, metal fabrication, assembly operations and the investment casting of cobalt chrome and finishing of cobalt chrome and titanium. Approximately 15% of the Company's cost of sales in 1993 represented finished products which were purchased complete from outside suppliers. The Company also purchases parts and components, such as forgings, castings, gears, bearings, casters and electrical components and uses outside sources for certain finishing operations such as plating, hardening and coating of machined components and sterilization of certain products. The principal raw materials used by the Company are stainless steel, aluminum, cobalt chrome and titanium alloys. In all, purchases from outside sources were approximately 54% of the total cost of sales in 1993. While the Company relies on single sources for certain purchased materials and services, it believes alternate sources are available if needed. The Company has not experienced any significant difficulty in the past in obtaining the materials necessary to meet its production schedules. The Company's patient handling products are assembled to order, while other products are stocked in inventory. REGULATION AND PRODUCT QUALITY The Medical Device Amendments of 1976 to the Federal Food, Drug and Cosmetic Act, the Safe Medical Devices Act of 1990, and regulations issued or proposed thereunder, provide for regulation by the FDA of the manufacture of medical devices, including most of the Company's products. The FDA's "Good Manufacturing Practices" guidelines set forth standards for the Company's manufacturing processes, require the maintenance of certain records and provide for unscheduled inspections of the Company's facilities by the FDA. There are also certain requirements of state, local and foreign governments which must be complied with in the manufacturing and marketing of the Company's products. The Company believes that the manufacturing and quality control procedures it employs meet the requirements of these regulations. Most of the Company's new products fall into FDA classifications which require notification of and review by the FDA before marketing (submitted as 510(k)). Certain of the Company's new implant products and the Osteogenic Protein Device (see "Product Development") require extensive clinical testing, consisting of safety and efficacy studies, followed by a Pre-Market Approval (PMA) application. A panel of industry and medical experts review the results of clinical studies and make their recommendations to the FDA. Upon positive recommendation by the panel, the FDA may grant a PMA allowing the product to be marketed. Government agencies and legislative bodies in the United States and other countries are considering various proposals designed to hold down increases in health care costs. It is impossible to predict at this time the long-term impact of such cost containment measures on the Company's future business. EMPLOYEES At December 31, 1993, the Company had 3,228 employees worldwide, including 1,214 involved in manufacturing, warehousing and distribution operations, 777 in marketing and sales, 223 in research, development and engineering and the balance in general management and administration. No employees are covered by collective bargaining agreements. The Company believes that its employee relations are satisfactory. ITEM 2. PROPERTIES The Company's principal facilities are located in Kalamazoo and Portage, Michigan. A 190,000 square foot Portage facility completed in 1992 houses manufacturing (80,000 square feet) and warehousing and distribution (25,000 square feet) for surgical instrument products, with the remaining portion of the facility used for Division offices. The Medical Division is located in two facilities, one in Portage which was completed in 1985 and contains manufacturing and warehousing (122,000 square feet) and Division offices (23,000 square feet), and another in Kalamazoo which contains manufacturing and warehousing (64,000 square feet) and offices (22,000 square feet). The Company leases 185,000 square feet in an industrial park in Allendale, New Jersey for its orthopaedic implant business; 56,000 square feet in San Jose, California for its endoscopic systems business; 28,000 square feet in Clackamas, Oregon for production of maternity beds and furniture; and 40,000 square feet in Arroyo, Puerto Rico for the assembly of disposable tubing sets and other manufacturing. The Company's 72 physical therapy clinics are all located in leased offices. ITEM 2. PROPERTIES -- continued The Company's principal European facilities are located in two buildings (one of which is leased) in Uden, The Netherlands. Of the total 70,000 square feet (22,000 of which is leased) 41,000 square feet are devoted to production (principally hospital beds and related equipment) and 11,300 square feet to warehousing, with the balance used for administrative offices. In addition, the Company leases 16,000 square feet in Bordeaux, France for its spinal implant manufacturing operation. Manufacturing and warehousing account for 11,000 square feet of the total and the remainder is used for administrative offices. The Company also leases other foreign sales and administration offices. In addition, the Company leases 12,000 square feet in Kalamazoo, Michigan for its administrative offices. ITEM 3. LEGAL PROCEEDINGS The Company is a defendant and plaintiff in various legal actions arising in the normal course of business. The Company does not anticipate material losses as a result of these actions. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS Not applicable. EXECUTIVE OFFICERS Certain information with respect to the executive officers of the Company is set forth in Item 10 of this report. PART II ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Company's common stock is traded in the over-the-counter market on the NASDAQ National Market System under the symbol STRY. Quarterly stock prices and dividend information appearing under the caption "Summary of Quarterly Data" on page 44 (page 47 of the 1993 Annual Report) are incorporated herein by reference. The Company's Board of Directors intends to consider a year-end cash dividend annually at its December meeting. On December 31, 1993 there were 3,951 stockholders of record of the Company's common stock. ITEM 6. SELECTED FINANCIAL DATA The financial information for each of the five years in the period ended December 31, 1993 under the caption "Ten Year Review" on page 29 (pages 32 and 33 of the 1993 Annual Report) is incorporated herein by reference. ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The information under the caption "Management's Discussion and Analysis of Financial Condition and Results of Operations" on pages 30 through 32 (pages 34 through 36 of the 1993 Annual Report) is incorporated herein by reference. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA The consolidated financial statements of the Company and its subsidiaries and report of independent auditors, included on pages 33 through 45 (pages 37 through 48 of the 1993 Annual Report) are incorporated herein by reference. Quarterly results of operations appearing under the caption "Summary of Quarterly Data" on page 44 (page 47 of the 1993 Annual Report) are incorporated herein by reference. ITEM 9. DISAGREEMENTS ON ACCOUNTING AND FINANCIAL DISCLOSURE Not applicable. PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS Information regarding the directors of the Company appearing under the caption "Election of Directors" in the 1994 proxy statement is incorporated herein by reference. Information regarding the executive officers of the Company appears below. All officers are elected annually. Reported ages are as of January 31, 1994. John W. Brown, age 59, has been Chairman of the Board since January 1981, and President and Chief Executive Officer of the Company since February 1977. He is also a director of Lunar Corporation, a medical products company, First of America, a bank, and the Health Industry Manufacturers Association and a Trustee of Kalamazoo College. Ronald A. Elenbaas, age 40, was appointed President of the Surgical Group in 1985 and has been a Vice President of the Company since August 1983. Previously he was the Director of Surgical Sales since May 1982. Since joining the Company in September 1975 he has held various other positions, including Sales Representative, Marketing Product Manager, Plant Manager, Canadian Sales Director, Assistant to the President and Director of Customer Relations. William T. Laube, III, age 54, was appointed President of Stryker Pacific Limited in 1985 and has been a Vice President of the Company since March 1979. Since joining the Company in July 1975 he has held various international sales management positions. ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS -- continued Robert D. Monk, age 42, was appointed Treasurer-Controller upon joining the Company in March 1984. He was also appointed Assistant Secretary in February 1991. David J. Simpson, age 47, was appointed Vice President, Chief Financial Officer and Secretary upon joining the Company in June 1987. He had previously been Vice President and Treasurer of Rexnord Inc., a manufacturer of industrial and aerospace products, since July 1985. Thomas R. Winkel, age 41, was appointed President of Stryker Americas/Middle East in March 1992 and has been a Vice President of the Company since December 1984. He had previously been Vice President, Administration since June 1987. Since joining the Company in October 1978 he has held various other positions, including Assistant Controller, Secretary and Corporate Controller. An amended Form 5 was filed with the Securities and Exchange Commission in June 1993 by John W. Brown, Chairman of the Board, President and Chief Executive Officer of the Company, when it was realized that a charitable gift of 2,625 Shares of Common Stock of the Company made by him had been omitted from the original filing. ITEM 11. EXECUTIVE COMPENSATION Information regarding the compensation of the management of the Company appearing under the captions "Director Compensation" and "Executive Compensation" in the 1994 proxy statement is incorporated herein by reference. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The information under the captions "Beneficial Ownership of More than 5% of the Outstanding Common Stock" and "Beneficial Ownership of Management" in the 1994 proxy statement is incorporated herein by reference. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS Not applicable. PART IV ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K (Executive compensation plans and arrangements are referenced as exhibits 10(i) and (ii).) (a)(1) and (2) - The response to this portion of Item 14 is submitted as a separate section of this report following the signature page. (a)(3) - Exhibits Exhibit 3 - Articles of incorporation and by-laws (i) Restated Articles of Incorporation and amendment thereto dated December 28, 1993. (ii) By-Laws--Incorporated by reference to Exhibit 3(ii) to the Company's Form 10-Q for the quarter ended June 30, 1988 (Commission File No. 0-9165). Exhibit 4 - Instruments defining the rights of security holders, including indentures--The Company agrees to furnish to the Commission upon request a copy of each instrument pursuant to which long-term debt of the Company and its subsidiaries not exceeding 10% of the total assets of the Company and its consolidated subsidiaries is authorized. Exhibit 10-Material contracts (i)* 1988 Stock Option Plan as amended--Incorporated by reference to Exhibit 10(i) to the Company's Form 10-K for the year ended December 31, 1992 (Commission File No. 0-9165). (ii)* Description of bonus arrangements between the Company and certain officers, including Messrs. Brown, Elenbaas, Laube, Simpson and Winkel. Exhibit 11-Statement re computation of per share earnings (i) Statement Re: Computation of net earnings per share Exhibit 13-Annual report to security holders (i) Portions of the 1993 Annual Report that are incorporated herein by reference Exhibit 21-Subsidiaries of the registrant (i) List of Subsidiaries *compensation arrangement ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K--continued Exhibit 23-Consents of experts and counsel (i) Consent of Independent Auditors (b) Reports on Form 8-K - No reports on Form 8-K were required to be filed in the fourth quarter of 1993. (c) Exhibits - The response to this portion of Item 14 is submitted as a separate section of this report following the signature page. (d) Financial statement schedules - The response to this portion of Item 14 is submitted as a separate section of this report following the signature page. SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. STRYKER CORPORATION Date: March 18, 1994 DAVID J. SIMPSON David J. Simpson, Vice President, Chief Financial Officer and Secretary Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated. JOHN W. BROWN 3/18/94 DAVID J. SIMPSON 3/18/94 John W. Brown, Chairman, President David J. Simpson, Vice President, Chief and Chief Executive Officer Financial Officer and Secretary (Principal Executive Officer) (Principal Financial Officer) HOWARD E. COX, JR. 3/18/94 ROBERT D. MONK 3/18/94 Howard E. Cox, Jr. - Director Robert D. Monk, Treasurer/Controller (Principal Accounting Officer) DONALD M. ENGELMAN 3/18/94 RONDA E. STRYKER 3/18/94 Donald M. Engelman, Ph.D. - Director Ronda E. Stryker - Director JEROME H. GROSSMAN 3/18/94 GERARD THOMAS 3/18/94 Jerome H. Grossman, M.D. - Director Gerard Thomas - Director JOHN S. LILLARD 3/18/94 WILLIAM U. PARFET 3/18/94 John S. Lillard - Director William U. Parfet - Director ANNUAL REPORT ON FORM 10-K ITEM 14(a)(1) and (2), (c) and (d) LIST OF FINANCIAL STATEMENTS, FINANCIAL STATEMENT SCHEDULES CERTAIN EXHIBITS FINANCIAL STATEMENT SCHEDULES YEAR ENDED DECEMBER 31, 1993 STRYKER CORPORATION KALAMAZOO, MICHIGAN FORM 10-K--ITEM 14(a)(1), (2) AND (d) STRYKER CORPORATION AND SUBSIDIARIES Index to Financial Statements and Financial Statement Schedules The following consolidated financial statements of Stryker Corporation and subsidiaries and report of independent auditors, included in the annual stockholders report of the registrant for the year ended December 31, 1993, are incorporated by reference in Item 8: Report of independent auditors Consolidated balance sheet--December 31, 1993 and 1992. Consolidated statement of earnings--years ended December 31, 1993, 1992 and 1991. Consolidated statement of stockholders' equity--years ended December 31, 1993, 1992 and 1991. Consolidated statement of cash flows--years ended December 31, 1993, 1992 and 1991. Notes to consolidated financial statements--December 31, 1993. The following consolidated financial statement schedules of Stryker Corporation and subsidiaries are included in Item 14(d): Schedule I--Marketable securities-other investments Schedule VIII--Valuation and qualifying accounts Schedule IX--Short-term borrowings Schedule X--Supplementary income statement information Schedule XIII--Other investments All other schedules for which provision is made in the applicable accounting regulation of the Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted. SCHEDULE I -- MARKETABLE SECURITIES AND OTHER INVESTMENTS STRYKER CORPORATION AND SUBSIDIARIES December 31, 1993 Col. A. Col. B Col. C Col. D. Col. E Name of issuer and Number of shares or Cost of each issue Market value of Amount at which title of each issue units--principal each issue at each portfolio of amounts of bonds balance sheet date equity security and notes issues and each other security issue carried in the balance sheet ____________________________________________________________________________________________________________________________________ MARKETABLE SECURITIES (1) Certificates of Deposit $4,100,000 $4,100,000 $4,100,000 $4,100,000 Commercial Paper 2,600,000 2,600,000 2,600,000 2,600,000 U.S. Government Obligations 43,000,000 43,608,690 43,458,807 43,608,690 Oregon Electric Revenue Bond--Series D 2,000,000 2,007,500 2,017,380 2,007,500 Wisconsin 5.75% Bond--Series A 2,000,000 2,058,340 2,022,640 2,058,340 New Jersey 3.0% Tax & Revenue Anticipation Note-Series A 5,000,000 5,030,883 5,027,883 5,030,883 Los Angeles County 3.0% Tax & Revenue Anticipation Note-Series A 4,000,000 4,036,093 4,045,933 4,036,093 University of Texas 5.10% Permanent University Fund Bond - Series B 2,000,000 2,027,720 2,026,140 2,027,720 Puerto Rico Commonwealth 3.0% Tax and Revenue Anticipation Note - Series A 2,000,000 2,005,140 2,010,660 2,005,140 Arlington County, Virginia 3.6% Bond Anticipation Note 3,000,000 3,019,950 3,025,350 3,019,950 Texas 3.25% Note Tax & Revenue Anticipation Note 5,000,000 5,024,736 5,040,886 5,024,736 Milwaukee, Wisconsin 5.1% Sewer Bond 2,000,000 2,055,160 2,033,160 2,055,160 New Hampshire 3.7% Capital Improvement Bond 1,000,000 1,005,600 1,008,320 1,005,600 Tallahassee, Florida 3.6% Electric Revenue Bond-Series A 2,000,000 2,000,000 2,014,360 2,000,000 Alabama 3.7% School Revenue Bond 2,000,000 2,010,060 2,020,920 2,010,060 Arizona 3.6% Revenue Bond - Series A 1,030,000 1,029,042 1,041,175 1,029,042 Indiana 3.8% Municipal Power Revenue Bond-Series B 1,655,000 1,655,000 1,675,241 1,655,000 Omaha, Nebraska 3.4% PPD Revenue Bond-Series A 