Quarterlytics / Consumer Cyclical / Furnishings, Fixtures & Appliances / Smith & Nephew

Smith & Nephew

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Industry Furnishings, Fixtures & Appliances
Employees 10,000+
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FY2013 Annual Report · Smith & Nephew
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Supporting healthcare
professionals for over 150 years
ANNUAL REPORT 2013

SMITH & NEPHEW ANNUAL REPORT 2013

Contents

2

42

86

Innovation

Trust

Performance

GROUP STRATEGIC REPORT*

CORPORATE GOVERNANCE

Our Board of Directors*

Our Executive Of(cid:178) cers*

Corporate Governance Statement*

Audit Committee Report*

Directors’ remuneration report

44

46

48

58

62

Financial highlights

Chairman’s statement 

Smith & Nephew today

Chief Executive Of(cid:178) cer’s
review of(cid:159)strategy

Strategic performance

Chief Financial Of(cid:178) cer’s overview

Our marketplace

Our business

Segment performance

Advanced Surgical Devices

Advanced Wound Management

Sustainability

Financial review and principal risks

4

5

6

10

12

14

16

19

24

29

34

36 

FINANCIAL STATEMENTS
AND OTHER INFORMATION

Directors’ responsibilities for the 
accounts*

Independent auditor’s US reports

Independent auditor’s UK report

Group accounts

Notes to the Group accounts

Independent auditor’s report 
for(cid:159)the(cid:159)Company

Company accounts

Notes to the Company accounts

Group information*

Other (cid:178) nancial information*

Information for shareholders*

88

91

92

94

101

150

151

152

155

159

168

Smith & Nephew is a global medical 
technology business. We have leadership 
positions in our four chosen specialities: 
–  Orthopaedic Reconstruction
–  Advanced Wound Management
–  Sports Medicine
–  Trauma & Extremities

This success is(cid:159)built upon our three values of:
–  Innovation
–  Trust 
–  Performance

*These sections and pages 95, 97 and 99 form the Directors’ Report.

Our mission

SMITH & NEPHEW ANNUAL REPORT 2013

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Delivering advanced 
medical technologies 
that help healthcare 
professionals, our 
customers, improve 
the quality of life for 
their patients

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$4.4bn

Revenue 1 up 4%

$987m

Trading pro(cid:178) t 1,2 up 5%

$810m

Operating pro(cid:178) t 1 up 1%

76.9¢

61.7¢

27.4¢

Adjusted earnings per share 2 up 3%

Earnings per share down 23%

Dividends per share up 5%

1 

 The underlying percentage increases/decreases are after adjusting for the effect of currency translation and the inclusion of the comparative impact of acquisitions 
and(cid:159)exclusion(cid:159)of disposals.

2  Explanations of these non-GAAP (cid:178) nancial measures are provided on pages 161 to 163.

You can read more about our (cid:178) nancial performance in the (cid:178) nancial review on page 36

 
 
 
 
 
 
 
22 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

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Group strategic 
report

Financial highlights

Chairman’s statement

Smith & Nephew today

Chief Executive Of(cid:178) cer’s review of strategy

Strategic performance

Chief Financial Of(cid:178) cer’s overview

Our marketplace

Our business

Segment performance

Advanced Surgical Devices

Advanced Wound Management

Sustainability

Financial review and principal risks

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29

34

36

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We are investing more in R&D to provide 
our customers with greater innovation

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4 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Financial highlights

We delivered a good 
performance in 2013

REVENUE 1
+4% $4,351m

TRADING PROFIT 1,2 
+5%

$987m

OPERATING PROFIT 1 
+1%

$810m

R&D EXPENDITURE AS A 
PERCENTAGE OF REVENUE

5.3%

4,270

4,137

3,962

3,772

969

961

965

857

920

862

846

723

4.1

3.8

3.9

4.1

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

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2010

2011

2012

2013

2009

2010

2011

2012

2013

ADJUSTED EARNINGS 
PER(cid:159)SHARE (EPSA) 2,3 
+3%

76.9¢

73.0

73.7

74.8

64.9

EARNINGS PER SHARE (EPS) 3 
61.7¢
-23%

DIVIDEND PER SHARE 
+5%

27.4¢

80.4

68.6

64.5

52.7

26.10

17.40

15.82

14.39

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

TRADING PROFIT 2
MARGIN
-60bps

22.7%

OPERATING PROFIT 
MARGIN
-180bps

18.6%

TRADING PROFIT 
TO CASH CONVERSION 2
89%

OPERATING PROFIT 
AS A PERCENTAGE 
OF(cid:159)CASH(cid:159)GENERATED 
FROM OPERATIONS
71%

1 

2 

3 

 The underlying percentage increases/
decreases are(cid:159)after(cid:159)adjusting for the 
effects of(cid:159)currency translation and the 
inclusion of the comparative impact of 
acquisitions and exclusion
 of disposals.
 Explanations of these non-GAAP 
(cid:178) nancial measures are provided 
on(cid:159)pages 161 to 163.
 Earnings per share and adjusted earnings 
per share have been restated following 
the adoption of the revised IAS(cid:159)19 
Employee Bene(cid:178) ts standard. See Note 1 
of the Notes to the Group accounts.

You can read more about our (cid:178) nancial performance in the (cid:178) nancial review on page 36

Chairman’s statement

Dear Shareholder,
In 2013, Smith & Nephew generated good underlying revenue 
and trading pro(cid:178) t growth.

We continued to focus investment on growth opportunities 
and returned signi(cid:178) cant value to Shareholders through 
increased dividends and a share buy-back programme. 
Momentum increased throughout the year as we delivered 
on(cid:159)our strategy to reshape Smith & Nephew for the future.

Our revenue was $4,351 million, up 4% on an underlying 
basis. Advanced Wound Management delivered strong 
growth, led by Healthpoint Biotherapeutics, our major 2012 
acquisition. Sports Medicine Joint Repair had(cid:159)another 
successful year, and we improved our performance in 
Orthopaedic Reconstruction.

Almost 13% of our revenues now come from emerging market 
countries, up from just over 8% in 2010. We were one of 
the(cid:159)(cid:178) rst companies in our sector to focus on these markets. 
We are building sustainable businesses through the strategy 
of establishing direct relationships with customers, as(cid:159)well as 
developing tailored products. In 2013, we invested further 
in(cid:159)our existing teams and made acquisitions in Brazil, 
India(cid:159)and Turkey to strengthen our platform.

Our trading pro(cid:178) t was up 5% on an underlying basis at 
$987(cid:159)million. The trading pro(cid:178) t margin of 22.7% met 
our(cid:159)expectations as we invested more in the emerging 
markets and in research & development, and cost of the 
US(cid:159)medical device excise tax ($24 million in 2013).

Ethics, compliance & governance
We give high priority to compliance and ethics, as well as 
health, safety and the environment. The Board continues 
to(cid:159)encourage management in their drive to ensure all of 
Smith(cid:159)& Nephew’s programmes are world-class.

The Board also places great emphasis on governance and is 
mindful of its responsibility to promote the long-term interests 
of the Company for all our stakeholders. This is described in 
detail in the Corporate Governance section of this Annual 
Report (pages 44 – 85).

Creating sustainable value
Smith & Nephew has a long track record of creating value for 
Shareholders. For instance, we have paid a dividend every 
year since 1937. Since 2006, during my tenure as Chairman, 
it(cid:159)is pleasing to report that we have delivered a compound 
annual growth rate in adjusted earnings per share of 8% 
against a FTSE 100 average of 6%, along with a dividend 
compound growth rate of 14%. And the share price is up more 
than 90% in that time. The Group generated trading cash (cid:179) ow 
of $5.9 billion between 1 January 2006 and 31 December 
2013, demonstrating our vitality over the long-term.

In 2013, we set out a Capital Allocation Framework that 
will(cid:159)govern how we prioritise the use of the strong cash (cid:179) ow 
we generate. This framework will guide our continued 

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

5

investment in organic growth, and maintenance of a 
progressive dividend. It also gives us headroom to make 
further acquisitions and includes a commitment to return any 
excess capital to Shareholders. It is underpinned by a desire 
to(cid:159)maintain a strong balance sheet to ensure solid investment 
grade credit metrics.

Following these principles, we spent $226 million on a share 
buy-back programme during the year. This, together with the 
2012 dividend increase, resulted in a total distribution to 
Shareholders in 2013 of $465 million, two and a half times the 
level of(cid:159)the prior year.

The Board is pleased to propose a (cid:178) nal dividend for the year of 
17.0¢ per share, giving a total dividend for 2013 of(cid:159)27.4¢, up 5% 
year-on-year.

Board changes
I will step down as Chairman of Smith & Nephew at the Annual 
General Meeting in April 2014. Roberto Quarta joined the 
Board as Non-executive Director in(cid:159)December 2013 and will 
take over as Chairman. Roberto has impressive business and 
board experience and is chairman of IMI plc, a FTSE 100 listed 
engineering business and of Clayton, Dubilier & Rice, Europe, 
a private equity (cid:178) rm.

Our Senior Independent Non-executive Director, Richard 
De(cid:159)Shutter, and Non-executive Director Ajay Piramal, will also 
both retire at the Annual General Meeting. I would like to thank 
them for their service. In particular, Richard’s contribution 
in(cid:159)this most important(cid:159)role has been invaluable. We are 
fortunate to have as replacement the highly experienced 
Brian(cid:159)Larcombe, who will(cid:159)become Senior Independent 
Non-executive Director.

In 2013, we welcomed to the Board Julie Brown as Chief 
Financial Of(cid:178) cer and Michael Friedman as Non-executive 
Director. Julie has quickly established herself as an effective 
Executive Director and her in(cid:179) uence is already seen in many 
areas, including the Capital Allocation Framework. Michael’s 
expertise in the US healthcare system and experience 
leading(cid:159)a major research and treatment institution has 
enhanced the Board.

Setting Smith & Nephew apart
During 2013, I was reminded of the quality of our people as 
we(cid:159)reviewed our responses to natural disasters, providing 
resources to aid recovery in the Philippines and in our own 
of(cid:178) ces and communities, under Olivier Bohuon’s leadership, 
responding to a major (cid:179) ood at the(cid:159)Advanced Wound 
Management site in Hull, UK and to a tornado near our facility 
in Oklahoma City, US. The tenacity and compassion sets 
Smith(cid:159)& Nephew apart, as it has throughout our history of 
supporting healthcare professionals for more than 150 years.

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It has indeed been a privilege working with the people at 
Smith & Nephew and to serve the interests of customers, 
employees and Shareholders. The Company has shown 
great(cid:159)resilience in the recent economic environment, building 
services for customers and value for Shareholders. There is 
an(cid:159)excellent team in place, both Executive and Non-executive.

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I wish the Company well for a promising future.

Yours sincerely,

Sir John Buchanan
Chairman

 
 
 
 
 
 
 
6 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Smith & Nephew today

We are operating 
in growth markets

TOTAL SEGMENT VALUE
ADVANCED SURGICAL DEVICES

TOTAL SEGMENT VALUE
ADVANCED WOUND MANAGEMENT

$23.2bn

GLOBAL POPULATION 

+4%

$7.0bn

+4%

2.5 billion people

6 billion people

10 billion people

Our products are used by surgeons and nurses to help 
repair and heal the human body throughout a person’s life

age
65+ 16%

20-64 56%

age
65+ 7%

20-64 54%

0-19 39%

0-19 28%

age
65+ 5%

20-64 51%

0-19 44%

1950

2000

2050

Source: United Nations – World Population Prospects, The 2012 Revision.

You can read more about our (cid:178) nancial performance in the marketplace review on page 16

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

7

With a business model 
that creates value

OUR MISSION STATEMENT 

Delivering advanced medical technologies that help healthcare 
professionals, our customers, improve the quality of life for their patients

OUR VALUES 

Innovation  Trust  Performance

OUR STRATEGIC PRIORITIES

You can read more about our strategy on page 12

1

2

3

4

ESTABLISHED MARKETS

EMERGING & 
INTERNATIONAL MARKETS

INNOVATE FOR VALUE

SIMPLIFY AND IMPROVE 
OUR OPERATING MODEL

5

SUPPLEMENT 
ORGANIC GROWTH 
WITH ACQUISITIONS

OUR VALUE CREATION PROCESS

You can read more about our business model on page 19

Research & 
Development

Regulatory & 
Compliance 

Manufacturing

Medical 
Education

Sales & 
Marketing

ATTRIBUTABLE PROFIT

$556m

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OUR CAPITAL ALLOCATION FRAMEWORK

You can read more about our Capital Allocation Framework on page 14

Reinvest for 
organic growth

Progressive 
dividend(cid:159)policy

Acquisitions in-line 
with strategy

Return excess 
to(cid:159)shareholders

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Maintain a strong balance sheet to ensure solid(cid:159)investment grade credit metrics

RESOURCE UTILISED

$5.8bn

Total Assets

$231m

Investment in R&D

11,036

Employees

14

Manufacturing plants 
worldwide

$265m

Corporation tax paid

 
 
 
 
 
 
 
8 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Smith & Nephew today continued

We are organised by 
our(cid:159)areas of expertise

Advanced Surgical Devices

Advanced Wound Management

ORTHOPAEDIC RECONSTRUCTION

Specialist hip and knee implant systems.

REVENUE1
$1,518m
2012  $1,540m

TRAUMA & EXTREMITIES

ADVANCED WOUND CARE

Products for the treatment of acute and chronic wounds, 
including leg, diabetic and pressure ulcers, burns and 
post-operative wounds.

-1%

REVENUE1
$843m
2012  $849m

+1%

Internal and external devices used in the stabilisation of 
severe fractures and deformity correction procedures.

REVENUE1,2
$486m
2012  $474m

+4%

SPORTS MEDICINE JOINT REPAIR

Instruments, technologies and implants necessary to 
perform minimally invasive surgery of joints.

REVENUE1,2
$496m
2012  $474m

+7%

ARTHROSCOPIC ENABLING TECHNOLOGIES

Cutting, visualisation and (cid:179) uid management technologies 
necessary for Sports Medicine Joint Repair.

ADVANCED WOUND DEVICES

Traditional and single-use Negative Pressure Wound 
Therapy (‘NPWT’) and hydrosurgery systems.

REVENUE1
$213m
2012  $180m

+20%

ADVANCED WOUND BIOACTIVES

Bioactive technologies that provide unique approaches to 
debridement and dermal repair and regeneration.

