Healthcare

John W. Brown

Stryker Corporation · 1977–2004

The Tennessee farm boy who never invented a medical device, yet built the company that put 20 percent growth on a metronome for a quarter-century.

Overview

John W. Brown did not found Stryker, did not invent its products, and did not even want the job the first time it was offered to him [5][6]. He was a 42-year-old chemical engineer running a surgical-instrument subsidiary for Squibb when the small, leaderless Kalamazoo company came calling in 1976, in the chaos after its president Lee Stryker, son of the founder, the orthopedic surgeon Homer Stryker, died in a Wyoming plane crash [1][6]. Brown said no. The board came back in 1977, and this time, apprehensively, he said yes [5][6]. What he did over the next twenty-seven years was rarer than invention: he imposed a single, relentless discipline on a company and refused, year after year, to let it slip.

The discipline had a name and a number. Brown had studied the emerging growth companies of his era and concluded that the great ones never let their growth rate fall below a floor; so in 1979, taking Stryker public, he stood before the firm and declared that net earnings would grow at least 20 percent every single year [4][6]. He did not call it a target or an aspiration. He called it "the law" [4][6]. For more than two decades the company delivered, Stryker hit its 20-percent mark for roughly twenty straight years, a streak so improbable that it became a case study in the management literature [2][4].

The early moves were unglamorous and decisive. Brown found a sales force gutted by a switch to salary and put it back on commission; he wrote the company's first real budget, cut operating fat, and made every manager set and own a number [1][6]. Then he widened the franchise. In 1979 he bought the three-year-old hip-implant maker Osteonics, planting Stryker in the vast orthopedic-reconstruction market it would come to dominate [1]. By the mid-1980s he had broken the firm into autonomous operating divisions, each with its own profit-and-loss statement and its own piece of "the law" to carry [1][2].

The enforcement was theatrical. At the annual division reviews, the executives whose units had made their 20-percent march were invited to the chairman's breakfast table; those who had missed ate elsewhere, well fed, but conspicuously exiled [2]. Divisions that fell short were handed the company's mock "Snorkel Award," a reminder that they were in over their heads [2]. Brown did not accept the usual alibis. Bad market, unfavorable currency, soft economy, none of it counted [2][7]. The point of the law, he understood, was that it had to bind in good years too: in booms he refused to over-stretch, in downturns he refused to coast [2].

The defining gamble came in 1998. Brown agreed to pay Pfizer roughly $1.9 billion for Howmedica, its orthopedic division, in a deal repriced to $1.65 billion in cash by year's end as markets wobbled [3][8]. It was a company nearly Stryker's own size, and digesting it broke the sacred 20-percent earnings streak for the first time in twenty-one years [1][3]. But it vaulted Stryker to the front rank of the world orthopedic-implant business, with something like 15 percent of a $10-billion global market, and the growth machine soon resumed [1][3].

By the time Brown stepped down as CEO at the end of 2004, staying on as chairman until 2009, Stryker's revenue had risen from roughly $23 million the year he arrived to about $4 billion, its workforce from 325 to some 15,000 [6][7]. A dollar invested in the stock at the 1979 IPO and held into the new century multiplied hundreds of times over [2]. He had not changed medicine the way Homer Stryker's turning frame and cast cutter had; he had done something a founder rarely can, he had turned a single inventor's workshop into a durable, compounding institution [1][2].

Early Life & Path

John Wilford Brown was born September 15, 1934, in Paris, Tennessee, into a farm family marked by the Depression [6]. His father had worked for a General Motors subsidiary and lost the job in 1929, and the hard years left their stamp; Brown would later say the early experience of "getting by" gave him a lifelong conviction about preserving assets [7]. As a boy he worked the fields, plowing first behind a mule and later with a tractor, an upbringing that bred the plain, unsentimental discipline he carried into the boardroom [5][7].

He took a roundabout path to industry. After graduating high school in 1953 and attending Freed-Hardeman College, he earned a chemical-engineering degree from Auburn University in 1957, where he met his future wife, Rosemary Kopel, a chemistry graduate of the same class [5][6]. His first jobs had nothing to do with medicine: he engineered at Ormet, an aluminum venture, and then worked on rocket propellants at Thiokol [5]. The pivot came when he joined Squibb, rising to become assistant to the president and then head of Edward Weck & Company, a surgical-instrument subsidiary, where he doubled sales and tripled profits in five years [5][6].