1,000,000 1,000,000 1,003,260 1,000,000 Virginia 4.5% Public Facilities Bond 2,000,000 2,029,020 2,042,260 2,029,020 Gwinnett County, Georgia 4.125% Bond 3,000,000 3,041,532 3,054,792 3,041,532 Hawaii 3.85% Bond - Series CD 3,000,000 3,000,963 3,030,903 3,000,963 Maryland 3.625% Transportation Bond 4,000,000 4,038,556 4,044,156 4,038,556 Utah 3.90% IPA Revenue Bond 2,500,000 2,540,692 2,551,192 2,540,692 Maine Student Educational Loan Marketing Corp. 2,000,000 2,000,000 2,003,820 2,000,000 _________ _________ _________ _________ $102,924,677 $102,899,238 $102,924,677 ============ ============ ============ (1) All of the marketable securities have maturities of four years or less. SCHEDULE VIII -- VALUATION AND QUALIFYING ACCOUNTS STRYKER CORPORATION AND SUBSIDIARIES Col. A Col. B Col. C Col. D Col. E ADDITIONS Description Balance at Beginning (1) (2) Deductions--Describe Balance at End of Period Charged to Costs Charged to Other (A) of Period and Expenses Accounts-Describe ____________________________________________________________________________________________________________________________________ DEDUCTED FROM ASSET ACCOUNTS Allowance for Doubtful Accounts: Year ended December 31, 1993 $2,900,000 $1,660,000 $760,000 $3,800,000 ========== ========== ======== ========== Year ended December 31, 1992 $2,500,000 $1,060,000 $660,000 $2,900,000 ========== ========== ======== ========== Year ended December 31, 1991 $1,300,000 $1,440,000 $240,000 $2,500,000 ========== ========== ======== ========== (A) Uncollectable amounts written off, net of recoveries SCHEDULE IX -- SHORT-TERM BORROWINGS STRYKER CORPORATION AND SUBSIDIARIES Col. A Col. B Col. C Col. D Col. E Col. F Weighted Maximum Average Weighted Category of Aggregate Balance at End Average Amount Amount Average Short-Term Borrowings of Period Interest Rate Outstanding Outstanding Interest Rate During the During the During the Period Period (A) Period (B) ____________________________________________________________________________________________________________________________________ Notes payable to banks: Year ended December 31, 1993 $777,000 12.5% $2,191,000 $1,116,000 11.4% ======== ===== ========== ========== ===== Year ended December 31, 1992 $0 $6,480,000 $1,922,000 6.9% == ========== ========== ==== Year ended December 31, 1991 $6,746,000 8.1% $6,746,000 $4,620,000 9.6% ========== ==== ========== ========== ==== (A) Month-end balances divided by 12 months (B) Interest expense divided by (A) SCHEDULE X --SUPPLEMENTARY INCOME STATEMENT INFORMATION STRYKER CORPORATION AND SUBSIDIARIES Col. A Col. B ITEM Charged to Costs and Expenses Year Ended December 31 _________________________________________ 1993 1992 1991 _________________________________________ Advertising costs $8,097,000 $7,345,000 $6,038,000 ========== ========== ========== Amounts for maintenance and repairs; amortization of tangible assets, pre-operating costs and similar deferrals; taxes, other than payroll and income taxes; and royalties are not presented as such amounts are less than 1% of net sales. SCHEDULE XIII -- OTHER INVESTMENTS STRYKER CORPORATION AND SUBSIDIARIES December 31, 1993 Col. A Col. B Col. C Col. D Col. E Name of issuer Number of shares Amount of equity Amount of Value at and title of issue in net profit and dividends or close of period loss for the period interest ____________________________________________________________________________________________________________________________________ Matsumoto Medical Instruments, Inc. 341,200 $1,926,000 $0 $32,568,571 ======= ========== == =========== FORM 10-K--ITEM 14(c) STRYKER CORPORATION AND SUBSIDIARIES Exhibit Index Exhibit Page* (3) Articles of incorporation and by-laws (i) Restated Articles of Incorporation. . . . . . . . . . . . . . . 22 (ii) By-Laws . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11** (10) Material contracts (i) 1988 Stock Option Plan as amended . . . . . . . . . . . . . . . 11** (ii) Description of bonus arrangements between the Company and certain officers including, Messrs. Brown, Elenbaas, Laube, Simpson and Winkel . . . . . . . . . . . . . . . . . . 27 (11) Statement re computation of per share earnings (i) Statement Re: Computation of net earnings per share. . . . . . 28 (13) Annual report to security holders (i) Portions of the 1993 Annual Report are incorporated here by reference. . . . . . . . . . . . . . . . 29 (21) Subsidiaries of the registrant (i) List of Subsidiaries. . . . . . . . . . . . . . . . . . . . . . . 48 (23) Consents of experts and counsel (i) Consent of Independent Auditors . . . . . . . . . . . . . . . . . 49 * Page number in sequential numbering system where such exhibit can be found, or it is stated that such exhibit is incorporated by reference. ** Incorporated by reference in this Annual Report on Form 10-K. CERTIFICATE OF AMENDMENT OF RESTATED ARTICLES OF INCORPORATION OF STRYKER CORPORATION _______________________ 1. The present name of the corporation is Stryker Corporation. The registered office of the corporation is 2725 Fairfield Road, Kalamazoo, Michigan 49002. 2. The former name of the corporation was Orthopedic Frame Company. 3. The date of filing of the original Articles of Incorporation was February 20, 1946. 4. Section A of Article III of the Articles of Incorporation, as amended and restated to date, is hereby amended to increase the authorized Common Stock to 150,000,000 shares, and as so amended shall read in its entirety as follows: A. The aggregate number of shares of all classes of stock which the corporation shall have authority to issue is 150,500,000 to be divided into two classes consisting of 500,000 shares of a class designated "Preferred Stock", of the par value of One Dollar ($1) per share, and 150,000,000 shares of a class designated "Common Stock", of the par value of Ten Cents ($.10) per share. 5. This amendment was duly adopted by the shareholders of the corporation on the 27th day of April, 1993 in accordance with the provisions of subsection (2) of Section 611 of the Business Corporation Act of Michigan. Dated this 28th day of December, 1993. STRYKER CORPORATION By JOHN W. BROWN John W. Brown, Chairman, President and Chief Executive Officer RESTATED ARTICLES OF INCORPORATION OF STRYKER CORPORATION 1. These Restated Articles of Incorporation are executed pursuant to the provisions of Section 641-643 of the Business Corporation Act of Michigan (Act 284, Public Acts of 1972, as amended). 2. The present name of the corporation is Stryker Corporation. 3. The former name of the corporation was Orthopedic Frame Company. 4. The date of filing the original Articles of Incorporation was February 20, 1946. 5. The following Restated Articles of Incorporation supersedes the original Articles of Incorporation, as amended and restated to date, and shall be the Articles of Incorporation of the corporation. ARTICLE I The name of the corporation is Stryker Corporation. ARTICLE II The purpose of the corporation is to engage in any activity within the purposes for which corporations may be organized under the Business Corporation Act of Michigan. Without limiting in any manner the scope and generality of the foregoing, the corporation may manufacture and/or sell or lease hospital equipment, medical and surgical supplies and instruments and allied products and may buy, sell, lease or rent real estate and erect buildings in connection with the foregoing, or otherwise. ARTICLE III A. The aggregate number of shares of all classes of stock which the corporation shall have authority to issue is 50,500,000 to be divided into two classes consisting of 500,000 shares of a class designated "Preferred Stock", of the par value of One Dollar ($1) per share, and 50,000,000 shares of a class designated "Common Stock," of the par value of Ten Cents ($.10) per share. B. The relative rights, preferences and limitations of the shares of each class are as follows: 1. Preferred Stock. The Preferred Stock may be issued from time to time in one or more series, with such distinctive designation or title and in such number of shares as may be fixed by resolution of the Board of Directors without further action by shareholders. The Board of Directors is expressly granted authority to prescribe, by resolution or resolutions adopted before the issuance of any shares of a particular series of Preferred Stock, the relative rights and preferences of each series, and the limitations applicable thereto, including but not limited to the following: (a) The voting powers full, special or limited, or no voting powers of each such series; (b) The rate, terms and conditions on which dividends shall be paid, whether such dividends will be cumulative, and what preference such dividends shall have in relation to the dividends on other series or classes of stock; (c) The rights, terms and conditions, if any, for conversion of such series of Preferred Stock into shares of other series or classes of stock; (d) Any right of the corporation to redeem the shares of such series of Preferred Stock, and the price, time, and conditions of such redemption, including the provisions for any sinking fund; and (e) The rights of holders of such series of Preferred Stock in relation to the rights of other series and classes of stock upon the liquidation, dissolution or distribution of the assets of the corporation. Unless the Board of Directors otherwise provides in the resolution establishing a series of Preferred Stock, upon repurchase by the corporation, redemption or conversion, the shares of Preferred Stock shall revert to authorized but unissued shares and may be reissued as shares of any series of Preferred Stock. 