REVENUE1
$280m
2012  N/A

+47%

REVENUE1,2
$441m
2012  $458m

OTHER ASD

Including gynaecological instrumentation.

REVENUE1,2
$74m
2012  $162m

-2%

+14%

1 

2 

 The underlying percentage increases/decreases are after adjusting for the 
effect of(cid:159)currency translation and the inclusion of the comparative impact of 
acquisitions(cid:159)and exclusion of disposals.
 The 2012 revenue by franchise has been restated to 2013 product franchises.

You can read more about our franchise areas in the segment analysis on pages 24 to 33

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

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With over 11,000 employees 
supporting healthcare 
professionals globally

US

Our ASD head of(cid:178) ce is based in 
Andover and we have manufacturing 
facilities in Memphis, Mans(cid:178) eld 
and Oklahoma.

EMPLOYEES
4,640

CONTINENTAL EUROPE

Our main Continental European 
manufacturing facilities are in 
Tuttlingen – Germany and Aarau 
– Switzerland.

EMPLOYEES
1,986

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Turkey: acquisition 
of(cid:159)Advanced Surgical 
Devices distribution.

India: acquisition of 
Sushrut-Adler including 
mid-tier trauma portfolio. 

UK & IRELAND

Home of our Global Head Of(cid:178) ce in 
London and our Advanced Wound 
Management Head of(cid:178) ce in Hull.

EMPLOYEES
1,664

Brazil: acquisition 
of(cid:159)Advanced Wound 
Management distribution.

REST OF THE WORLD

We have manufacturing facilities, 
warehouses and of(cid:178) ces across 
the(cid:159)world to serve our customers.

EMPLOYEES
1,827

Head of(cid:178) ce (Division & Group)
Manufacturing
Distribution Centre
Of(cid:178) ce

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CHINA

Generated 30% revenue growth 
in(cid:159)2013 and now our sixth largest 
country. We have manufacturing 
facilities in Beijing and Suzhou.

EMPLOYEES
919

 
 
 
 
 
 
 
10 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Chief Executive Of(cid:178) cer’s review of strategy

We are successfully 
reshaping and rebalancing 
Smith & Nephew 

OUR STRATEGIC PRIORITIES

1

2

3

4

5

1 ESTABLISHED MARKETS

Build upon existing strong positions, win market share 
through greater innovation and drive ef(cid:178) ciencies to liberate 
resources. 

2  EMERGING & INTERNATIONAL(cid:159)MARKETS

Deliver market leadership in the Emerging & International 
Markets by(cid:159)building strong, direct customer relationships 
and(cid:159)developing products speci(cid:178) cally designed for 
these populations.

3 INNOVATE FOR VALUE

Accelerate our rate of innovation by investing more in(cid:159)research 
& development to support projects that will move clinical and 
cost boundaries and deliver maximum value.

4  SIMPLIFY AND IMPROVE 
OUR OPERATING MODEL

Pursue maximum ef(cid:178) ciency in everything we do, streamline 
our operations and manufacturing, remove duplication and 
build strong global functions to support our commercial teams.

5  SUPPLEMENT ORGANIC GROWTH 

WITH ACQUISITIONS

Build our platform by acquiring complementary technologies, 
manufacturing and distribution in the emerging markets and 
complementary products or businesses in our higher 
growth segments.

You can read more about our strategy in action throughout 
the report in boxed out case studies.

Dear Shareholder,
For more than 150 years Smith & Nephew has supported 
healthcare professionals as they improve the quality of life for 
patients. Today we do this by providing advanced medical 
technologies that move clinical boundaries and reduce 
economic costs. 

We focus where we see developing needs and invest in new 
products and techniques to improve outcomes and expand 
access. Through these actions we are at the forefront of fast 
growing segments such as Sports Medicine and Advanced 
Wound Bioactives, are leaders in the emerging markets, and 
continue to develop in our more mature segments. We are 
building a sustainable business to best support surgeons, 
nurses and healthcare managers in the future. 

In 2013, I am pleased to report that we made signi(cid:178) cant 
progress, expanding our product portfolio, building our 
platform, growing in the emerging markets and embedding a 
culture of perpetual ef(cid:178) ciency.

Accelerating innovation
In 2013, we maintained a high rate of innovation, launching 
major new products such as the natural-motion 
JOURNEY™ II BCS Total Knee System and, in Sports Medicine, 
HEALICOIL™(cid:159)REGENESORB™, an innovative next generation 
bio-composite suture anchor. We also delivered 23 new 
Advanced Wound Management products, such as the 
DURAFIBER™ Ag antimicrobial dressing.

Looking ahead, we have a strong product pipeline, particularly 
in Trauma & Extremities and Sports Medicine. Overall we 
increased research & development ('R&D') investment to 
$231 million in 2013, representing 5.3% of revenue, and are 
committed to maintaining these high levels of investment and 
innovation going forward. We were proud to be named one of 
Forbes Magazine’s ‘Most Innovative Companies’ of 2013.

We are also investing in medical education to ensure that 
our(cid:159)customers continue to have access to the best training on 
our products and techniques. This includes signi(cid:178) cant online 
resources such as Education and Evidence. Launched in 2013, 
this is a powerful new e-learning platform for surgeons to 
access and share peer-to-peer education. 

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

11

so that ever more of 
our(cid:159)business comes from 
areas(cid:159)of higher growth

Healthpoint acquisition delivers 
Our major acquisition at the end of 2012, Healthpoint 
Biotherapeutics, has given us a leading position in 
bioactives,(cid:159)the fastest growing segment of Advanced 
Wound(cid:159)Management. This business has out-performed 
our(cid:159)expectations, increasing its revenue by 47% in(cid:159)2013. With 
its unique portfolio, excellent sales execution and(cid:159)expertise in 
product research and development, it is an outstanding 
addition to Smith & Nephew.

Leaders in emerging markets
Throughout 2013, we have built upon our leading position in 
the emerging markets, generating strong revenue growth. We 
enhanced our platform, investing in the sales force and 
infrastructure in markets such as Mexico and the Middle East, 
as well as acquiring distributors in Turkey and Brazil. By having 
a direct relationship with our customers we are able to offer 
them a fuller range of products and services. 

We see a major opportunity to create portfolios for patients in 
the economic mid-tier across the emerging markets, and 
launched our (cid:178) rst products and acquired the Sushrut-Adler 
Indian trauma business in 2013.

Perpetual ef(cid:178) ciency
These strategic investments and many other initiatives have 
been made possible through our continued drive to be more 
ef(cid:178) cient, to reduce cost, and to simplify and improve our 
operating model. In 2011, we announced an initial programme 
to generate annual savings of $150 million and this will be 
largely complete by the end of 2014. We are now a leaner 
business, and, as importantly, we are embedding a culture of 
perpetual ef(cid:178) ciency into our processes and future thinking. 

Sustainability
Our mission at Smith & Nephew is to help our customers 
improve people’s lives. I can think of nothing more intrinsic 
to(cid:159)this mission than operating sustainably and responsibly to 

deliver long-term bene(cid:178) ts. In 2013, we maintained our 
commitment to our customers, patients, employees, 
communities and Shareholders. This was again recognised 
in(cid:159)our inclusion in the FTSE4Good and Dow Jones 
Sustainability indices. 

Sir John Buchanan
Sir John Buchanan will step down as Chairman of the Board in 
April 2014. I wish to thank Sir John for his leadership, counsel 
and dedication over the past nine years. As Chairman he has 
overseen a number of signi(cid:178) cant changes and has given me 
tremendous support in my role as Chief Executive Of(cid:178) cer. We 
are con(cid:178) dent that in Roberto Quarta we have found another 
excellent Chairman.

Acquisition of ArthroCare Corp
In February 2014, we announced our intention to acquire 
ArthroCare, an innovative medical devices company with a 
highly complementary sports medicine franchise. Based in 
Austin, Texas, ArthroCare’s technology and products will 
signi(cid:178) cantly strengthen our portfolio – and we will use our 
global footprint to drive substantial new revenue growth. We 
expect to complete this acquisition in the middle of 2014 for a 
net cost of approximately $1.5 billion.

Rebalancing Smith & Nephew
Smith & Nephew made excellent progress in 2013, delivering 
both revenue and earnings growth and generating strong cash 
(cid:179) ow. I would like to thank our employees for their contribution 
during the year. It was their dedication and focus that achieved 
these results, and importantly, are enabling us to accomplish 
our programmes to make the Group (cid:178) t and effective for 
the(cid:159)future. 

We are successfully reshaping and rebalancing Smith & 
Nephew so that even more of our business comes from areas 
of higher growth. In this way we will(cid:159)continue to deliver the best 
support for our customers and the greatest value for 
our Shareholders.

Yours sincerely,

Olivier Bohuon
Chief Executive Of(cid:178) cer

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12 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Strategic performance

This is how we measure 
our(cid:159)performance

1 ESTABLISHED MARKETS

PERFORMANCE
Our businesses in the Established 
Markets grew by 5% in the US and 
was (cid:179) at in the Other Established 
Markets, where the macro-economic 
environment in Europe continues 
to(cid:159)be weak. 

By franchise, our performance 
relative to estimated global segment 
growth was slightly below in hip and 
knee reconstruction and trauma, 
around market in the higher growth 
joint repair segment of sports 
medicine and well above in advanced 
wound management. Hip and Knee 
Implant performance in 2013 was 
held back by our relatively high 
exposure to the weak European 
market, our position in the product 
cycle and metal-on-metal 
hip headwinds.

Our performance in the second half 
of 2013 was better than the (cid:178) rst half, 
as a result of our investments in 
marketing, medical education and 
new products. 

For more detail on the market and 
competition see pages 16 to 18.

GLOBAL OUTLOOK
Established Markets for Smith & 
Nephew are the US, Europe, Japan, 
Australia, New Zealand and Canada. 

In these markets we expect the 
challenging economic conditions to 
continue, requiring realigned 
business models and focused 
investment, albeit that there are some 
signs of improvement in the US.

2 EMERGING & INTERNATIONAL MARKETS

PERFORMANCE
The Emerging & International Markets 
grew at 18%, exceeding Established 
Markets rates and contributing half of 
annual revenue growth for the Group. 

GLOBAL OUTLOOK
Emerging & International Markets 
represent those outside of the 
Established Markets including 
Brazil,(cid:159)China, India and Russia.

REVENUE FROM EMERGING & 
INTERNATIONAL MARKETS 1
+18% 

$563m

The healthcare environment in these 
markets is rapidly expanding and 
with the right investments offers 
signi(cid:178) cant opportunities for 
the Group.

483

454

These geographies now represent 
13% of the Group’s overall revenue. 

During 2013: 
 – Our success in China continued 

with growth of over 30% and now it 
is our 6th largest country by 
revenue 

 – Signi(cid:178) cant investment to drive 

growth organically (e.g. Mexico and 
Saudi Arabia) and through 
acquisitions (Brazil, Turkey, India) 

 – We put in place our strategy to 
address the mid-tier market.

REVENUE FROM 
ESTABLISHED MARKETS 1
+2% 

$3,788m

3,816

3,654

2011

2012

2013

(cid:81)(cid:3)(cid:3)2011 includes Clinical Therapies revenue of $237m
(cid:81)(cid:3)(cid:3)2012 includes Clinical Therapies revenue of $107m

AS A PERCENTAGE 
OF GROUP REVENUE

13%

12%

11%

2011

2012

2013

2011

2012

2013

 
SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

13

R&D EXPENDITURE 1
+18% 

$231m

AS A PERCENTAGE
OF GROUP REVENUE

5.3%

167

171

4.1

3.9

3 INNOVATE FOR VALUE

PERFORMANCE
R&D investment now represents 5.3% 
of revenue, an increase in spending 
of 35% in reported terms. We have 
maintained our strong momentum of 
introducing new products: 
 – In ASD, we successfully launched 
the JOURNEY II BCS Knee System 
and our Sports Medicine franchise 
expanded through a next 
generation HEALICOIL suture 
anchor range and we also 
expanded our Extremities offering 

 – Over 20 new AWM products 

launched 

 – In our Emerging & International 

Markets we launched a low-cost 
camera to(cid:159)drive market expansion 
and access to minimally invasive 
joint(cid:159)repair 

 – Launched new medical education 

websites to support
healthcare professionals.

GLOBAL OUTLOOK
Innovation offers the key to meeting 
the realities of healthcare and 
economic paradigm in both 
Established and Emerging & 
International Markets. New products, 
technologies and surgical techniques 
hold the potential of reducing the 
overall cost of healthcare.

2011

2012

2013

2011

2012

2013

4 SIMPLIFY AND IMPROVE OUR OPERATING MODEL

PERFORMANCE
Trading pro(cid:178) t grew by 5% and trading 
pro(cid:178) t margin decreased slightly to 
22.7% as expected. Targeted 
investments, increased R&D and 
the(cid:159)new US Medical Device tax 
were(cid:159)partially off-set by ef(cid:178) ciency 
and(cid:159)cost initiatives. 

GLOBAL OUTLOOK
By simplifying and improving our 
operating model we can liberate 
resources to invest in growth 
opportunities and meet the persistent 
price pressure. A simpler and more 
ef(cid:178) cient organisation allows us to 
make faster and better decisions.

TRADING PROFIT 1,2
+5% 

$987m

TRADING PROFIT MARGIN 2
-60bps 

22.7%

961

965

23.3

22.5

Key initiatives included: 
 – Continuing to deliver our 

$150 million per annum ef(cid:178) ciency 
savings programme 

 – Expansion of the Suzhou facility 

continues on track 

 – Started roll-out of major Europe-
wide single IT and business 
intelligence platform.

2011

2012

2013

2011

2012

2013

(cid:81)(cid:3)(cid:3)2011 includes Clinical Therapies trading pro(cid:178) t of $48m
(cid:81)(cid:3)(cid:3)2012 includes Clinical Therapies trading pro(cid:178) t of $16m

5 SUPPLEMENT ORGANIC GROWTH WITH ACQUISITIONS

GLOBAL OUTLOOK
Acquisitions and partnerships 
are(cid:159)important elements which 
supplement organic investment 
and(cid:159)provide increased opportunity 
for(cid:159)high growth and value creation.

