CERs at Stryker are influenced by corporate finance theory. Any submitted CER should
show the net present value (NPV), internal rate of return (IRR) and payback period for the
corresponding proposed project. These are the fundamental methods for ranking project
proposals in corporate finance theory. The CER should also list the risks associated with
the proposals and depict a sensitivity analysis for them. In the case of merger proposals,
income and cash flow commitments, best and worst case income, and cash flow figures
should be accompanied in the CER. All these stem from corporate finance theory. At the
same time, the project proposals at Stryker are driven by its culture of being decentralized
and making each division accountable. The proposal value dictate the level at which the
CER is approved. Not all projects are therefore analyzed at the corporate level, potentially
presenting an opportunity for cannibalism among the divisions.
One could argue that Stryker’s past growth could be attributed to the growth of the medical
industry and aging baby boomer population more so than their own internal processes and
strategies. Regardless, this growth has enabled a culture within Stryker to expect nothing
less than a 20% growth rate. CERs which are not in line with this corporate target will not
be considered. In the current Stryker setup, project proposals that are geared towards safety
and regulations have to go through a lot of paper work. With the current approval system it