2. Common Stock. (a) Subject to the prior payment or provision therefor of dividends on the Preferred Stock, the holders of the Common Stock shall be entitled to receive out of the funds of the corporation legally legally available for such purpose dividends as and when declared by the Board of Directors. (b) In the event of any liquidation, dissolution or distribution of the assets of the corporation and after satisfaction of the preferential requirements of the Preferred Stock, the holders of Common Stock shall be entitled to share ratably in the distribution of all remaining assets of the corporation available for distribution. (c) The holders of the Common Stock shall be entitled to one vote for each share held by them of record on the books of the corporation. ARTICLE IV The shareholders of the corporation shall have no preemptive right to acquire additional or treasury shares of the corporation. All preemptive rights existing prior to the date hereof, whether created by statute or common law, are abolished. ARTICLE V The address of the current registered office is: 420 Alcott Street, Kalamazoo, Michigan 49001. The name of the current resident agent is David J. Simpson. ARTICLE VI The duration of the corporation is perpetual. ARTICLE VII The liability to the corporation and its shareholders of each and every person who is at any time a director of the corporation for acts or omissions in such person's capacity as a director is and shall be limited and eliminated to the full extent authorized or permitted by the Michigan Business Corporation Act, as it now exists or may hereafter be amended. Any amendment, alteration or repeal of this Article VII by the shareholders of the corporation shall not adversely affect any right or protection of a director of the corporation for or with respect to any act or omission of such director occurring prior to, or at the time of, such amendment, alteration or repeal. 6. The Restated Articles of Incorporation were duly adopted by the Board of Directors on the 29th day of July, 1988, without a vote of the shareholders, in accordance with the provisions of Section 642 of the Business Corporation Act of Michigan. The Restated Articles of Incorporation only restate and integrate and do not further amend the Articles of Incorporation as heretofore amended, and there is no material discrepancy between the provisions of the Articles of Incorporation as heretofore amended and the provisions of these Restated Articles of Incorporation. Dated this 29th day of July, 1988. STRYKER CORPORATION By JOHN W. BROWN John W. Brown, Chairman, President and Chief Executive Officer EXHIBIT (10)(ii) DESCRIPTION OF BONUS ARRANGEMENTS The Company has entered into bonus arrangements with certain executive officers for 1994, including Mr. Brown, Mr. Elenbaas, Mr. Laube, Mr. Simpson and Mr. Winkel, based on specific performance criteria including sales, profits and asset management. The aggregate amount of such bonuses is not expected to exceed $1,200,000. EXHIBIT (11) STATEMENT RE: COMPUTATION OF EARNINGS PER SHARE OF COMMON STOCK Year Ended December 31 1993 1992 1991 Average number of shares outstanding 48,356,000 47,716,000 47,526,000 __________ __________ __________ Net earnings $60,205,000 $47,700,000 $33,075,000 =========== =========== =========== Earnings per share of common stock: Net earnings $1.25 $1.00 $.70 Primary: Average shares outstanding 48,356,000 47,716,000 47,526,000 Net effect of dilutive stock options, based on the treasury stock method using average market price 536,000 1,173,000 1,228,000 __________ __________ __________ Total Primary Shares 48,892,000 48,889,000 48,754,000 ========== ========== ========== Fully Diluted: Average shares outstanding 48,356,000 47,716,000 47,526,000 Net effect of dilutive stock options, using the year-end market price, if higher then average market price 586,000 1,199,000 1,447,000 __________ __________ __________ Total Fully Diluted Shares 48,942,000 48,915,000 48,973,000 ========== ========== ========== Note: Shares subject to stock options are not included in the earnings per share computation because the present effect thereof is not materially dilutive. TEN-YEAR REVIEW (dollars in thousands, except per share amounts) Summary of Operations 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 Net Sales $557,335 $477,054 $364,825 $280,634 $225,860 $178,636 $148,095 $129,183 $108,377 $89,779 Costs and expenses: Cost of sales 256,748 221,650 172,477 132,882 106,899 85,037 71,420 64,090 54,029 44,832 Research, development and engineering 36,199 32,313 23,703 19,663 15,572 12,193 8,888 6,509 5,706 3,809 Selling, general and administrative 172,446 149,390 117,089 92,384 71,761 55,046 45,776 39,946 33,778 28,966 _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ 465,393 403,353 313,269 244,929 194,232 152,276 126,084 110,545 93,513 77,607 _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ Operating Income 91,942 73,701 51,556 35,705 31,628 26,360 22,011 18,638 14,864 12,172 Other income (expense) 4,123 3,239 1,789 2,395 (598) (360) 14 77 473 700 _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ Earnings Before Income Taxes and Extraordinary Item 96,065 76,940 53,345 38,100 31,030 26,000 22,025 18,715 15,337 12,872 Income taxes 35,860 29,240 20,270 14,475 11,800 10,140 9,300 8,502 6,770 5,749 _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ Earnings Before Extraordinary Item 60,205 47,700 33,075 23,625 19,230 15,860 12,725 10,213 8,567 7,123 Extraordinary gain (net) 9,910 _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ Net Earnings $60,205 $47,700 $33,075 $33,535 $19,230 $15,860 $12,725 $10,213 $8,567 $7,123 ======= ======= ======= ======= ======= ======= ======= ======= ======= ======= Earnings Per Share of Common Stock: (a) Before extraordinary item $1.25 $1.00 $.70 $.50 $.41 $.34 $.27 $.22 $.19 $.15 Extraordinary gain .21 Net Earnings $1.25 $1.00 $.70 $.71 $.41 $.34 $.27 $.22 $.19 $.15 Dividend Per Share of Common Stock $.07 $.06 $.05 Average Number of Shares Outstanding - in thousands (a) 48,356 47,716 47,526 47,396 47,178 46,864 46,734 46,410 46,146 45,972 (a) Adjusted for the three-for-two stock splits effective August 16, 1985 and May 19, 1989; and the two-for-one stock splits effective May 11, 1987 and May 13, 1991. Financial and Statistical Data 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 Cash and Marketable Securities 152,637 91,752 80,029 54,052 19,282 4,602 5,999 8,390 12,163 11,032 Working Capital 213,965 168,197 140,296 117,877 89,594 70,071 56,399 43,538 37,970 31,202 Current Ratio 2.6 2.7 2.6 3.0 3.5 3.4 3.3 2.9 3.0 3.2 Property, Plant and Equipment - Net 67,707 59,649 36,056 28,700 22,918 20,703 17,658 17,018 14,689 10,156 Capital Expenditures 20,160 31,618 16,570 11,935 7,106 7,987 3,895 5,377 6,818 4,468 Depreciation and Amortization 16,183 11,382 11,796 7,109 6,312 5,999 5,402 3,860 3,068 1,987 Total Assets 454,204 340,272 270,316 209,521 152,333 124,830 104,965 89,323 73,448 58,901 Long-Term Debt 31,282 1,433 1,400 1,900 2,655 3,121 3,704 3,951 4,242 3,652 Stockholders' Equity 288,434 232,261 179,875 147,875 112,029 91,019 75,216 60,455 49,131 40,151 Return on Average Equity 23.1 23.1 20.2 18.2 18.9 19.1 18.8 18.6 19.2 19.6 Number of Stockholders of Record 3,951 3,512 2,914 2,400 2,294 2,049 2,055 1,626 1,427 1,450 Number of Employees 3,228 2,906 2,448 1,913 1,599 1,408 1,180 1,073 948 789 MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS Results of Operations The table below outlines the components of the consolidated statement of earnings as a percentage of net sales: Percentage of Net Percentage Sales Increase ______________________ __________________ 1993 1992 1991 1993/92 1992/91 Net Sales 100.0% 100.0% 100.0% 17% 31% Cost of sales 46.1 46.5 47.3 16 29 Research, development and engineering expense 6.5 6.8 6.5 12 36 Selling, general and administrative expense 30.9 31.3 32.1 15 28 Operating Income 16.5 15.4 14.1 25 43 Other income .7 .7 .5 Earnings Before Income Taxes 17.2 16.1 14.6 25 44 Income taxes 6.4 6.1 5.5 23 44 Net Earnings 10.8% 10.0% 9.1% 26 44 1993 COMPARED TO 1992 Stryker Corporation's net sales increased 17% in 1993 to $557.3 million as demand for the Company's products, which are sold to hospitals throughout the world, continued to grow. Increased unit volume accounted for the entire increase as higher selling prices in 1993 provided only 1% growth and were essentially offset by the effect of changes in foreign currency exchange rates. Uncertainty over the impact of U.S. health care reform programs has generally slowed domestic sales of medical devices. In addition, in an effort to reduce their costs, purchasers of the Company's orthopaedic implants domestically have shifted their purchasing mix toward the Company's lower-cost implants. Despite these factors, the Company's total domestic sales grew 14% in 1993. International sales increased 22% in 1993 led by Osteonics orthopaedic implant and Dimso spinal implant sales. International sales expanded to 32% of total sales in 1993 compared to 31% in 1992. Surgical product sales (principally orthopaedic products) increased 13% for the year. The domestic sales growth in Surgical products was led by Stryker Instruments' High Vacuum Cement Injection System and new Surgilav Plus pulsed irrigation system, Osteonics' knee implants and Stryker Endoscopy's newly introduced third generation Model 782 3-Chip Camera. The international sales growth of Surgical products was led by Osteonics orthopaedic implant sales by the Company's Pacific Division and Dimso spinal implant system sales by all the Company's international divisions. Sales of Medical products (principally specialty stretchers/beds and physical therapy services) increased 33%, led by the introduction of the MPS Primary Acute Care Bed in the third quarter, increased revenues from physical therapy services and increased sales of patient handling equipment. Cost reduction programs at several of the Company's divisions and the higher mix of international sales lowered the cost of sales percentage in 1993 compared to 1992. Research, development and engineering expense increased 12% as the Company spent $36.2 million on product development in 1993 compared to $32.3 million in 1992. This commitment to product development resulted in several new products in 1993 including the MPS Primary Acute Care Bed, the Quadracut ACL/Shaver System for arthroscopy, the SurgiLav Plus pulsed irrigation system, and the Series 7000 Primary Posterially Stabilized Knee and Modular Tibia System. Selling, general and administrative expense increased 15% in 1993, principally as a result of larger sales forces in the Company's Instruments and Medical Divisions. However, this cost increase was contained below the percentage growth in sales and these costs dropped to 30.9% of sales in 1993 compared to 31.3% in 1992. The effective tax rate decreased to 37.3% in 1993 compared to 38.0% in 1992 due to lower effective foreign tax rates. Effective January 1, 1993, the Company adopted FASB Statement No. 109, "Accounting for Income Taxes". The cumulative effect of the change in the method of accounting on net earnings was not material. Net earnings in 1993 were $60.2 million, a 26% increase over the Company's earnings in 1992 of $47.7 million. In the fourth quarter of 1993, net sales reached a record level of $145.2 million and net earnings were $17.8 million or 12.2% of sales. Fourth quarter net earnings as a percent of sales was higher than the previous three quarters of the year because manufacturing costs and operating expenses increased at a slower rate than sales. 1992 COMPARED TO 1991 Stryker Corporation's net sales increased 31% in 1992 to $477.1 million compared to $364.8 million in 1992. Increased unit volume generated a 28% sales increase, increased selling prices added 2% and a 1% increase was due to changes in foreign currency exchange rates. Sales of the Company's Surgical products increased 30% for the year led domestically by Stryker Endoscopy's 3-Chip Camera system, the newly introduced Osteonics Series 7000 Total Knee System and the System 2000 heavy-duty battery-powered instrument line. The international sales growth in Surgical products was led by the introduction of the Osteonics knee line in Japan. Sales of Medical products increased 34%, led by gains in physical therapy revenues and nearly the entire line of patient-handling equipment. Cost of sales increased 29% in 1992 and represented 46.5% of sales compared to 47.3% in 1991. The lower cost of sales percentage in 1992 resulted from cost reduction programs implemented at several of the Company's divisions and from increased unit volume. Research, development and engineering expense increased 36% as the Company spent $32.3 million on product development in 1992 compared to $23.7 million in 1991. This commitment to product development resulted in several new products in 1992 including the Series 7000 Total Knee System, the Company's third generation 3-Chip and 1-Chip Camera systems, the High Vacuum Cement Injection System for applying bone cement, and a warming stretcher for the recovery room. Selling, general and administrative expense increased 28% in 1992, principally as a result of the increased cost of larger sales forces in the Endoscopy, Instruments, Medical and Europe Divisions. These costs dropped to 31.3% of sales in 1992 compared to 32.1% in 1991. The increase in other income is a result of modest foreign currency gains in 1992 of $188,000 compared to $898,000 of foreign currency losses in 1991. In addition, interest income, which is included in other income, increased in 1992 as a result of increased levels of cash and marketable securities. The effective tax rate remained constant at 38.0% in 1992. Net earnings in 1992 were $47.7 million, a 44% increase over the Company's net earnings in 1991 of $33.1 million. In the fourth quarter of 1992, net sales were $130.0 million and net earnings were $14.6 million or 11.2% of sales. Fourth quarter net earnings as a percent of sales was higher than the previous three quarters of the year because manufacturing costs and selling, general and administrative expenses increased at a slower rate than sales. LIQUIDITY AND CAPITAL RESOURCES Stryker's financial position continued to strengthen in 1993, with operating activities providing $86.1 million in cash. Working capital increased to $214.0 million from $168.2 million in the prior year. Accounts receivable increased 14% compared with the Company's 17% increase in sales and days sales outstanding in accounts receivable at the end of 1993 decreased to 47 days from 52 days at the end of 1992. Inventories actually decreased 4% in 1993 and days sales in inventory reflected even greater improvement, finishing 1993 at 114 days compared to 130 days at the end of 1992. In August 1993, the Company purchased 20% of the outstanding shares of Matsumoto Medical Instruments, Inc., Osaka, Japan. The cost of the investment, which was based on net book value, was approximately $33 million and was financed by a five-year Japanese yen denominated fixed-rate bank borrowing. The investment is accounted for under the equity method. The Company's share of Matsumoto's net earnings in 1993 were immaterial to consolidated net earnings. The Company's cash and marketable securities of $152.6 million at December 31, 1993, as well as anticipated cash flows from operations, are expected to be sufficient to fund planned future operating capital requirements. Should additional funds be required, the Company has unsecured lines of credit with banks totaling $39.0 million. At December 31, 1993, only $.8 million of these lines has been utilized to fund operating activities overseas. CONSOLIDATED BALANCE SHEET STRYKER CORPORATION AND SUBSIDIARIES December 31 (in thousands, except per share amounts) 1993 1992 Assets CURRENT ASSETS Cash and cash equivalents $49,712 $43,091 Marketable securities 102,925 48,661 Accounts receivable, less allowance of $3,800 ($2,900 in 1992) 87,896 76,899 Inventories 76,582 79,391 Deferred income taxes 15,829 12,772 Prepaid expenses and other current assets 10,907 8,791 ------- ------- Total Current Assets 343,851 269,605 PROPERTY, PLANT AND EQUIPMENT Land, buildings and improvements 30,790 25,220 Machinery and equipment 94,551 