PERFORMANCE
2013 has been another active year 
from a business development 
perspective, mainly focused on 
supporting our Emerging & 
International Markets strategy: 
 – Acquisition of distributors in Brazil 

and Turkey

 – Acquisition of a mid-tier trauma 

business in India

 – Successful integration of 

Healthpoint Biotherapeutics 
which(cid:159)we acquired in 2012.

1 

 The underlying percentage increases/decreases are after adjusting for the effect of currency translation and the inclusion of the comparative impact of acquisitions and exclusion 
of disposals.

2  Explanations of these non-GAAP (cid:178) nancial measures are provided on pages 161 to 163.

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14 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Chief Financial Of(cid:178) cer’s overview

We have delivered 
good revenue and 
earnings growth

Dear Shareholder,
When I joined Smith & Nephew in February 2013 I found a 
business with(cid:159)a uni(cid:178) ed sense of purpose – helping customers 
to improve the(cid:159)quality of life of patients – and a clear strategy 
to deliver this in a sustainable manner across our Established 
and Emerging & International Markets. The management team 
were making choices about where to invest to maximise our 
impact today and to ensure Smith & Nephew has the 
products and platform for the future.

For me, the role of Finance is as a strategic partner, enabling 
and supporting the business as it makes investments and 
drives ef(cid:178) ciencies, and ensuring we can maintain our (cid:178) nancial 
strength and discipline. I believe Smith & Nephew has made 
signi(cid:178) cant progress in 2013 and that judicious (cid:178) nancial 
management has been and remains central to our success.

Strong revenue and earnings
For the full year 2013, we generated good underlying revenue 
and trading pro(cid:178) t growth and met our margin expectations. 
Revenue was $4,351 million, an underlying 4% increase. 
Trading pro(cid:178) t was $987 million, up 5% underlying. The trading 
pro(cid:178) t margin was 22.7% a reduction of 60bps. Our adjusted 
earnings per share were 76.9¢, up 3%. The trading cash (cid:179) ow 
was $877 million, re(cid:179) ecting a trading pro(cid:178) t to cash conversion 
ratio of 89%.

OUR CAPITAL ALLOCATION FRAMEWORK

Capital Allocation Framework
We consider that the ef(cid:178) cient use of capital on behalf of 
Shareholders is(cid:159)an important objective. We have delivered 
good revenue and earnings growth and strong cash 
generation in the challenging markets of(cid:159)the last few years. 

During 2011, we announced our Strategic Priorities, focusing 
our business on liberating resources to invest in driving 
greater growth. In order to support this strategy, the Board 
believes in maintaining an ef(cid:178) cient, but prudent, 
capital(cid:159)structure, while(cid:159)retaining the (cid:179) exibility to make value 
enhancing acquisitions. This approach was set out in the new 
Capital Allocation Framework announced in(cid:159)May 2013.

The Capital Allocation Framework will be used to prioritise 
the(cid:159)use of cash and ensure an appropriate capital structure. 
Our commitment, in order of priority, is to:
1.  continue to invest in the business to drive organic growth;
2. maintain our progressive dividend policy;
3. realise acquisitions in-line with strategy; and
4. return any excess capital to Shareholders.

This is underpinned by maintaining leverage ratios 
commensurate with solid investment grade credit metrics.

Reinvest for 
organic growth

Progressive 
dividend(cid:159)policy

Acquisitions in-line 
with strategy

Return excess 
to(cid:159)Shareholders

1

2

3

4

Maintain a strong balance sheet to ensure solid(cid:159)investment grade credit metrics

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

15

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and strong 
cash(cid:159)generation

In-line with the above framework, and re(cid:179) ecting our 
con(cid:178) dence in the successful execution of our Strategic 
Priorities, we commenced a $300 million share buy-back 
programme in May 2013. As of 31 December 2013 we had 
spent $226 million. This programme was suspended 
following(cid:159)our agreement to acquire ArthroCare, announced 
on(cid:159)3 February(cid:159)2014. 

Outlook
We anticipate the market conditions seen in the second half of 
2013 to continue in 2014. We expect the US to be stable with 
some signs of improvement, Europe to remain challenging 
and the emerging markets to continue to offer opportunities 
for higher growth.

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Liberating resources
In August 2011, Smith & Nephew announced a programme to 
drive structural ef(cid:178) ciencies in order to liberate the resources 
needed to fund investment in the emerging markets and R&D, 
targeting savings of at least $150 million per annum. The cost 
of the currently identi(cid:178) ed programmes is expected to be 
$160 million in cash and $40 million in non-cash costs.

To date the Group has realised annualised bene(cid:178) ts of 
$131 million and we expect to complete the programme in 
early 2015 and realise slightly more than the anticipated 
bene(cid:178) ts. The costs are on track. As a result of this programme 
and other actions, a culture of continuously looking to be more 
ef(cid:178) cient is being embedded across the Group.

Acquisitions
During the year the Group has completed acquisitions of 
manufacturing and distribution businesses in Turkey, Brazil 
and India. The aggregate cost was $126 million. Through these 
acquisitions, we(cid:159)are implementing a number of our Strategic 
Priorities: to build leadership positions in the Emerging & 
International Markets; to supplement our organic growth 
through acquisitions; and to bring forward mid-tier portfolios 
to these countries. 

In terms of revenue growth by franchise, we expect:
 – Orthopaedic Reconstruction, continuing its recent improved 

performance, to grow at approaching the market rate;

 – Trauma & Extremities, building upon our recent 

investments, to grow overall at the market rate, but with a 
stronger second half to the year;

 – Sports Medicine, with its strong product pipeline, to deliver 

growth above the market rate; and

 – Advanced Wound Management, with its unique mix of 

leading products, to deliver another year of growth above 
the market. Within this, we expect Advanced Wound 
Bioactives to grow at a rate in the mid-teens.

In terms of trading pro(cid:178) t margin, we expect to exceed our 
2013 performance.

I am con(cid:178) dent that our continuing focus on ef(cid:178) ciency, coupled 
with further investments to drive growth and the disciplined 
use of our strong cash (cid:179) ow will generate greater value for 
our Shareholders.

Yours sincerely,

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Chief Financial Of(cid:178) cer

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16 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Our marketplace

We operate in 
dynamic markets

Market trends
Demand for healthcare continues to increase worldwide 
in(cid:179) uenced by the following trends:

Increased longevity and average age
As a result of improvements in healthcare and living 
conditions, life expectancy across the world has increased 
in(cid:159)modern times and this increase is expected to continue.

The Organisation for Economic Co-operation and 
Development (‘OECD’) calculates the average life expectancy 
at(cid:159)birth in 2010 as 79.7, a signi(cid:178) cant rise from the 70.3 
calculated in 1970.

As a consequence of longer life expectancy and the falling 
birth rates in many developed countries, there is an expanding 
gap between the demand for healthcare and the ability of 
governments to supply healthcare. Demand for healthcare 
will(cid:159)increase because of the ageing world population but at 
the(cid:159)same time the changing balance of age in the population 
means that, relatively speaking, there is potentially an 
accompanying decrease in funds available for healthcare 
raised through taxation of the working population.

OECD COUNTRIES’ POPULATION 
(million)
The number of people aged 
20-64 per(cid:159)person aged 65+

Ratio

7:1

Ratio

5:1

Ratio

2:1

687

731

385

351

150

53

20-64

65+

20-64

65+

20-64

65+

1950

2000

2050

Source: OECD Social Indicators – Society at 
a Glance 2011

More active lifestyles
Demand for healthcare is also increasing because people 
now expect to maintain active lifestyles longer into retirement 
and to return to activity sooner after treatment. This has 
resulted in a desire for less invasive surgery and quicker 
recovery times. Patients also desire products with a better 
replication of natural movement and an ability to cope with 
more rigorous activity over a longer period.

Obesity and associated chronic diseases
Obesity is an increasing global problem which causes more 
wear on the joints of the human body and increases demand 
for orthopaedic reconstruction.

Across the OECD countries, an average of 18% of the 
population is obese; this has increased from 13% in 2000.

Obesity also increases the risk of diabetes which can lead 
to(cid:159)other medical conditions and complications. In 2012, the 
International Diabetes Federation estimated that 8.3% of the 
world’s population (371 million people) suffer from diabetes 
and this is projected to rise to 9.9% (552 million people) 
by(cid:159)2030.

There is a proven link between diabetes and a higher risk 
of(cid:159)surgical site infections which increases the risk of surgical 
procedures on diabetic patients. This risk can be minimised 
with the use of specialist wound care products designed to 
lower the risk of infection.

It is estimated that up to 10% of people with diabetes also 
suffer from diabetic foot ulcers. These ulcers are prone to 
infection, causing an increased risk of amputation, increased 
morbidity and are a signi(cid:178) cant burden on the health system.

Increased af(cid:179) uence in emerging markets
The emerging markets are becoming more af(cid:179) uent 
and(cid:159)therefore more able to afford medical treatments. 
However, the cost of many medical devices restricts access 
by(cid:159)the(cid:159)wider population. 

Patient awareness
In certain countries, patients are becoming increasingly 
aware,(cid:159)from the internet and direct-to-customer advertising, 
of(cid:159)the various healthcare options and treatments available. 
This has led to some increased patient in(cid:179) uence over the 
product purchasing decisions of medical service providers.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

17

Regulatory standards and compliance 
in the healthcare industry
The international medical device industry is highly regulated. 
Regulatory requirements are important in determining whether 
substances and materials can be developed into marketable 
products and the amount of time and expense that should be 
allotted to such development.

National regulatory authorities administer and enforce a 
complex series of laws and regulations that govern the design, 
development, approval, manufacture, labelling, marketing and 
sale of healthcare products. They also review data supporting 
the safety and ef(cid:178) cacy of such products. Of particular 
importance is the requirement in many countries that products 
be authorised or registered prior to manufacture, marketing 
or(cid:159)sale and that such authorisation or registration be 
subsequently maintained. The major regulatory agencies 
for(cid:159)Smith & Nephew’s products include the Food and Drug 
Administration (‘FDA’) in the US, the Medicines and Healthcare 
products Regulatory Agency in the UK, the Ministry of Health, 
Labour and Welfare in Japan and the China Food and 
Drug Administration.

In general, the trend in many countries in which we do 
business is towards higher expectations and increased 
enforcement activity by governmental authorities.

We are committed to doing business with integrity 
and(cid:159)welcome the trend to higher standards in the healthcare 
industry. We and other companies in the industry have been 
subject to investigations and other enforcement activity that 
have incurred and may continue to incur signi(cid:178) cant expense. 
See ‘Legal proceedings’ on page 130.

◊
, our patient matched instrumentation, 
VISIONAIRE
uses the patient’s MRI and X-rays to design cutting 
blocks speci(cid:178) c to each patient. This may reduce 
surgery time by eliminating several sizing and 
alignment steps and improves precision in (cid:178) tting 
the(cid:159)implant.

We are developing products targeting the middle 
economic tier of the emerging markets to capitalise 
on their forecast growth. This will enable doctors 
and(cid:159)nurses to deliver quality products to new patient 
communities around the world.

OBESITY AND ASSOCIATED CHRONIC DISEASES

Prevalence (%)

<10.0

10.0-19.9

20.0-29.9

≥30.0

N/A

No data

Source: WHO Global Comparable Estimates, 2008

Global economic crisis
The supply of healthcare in many of our markets is funded by 
governments. The global economic crisis in recent years has 
placed increased pressure on governments around the world 
to reduce or constrain healthcare expenditure.

In summary
The increased demand for healthcare products and the 
limitation of available resources is widening the funding gap. 
Providing technologies that deliver value by improving clinical 
outcomes while reducing the consumption of overall 
healthcare resources is vital for the success and sustainability 
of medical device businesses.

RESPONDING TO THE MARKET

Smith & Nephew is committed to developing 
products that respond to the(cid:159)demand and 
supply pressures faced(cid:159)by(cid:159)the(cid:159)healthcare 
industry. Some examples are set out below.

◊
Our VERILAST
 Technology has been laboratory 
tested to(cid:159)demonstrate wear performance suf(cid:178) cient 
for 30(cid:159)years of use enabling a total replacement 
option(cid:159)for(cid:159)younger, more active patients.

◊
 is our single use NPWT product which brings 

PICO
the wound healing bene(cid:178) ts of NPWT to a wider 
audience due to its discrete size and portability. 
Research is also proving the bene(cid:178) ts of NPWT 
products to reduce recovery times after major 
surgery, such(cid:159)as caesarean sections.

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18 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Our marketplace continued

Dependence on government 
and(cid:159)other(cid:159)funding
In most markets throughout the world, expenditure on 
medical(cid:159)devices is ultimately controlled to a large extent by 
governments. Funds may be made available or withdrawn 
from healthcare budgets as a result of government policy. 
We(cid:159)are therefore largely dependent on future governments 
providing increased funds commensurate with the increased 
demand arising from demographic trends.

Pricing of our products is largely governed in most developed 
markets by governmental reimbursement authorities. 
Initiatives sponsored by government agencies, legislative 
bodies and the private sector to limit the growth of healthcare 
costs, including price regulation, excise taxes and competitive 
pricing, are ongoing in markets where we operate. This control 
may be exercised by determining prices for an individual 
product or for an entire procedure. We are exposed to 
changes in reimbursement policy, tax policy and pricing which 
may have an adverse impact on revenue and operating pro(cid:178) t. 
In(cid:159)particular, from 2013 changes to the healthcare legislation 
in(cid:159)the US have imposed signi(cid:178) cant taxes on medical device 
manufacturers. There may be an increased risk of adverse 
changes to government funding policies arising from the 
deterioration in macro-economic conditions in some of 
our markets.

Competitors
Competition exists among healthcare providers to gain 
patients on the basis of quality, service and price. Providers 
are under pressure to reduce the total cost of healthcare 
delivery. In order to achieve this there has been some 
consolidation in our customer base, as well as amongst our 
competitors, and these trends are expected to continue in the 
long term. We compete against both local and multinational 
corporations, including some with greater (cid:178) nancial, marketing 
and other resources.

Our competitors include Arthrex, Biomet, DePuy Synthes, 
Stryker and Zimmer in our Advanced Surgical Devices division 
and Coloplast, Convatec, Kinetic Concepts and Molnlycke in 
our Advanced Wound Management division.

Customers
In certain parts of the world, including the UK, much of 
Continental Europe, Canada and Japan, the healthcare 
providers are largely government organisations funded by 
tax(cid:159)revenues. In the US, our major customers are public and 
private hospitals, which receive revenue from private health 
insurance and government reimbursement programmes. 
Medicare is the major source of reimbursement in the US, 
for(cid:159)knee and hip reconstruction procedures and for wound 
treatment regimes.