That record is what brought Kalamazoo to his door. Stryker, founded in 1941 by Dr. Homer Stryker as the Orthopedic Frame Company, maker of the Wedge turning frame, the cast cutter, and the Circ-O-Lectric bed, was rudderless after Lee Stryker's death and badly needed an operator [1][6]. Brown turned the board down in 1976, then accepted in 1977. He was forty-two, an outsider to orthopedics, and stepping into a company that revered its founder's name [5][6].

Career Timeline

  1. 1934Born John Wilford Brown on September 15 in Paris, Tennessee, to a Depression-era farm family [6].
  2. 1957Graduates from Auburn University with a degree in chemical engineering [5][6].
  3. 1965–1970Rises at Squibb, running the Edward Weck surgical-instrument subsidiary and doubling its sales [5][6].
  4. 1976Declines Stryker's offer of the presidency after Lee Stryker dies in a plane crash [1][6].
  5. 1977Reconsiders and becomes president and CEO of Stryker; revenue is about $23 million [6][7].
  6. 1977Rebuilds the sales force on commission, writes the first budget, and installs managerial goal-setting [1][6].
  7. 1979Takes Stryker public and declares 20-percent annual earnings growth "the law" [4][6].
  8. 1979Acquires Osteonics, entering the orthopedic hip-implant market [1].
  9. 1981Becomes chairman of the board, a post he will hold until 2009 [6].
  10. mid-1980sDecentralizes Stryker into autonomous operating divisions, each accountable for its own growth [1][2].
  11. 1998Buys Pfizer's Howmedica orthopedic unit, repriced to $1.65 billion cash, breaking the 21-year 20-percent earnings streak [1][3].
  12. 2004Steps down as CEO after 27 years; revenue has reached roughly $4 billion and the workforce some 15,000 [6][7].
  13. 2007Reflects on three decades of device innovation in a Health Affairs interview as Stryker chairman [7].
  14. 2009–2010Retires as chairman and becomes chairman emeritus [6].

Key Ventures & Innovations

  • "The Law": 20-percent earnings growth (1979)

    Brown's signature act was not a product but a rule. On taking Stryker public he committed the company to growing net earnings at least 20 percent every year and called it "the law," demanding that each employee carry a share of it. The streak ran for roughly two decades [4][6].

  • Rebuilding the sales engine (1977)

    His first fix was mundane and ruthless: a sales force hollowed out by a salary scheme went back onto commission, a real budget appeared, costs were trimmed, and every manager was made to set and own a number [1][6].

  • Osteonics and the orthopedic bet (1979)

    By acquiring the three-year-old hip-implant maker Osteonics, Brown moved Stryker out of hospital beds and into the high-growth orthopedic-reconstruction market it would eventually lead [1].

  • Decentralization into divisions (mid-1980s)

    Brown split Stryker into autonomous operating divisions, each with its own P&L and its own piece of the 20-percent obligation, and a chairman's breakfast, plus the mock "Snorkel Award," to dramatize who had made the march and who had not [1][2].

  • The Howmedica acquisition (1998)

    Brown paid Pfizer about $1.9 billion, repriced to $1.65 billion in cash, for the Howmedica orthopedic division, a company near Stryker's own size. It broke the 21-year earnings streak but made Stryker a top-tier global implant maker with roughly 15 percent of a $10-billion market [1][3][8].

We're going to be a growth company. This became our mantra, and probably had more to do with defining Stryker than anything else.
John W. Brown, recalling the 20-percent growth pledge he made on taking Stryker public, in a 2009 retrospective interview in Orthopedics This Week.

From the Record

Those who hit their 20-Mile March went to John Brown's breakfast table. "They are well fed," said Brown of the other table, "but it is not the one where you want to go."
Jim Collins and Morten T. Hansen, Great by Choice (HarperBusiness, 2011), ch. 3, on Stryker's chairman's breakfast
Brown did not soft-pedal his expectations, referring to his 20 percent growth goal as "the law" and demanding that each and every employee do his or her part to achieve it.
International Directory of Company Histories, Vol. 29, "Stryker Corporation" (St. James Press, 1999)
We're going to be a growth company. This became our mantra, and probably had more to do with defining Stryker than anything else. And we did it without violating any rules. Ours was a simple code of ethics, no lying, stealing, or cheating.
John W. Brown, "The Picture of Success," Orthopedics This Week, December 2009

What Operators Can Learn

  • 01

    A floor and a ceiling beat a forecast

    Brown's 20-percent "law" worked because it cut both ways: it forced performance in lean years and, just as importantly, restrained over-reaching in fat ones. Consistency, not peak speed, was the asset he compounded.