82,317 _______ _______ 125,341 107,537 Less allowance for depreciation 57,634 47,888 _______ _______ 67,707 59,649 OTHER ASSETS Intangibles, less accumulated amortization of $9,925 ($6,790 in 1992) 7,795 9,370 Investment in affiliate 32,569 Miscellaneous 2,282 1,648 _______ _______ 42,646 11,018 _______ _______ $454,204 $340,272 ======== ======== Liabilities and Stockholders' Equity CURRENT LIABILITIES Notes payable $777 Accounts payable 43,172 $38,269 Accrued compensation 28,270 25,067 Income taxes 21,107 9,979 Accrued expenses and other liabilities 35,678 26,901 Current maturities of long-term debt 882 1,192 _______ _______ Total Current Liabilities 129,886 101,408 LONG-TERM DEBT, EXCLUDING CURRENT MATURITIES 31,282 1,433 OTHER LIABILITIES 4,602 5,170 STOCKHOLDERS' EQUITY Common stock, $.10 par value: Authorized--150,000 shares (50,000 in 1992) Outstanding--48,395 shares (48,303 in 1992) 4,840 4,830 Additional paid-in capital 17,111 15,732 Retained earnings 268,367 211,550 Foreign translation adjustments (1,884) 149 _______ _______ Total Stockholders' Equity 288,434 232,261 _______ _______ $454,204 $340,272 ======== ======== See accompanying notes to consolidated financial statements. CONSOLIDATED STATEMENT OF EARNINGS STRYKER CORPORATION AND SUBSIDIARIES Years Ended December 31 (in thousands, except per share amounts) 1993 1992 1991 Net Sales $557,335 $477,054 $364,825 Costs and expenses: Cost of sales 256,748 221,650 172,477 Research, development and engineering 36,199 32,313 23,703 Selling, general and administrative 172,446 149,390 117,089 _______ _______ _______ 465,393 403,353 313,269 _______ _______ _______ Operating Income 91,942 73,701 51,556 Other income - net 4,123 3,239 1,789 _______ _______ _______ Earnings Before Income Taxes 96,065 76,940 53,345 Income taxes 35,860 29,240 20,270 _______ _______ _______ Net Earnings $60,205 $47,700 $33,075 ======= ======= ======= Net Earnings Per Share of Common Stock $1.25 $1.00 $.70 ======= ======= ======= Average Number of Shares Outstanding 48,356 47,716 47,526 See accompanying notes to consolidated financial statements. CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY STRYKER CORPORATION AND SUBSIDIARIES Years Ended December 31 Additional Foreign (in thousands, except per Common Paid-In Retained Translation share amounts) Stock Capital Earnings Adjustments Balance at January 1, 1991 $4,746 $4,757 $136,053 $2,319 Net earnings for 1991 33,075 Sales of 134 shares of common stock under option, including $799 income tax benefit 14 1,256 Cash dividend declared of $.05 per share of common stock (2,380) Translation adjustment 35 ______ ______ ________ ______ Balance at December 31, 1991 4,760 6,013 166,748 2,354 Net earnings for 1992 47,700 Sales of 706 shares of common stock under stock option and benefit plans, including $7,469 income tax benefit 70 9,719 Cash dividend declared of $.06 per share of common stock (2,898) Translation adjustment (2,205) ______ ______ _______ ______ Balance at December 31, 1992 4,830 15,732 211,550 149 Net earnings for 1993 60,205 Sales of 92 shares of common stock under stock option and benefit plans, including $393 income tax benefit 10 1,379 Cash dividend declared of $.07 per share of common stock (3,388) Translation adjustment (2,033) ______ ______ _______ ______ Balance at December 31, 1993 $4,840 $17,111 $268,367 ($1,884) See accompanying notes to consolidated financial statements. CONSOLIDATED STATEMENT OF CASH FLOWS STRYKER CORPORATION AND SUBSIDIARIES Years Ended December 31 (in thousands) 1993 1992 1991 OPERATING ACTIVITIES Net Earnings $60,205 $47,700 $33,075 Adjustments to reconcile net earnings to net cash provided by operating activities: Depreciation 13,048 10,214 9,890 Amortization 3,135 1,168 1,906 Provision for losses on accounts receivable 900 400 1,200 Deferred income taxes (credit) (2,917) (4,171) (5,872) Changes in operating assets and liabilities: Increase in accounts receivable (11,305) (20,563) (3,682) Decrease (increase) in inventories 2,271 726 (18,103) Increase in accounts payable 4,982 7,723 8,340 Increase in income taxes 11,092 632 2,766 Other 4,691 6,899 8,124 _______ _______ _______ Net Cash Provided by Operating Activities 86,102 50,728 37,644 INVESTING ACTIVITIES Purchases of property, plant and equipment (20,160) (31,618) (16,570) Purchases of marketable securities (54,264) (21,553) (11,728) Business acquisitions (34,654) (8,736) _______ _______ _______ Net Cash Used in Investing Activities (109,078) (61,907) (28,298) FINANCING ACTIVITIES Proceeds from borrowings 33,563 4,401 Payments on borrowings (2,016) (7,418) (400) Dividends paid (2,898) (2,380) Proceeds from exercise of stock options 1,389 9,789 1,270 Other (126) (376) (198) _______ _______ _______ Net Cash Provided by (Used in) Financing Activities 29,912 (385) 5,073 Effect of exchange rate changes on cash and cash equivalents (315) 1,734 (170) _______ _______ _______ Increase (Decrease) in Cash and Cash Equivalents 6,621 (9,830) 14,249 Cash and cash equivalents at beginning of year 43,091 52,921 38,672 _______ _______ _______ Cash and Cash Equivalents at End of Year $49,712 $43,091 $52,921 ======= ======= ======= See accompanying notes to consolidated financial statements. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS STRYKER CORPORATION AND SUBSIDIARIES December 31, 1993 1. Significant Accounting Policies BUSINESS: Stryker Corporation develops, manufactures and markets specialty surgical and medical products which are sold primarily to hospitals throughout the world. PRINCIPLES OF CONSOLIDATION: The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries after elimination of all significant intercompany accounts and transactions. The Company's investment in affiliate represents a 20% investment and is accounted for by the equity method. REVENUE RECOGNITION: Revenue is recognized on the sale of products when the related goods have been shipped or services have been rendered. CASH EQUIVALENTS AND MARKETABLE SECURITIES: Cash equivalents are highly liquid investments with a maturity of three months or less when purchased. Marketable securities are valued at cost which approximates market value. INVENTORIES: Inventories are stated at the lower of cost or market. Cost for approximately 63% (68% in 1992) of inventories is determined using the lower of first-in, first-out (FIFO) cost or market. Cost for certain domestic inventories is determined using the last-in, first-out (LIFO) cost method. The FIFO cost for all inventories approximates replacement cost. PROPERTY, PLANT AND EQUIPMENT: Property, plant and equipment is stated at cost. Depreciation is computed by the straight-line method over the estimated useful lives of the assets. INTANGIBLE ASSETS: Intangible assets represent the excess of purchase price over fair value of tangible net assets of acquired businesses. Intangible assets, which include patents and intangibles not specifically identifiable, are being amortized using the straight-line method over periods of up to sixteen years. INCOME TAXES: Effective January 1, 1993, the Company adopted FASB Statement No. 109, "Accounting for Income Taxes", which requires the use of the liability method of accounting for deferred income taxes. Under this method, deferred tax assets and liabilities are determined based on differences between financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates in effect for the years in which the differences are expected to reverse. Prior to the adoption of Statement 109, income tax expense was determined using the deferred method. Deferred tax expense was based on items of income and expense that were reported indifferent years in the financial statements and tax returns and were measured at the tax rate in effect in the year the difference originated. EARNINGS PER SHARE: Earnings per share is based upon the average number of shares of common stock outstanding during each year. Shares subject to option are not included in earnings per share computations because the present effect thereof is not materially dilutive. 