MARKET SEGMENT AND LEADERSHIP

Hip & Knee Implants

OTHER
15%

BIOMET
12%

Sports Medicine*

OTHER
13%

STRYKER
10%

Data: 2013 estimates generated by Smith & 
Nephew(cid:159)based upon public sources and 
internal analysis.
* 

 Representing access, resection and 
repair products.

**  A division of Johnson & Johnson.

ARTHREX
28%

ZIMMER
23%

$14.0bn
+3%

DEPUY 
SYNTHES**
20%

$4.3bn
+6%

SMITH & NEPHEW
20%

SMITH & NEPHEW
11%

STRYKER
19%

LINVATEC
5%

DEPUY MITEK**
15%

ARTHROCARE
5%

BIOMET
4%

Trauma & Extremities

Advanced Wound Management

OTHER
9%

BIOMET
6%

ZIMMER
6%

STRYKER
22%

$4.9bn
+7%

SMITH & NEPHEW
10%

COLOPLAST
4%

CONVATEC
8%

OTHER
37%

KINETIC 
CONCEPTS
19%

$7.0bn
+4%

MOLNLYCKE
12%

SMITH & NEPHEW
20%

DEPUY 
SYNTHES**
47%

Our business

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

19

Our mission is to deliver 
advanced medical 
technologies

Improving quality of life
Smith & Nephew’s business model, set out on page 7, 
supports our mission to deliver advanced medical 
technologies to help healthcare professionals, our customers, 
improve the quality of life for their patients.

Through it we: 
 – invest in research & development to create innovative 

new(cid:159)solutions that improve clinical outcomes and reduce 
the economic burden on healthcare systems;

 – rigorously enforce regulatory and compliance standards, 
conducting business ethically everywhere we operate;

 – ensure our manufacturing, supply and distribution footprint 

is lean and ef(cid:178) cient;

 – provide medical education and product training to 

healthcare professionals to help ensure safe and effective 
treatment for patients; and

 – support our sales and marketing teams to guarantee our 

customers have the advanced technologies and supporting 
services they need to treat their patients.

Our business model is underpinned by our values and Capital 
Allocation Framework:
 – our values of Innovation, Trust and Performance focus our 

people on being responsive to the needs of our customers; 
energetic, creative and passionate in our work; and building 
lasting and close relationships with our stakeholders; and
 – Our Capital Allocation Framework enables us to invest for 

the(cid:159)future, both in organic growth and through acquisitions, 
whilst also generating value for Shareholders today through 
a progressive dividend policy and commitment to return any 
excess capital.

By implementing our Strategic Priorities we increase 
momentum throughout the business model to:
 – build on our strong position in the Established Markets;
 – realise the signi(cid:178) cant opportunities in the Emerging & 

International(cid:159)Markets;

 – maintain an unremitting focus to innovate for value;
 – simplify and improve our operating model to 

maximise(cid:159)ef(cid:178) ciency; and

 – supplement our organic growth through acquisitions.

Research and development
We have a deep knowledge of the needs of surgeons and 
nurses, we understand the economic pressures healthcare 
payers work under, and we recognise that patients are 
demanding better treatment options to restore quality of life. 
These factors inform our research and development (‘R&D’) 
strategy, which is at the heart of our business model.

In 2013, we again delivered many new and innovative 
products. These included a major new knee platform, 
the(cid:159)JOURNEY II BCS; the (cid:178) rst sports medicine product to use 
Smith(cid:159)&(cid:159)Nephew’s proprietary advanced biocomposite 
material in(cid:159)the HEALICOIL REGENESORB Suture Anchor; 
and(cid:159)DURAFIBER Ag, combining a highly absorbent, gelling 
(cid:178) bre dressing with the antimicrobial bene(cid:178) ts of silver.

We have a strong new product pipeline for 2014, with many 
innovations scheduled, in particular in Sports Medicine Joint 
Repair, Trauma and Advanced Wound Management.

These new products, and many more currently in 
development, are a result of our focus on R&D. We(cid:159)invested 
$231 million in this area in 2013. At 5.3% of revenue this is an 
increase from the 4.1% spent in the(cid:159)previous year. We expect 
to maintain our investment level(cid:159)at around 5% of revenue 
going forward.

We are highly disciplined in project selection. Our R&D experts 
in the UK, US, Europe, China and India have extensive 
customer and sector knowledge, which is augmented by 
ongoing interaction with our marketing teams. Strict criteria are 
applied to ensure new products ful(cid:178) l an unmet clinical need, 
have a(cid:159)strong commercial case, and are technologically 
feasible. Our(cid:159)R&D teams also work closely with manufacturing 
and supply chain management to ensure we can produce 
new(cid:159)products to clinical, cost and time speci(cid:178) cation.

Open Innovation
As part of our R&D strategy, Smith & Nephew supports and 
works with numerous small companies looking for help with 
developing and commercialising new technologies.

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As supporters of NASA’s TecFusion Open Innovation 
programme we access and support companies developing 
highly creative, often disruptive, technologies that are funded 
by the US federal government.

We are a primary sponsor of the Massachusetts Medical 
Device Development Center ('M2D2') New Venture 
Competition, supporting entrepreneurial product 
development(cid:159)by early-stage medical device companies.

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20 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Our business continued

We are the commercial partner in SWAN-iCare, an EU-funded 
initiative to bring multidisciplinary European research teams 
together to deliver a next generation integrated autonomous 
solution for monitoring and adapting personalised therapy of 
foot and leg ulcers.

InVentures
Smith & Nephew also welcomes new product concepts 
from(cid:159)surgeons. Through our InVentures programme we 
collaborate to bring ideas to reality. InVentures evaluates 
surgeon concepts for technical and market viability and our 
development team works hand-in-hand with surgeons to 
deliver new products that advance healing. Commercialised 
products bene(cid:178) t from the global selling power of 
Smith(cid:159)& Nephew.

In 2013, we introduced a new MODULAR RAIL SYSTEM for 
deformity correction and limb restoration that was designed 
in(cid:159)collaboration with Dror Paley MD through the InVentures 
programme. This new treatment option highlights our 
increased investment in extremities and limb restoration, and 
our commitment to working directly with surgeon inventors.

Intellectual property
We protect the results of our research and development 
through patents and other forms of intellectual property. The 
Group’s patent portfolio currently includes in excess of 5,000 
patents and patent applications. Patent protection for our 
products is sought routinely in our principal markets.

We also have a policy of protecting our products by registering 
trademarks under the local laws of markets in which such 
products are sold. We vigorously protect our trademarks 
against infringement.

3 INNOVATE FOR VALUE
New treatment for venous leg ulcers
HP802-247 is an investigational human cell therapy for 
the(cid:159)treatment of venous leg ulcers currently in Phase III 
trials. Results from Phase IIb trials investigating the ef(cid:178) cacy 
of HP802-247 were previously published in The Lancet.

Based on in vitro studies, HP802-247 is believed to 
release(cid:159)various growth factors and cytokines into the 
micro-environment of the wound. These living cells 
are(cid:159)anticipated to interact with the patient’s own cells to 
stimulate wound healing. HP802-247 has been designed 
to deliver a de(cid:178) ned cell ratio (keratinocyte:(cid:178) broblasts) to 
support optimal tissue regeneration.

Venous leg ulcers are increasingly common and costly to 
healthcare systems and a(cid:159)cause of prolonged suffering 
for(cid:159)patients. These wounds are caused by swelling and 
in(cid:179) ammation secondary to blockage or back(cid:179) ow in the 
veins of the legs. many venous ulcers fail to heal even 
after(cid:159)three months of standard treatment and develop 
into(cid:159)chronic, non-healing wounds.

Based on an estimated (cid:178) gure of 2.5 million venous leg 
ulcers in the United States alone and a study of actual 
direct treatment costs of $9,685 per person, the annual 
cost of treating these wounds is likely to be in the many 
billions of dollars. Accordingly, the availability of innovative 
and more effective treatment strategies for such high-risk 
wounds could provide tremendous bene(cid:178) ts to both 
patients and society.

In addition to protecting our market position by (cid:178) ling and 
enforcing patents and trademarks, we may oppose third party 
patents and trademark (cid:178) lings where appropriate in those 
areas that might con(cid:179) ict with our business interests.

In the ordinary course of business, we enter into a number of 
licensing arrangements with respect to our products. None of 
these arrangements individually is considered material to our 
current operations and (cid:178) nancial results.

Regulatory and compliance
Code of conduct and business principles
Smith & Nephew earns trust with patients, customers, 
healthcare professionals, authorities and the public by acting 
in an honest and fair manner in all aspects of its operations. 
We expect the same from those with whom we do business, 
including distributors and independent agents that sell our 
products, as well as vendors that interact with others on our 
behalf. Our Code of Conduct and Business Principles (‘Code’) 
governs the way we operate to achieve these objectives.

Smith & Nephew takes into account ethical, social, 
environmental, legal and (cid:178) nancial considerations as part of its 
operating methods. We have a robust whistle-blowing system 
in all jurisdictions in which Smith & Nephew operates. We are 
committed to upholding our promise in our Code that we will 
not retaliate against anyone who makes a report in good faith.

New employees receive training on our Code, and we assign 
annual compliance training to employees. In 2013, we created 
two additional courses: a refresher course on Preventing 
Bribery and Corruption and ‘Effective Communication’. 

Global compliance programme
Smith & Nephew has implemented what we believe is a 
world-class Global Compliance Programme that helps our 
businesses manage risk and comply with laws and 
regulations. In 2013, Smith & Nephew continued to strengthen 
its comprehensive compliance programme, which includes 
global policies and procedures, on-boarding and annual 
training for its employees, managers, independent agents and 
key employees of distributors and high risk vendors around 
the world, monitoring and auditing processes, and reporting 
channels. Through a global intranet website, we provide 
resources and tools to guide employees to make decisions 
that comply with the law and our Code and earn trust. We 
conduct advance review and approval for any signi(cid:178) cant 
interactions with healthcare professionals or government 
of(cid:178) cials. New distributors are subject to due diligence and are 
contractually obligated to comply with applicable laws and 
our(cid:159)Code. Their management are required to take compliance 
training and certify that they will ensure their employees and 
agents comply with the law and our Code. In 2013, we 
launched a compliance programme toolkit, in multiple 
languages, for our distributors to provide them with the 
resources to(cid:159)establish their own compliance programme. 
The toolkit includes draft policies, training materials and 
approval forms.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

21

In 2012, under the terms of the Company’s Foreign Corrupt 
Practices Act (‘FCPA’) settlement (see Note 17.3 of the Notes to 
the Group accounts), we retained an independent monitor to 
review the effectiveness of our compliance programme and 
make recommendations, as appropriate, for further 
enhancements to the programme. In collaboration with the 
independent monitor, our programme has been enhanced 
even further. In late 2013, the monitor completed his 18-month 
review and concluded that Smith & Nephew's compliance 
programme is reasonably designed and implemented to 
detect and prevent violations of the anti-corruption laws and 
is(cid:159)functioning effectively. Smith & Nephew will report directly 
to(cid:159)the US Department of Justice ('DOJ') and the US Securities 
and Exchange Commission ('SEC') for the remainder of the 
three-year settlement agreement.

Manufacturing
We continue to implement Lean Manufacturing throughout our 
factories and the supply chain to improve and sustain higher 
levels of service, quality, productivity and ef(cid:178) ciency.

Core competencies include: materials technology; high-
precision machining in Advanced Surgical Devices; and 
high-volume, automated manufacturing in Advanced 
Wound Management.

4 SIMPLIFY AND IMPROVE OUR OPERATING MODEL
Perpetual ef(cid:178) ciency 
The signi(cid:178) cant investments undertaken in 2013 have 
been(cid:159)possible through our successful drive to be more 
ef(cid:178) cient, reduce cost, and simplify and improve our 
operating model.
In 2011, we announced a programme to generate annual 
savings of $150 million. As a result of our work to date, we 
have annualised bene(cid:178) ts of $131 million. The programme 
will be largely complete by the end of 2014.
Signi(cid:178) cant actions included a major reorganisation 
when(cid:159)we created the Advanced Surgical Devices 
division, the opening of an extension to our Advanced 
Wound Management factory in Suzhou, China, and 
the(cid:159)introduction of a major new IT platform.
We are now a leaner business, and, as importantly, we 
are embedding a culture of perpetual ef(cid:178) ciency into our 
processes and future thinking.

We purchase raw materials, components, (cid:178) nished products 
and packaging materials from(cid:159)certain key suppliers. These 
principally include metal forgings and stampings for 
orthopaedic products, optical and electronic sub-components 
and (cid:178) nished goods for sports medicine products, active 
ingredients and (cid:178) nished goods for(cid:159)Advanced Wound 
Management and packaging materials across all businesses. 
Suppliers are selected, and contracts negotiated, by a 
centralised procurement team wherever possible, with a view 
to ensure value for money based on the total spend across 
the Group.

We outsource manufacturing where necessary to obtain 
specialised expertise or where it is possible to gain lower 
cost(cid:159)without undue risk to intellectual property. Suppliers of 
outsourced products and services are selected based on their 
ability to deliver products and services to speci(cid:178) cation, and 
establish and maintain a quality system. Suppliers are trained 
and are monitored through on-site assessments and 
performance audits that include quality, service and delivery. 

Finished goods purchased for resale include screen displays, 
optical and electrical devices in the Advanced Surgical Devices 
division and skincare products in the Advanced Wound 
Management division.

We operate a number of manufacturing facilities around 
the(cid:159)globe, which are predominantly division speci(cid:178) c, and a 
number of central distribution facilities in the key geographical 
areas in which we operate. Products are shipped to Group 
companies which hold small amounts of inventory locally 
for(cid:159)immediate or urgent customer requirements.

Advanced Surgical Devices
The Advanced Surgical Devices division’s largest 
manufacturing operation is based in Memphis (Tennessee, 
US), with additional production and assembly plants based 
in(cid:159)Mans(cid:178) eld (Massachusetts, US), Oklahoma City (Oklahoma, 
US), Aarau (Switzerland), Tuttlingen (Germany), Beijing (China), 
Calgary (Canada), Warwick (UK) and Sangameshwar (India). 