  • 02

    Make the standard visible and personal

    Numbers on a spreadsheet do not bind people; a breakfast table you are exiled from does. By dramatizing who had made the march, and handing the laggards a "Snorkel Award", Brown turned an abstract target into a felt obligation.

  • 03

    Refuse the alibis

    Bad markets, currency swings, a soft economy, Brown treated none of them as excuses. The discipline only meant something if it held regardless of conditions, which is exactly why it produced a record almost no one else matched.

  • 04

    An operator can outlast an inventor

    Brown brought no patents and no founding myth. What he brought was budgeting, accountability, decentralization, and an unbreakable rule, proof that turning an inventor's shop into a durable institution is its own form of creation.

Legacy

John Brown's monument is not a device but a discipline. The "20-Mile March" he ran at Stryker, a self-imposed minimum hit year after year, in good weather and bad, became one of the most cited cases in modern management writing after Jim Collins built a chapter of Great by Choice around it, holding Stryker up as the kind of company that thrives precisely because it refuses to be swept along by booms and busts [2]. Few executives have ever translated a personal temperament, the asset-preserving caution of a Depression farm boy, so cleanly into a corporate operating system [2][7].

The numbers are the rest of the argument. Brown took a roughly $23-million company with 325 employees and left, twenty-seven years later, a roughly $4-billion enterprise of some 15,000, having compounded shareholder value hundreds of times over and made Stryker a global leader in orthopedic implants [1][2][6]. The Howmedica deal that briefly broke his streak in 1998 turned out to be the platform for the company's next era of scale [1][3]. Homer Stryker's name still sits on the door, and on the Western Michigan University medical school it now graces, but it was the outsider engineer from Tennessee who proved a founder's workshop could be turned into a compounding machine, and who wrote the playbook for doing it without ever telling a lie, stealing, or cheating to make the number [1][5].

Further Reading

  • Great by Choice: Uncertainty, Chaos, and Luck, Why Some Thrive Despite Them All, Jim Collins and Morten T. Hansen (2011)

    Builds a central case study around Stryker's "20-Mile March," the best account of why Brown's discipline mattered.

  • International Directory of Company Histories, Vol. 29 (Stryker Corporation entry), Tina Grant (ed.) (1999)

    A document-grounded company history covering Homer Stryker's founding through Brown's transformation and the Osteonics era.

  • The Business of Healthcare Innovation, Lawton R. Burns (ed.) (2005)

    Wharton-led survey of the device, pharma, and biotech sectors that situates Stryker within the medical-technology industry.

  • "Growth and Innovation in Medical Devices: A Conversation with Stryker Chairman John Brown" (Health Affairs), Lawton R. Burns (2007)

    Brown in his own words on three decades of strategy, innovation, and the policy debates facing the device industry.

  • Good to Great: Why Some Companies Make the Leap... and Others Don't, Jim Collins (2001)

    The earlier framework on disciplined, enduring companies that informs the lens Collins later applied to Stryker.

Sources

  1. 1.Tina Grant (ed.), International Directory of Company Histories, Vol. 29, "Stryker Corporation", St. James Press, 1999, book
  2. 2.Jim Collins and Morten T. Hansen, Great by Choice: Uncertainty, Chaos, and Luck, Why Some Thrive Despite Them All, HarperBusiness, 2011, book
  3. 3.Stryker Corporation, Form 8-K/A, Stryker Corporation (acquisition of Howmedica from Pfizer, completed for $1.65 billion), U.S. Securities and Exchange Commission (EDGAR), 1999, archive
  4. 4.Geoffrey Brewer, "20 Percent, Or Else!" (on John Brown's demand for 20-percent annual growth at Stryker), Sales & Marketing Management, November 1994, p. 66, journal
  5. 5."The Picture of Success: John Brown", Orthopedics This Week (RRY Publications), December 2009, interview
  6. 6.John W. Brown, Great American Business Leaders of the 20th Century, Harvard Business School, Baker Library, 2004, archive
  7. 7.Lawton R. Burns, "Growth And Innovation In Medical Devices: A Conversation With Stryker Chairman John Brown" (interview by Lawton R. Burns), Health Affairs, Vol. 26, No. 3 (web exclusive w436), 2007, journal
  8. 8."Stryker To Purchase Howmedica" (announcement of the $1.9 billion Pfizer orthopedic-unit deal), Med Device Online, August 1998, newspaper
  9. 9.Lawton R. Burns (ed.), The Business of Healthcare Innovation, Cambridge University Press, 2005, book

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