2. Inventories Inventories are as follows (in thousands): December 31 1993 1992 Finished goods $45,338 $47,068 Work-in-process 10,586 14,968 Raw material 28,455 24,783 _______ _______ FIFO cost 84,379 86,819 Less LIFO reserve 7,797 7,428 _______ _______ $76,582 $79,391 ======= ======= 3. Business Acquisitions In August 1993, the Company purchased 20% of the outstanding shares of Matsumoto Medical Instruments, Inc., Osaka, Japan. Matsumoto began distributing Stryker products in Japan in 1969 and is the exclusive distributor of most Stryker products in that country. The cost of the investment, which was based on net book value, was approximately 3.4 billion yen ($32.8 million). This investment is accounted for under the equity method. The Company's share of Matsumoto's net earnings did not have a material impact on the Company's net earnings in 1993. During 1993 and 1992, the Company's subsidiary, Physiotherapy Associates, Inc., purchased several physical therapy clinic operations. The aggregate purchase price of these clinics in 1993 and 1992 was approximately $1,900,000 and $2,900,000, respectively, and generally approximated the carrying amounts of the assets acquired. Proforma consolidated results including the purchased businesses would not differ significantly from reported results. In October 1992, the Company's subsidiary, Stryker France S.A., acquired Dimso S.A. and its subsidiary companies in France and Spain. Dimso designs and manufactures the Diapason and Stryker 2S Spinal Implant Systems and other orthopaedic products. The acquisition was accounted for by the purchase method at a total cost of $13,000,000 of which approximately $7,000,000 will be paid over the next three years. Intangible assets acquired, principally patents, are being amortized over a ten year period. Proforma consolidated results including the purchased business would not differ significantly from reported results. 4. Borrowings The Company and its subsidiaries have unsecured short-term line of credit arrangements with banks aggregating $20,000,000 domestically and $19,000,000 equivalent in foreign currencies. Borrowings under these lines at December 31, 1993 were $777,000 in foreign funds at an average interest rate of 12.5%. These lines generally expire July 31, 1994. Long-term debt is as follows (in thousands): December 31 1993 1992 Bank loan $30,736 Other 1,428 $2,625 _______ ______ 32,164 2,625 Less current maturities 882 1,192 _______ ______ $31,282 $1,433 ======= ====== The unsecured bank loan, which matures on August 4, 1998, is Japanese yen denominated and bears interest at a fixed rate of 4.9% per annum. Maturities of debt for the four years succeeding 1994 are: 1995 - $44,000; 1996 - $48,000; 1997 - $52,000 and 1998 - $30,793,000. The carrying amount of the Company's long-term debt approximates the fair value based on the Company's current borrowing rates for similar types of borrowing agreements. Total interest expense, which is included in other income and approximates interest paid, was $1,067,000 in 1993, $411,000 in 1992 and $655,000 in 1991. 5. Capital Stock The Company has key employee and director Stock Option Plans under which options are granted at a price not less than fair market value at date of grant. The options are granted for periods of up to ten years and become exercisable in varying installments. A summary of stock option activity follows: Option Shares Price Per Share Options outstanding at January 1, 1992 1,709,750 $3.20 - $30.75 Granted 397,000 34.25 - 38.75 Canceled (69,800) 4.34 - 34.25 Exercised (761,025) 3.20 - 14.63 ________________________________________________________________________________ Options outstanding at December 31, 1992 1,275,925 3.20 - 38.75 Granted 867,500 22.38 - 25.50 Canceled (411,300) 6.75 - 38.75 Exercised (75,600) 3.20 - 14.63 ________________________________________________________________________________ Options outstanding at December 31, 1993 1,656,525 $3.20 - $34.25 At December 31, 1993, options for 576,225 shares were exercisable and 1,113,100 shares were reserved for future grants. On May 13, 1991, the Company effected a two-for-one stock split. All share and per share data and affected amounts have been adjusted to reflect the stock split as though it had occurred at the beginning of the periods presented. The Company has 500,000 authorized shares of $1 par value preferred stock, none of which are outstanding. 6. Retirement Plans Substantially all Company employees are covered by profit sharing or defined contribution retirement plans. Retirement plan expense under the Company's profit sharing and defined contribution retirement plans totaled $5,302,000 in 1993, $4,715,000 in 1992 and $3,631,000 in 1991. 7. Income Taxes Effective January 1, 1993, the Company adopted FASB Statement No. 109, "Accounting for Income Taxes", which requires the use of the liability method of accounting for income taxes (see Note 1). As permitted by Statement 109, the Company has elected not to restate the financial statements of any prior years. The cumulative effect of the change in the method of accounting on net earnings was not material. Earnings before income taxes consist of the following (in thousands): 1993 1992 1991 United States operations $88,181 $66,552 $45,480 Foreign operations 7,884 10,388 7,865 _______ _______ _______ $96,065 $76,940 $53,345 ======= ======= ======= The components of the provision for income taxes follow (in thousands): 1993 1992 1991 Current: Federal $26,114 $20,827 $17,985 State, including Puerto Rico 10,372 7,973 4,467 Foreign 2,291 4,611 3,690 _______ _______ _______ 38,777 33,411 26,142 Deferred tax expense (credit) (2,917) (4,171) (5,872) ------- ------ ------ $35,860 $29,240 $20,270 ======= ======= ======= A reconciliation of the statutory federal income tax rate to the Company's effective tax rate follows: 1993 1992 1991 U.S. statutory income tax rate 35.0% 34.0% 34.0% Add (deduct): State taxes, less effect of federal reduction 6.3 5.9 4.3 Foreign income taxes at rates different from the U.S. statutory rate (.8) 1.0 1.3 Tax benefit relating to operations in Puerto Rico (1.8) (1.9) (2.4) Research and development tax credit (1.4) (.9) (1.7) Earnings of Foreign Sales Corporation (1.4) (.8) (1.3) Other 1.4 .7 3.8 ---- ---- ---- 37.3% 38.0% 38.0% Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The tax effect of significant temporary differences which comprise the Company's deferred tax assets and liabilities at December 31, 1993 are as follows (in thousands): Deferred tax assets: Inventories $4,712 Accounts receivable and other assets 2,874 Other accrued expenses 6,662 State taxes 1,297 Other 920 ------ Total deferred tax assets 16,465 Deferred tax liabilities: Depreciation (792) Other (895) ------ Total deferred tax liabilities (1,687) ------ Total net deferred tax assets $14,778 ======= Deferred tax assets and liabilities are included in the consolidated balance sheet at December 31, 1993 as follows (in thousands): Current -- Deferred income taxes $15,829 Non-current -- Other liabilities (1,051) ------- Net deferred tax assets $14,778 ======= No provision has been made for U.S. federal and state income taxes or foreign taxes that may result from future remittances of the undistributed earnings ($40,128,000 at December 31, 1993) of foreign subsidiaries because it is expected that such earnings will be reinvested overseas indefinitely. Determination of the amount of any unrecognized deferred income tax liability on these unremitted earnings is not practicable. Total income taxes paid were $27,641,000 in 1993, $25,133,000 in 1992 and $22,550,000 in 1991. 8. Geographic Data Geographic area information follows (in thousands): 1993 1992 1991 NET SALES United States operations: Domestic $378,255 $330,782 $253,479 Export 115,977 81,513 72,256 Foreign operations: Europe 63,366 58,010 47,685 Other 45,638 43,182 24,401 Eliminations (45,901) (36,433) (32,996) -------- -------- -------- Net Sales $557,335 $477,054 $364,825 ======== ======== ======== OPERATING INCOME (LOSS) United States operations $90,726 $68,759 $49,492 Foreign operations: Europe 6,571 6,998 7,497 Other 3,125 4,477 717 -------- -------- -------- Total Foreign Operations 9,696 11,475 8,214 Corporate expenses (8,480) (6,533) (6,150) -------- -------- -------- Total Operating Income $91,942 $73,701 $51,556 ======== ======== ======== ASSETS United States operations $225,587 $199,188 $156,155 Foreign operations: Europe 39,313 42,580 24,607 Other 16,120 15,125 15,834 Corporate 173,184 83,379 73,720 -------- -------- -------- Total Assets $454,204 $340,272 $270,316 Intercompany sales between geographic areas are included in export and foreign operations sales at agreed upon prices which include a profit element. For the year ended December 31, 1993, sales to Matsumoto Medical Instruments, Inc. were $64,300,000 or 12% of total net sales. No customer accounted for 10% or more of the Company's sales in 1992 and 1991. Gains (losses) on foreign currency transactions, which are included in other income, totaled $(256,000), $188,000 and $(898,000) in 1993, 1992 and 1991, respectively. Corporate assets consist primarily of domestic cash and cash equivalents, marketable securities and investment in affiliate. 