The Memphis facilities produce key products and 
instrumentation in our Knee Implants, Hip Implant and Trauma 
franchises. These(cid:159)include the JOURNEY II BCS and LEGION◊ 
knees, the ANTHOLOGY◊ Primary Hip System and key Trauma 
products such as the PERI-LOC◊ Ankle Fusion Plating System 
and TRIGEN◊ Intramedullary Nails. In addition to this, Memphis 
is(cid:159)the home to the design and manufacturing process of 
the(cid:159)VISIONAIRE Patient Matched Instrumentation Sets.

The Mans(cid:178) eld facility focuses on sports medicine related 
products for minimally invasive surgery including the FAST FIX◊ 
360 Meniscal Repair System, FOOTPRINT◊ PK Suture Anchor, 
DYONICS◊ Platinum Shaver Blades, ENDOBUTTON◊ CL Ultra 
and the HEALICOIL PK suture anchor.

The Aarau, Tuttlingen, Beijing and Warwick facilities produce 
a(cid:159)large number of products including key Trauma products, 
the(cid:159)PLUS◊ knee and hip range and the BIRMINGHAM◊ Hip 
Resurfacing System. The facility in Oklahoma City deals 
mainly(cid:159)with the assembly of surgical digital equipment, 
such(cid:159)as(cid:159)HD560 Camera.

A distribution facility in Baar (Switzerland) serves as the main 
holding and consolidation point for markets in Europe. In the 
US, the distribution hub is located in Memphis.

Advanced Wound Management
Advanced Wound Management is headquartered in Hull 
(UK)(cid:159)which is home to a large proportion of the division’s 
manufacturing activities. There are also manufacturing 
facilities in Gilberdyke (UK), Suzhou (China), Curaçao 
(Dutch(cid:159)Caribbean), Alberta (Canada) and Oklahoma City.

The products made at the Hull site cover the therapies 
of(cid:159)Exudate Management (Foam products – principally 
ALLEVYN◊), Burns treatment (ACTICOAT◊) and Wound Closure 
(OPSITE◊ (cid:178) lm products). Several brands produced in Hull, such 
as JELONET◊ and BACTIGRAS◊, will be transitioning to Suzhou 
in 2014.

A key base material used in the production of a large number 
of dressings is the intermediate bulk rolls of (cid:178) lm which 
are(cid:159)manufactured in the Gilberdyke (UK) facility. The facility in 
Alberta (Canada) provides speci(cid:178) c expertise in the addition 
of(cid:159)silver coatings onto the ACTICOAT burns range prior to 
shipping to Hull for the (cid:178) nal conversion process into 
(cid:178) nished dressings.

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22 SMITH & NEPHEW ANNUAL REPORT 2013

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Our business continued

The Suzhou facility opened in 2009 initially to 
manufacture(cid:159)some Foam products within Exudate 
Management. It(cid:159)has since expanded to take on 
production(cid:159)of(cid:159)some Film Wound Closure products.

NPWT is an area of the business which is growing strongly. 
The majority of the NPWT components are bought in from 
third(cid:159)parties and assembled in the Advanced Surgical Devices 
Oklahoma City facility, with the exception of the dressings 
used for the PICO product which are manufactured in Hull.

Manufacturing for Advanced Wound Bioactives takes place 
in(cid:159)Curaçao, and at various third party facilities in the US. The 
products are distributed from a third party logistics facility in 
San Antonio, Texas.

Advanced Wound Management distribution hubs are located 
in Neunkirchen (Germany) and Derby (UK) for international 
distribution, Bedford (UK) for UK domestic distribution and 
Lawrenceville (Georgia, US) for US distribution.

Medical education
Smith & Nephew is dedicated to helping healthcare 
professionals improve the quality of care for patients. We are 
proud to support the professional development of surgeons 
and nurses by providing them with medical education and 
training on our Advanced Surgical Devices and Advanced 
Wound Management products.

Every year thousands of customers attend our state-of-the-art 
training centres in the US, UK and China and Smith & Nephew 
courses at multiple hospitals and facilities around the world. 
Working under expert guidance, attendees re(cid:178) ne techniques 
and learn new skills, whilst experiencing the safe and effective 
use of our products. We also support healthcare professionals 
through our online resources such as the Global Wound 
Academy and, for surgeons, our Education and 
Evidence website.

1 ESTABLISHED MARKETS
Pioneering e-learning 
We have extended our commitment to medical education 
in(cid:159)2013 with the launch of Education and Evidence, a new 
e-learning platform for surgeons to(cid:159)access and share 
peer-to-peer educational resources. It follows the success 
of our Global Wound Academy (www.globalwoundacademy.
com) which has more than 46,000 registered users.

Education and Evidence supports joint repair and 
replacement, extremities and trauma specialties. 
The(cid:159)member-based service at www.smith-nephew.com/
education/ hosts more than 1,000 videos, articles, surgical 
techniques, podcasts, training courses, tablet PC apps and 
iBooksTM. It uses an innovative search engine and 
self-pro(cid:178) ling to tailor content to users, while also enabling 
the sharing of(cid:159)resources with colleagues.

Through these powerful e-learning tools we are delivering 
on our Strategic Priorities, reinforcing our position in the 
Established Markets and extending our(cid:159)reach in the 
Emerging & International Markets.

Sales and marketing
Our customers are the providers of medical and surgical 
treatments and services in over 90 countries worldwide. 
The(cid:159)largest single customer worldwide is a purchasing group 
based in the UK that represented 6% of our worldwide 
revenue in 2013.

In our Established Markets, our Advanced Surgical Devices 
are(cid:159)principally shipped and invoiced directly to healthcare 
providers, hospitals and other healthcare facilities. Certain 
Advanced Wound Management products are shipped and 
invoiced to wholesale distributors and others are consigned 
to(cid:159)distributors that lease the devices to healthcare providers, 
hospitals and other healthcare facilities and end-users.

Each division operates its own dedicated sales force as the 
customer for the divisions’ products are usually different. Our 
US sales forces consist of a mixture of independent contract 
workers and employees. Sales agents are contractually 
prohibited from selling products that compete with our 
products. In most Other Established Markets, each division 
typically manages employee sales forces directly.

In our Emerging & International Markets we operate 
through(cid:159)direct selling and marketing operations, and through 
distributors. In these markets, our Advanced Surgical Devices 
franchises frequently share sales resources. The Advanced 
Wound Management sales force may be separate where it 
calls on different customers.

Our people
Smith & Nephew had over 11,000 employees in 2013. We are 
committed to attracting, engaging, developing and retaining 
employees as well as to(cid:159)being a responsible corporate citizen.

Our employees are dedicated to our core values of Innovation, 
Trust and Performance which represent the foundation of 
our culture.

Investing in our people and communities helps ensure the 
long-term sustainability of our business. In 2013, we executed 
actions to address employee feedback from our Global Survey 
and also participated in the Great Places to Work survey in 
many of our markets.

Attracting the best talent and developing and engaging 
our(cid:159)employees is critical to achieving and sustaining 
our(cid:159)business objectives and overall performance. Our 
appointments are made on merit and in alignment with a core 
set of competencies and values of which ethics and integrity 
are central. We prioritise the development and promotion of 
our employees whenever possible.

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GROUP STRATEGIC REPORT

23

We aim to provide an open, challenging, productive and 
participative environment based on constructive relationships. 
We maintain good communications with employees through 
regular and timely information and consultation.

We provide clearly communicated goals and performance 
standards, and the training, information and authority needed 
to do a good job. We provide fair recognition and reward 
based on performance. Our annual CEO Award recognises 
employees who deliver exceptional results in-line with our 
core values, encouraging innovation and a spirit of continuous 
improvement at all levels. We are committed to working with 
employees to develop each individual’s talents, skills and 
abilities. We provide encouragement to learn and progress 
and to participate fully in the quest for continuous 
improvement. We recruit, employ and promote employees on 
the sole basis of the quali(cid:178) cations and abilities needed for the 
work to be performed. We do not tolerate discrimination on 
any grounds and provide equal opportunity based on merit.

We are committed to building diversity in a working 
environment where there is mutual trust and respect and 
where everyone feels responsible for the performance and 
reputation of our Company. We are committed to providing 
healthy and safe working conditions for all employees. We 
achieve this by ensuring that health and safety and the 
working environment are managed as an integral part of the 
business, and we recognise employee involvement as a key 
part of that process.

We do not use any form of forced, compulsory or child labour. 
We support the Universal Declaration of Human Rights of the 
United Nations. This means we respect the human rights, 
dignity and privacy of the individual and the right of employees 
to freedom of association, freedom of expression and the right 
to be heard.

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Each year, Smith & Nephew conducts a comprehensive 
global(cid:159)development and capability review process to identify 
high-potential employees and ensure they have career 
development plans in place. Talented employees are provided 
with opportunities to develop and grow their skills and career. 
Current programmes include the CEO Forum, designed to 
develop talent and provide exposure to the broader business, 
and the General Managers Meeting, held annually to align 
these key leaders with the Group’s strategy and goals. In 
addition, the Board reviews succession plans for key executive 
roles. We have succession plans for critical positions across 
our business and have taken proactive steps to recruit 
specialist and leadership talent to augment our current team.

Our performance management process ensures all 
employees set objectives which align to our overall business 
goals. Reward systems are focused on promoting high-
performance and ethical behaviour. Our Code of Conduct is 
an important measure of individual performance. All 
employees are required each year to complete training 
and(cid:159)certify their adherence to this Code.

Smith & Nephew strives to create a more engaged and 
productive workforce and focuses on measures to drive 
employee engagement. These include an understanding of 
the Group’s mission and direction, sense of employee 
involvement, focus and adaptability to customers and market 
place. We continue to listen to our employees, via regular 
surveys and focus groups, and we value their opinions.

Diversity at Smith & Nephew
Smith & Nephew believes that diversity fuels innovation. 
We(cid:159)are committed to employment practices based on equality 
of opportunity, regardless of colour, creed, race, national 
origin, sex, age, marital status, sexual orientation or mental 
or(cid:159)physical disability unrelated to the ability of the person to 
perform the essential functions of the job.

The Board and Executive Of(cid:178) cers continue to recognise 
the(cid:159)importance of diversity and over the last two years 
have(cid:159)expanded their own diversity pro(cid:178) le. Three of our 
12(cid:159)Board(cid:159)members are female.

At 31 December 2013, Smith & Nephew had the following 
breakdown of employees:

Number of Employees 1

Directors
Male 
Female

Total

Senior Managers and above 2
Male
Female

Total 

Total employees
Male
Female

Total

9
3

12

484
140

624

7,203
4,821

12,024

1 

2 

 Number of employees as at 31 December 2013 including part time 
employees and employees on leave of absence.
 Senior managers and above includes all employees classed as Directors, 
Senior Directors, Vice Presidents and Executive Of(cid:178) cers and includes all 
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24 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Segment performance: Advanced Surgical Devices

Advanced Surgical Devices

REVENUE 1 ($m)
+1% 

$3,015m

TRADING PROFIT 1,2 ($m)
+2% 

$712m

3,050

2,926

3,251

3,108

736

714

728

697

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

OPERATING PROFIT 1
+4% 

$620m

TRADING PROFIT MARGIN 2
23.6%
+20bps 

700

630

632

579

23.8

24.1

23.4

21.9

FRANCHISE AREAS
–  Orthopaedic Reconstruction 

(Knee Implants and Hip Implants)

–  Trauma & Extremities
– Sports Medicine Joint Repair
– Arthroscopic Enabling Technologies (‘AET’)
– Other ASD

REVENUE BY FRANCHISE AREA

OTHER ASD
2%

AET
15%

KNEE
29%

SPORTS MEDICINE
31%

SPORTS MEDICINE
JOINT REPAIR
16%

$3,015m

ORTHOPAEDIC
RECONSTRUCTION
51%

HIP
22%

TRAUMA
EXTREMITIES
16%

REVENUE BY FRANCHISE AREA 1,3 ($m)
-1% 0% +4% +7%

-2%

+14%

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

874 865

MANUFACTURING SITES
–   US and Canada: Memphis TN, Mans(cid:178) eld MA and Oklahoma 

City OK, Calgary – Canada

–  Europe: Aarau – Switzerland, Tuttlingen – Germany
–  UK: Leamington Spa (Warwick)
–  Other: Beijing – China, Sangameshwar – India

SERVICE CENTRES
–  US, UK, Germany, Japan and Australia

666 653

474 486

474

496

458 441

162

74

2012

2013

2012

2013

2012

2013

2012

2013

2012

2013

2012

2013

HIPS

KNEES

ORTHAPAEDIC
RECONSTRUCTION

TRAUMA
& EXTREMITIES

SPORT MEDICINE
JOINT REPAIR

AET

OTHER ASD

SPORTS 
MEDICINE

1 

 The underlying percentage increases/decreases are after adjusting for the effect of currency translation and the inclusion of the comparative impact of acquisitions and 
exclusion of disposals.

2  Explanation of these non-GAAP (cid:178) nancial measures are provided on pages 161 to 163.
3  The 2012 revenue by franchise has been restated to 2013 product franchises.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

25

The Emerging & 
International Markets have 
become an increasingly 
important opportunity 
for(cid:159)our(cid:159)products

Knee Implants
Smith & Nephew offers a range of products for specialised 
knee procedures. The JOURNEY  II BCS Total Knee System was 
launched in the US in 2013. It is designed to restore the normal 
kinematic motion by replicating the anatomic shapes of a 
normal, healthy knee.
The LEGION/GENESIS◊ II Total Knee System is a 
comprehensive system designed to allow surgeons to 
address a wide range of knee procedures from primary 
to revision.

These systems also feature VERILAST Technology, 
our(cid:159)advanced bearing surface and also utilised VISIONAIRE 
Patient-Matched Instrumentation. 

With VISIONAIRE Instrumentation, a patient’s MRI and X-rays 
are(cid:159)used to create customised cutting blocks that allow the 
surgeon to achieve optimal mechanical axis alignment of the 
new implant. In addition, VISIONAIRE also helps save time by 
reducing the number of steps and instruments needed in the 
operating room.

Overview
In Advanced Surgical Devices (‘ASD’) we develop, 
manufacture and sell products in the following franchise areas:

Orthopaedic Reconstruction
Smith & Nephew offers a range of specialist products 
for(cid:159)orthopaedic reconstruction in its Knee Implants and 
Hip(cid:159)Implants franchises.
Implant bearing surfaces such as the proprietary OXINIUM◊ 
Oxidized Zirconium continue to be a point of differentiation 
for(cid:159)Smith & Nephew. OXINIUM Technology combines the 
enhanced wear resistance of a ceramic bearing with the 
superior toughness of a metallic bearing. When combined 
with(cid:159)highly cross-linked polyethylene (‘XLPE’) it results in 
our(cid:159)proprietary VERILAST Technology. In Hip Implants, the 
combination of a ceramicised metal head and a polyethylene 
lined cup have been shown in joint registry data to have 
superior (cid:178) ve-year survivorship (97.9%) compared to implants 
made from any other material. In Knee Implants, the LEGION 
Primary Knee with VERILAST Technology is the only knee 
implant with a 30-year wear performance claim – more 
than(cid:159)double(cid:159)the length of wear performance testing of 
conventional technologies.

5 SUPPLEMENT GROWTH WITH ACQUISITIONS

Leadership in India 
The Emerging & International Markets have become 
an increasingly important opportunity for our products. 
The acquisition of India’s Sushrut-Adler, a(cid:159)leader in 
trauma products, greatly enhanced our portfolio for 
this fast growing segment. 

Sushrut-Adler has a long and distinguished history, a 
reputation for quality products and a loyal customer 
base. Its trauma portfolio strongly complements our 
established positions in orthopaedic reconstruction 
and sports medicine in India. From our enhanced 
platform we can develop further products for the 
mid-tier in India and for export. We are delivering on 
our Strategic Priorities to build leadership positions in 
the Emerging & International Markets and to bring 
forward products for these countries.

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26 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Segment performance: Advanced Surgical Devices continued

Hip Implants
 For Hip Implants, core systems include the ANTHOLOGY 
Hip(cid:159)System, SYNERGY ◊ Hip System, the SMF Short Modular 
Femoral Hip System, the R3 Acetabular System, the 
POLARCUP◊ Dual Mobility Hip System and the SL-PLUS 
Hip(cid:159)Family System.

 In 2013, we launched the SMF Monolithic Hip Stem which 
is(cid:159)intended to capitalise on the clinically proven (cid:179) at taper 
cementless primary stem. The SMF Monolithic Stem family 
of(cid:159)products allows the surgeon to use the convenience of 
a(cid:159)one(cid:159)piece stem and the advantage of a short stem.
We also introduced the POLARSTEM◊ HA Cementless 
Stem(cid:159)System in the US for state-of-the-art minimally invasive 
surgical techniques that preserve bone and soft tissue, 
with(cid:159)good functionality and reproducible results.

Trauma & Extremities
Our Trauma & Extremities franchise offers both internal and 
external devices, as well as other products used in the 
stabilisation of(cid:159)severe(cid:159)fractures and deformity 
correction procedures.

During 2013, the US business re(cid:178) ned its commercial model to 
increase the focus and resources addressing the 
opportunities in the high-growth trauma and 
extremities markets.

For Trauma, the principal internal (cid:178) xation products are 
the(cid:159)TRIGEN◊ family of IM nails (TRIGEN META-NAIL◊ System, 
TRIGEN(cid:159)Humeral Nail System, TRIGEN SURESHOT◊, and 
TRIGEN INTERTAN◊) and the PERI-LOC◊ Plating System. For 
extremities and limb restoration, the franchise offers the 
TAYLOR SPATIAL FRAME◊ Circular Fixation System as(cid:159)well as a 
range of plates, screws, arthroscopes, instrumentation, 
resection, and suture anchor products for foot, ankle, hand 
and wrist surgeons.

2013 saw the introduction of the MODULAR RAIL SYSTEM 
(‘MRS’) which is designed to correct bone deformities, 
malunions, non-unions and limb length discrepancies. The 
MRS takes advantage of the body’s ability to grow new bone 
tissue. 
In Extremities during 2013 we expanded our ALL28◊ Foot and 
Ankle portfolio to include ankle instability and Achilles tendon 
repair. Ankle instability builds upon our successful TWINFIX◊ 
titanium anchor technology in a new system speci(cid:178) cally 
designed for foot & ankle surgeons. It allows the surgeon to 
re-attach or repair the anterior talo(cid:178) bular ligament (‘ATFL’) 
to(cid:159)the(cid:159)(cid:178) bula. The Achilles tendon repair solution uses our 
FOOTPRINT◊ Ultra PK Suture Anchor to address traumatic 
avulsion of the tendon. This technology allows for tension 
adjustment after anchor insertion up until the inserter is 
removed, as well as eliminating knot stack on the heel 
that(cid:159)may(cid:159)cause irritation to the patient post procedure. 

Sports Medicine Joint Repair
The Sports Medicine Joint Repair franchise offers surgeons 
a(cid:159)broad array of instruments, technologies and implants 
necessary to perform minimally invasive surgery of the joints, 
including knee, hip and shoulder repair.

Signi(cid:178) cant launches during the year included the HEALICOIL 
REGENESORB Biocomposite Suture Anchor, Active Heel 
Traction Boot and CLANCY◊ Depth Gauge.

The HEALICOIL Suture Anchor’s distinctive, open-architecture 
differs from solid-core implants by eliminating the material 
between anchor threads, allowing blood and bone marrow 
from the surrounding cancellous bone to enter the implant. 
Our proprietary REGENESORB Material is an 
advanced biocomposite.

Arthroscopic Enabling Technologies (‘AET’)
Our Arthroscopic Enabling Technologies franchise offers 
healthcare providers a variety of technologies such as(cid:159)(cid:179) uid 
management equipment for surgical access; high de(cid:178) nition 
cameras, digital image capture, scopes, light sources and 
monitors to assist with visualisation inside the joints; radio 
frequency (‘RF’) probes, electromechanical and mechanical 
blades, and hand instruments for removing damaged tissue.
Key AET products include DYONICS shaver blades, ACUFEX◊ 
handheld instruments, and a wide range of radio frequency 
probes. The DYONICS Platinum Series Shaver Blades are 
single-use blades that provide superior resection due to their 
unequalled sharpness and virtually eliminate clogging through 
their improved debris evacuation capabilities.

The new LED 3000 Light Source launched in 2013 is designed 
to optimise the HD visualisation experience by providing 
brilliant illumination through a compact and intuitive interface.

Other ASD
The Other ASD franchise includes smaller businesses such 
as(cid:159)Gynaecology. 
The main Gynaecology product is the TRUCLEAR◊ System, a 
(cid:178) rst-of-its-kind hysteroscopic morcellator that pairs continuous 
visualisation capabilities with minimally invasive tissue 
removal providing safe and ef(cid:178) cient removal of endometrial 
polyps and submucosal (cid:178) broids. The business also(cid:159)sells a 
hysteroscopic (cid:179) uid management system, which provides 
uterine distension and clear visualisation during 
hysteroscopic procedures.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

27

3 INNOVATE FOR VALUE

Natural-motion Journey II 
BCS Total Knee System

JOURNEY II BCS sets a new standard in 
knee implant performance by restoring more 
normal motion. This is achieved through 
the reproduction of both the shapes of 
the joint’s hard surfaces and the normal 
force behaviour of the soft tissues, such as 
ligament and muscle (cid:178) ring patterns. As a 
result, the soft tissue’s re-adjustment to new 
shapes and forces after surgery is minimised, 
helping to return the patient’s stride to its 
natural rhythm.

This latest innovation is the result of intense 
research and design, and the development 
of new PHYSIOLOGICAL MATCHING◊ 
Technology. Using our LifeMOD◊ human 
simulation software, Smith & Nephew 

engineers were able to conduct proprietary 
analysis of the bone, ligament and muscle 
forces that impact the knee, and then 
account for those forces within the design 
of an implant that restores anatomic shapes 
and normal motion.

JOURNEY II BCS is made from Smith 
& Nephew’s VERILAST Technology. 
The combination of two wear reducing 
materials – proprietary OXINIUM alloy and 
a highly cross-linked plastic liner, VERILAST 
Technology generates a signi(cid:178) cant reduction 
in implant wear compared to traditional 
bearing couples on the market. 

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28 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Segment performance: Advanced Surgical Devices continued

Market and competition
In 2013, weaker economic conditions worldwide continued 
to(cid:159)create several challenges for the overall surgical devices 
market, including continued deferrals of joint replacement 
procedures and heightened pricing pressures.

These factors contributed to the lower overall growth of 
the(cid:159)worldwide surgical devices market versus historic 
comparables. However, over the medium term, several 
catalysts are expected to continue to drive sustainable growth 
in surgical device procedures, including the growing and 
ageing population with active lifestyles, rising rates of 
co-morbidities such as obesity and diabetes, patient desire 
for(cid:159)minimally invasive procedures, technology improvements 
allowing surgeons to treat younger, more active patients, 
and(cid:159)the increasing demand for healthcare 
in(cid:159)emerging markets.

Orthopaedic and sports medicine procedures tend to be 
higher in the winter months (quarter one and quarter four in 
the US and Europe) when accidents and sports related injuries 
are highest. Conversely, elective procedures tend to slow 
down in the summer months due to holidays.

Global orthopaedic reconstruction segment
Smith & Nephew estimates that the global orthopaedic 
reconstruction segment is worth approximately $14 billion 
and(cid:159)the segment served by Smith & Nephew increased by 
approximately 3% in 2013. Competitors in the orthopaedic 
reconstruction segment include Biomet, DePuy Synthes 
(a(cid:159)division of Johnson & Johnson), Stryker and Zimmer.

Global orthopaedic trauma segment
Smith & Nephew estimates that the global orthopaedic trauma 
segment is worth approximately $5 billion and the segment 
served by Smith & Nephew grew by approximately 7% in 2013. 
Competitors in the orthopaedic trauma segment include 
Biomet, DePuy Synthes (a division of Johnson & Johnson), 
Stryker and Zimmer.

Global sports medicine segment
Smith & Nephew estimates that the global sports medicine 
segment (representing access, resection and repair products) 
is worth approximately $4 billion and the segment served by 
Smith & Nephew grew by approximately 6% in 2013. 
Competitors in the sports medicine segment include Arthrex, 
DePuy Mitek (a division of Johnson & Johnson) and Stryker.

Regulatory approvals
In 2013, regulatory clearances/approvals were obtained for 
several key products and instrumentations.

In the US, 510(k) clearance was obtained for Disposable 
Knee(cid:159)Instruments, SURESHOT◊ Distal Targeting System v3.0 
(added drill depth measurement functionality), HEALICOIL 
REGENESORB Suture Anchor, TWINFIX Ti 3.5mm SL Anchor, 
FOOTPRINT Ultra 4.5mm & 5.5mm SL Anchors, SUTUREFIX◊ 
Ultra Suture Anchors and ULTRATAPE◊ Suture.

In Europe, we obtained renewals for LEGION Narrow 
Femoral(cid:159)Components (CE mark approval), ULTRA FAST-FIX◊ AB 
(indications expansion to include meniscal allograft 
transplantation), Round ENDOBUTTON◊, SCREWBUTTON◊ 
and(cid:159)ULTRA FAST-FIX AB (CE Renewal).

In Canada, the TWINFIX Ti 3.5mm SL Anchor and FOOTPRINT 
Ultra 4.5mm & 5.5mm SL Anchors were approved.
In Australia, the OSTEORAPTOR◊ Curved 2.3 system 
was approved.

In Japan, we received approvals for SURESHOT Distal 
Targeting System (two approvals obtained in 2013, including 
approval of current software version, 3.0), JOURNEY II BCS 
Knee System, R3 Acetabular System (XLPE Liners and Shells), 
JOURNEY Uni(cid:159)Knee System (OXINIUM femoral components 
and all-poly tibial baseplates), JOURNEY Uni Knee System 
(Articular inserts and tibial baseplates), VISIONAIRE Patient-
Matched Cutting Blocks, JOURNEY II CR Knee System, 
XTENDOBUTTON◊, HEALICOIL PK Suture Anchor, Beaver 
Blade, TRUCLEAR Hysteroscopic Morcellator system, BIOSURE 
HA Interference Screw, BIORAPTOR Knotless Anchor and 
TWINFIX ULTRA HA Suture Anchor.

In our Emerging & International Markets, we obtained a 
number of regulatory clearances/approvals for several core 
product lines, as follows:

In China, we received approvals for Ultra FASTFIX and Ultra 
FASTFIX AB Meniscal Repair System, SURESHOT Distal 
Targeting Systems, TWINFIX ULTRA HA Suture Anchor, 
SPYROMITE and DYNOMITE Extremities Suture Achors and 
LEGION Primary Knee System – POROUS Femoral Component 
with HA Coating.

In Russia, we obtained approval to market our Multiple Knee 
Systems including JOURNEY UNI, GENESIS II, LEGION 
and TC_PLUS.

In Mexico, the OXINIUM Femoral Components, R3 Acetabular 
System, REDAPT Instruments, Cannulated Screw Systems 
were approved for distribution.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

29

Segment performance: Advanced Wound Management

Advanced Wound 
Management

REVENUE 1
+11% 

$1,336m

TRADING PROFIT 1,2
+14% 

$275m

1,019

1,029

912

846

160

247

237

233

FRANCHISE AREAS
– Advanced Wound Care
– Advanced Wound Devices
– Advanced Wound Bioactives

REVENUE BY FRANCHISE AREA

ADVANCED WOUND
BIOACTIVES 21%

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

OPERATING PROFIT 1
-8% 

$190m

TRADING PROFIT MARGIN 2
-250bps 

20.6%

$1,336m

ADVANCED 
WOUND CARE 
63%

232

220

214

144

18.9

25.6

24.3

23.1

ADVANCED 
WOUND DEVICES
16%

2009

2010

2011

2012

2013

2009

2010

2011

2012

2013

MANUFACTURING SITES
–   US and Canada: Oklahoma City OK and Calgary – Canada
–  UK: Hull, Gilberdyke
–  China: Suzhou
–  Other: Curaçao

SERVICE CENTRES
–  US, UK, Germany, Japan and Australia

REVENUE BY FRANCHISE AREA 1 ($m)

+1%

849

843

+20%

+47%

180

213

2012

2013

2012

2013

280

2013

Nil

2012

ADVANCED
WOUND CARE

ADVANCED
WOUND DEVICES

ADVANCED
WOUND BIOACTIVES

1 

 The underlying percentage increases/decreases are after adjusting for the effect of currency translation and the inclusion of the comparative impact of acquisitions and 
exclusion of disposals.