9. Leases The Company leases various manufacturing and office facilities and equipment under operating leases. Future minimum lease commitments under these leases are as follows (in thousands): 1994 $7,507 1995 5,591 1996 4,316 1997 3,001 1998 2,115 Thereafter 2,152 ------ $24,682 ======= Rent expense totaled $10,950,000 in 1993, $8,792,000 in 1992 and $6,686,000 in 1991. 10. Contingencies The Company is involved in various claims and legal actions arising in the normal course of business. The Company does not anticipate material losses as a result of these actions. SALES ANALYSIS, QUARTERLY DATA (dollars in thousands, except per share data) PRODUCT LINE SALES (Unaudited) 1993 1992 1991 SURGICAL Orthopaedic Implants, Endoscopic Systems, Powered Surgical Instruments and Other Operating Room Devices $447,042 80% $394,111 83% $302,938 83% MEDICAL Patient Care and Patient Handling Equipment and Physical Therapy Services 110,293 20 82,943 17 61,887 17 -------- --- ------- --- -------- --- $557,335 100% $477,054 100% $364,825 100% ======== === ======== === ======== === DOMESTIC/INTERNATIONAL SALES (Unaudited) 1993 1992 1991 Domestic $378,255 68% $330,782 69% $253,479 69% International 179,080 32 146,272 31 111,346 31 -------- --- -------- --- -------- --- $557,335 100% $477,054 100% $364,825 100% ======== === ======== === ======== === SUMMARY OF QUARTERLY DATA (Unaudited) 1993 Quarter Ended 1992 Quarter Ended March 31 June 30 Sept. 30 Dec. 31 March 31 June 30 Sept. 30 Dec. 31 Net Sales $135,202 $140,012 $136,932 $145,189 $112,590 $117,084 $117,377 $130,003 Gross Profit 73,716 75,172 73,056 78,643 60,600 62,274 62,413 70,117 Earnings Before Income Taxes 23,300 22,550 22,565 27,650 17,790 17,820 17,750 23,580 Net Earnings 14,450 14,000 13,990 17,765 11,030 11,050 11,000 14,620 Net Earnings Per Share of Common Stock .30 .29 .29 .37 .23 .23 .23 .31 Market Price of Common Stock: High 39 - 3/4 29 - 1/2 29 - 3/4 29 - 1/2 52 - 1/4 43 40 40 Low 22 - 1/4 21 24 - 1/2 23 - 1/4 36 - 1/4 28 - 3/4 29 26 - 1/4 The price quotations reported above were supplied by the National Association of Securities Dealers. REPORT OF INDEPENDENT AUDITORS Board of Directors Stryker Corporation We have audited the accompanying consolidated balance sheet of Stryker Corporation and subsidiaries as of December 31, 1993 and 1992, and the related consolidated statements of earnings, stockholders' equity and cash flows for each of the three years in the period ended December 31, 1993. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Stryker Corporation and subsidiaries at December 31, 1993 and 1992, and the consolidated results of their operations and their cash flows for each of the three years in the period ended December 31, 1993, in conformity with generally accepted accounting principles. Ernst & Young Kalamazoo, Michigan January 31, 1994 BOARD OF DIRECTORS AND OFFICERS BOARD OF DIRECTORS John W. Brown Chairman, President and Chief Executive Officer, Stryker Corporation. Howard E. Cox, Jr. General Partner, Greylock Partners & Co. *Donald M. Engelman, Ph.D. Professor of Molecular Biophysics and Biochemistry, Yale University. Jerome H. Grossman, M.D. Chairman and Chief Executive Officer, New England Medical Center, Inc. *John S. Lillard Chairman-Founder, JMB Institutional Realty Corp. William U. Parfet President and Chief Executive Officer, Richard-Allan Medical Industries, Inc. Ronda E. Stryker Granddaughter of the founder of the Company and daughter of the former President of the Company. A director of Comerica Bank, the L. Lee Stryker Center and Trustee of Kalamazoo College. *Gerard Thomas Attorney, Miller, Canfield, Paddock & Stone. *Audit and Compensation Committees CORPORATE OFFICERS John W. Brown Chairman, President and Chief Executive Officer Ronald A. Elenbaas Vice President, President, Stryker Surgical Group William T. Laube, III Vice President, President, Stryker Pacific Robert D. Monk Treasurer/Controller and Assistant Secretary Julia M. Paradine-Rice Assistant Treasurer David J. Simpson Vice President, Chief Financial Officer and Secretary Thomas R. Winkel Vice President, President, Stryker Americas/Middle East OPERATING DIVISIONS OSTEONICS CORP. Edward B. Lipes - President Gary L. Grenter - Vice President, Operations Brian K. Hutchison - Vice President, Finance Michael T. Manley, Ph.D. - Vice President, Advanced Research Anthony M. Moutinho - Vice President, Sales PHYSIOTHERAPY ASSOCIATES, INC. Jason T. Blackwood - President Jeffrey S. Chitwood - Vice President, Finance G. William Cole, Jr. - Vice President, Marketing and Development STRYKER AMERICAS/MIDDLE EAST Thomas R. Winkel - President Bradford J. Williams - Vice President, Canada STRYKER BIOTECH Samuel Yin, Ph.D. - Director STRYKER ENDOSCOPY Ronald A. Elenbaas - President Pedro A. Martinez - Vice President, General Manager William E. Chang - Vice President, Research and Development STRYKER EUROPE Jean-Pierre Boucher - President Alain Guez - Vice President, France Maurizio Zaccarelli - Vice President, Stryker Europe STRYKER INSTRUMENTS Ronald A. Elenbaas - President Stephen Si Johnson - Executive Vice President, General Manager Matthew S. Alves - Vice President, Marketing Bradley D. Black - Vice President, Human Resources James A. Evans - Vice President, Research and Development Thomas R. Gillentine - Vice President, Controller John T. Saunders - Vice President, Operations STRYKER MEDICAL Harry E. Carmitchel - President Joseph S. Messer - Vice President, Marketing, Patient Care Division Michael R. Stringer - Vice President, Sales, Patient Care Division Mark J. Fletcher - Vice President, Sales and Marketing, Patient Handling Division Gary T. Morton - Vice President, Engineering, Patient Handling Division Kenneth A. Palmer - Vice President, General Manager, Patient Handling Division Joseph P. Briggs - Vice President, Service Division STRYKER PACIFIC William T. Laube, III - President Alexander S. Kennedy - Vice President, General Manager, Australia Hyung-Yun Lee - Vice President, General Manager, Korea John D. Pierson - President, Japan Hugo K.W. Hui - Vice President, Finance and Administration EXHIBIT (21) List of Subsidiaries State or Country of Name of Subsidiary Incorporation - ------------------ ------------------- Nippon Stryker Service K.K. Japan Osteonics Corp. New Jersey Physiotherapy Associates, Inc. Michigan Stryker Australia Pty. Ltd. Australia Stryker B.V. The Netherlands Stryker Barbados Foreign Sales Corporation Barbados Stryker Canada Inc. Canada Stryker Corporation (Malaysia) SDN BHD Malaysia Stryker Deutschland GmbH Germany Stryker Far East, Inc. Delaware Stryker Foreign Sales Corporation U.S. Virgin Islands Stryker France SA France Stryker India Medical Equipment Private Limited India Stryker Italia SRL Italy Stryker Japan K.K. Japan Stryker Korea Ltd. Korea Stryker Malaysia, SDN. BHD. Malaysia Stryker Pacific Limited Hong Kong Stryker Puerto Rico, Inc. Delaware Stryker SA Switzerland Stryker Sales Corporation Michigan Stryker Singapore Private Limited Singapore Stryker Corporation is the immediate parent and owns 100% of the outstanding voting securities of each of the above-named subsidiaries. EXHIBIT 23--CONSENT OF INDEPENDENT AUDITORS We consent to the incorporation by reference in this Annual Report (Form 10-K) of Stryker Corporation and subsidiaries of our report dated January 31, 1994, included in the 1993 Annual Report to Stockholders of Stryker Corporation and subsidiaries. Our audits also included the financial statement schedules of Stryker Corporation and subsidiaries listed in Item 14(a). These schedules are the responsibility of the Company's management. Our responsibility is to express an opinion based on our audits. In our opinion, the financial statement schedules referred to above, when considered in relation to the basic consolidated financial statements taken as a whole, present fairly in all material respects the information set forth therein. We also consent to the incorporation by reference in the Registration Statement Number 33-55662 on Form S-8 dated December 11, 1992, Registration Statement Number 2-96467 on form S-8 dated April 4, 1985, Registration Statement Number 33-16642 on Form S-3 dated August 20, 1987, and Registration Statement Number 33-32240 on Form S-8 dated November 20, 1989 and to the related prospectus for each of the registration statements, of our report dated January 31, 1994, with respect to the consolidated financial statements incorporated herein by reference, and our report included in the preceding paragraph with respect to the financial statement schedules included in this Annual Report (Form 10-K) of Stryker Corporation. ERNST & YOUNG Kalamazoo, Michigan March 17, 1994