2  Explanation of these non-GAAP (cid:178) nancial measures are provided on pages 161 to 163.

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30 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Segment performance: Advanced Wound Management continued

Overview
In Advanced Wound Management (‘AWM’) we offer products 
from initial wound bed preparation through to full wound 
closure. These products are(cid:159)targeted at chronic wounds 
associated with the older population, such as pressure sores 
and venous leg ulcers. There are also products for the 
treatment of acute wounds such as burns and invasive 
surgery that impact the wider population.

The main products within the AWM business are for Exudate 
management, Infection management, NPWT and Bioactives.

AWM has its global headquarters in Hull, UK and its North 
American headquarters in St Petersburg, Florida.

Advanced Wound Care 
Exudate management
Exudate management products focus on effectively and 
ef(cid:178) ciently locking away wound (cid:179) uid and creating an optimal 
healing environment to ensure better healing outcomes. Our 
key brands in this space are ALLEVYN foam dressings and 
DURAFIBER gelling (cid:178) bre dressings.

During 2013, we continued to invest in the commercialisation 
of ALLEVYN Life, our latest innovation in foam dressings, 
designed to provide a better quality of life to the patient during 
the healing process. In several studies this has resulted in 
better patient satisfaction, longer wear times and overall 
reduced healthcare management costs. One recent article 
published in the Journal of Community Nursing stated 
"In(cid:159)employing a design intended to combat the common 
problems of living with a wound, such as exudate leakage 
and(cid:159)conformability, the dressing has the potential to improve 
wound management practice and reduce the use of 
associated resources, such as nursing time". The article 
concluded that around 2,500 working days could be saved 
annually as(cid:159)a result of using ALLEVYN Life.

DURAFIBER has continued to grow over the course of 2013, 
with customers switching from other products within the 
gelling (cid:178) bre segment.

Infection management
AWM has two signi(cid:178) cant technologies in its infection 
management portfolio, silver (ACTICOAT, DURAFIBER Ag and 
ALLEVYN Ag) and iodine (IODOSORB◊). The iodine-based 
IODOSORB product has continued to gain interest as bio(cid:178) lms 
become a more important topic in wound care.

We launched DURAFIBER Ag in 2013 and with it entered the 
silver gelling (cid:178) bre market, one of the largest segments of the 
infection management market.

4 SIMPLIFY & IMPROVE OUR OPERATING MODEL

Expanding 
Suzhou 

In April distinguished guests from Suzhou Industrial 
Park and Jiangsu Province attended the of(cid:178) cial 
opening of the major extension to Smith & 
Nephew’s Advanced Wound Management 
manufacturing facility in Suzhou, China. 

The expansion more than doubled the size of the 
Suzhou facility, and is enabling Smith & Nephew to 
continue to develop its product portfolio both for the 
Chinese market and for export. Those manufactured 
at Suzhou include ALLEVYN, Smith & Nephew’s 
leading foam dressing brand, which is used in the 
treatment of hard to heal wounds such as leg ulcers, 
as well as new portfolios for the mid-tier across the 
Emerging & International Markets. 

Completed on time, to budget, and without a lost-
time incident, the extension takes the total (cid:179) oor area 
to 27,000 square meters and doubles the 
production capacity to over 100 million wound 
dressings a year. We are delivering on our Strategic 
Priority to Simplify and Improve our Operating 
Model by optimising our global manufacturing 
footprint.

China is of great strategic importance to Smith & 
Nephew. We are proud of what we have achieved 
here and are investing for the long term. We now 
have more than 900 people in China, working 
across(cid:159)manufacturing and commercial operations. 
We have(cid:159)built our success upon a sustainable and 
ethical approach to business, and are bringing this 
long-term commitment to our work, our employees 
and our(cid:159)communities. 

Other
We also offer a wide range of other wound care products, 
which means we have one of the most comprehensive ranges 
of wound care solutions in the industry. These products 
include our (cid:178) lm and post-operative dressings, skincare 
products and gels.

ADERMA: Following the acquisition and integration of 
ADERMA pressure relieving technology in 2012, the launch in 
the UK and increase in ADERMA sales activity has seen it 
(cid:178) rmly established as the market leader. The UK government’s 
targeting of Pressure Ulcer Prevention and the known cost to 
the UK health system has driven the adoption of ADERMA in 
both the Acute and Community sectors. Due to the success in 
the UK, plans are in place to launch ADERMA as Dermapad in 
2014 into other healthcare markets with equally strong 
Pressure Ulcer Prevention drivers. With our Skincare portfolio, 
ADERMA/ Dermapad and ALLEYVN Life, we are well placed to 
deliver a strong and comprehensive Pressure Ulcer Prevention 
and treatment solution through a tested and validated value 
proposition into the Established Markets.

IV 3000: AWM’s specialist breathable premium IV dressing, 
utilising REALTIC◊ (cid:178) lm technology and unique patterned 
adhesive, continues to perform well, particularly driven by 
emerging markets. Success in these markets and elsewhere 
has identi(cid:178) ed an opportunity for a mid-tier offering.

OPSITE POST OP VISIBLE: This is our innovative dressing 
that(cid:159)combines the qualities of a premium dressing with 
the(cid:159)ability to see the incision. This unique product continues 
to(cid:159)deliver strong growth in both our Established and Emerging 
& International Markets as its adoption becomes more 
widespread backed by good clinical evidence.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

31

Advanced Wound Devices
Advanced Wound Devices consists of two categories 
of(cid:159)products; NPWT and(cid:159)VERSAJET◊.

NPWT
Our NPWT solutions include traditional NPWT products 
(RENASYS◊ products) and the single-use portfolio 
(PICO(cid:159)and(cid:159)KALYPTO◊ products).

In its sixth year on the market, our RENASYS traditional NPWT 
brand has seen continuous improvement and innovation. 
Product updates in 2013 enhanced both function and user 
experience with our RENASYS systems as a whole. The 
RENASYS product offering now includes multiple device 
options, a choice of foam or gauze dressings, along with 
a(cid:159)range of drains and specialty kits.

The PICO system, our single-use, canister-free solution 
is(cid:159)revolutionising NPWT. As familiar and easy to use as 
an(cid:159)advanced wound dressing, PICO provides an active 
intervention to help promote optimal healing for early 
discharge and enhanced outcomes in complex cases. 
PICO(cid:159)simpli(cid:178) es NPWT.

VERSAJET
The VERSAJET Hydrosurgery system is a mechanical 
debridement device used by surgeons to excise and evacuate 
non-viable tissue, bacteria and contaminants from wound, 
burns and soft tissue injuries.

Advanced Wound Bioactives
Bioactives represent the fastest growing category of chronic 
wound therapeutics. Our diversi(cid:178) ed biotherapeutic portfolio 
offers novel, cost-effective solutions for tissue repair and 
healing, addressing the full spectrum of hard-to-heal wounds.
Currently, our leading product is Collagenase SANTYL◊ 
Ointment, the only FDA-approved biologic enzymatic 
debriding agent for chronic dermal ulcers and severe 
burns. Other products include: REGRANEX◊ Gel, a FDA-
approved platelet-derived growth factor; and the OASIS◊ 
family of naturally-derived, extracellular matrix replacement 
products indicated for the management of both chronic and 
traumatic wounds.

Additionally, the lead candidate in our bioactive pipeline 
is(cid:159)HP802-247, an investigational allogeneic living cell 
bioformulation containing keratinocytes and (cid:178) broblasts. 
HP802-247 is currently in Phase III for the treatment of venous 
leg ulcers following positive Phase IIb clinical trial results, 
which were recently published in The Lancet.

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32 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Segment performance: Advanced Wound Management continued

Market and competition
The AWM market is focused on the treatment of chronic 
wounds of the older population and other acute hard-to-heal 
wounds such as burns and certain surgical wounds and is 
therefore expected to bene(cid:178) t from demographic trends. 
Growth is driven by an ageing population and by a steady 
advance in technology and products that are more clinically 
ef(cid:178) cient and cost-effective than their conventional 
counterparts. The market for advanced wound treatments is 
relatively unpenetrated and it is estimated that the potential 
market is signi(cid:178) cantly larger than the current market. 
Management believes that the market will continue the 
trend(cid:159)towards advanced wound products with their ability 
to(cid:159)accelerate healing rates, reduce hospital stay times 
and(cid:159)cut(cid:159)the cost of clinician and nursing time as well 
as(cid:159)aftercare in the home.

Smith & Nephew estimates that the global wound 
management segment is worth approximately $7(cid:159)billion and 
the segment served by Smith & Nephew grew by 4% in 2013. 
Global competitors vary across the various product areas and 
include Coloplast, Convatec, Kinetic Concepts and Molnlycke.

The 2013 Global NPWT market was (cid:179) at versus 2012. Price 
pressures continue to offset the increase in patient therapy 
volumes. Price pressures have increased in some key markets 
due to competition, competitive bidding and reimbursement 
changes. Market size is estimated to be $2(cid:159)billion. 

Due to the nature of its product range there is little seasonal 
impact on the Advanced Wound Management business.

Regulatory approvals
In 2013, regulatory clearance was obtained for ALLEVYN Life 
Heel in the EU, US and Australia. ELECT◊ Super absorber was 
also approved in Europe. The complete range of DURAFIBER 
Ag sized dressings was approved in Europe and the US.

ALLEVYN Ag Gentle and ALLEVYN Ag Gentle Border were both 
approved in Japan. ALLEVYN Gentle Border and ALLEVYN 
Gentle were approved for import into China.

PICO Single Use Negative Wound Therapy System was 
approved in Brazil, Russia, Mexico and Korea.

The next generation VERSAJET II system was approved in 
Japan, China as well as several other Emerging & 
International Markets.
The RENASYS◊ EZ PLUS pump and RENASYS Foam and 
Gauze dressing kits were approved in China.

RENASYS EZ MAX Negative Pressure Wound Therapy pump 
also received clearance in the US, EU and Australia.

RENASYS EZ PLUS and RENASYS GO were both certi(cid:178) ed as 
compliant with the third edition of IEC 60601 an important 
standard for the safety of electro-medical devices.

2 EMERGING & INTERNATIONAL MARKETS
Building our product portfolio
and commercial platform
We are building strong businesses in the Emerging & 
International Markets by having close, direct relationships 
with our customers – and by developing product portfolios 
that meet the needs of patients in the(cid:159)economic mid-tier.

In 2013 we furthered this strategy. Our (cid:178) rst mid-tier 
product, a low cost camera system, was launched. We also 
acquired a portfolio of orthopaedic trauma products in 
India. By developing and manufacturing in the Emerging & 
International Markets we are able to deliver both quality 
and value.

We also completed acquisitions of distributors in Turkey 
and Brazil. Both these markets are fast-growing and offer 
exciting opportunities. These are important investments 
which(cid:159)will create a signi(cid:178) cant platform from which we 
can grow.

Smith & Nephew is delivering on its strategic priority 
to(cid:159)build a sustainable business in the Emerging & 
International Markets.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

33

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5 SUPPLEMENT GROWTH THROUGH ACQUISITIONS

Integrating Healthpoint 

Healthpoint Biotherapeutics, acquired in 
late 2012, exceeded our expectations in its 
(cid:178) rst year as a Smith & Nephew business. 
With strong revenue growth of 47%, it met 
our Strategic Priority of ‘Supplementing our 
Organic(cid:159)Growth through Acquisitions’. 

The acquisition marked Smith & Nephew’s 
entry into Bioactives, the fastest growing 
segment of advanced woundcare. It also gives 
us enhanced presence in the US, including 
access to new channels and capabilities.

During 2013, we delivered on our objective to 
integrate Healthpoint gradually into Smith & 
Nephew to maximise the respective strengths 
of both companies and to avoid disruption to 
our customers. 

Healthpoint’s culture very much complemented 
our own, with a clear focus on innovation, 
customer needs and a commitment to a high 
level of compliance and ethics. The integration 
team sought to retain the best on both sides 
– continuing to nurture the entrepreneurial 
spirit of Healthpoint, whilst bringing the 
wider bene(cid:178) ts of Smith & Nephew’s global 
organisation to that business. The process 
culminated with the rebranding of Healthpoint 
to Smith & Nephew Biotherapeutics in 
September.

Smith & Nephew now has leading brands 
and positions in all the important Advanced 
Wound Management segments of Exudate 
Management, Infection Management, Negative 
Pressure Wound Therapy and Bioactives.

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34 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Sustainability

Our sustainability strategy supports 
our (cid:178) ve Strategic Priorities

Smith & Nephew promotes sustainability to our stakeholders 
through addressing economic, social and environmental 
considerations. In turn, our sustainability strategy is aligned 
with the strategic priorities.

1 ESTABLISHED MARKETS

Making best environmental choices and manufacturing and 
supply chain ef(cid:178) ciencies all contribute to reducing our cost 
base, facilitating access to our products and helping our 
customers meet their sustainability ambitions.

2  EMERGING & INTERNATIONAL(cid:159)MARKETS

Cost base reductions facilitate wider access to our products. 
Speci(cid:178) cally our focus on mid-tier products is(cid:159)aimed at 
supporting fundamental and affordable healthcare in the 
Emerging & International Markets.

3 INNOVATE FOR VALUE

Building sustainability into our New Product Development 
processes, including reducing packaging and waste, helps 
us innovate to meet our customers’ expectations, deliver 
mutual value and optimise patient care.

4  SIMPLIFY AND IMPROVE 
OUR OPERATING MODEL

Incorporating sustainability into our business processes 
and(cid:159)optimising our facilities and supply chain to reduce 
our(cid:159)resource consumption and environmental impact 
help(cid:159)meet(cid:159)the expectations of(cid:159)our customers and society. 
Protecting our employees through the implementation of 
global(cid:159)HSE standards and responsible behaviours is not 
only(cid:159)right but also adds value to our business.

5  SUPPLEMENT ORGANIC GROWTH 

WITH ACQUISITIONS

Our due diligence approach includes sustainability 
considerations, our global policies and standards to ensure 
we protect the integrity and reputation of our business.
Speci(cid:178) cally our acquisition of Sushrut-Adler in India is aimed 
at providing fundamental and affordable healthcare into the 
emerging markets. 

Sustainability strategy and targets
Progress towards the 2015 targets has been indexed to the baseline year 2011.

Target by 2015

Reduce non-renewable energy use by 15%
-0.6% 

Energy consumption is decreasing but not in line with 
expectations. This is largely in(cid:179) uenced by higher energy use in 
China as we scale up for expansion. The increased production 
levels at our Suzhou, China plant have given rise to an 
underlying increase in Group energy usage of 2.6%.

Reduce CO2 emissions by 15%
+0.8% 

CO2 emissions re(cid:179) ect different carbon footprints of energy 
production in different geographic locations. Increasing 
production capacity at the Suzhou plant has contributed to 
an(cid:159)underlying increase in the carbon emissions of 3.6%. 
The(cid:159)carbon footprint in China is roughly twice that of the UK.

Reduce water use(cid:159)by 15%
+11.9% 

Water usage continues to rise as new facilities are 
commissioned and we make operational choices based on best 
environmental options. For example, as we have expanded at 
Suzhou we have chosen to use a cooling system based on 
evaporation to reduce energy consumption.

+7.6% 

Water consumption at Memphis and Suzhou account for 84% of 
our total water usage and when excluded the increase was 7.6%.

Reduce packaging materials by 15%

We are evaluating all the options for reducing packaging whilst 
maintaining product safety and protection. This is a challenging 
area and details and examples of projects will be available in our 
Sustainability Report.

Reduce total waste(cid:159)by 15%
+15.1% 

In 2013, there were two exceptional waste sources that 
contributed to the increase in total waste generated by the 
business. Speci(cid:178) cally these were from the validation of 
manufacturing start-up in China and the disposal of obsolete 
stock in the US. We continue to focus on waste reduction at 
source and recycling opportunities.

The land(cid:178) ll component of our total waste was reduced by 21.7%.

-21.7% 
Increase % of(cid:159)total(cid:159)waste recycled(cid:159)by 15%
+21.2% 
(Excludes waste 
to energy)

Recycling of wastes continues to rise as more opportunities 
are(cid:159)exploited. We are now reporting separately the waste that 
is(cid:159)diverted for energy recovery.

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SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

35

Safety performance

Safety Reporting

2013

2012

2011

OSHA recordable incidents per 
200,000hrs worked (TIR)

Lost time incidents per 
200,000hrs worked (LTIFR)

Number of lost time incidents 
arising from manufacturing 
facilities

1.11

1.09

1.16

0.48

0.51

0.58

25

37

42

There were no fatalities. Lost time injuries in our manufacturing 
facilities decreased by 32% over the previous year. However, 
the number of injuries in our non-manufacturing and supply 
chain operations increased mainly due to car accidents. 
Improving driving safety is a particular priority in 2014. We 
are(cid:159)making signi(cid:178) cant progress with the deployment of 
risk(cid:159)based(cid:159)control processes and our new HSE Integrated 
Management System.

Greenhouse gases 
Methodology, materiality and scope
We are reporting on the emission sources required under the 
Companies Act 2006 (Strategic Report and Directors’ Report) 
Regulations 2013. These sources fall within our consolidated 
(cid:178) nancial statement. We have used the Greenhouse Gas 
Protocol: A Corporate Accounting and Reporting Standard 
(Revised Edition) as guidance for this process.

The focus of our data collection has been on the areas of the 
business that have the most in(cid:179) uence on our environmental 
impacts and provide stakeholders with a level of detail that 
enables them to monitor emissions data, sustainability 
management and trends. Wherever possible, primary 
data(cid:159)from energy suppliers has been used.

During the year, we have continued to make progress in 
reducing our energy consumption at many of our operational 
facilities. CO2 emissions have not reduced in line with energy 
due to the different carbon footprints of energy production in 
different geographic locations, particularly China.

Global GHG emissions data for current reporting year 
and comparisons

2013

2012

2011

CO2e emissions (tonnes) from:

Combustion of fuel and operation 
of facilities (process(cid:159)and fugitive)

Purchased electricity, heat 
and(cid:159)steam

Total

Intensity Ratio
Emissions (total) normalised to:
CO2e (t) per $m revenue (i)
CO2e (t) per full-time employee (ii)

10,102 10,922 10,894

66,659 64,991 65,241

76,761

75,913 76,135

18.9
7.3

18.3
7.2

17.8
7.1

Notes
2013 data adjusted to exclude Healthpoint.
(i)  Revenue data: 2013: $4,071m, 2012: $4,137m, 2011: $4,270m.
(ii)  Full-time employee data: 2013: 10,520, 2012: 10,477, 2011: 10,743.

Support for community
In 2013, Smith & Nephew’s support for community charitable 
causes, grants, sponsorships and third party medical 
education was $10m.

The largest proportion of our environmental impacts is from 
manufacturing, warehousing and research. Sales locations are 
included however some smaller, leased or shared of(cid:178) ces are 
not reported. We estimate that these exclusions represent less 
than 2% of our overall emissions.

For more information on sustainability see our 
website(cid:159)www.smith-nephew.com/sustainability

Our 2013 Sustainability Report will be published 
in(cid:159)spring 2014.

The Biotherapeutics business (acquired at the end of 2012) 
is(cid:159)excluded from these (cid:178) gures along with other more recent 
acquisitions during 2013. This is in line with our established 
policy for integration of acquired assets.

Our emissions have been calculated by using speci(cid:178) c 
emissions factors for each country outside the US and 
regional factors within the US. We have used the US EPA 
‘Emissions & Generation Resource Integrated Database’ 
(eGRID) for US regions and the UK Government DEFRA 
Conversion Factors for Greenhouse Gas Reporting for 
elsewhere. We believe that these factors are the most 
appropriate to use for our business and give more accurate 
conversion rates than the conversion factors we have used in 
previous Sustainability Reports. The emissions from 2011, our 
baseline year for the sustainability targets, have therefore 
been recalculated using consistent rates. Fugitive emissions 
are included from the manufacturing and research locations 
and arise from the losses of refrigerant gases.

References
Emission factors have been taken from the following source:
– 

  UK Government DEFRA Conversion Factors for Greenhouse Gas Reporting, http://www.ukconversionfactorscarbonsmart.co.uk/

Emission factors for electricity from locations in the US have been taken from the following source:
– 

 US EPA ‘Emissions & Generation Resource Integrated Database’ (eGRID) http://www.epa.gov/cleanenergy/energy-resources/egrid/index.html

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36 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Financial review and principal risks

Judicious (cid:178) nancial management 
has been and remains central to 
our success

ASD
REVENUE BY FRANCHISE AREA ($m)

AWM
REVENUE BY FRANCHISE AREA ($m)

OTHER ASD
2%

AET
15%

KNEE
29%

SPORTS MEDICINE
31%

ADVANCED WOUND
BIOACTIVES 21%

SPORTS MEDICINE
JOINT REPAIR
16%

$3,015m

ORTHOPAEDIC
RECONSTRUCTION
51%

$1,336m

ADVANCED 
WOUND CARE 
63%

HIP
22%

ADVANCED 
WOUND DEVICES
16%

TRAUMA
EXTREMITIES
16%

REVENUE BY FRANCHISE AREA 1,2 ($m)

REVENUE BY FRANCHISE AREA 1 ($m)

-1% 0% +4% +7%

-2%

+14%

+1%

849

843

+20%

+47%

874 865

666 653

474 486

474

496

458 441

162

74

180

213

2012

2013

2012

2013

2012

2013

2012

2013

2012

2013

2012

2013

2012

2013

2012

2013

280

2013

Nil

2012

HIPS

KNEES

ORTHAPAEDIC
RECONSTRUCTION

TRAUMA
& EXTREMITIES

SPORT MEDICINE
JOINT REPAIR

AET

OTHER ASD

ADVANCED
WOUND CARE

ADVANCED
WOUND DEVICES

ADVANCED
WOUND BIOACTIVES

SPORTS 
MEDICINE

1 

 The underlying percentage increases/decreases are after adjusting for the effect of currency translation and the inclusion of the comparative impact of 
acquisitions and execution of disposals.

2  The 2012 revenue by franchise has been restated to 2013 product franchises.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

37

Revenue by market
The underlying increase in each division’s revenues, by market, reconciles to reported growth, the most directly comparable 
(cid:178) nancial measure calculated in accordance with IFRS, as follows:

2013
$m

2012
$m

Reported
growth in
revenue
%

Constant
currency
exchange
effect
%

Acquisition
/Disposal
effect
%

Underlying
growth in
revenue
%

Advanced Surgical Devices

US

Other Established Markets

Established Markets

Emerging & International Markets

Advanced Surgical Devices

Advanced Wound Management

US

Other Established Markets

Established Markets

Emerging & International Markets

Advanced Wound Management

1,391

1,204

2,595

420

3,015

471

722

1,193

143

1,336

1,449

1,298

2,747

361

3,108

202

705

907

122

1,029

Advanced Surgical Devices
Revenue
ASD revenue decreased by $93m (-3% on a reported basis) 
from $3,108m in 2012 to $3,015m in 2013. The underlying 
increase of 1% is after adjusting for a net 3% adverse impact 
from the disposal of the Clinical Therapies business in 2012 
and the acquisitions completed in quarter four 2013, and a 
1%(cid:159)unfavourable foreign currency translation.

In the US, revenue decreased by $58m to $1,391m in 2013 
from $1,449m in 2012 (-4% on a reported basis). The 
underlying increase of 1% is after adjusting 5% for the 
adverse impact of the Clinical Therapies disposal in 2012. In 
Other Established Markets, revenue was $1,204m in 2013, a 
decrease of $94m from $1,298m in 2012 (-7% on a reported 
basis). The underlying decrease was 3% after adjusting for 
the adverse impact of 2% on the Clinical Therapies disposal 
in 2012, and 2% from unfavourable foreign currency 
translation. Our Emerging & International Markets revenue 
increased by $59m to $420m in 2013 from $361m in 2012 
(16% increase on a reported basis). The underlying increase 
was 18% after adjusting 2% for unfavourable foreign currency 
translation. 

In the global Knee Implant franchise, revenue decreased by 
$9m from $874m in 2012 to $865m in 2013 (-1% on a reported 
basis), representing (cid:179) at underlying revenue performance after 
1% of unfavourable currency translation. Growth has been 
impacted by exposure to a weakening European market with 
conditions continuing to deteriorate in Germany, our largest 
European market, and our position in the product life cycle 
versus our peers. Growth improved in the second half of the 
year driven by sales of the Journey II BCS Knee System and 
bene(cid:178) ts from the VERILAST bearing surface TV advertising 
campaign in the US.

(4)

(7)

(6)

16

(3)

133

3

32

17

30

–

2

1

2

1

–

1

1

3

1

5

2

4

–

3

(111)

(1)

(23)

–

(20)

1

(3)

(1)

18

1

22

3

10

20

11

Global revenue from the Hip Implant franchise decreased 
by(cid:159)$13m from $666m in 2012 to $653m in 2013 (-2% on a 
reported basis), which represented an underlying revenue 
decline of 1% after 1% unfavourable foreign currency 
translation. Continuing metal-on-metal headwinds have 
contributed to(cid:159)this decline.

Trauma & Extremities revenue increased by $12m from $474m 
in 2012 to $486m in 2013 (3% on a reported basis). 
This(cid:159)represents underlying revenue growth of 4% after 1% of 
unfavourable foreign currency translation. During 2013, 
bene(cid:178) ts were seen from the additional extremities US sales 
representatives recruited earlier in the year.

Sports Medicine Joint Repair revenue increased by $22m 
from $474m in 2012 to $496m in 2013 (5% on reported basis), 
representing underlying revenue growth of 7% and 2% of 
unfavourable foreign currency translation. This re(cid:179) ects a 
strong contribution across all key joint types and geographies.

Global revenue from Arthroscopic Enabling technologies 
decreased by $17m from $458m in 2012 to $441m in 2013 
(-4% on a reported basis). This decrease represents an 
underlying revenue decline of 2% and 2% of unfavourable 
foreign currency translation.

The revenue in the Other ASD franchise fell by $88m from 
$162m in 2012 to $74m in 2013 following the disposal of the 
Clinical Therapies business in 2012. Excluding the impact of 
this disposal, underlying revenue in the Other ASD franchise, 
which includes gynaecology, grew by 14% with the remaining 
Clinical Therapies geographies contributing $9m.

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38 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Financial review and principal risks continued

Trading and operating pro(cid:178) t
Operating pro(cid:178) t, the most directly comparable (cid:178) nancial 
measure under IFRS, reconciles to trading pro(cid:178) t as follows:

Advanced Wound Bioactives revenue of $280m in 2013 
(2012 – $nil) relates to Healthpoint acquired in December 2012. 
The underlying increase, adjusted to include the results of 
Healthpoint for the commensurate period in 2012, was 47%.

Operating pro(cid:178) t

Acquisition related costs

Restructuring and rationalisation costs

Amortisation of acquisition intangibles 
and(cid:159)impairments

Trading pro(cid:178) t

2013
$m

620

7

44

41

712

2012
$m

632

–

57

39

728

Trading pro(cid:178) t margin increased from 23.4% to 23.6%. Trading 
pro(cid:178) t decreased by $16m to $712m from $728m in 2012. This 
decrease re(cid:179) ects the impact of the CT disposal in May 2012, 
the impact of the US medical device excise tax and the cost of 
planned investments in the Knee Implants and Trauma 
franchises and Emerging & International Markets offset by 
bene(cid:178) ts from our structural ef(cid:178) ciency programme.

Operating pro(cid:178) t decreased by $12m from $632m in 2012 to 
$620m in 2013. This comprises the decrease in trading pro(cid:178) t 
of $16m discussed above, an increase in acquisition related 
costs of $7m, an increase in amortisation of acquisition 
intangibles of $2m, partially offset by a decrease in 
restructuring and rationalisation costs of $13m.

Advanced Wound Management
Revenue
AWM revenue increased by $307m (30% on a reported basis), 
from $1,029m in 2012 to $1,336m in 2013. The underlying 
increase of 11% is after adjusting for an increase of 20% for the 
acquisitions completed in the year and a 1% unfavourable 
foreign currency translation.

In the US, revenue increased by $269m to $471m in 2013 from 
$202m in 2012 (133% on a reported basis). The underlying 
increase of 22% is after adjusting 111% for the impact of 
acquisitions. In Other Established Markets, revenue was 
$722m in 2013, an increase of $17m from $705m in 2012 (3% 
on a reported basis). The underlying revenue increase was 
also 3% with the 1% impact of acquisitions offset by 1%(cid:159)of 
unfavourable foreign currency translation. Our Emerging & 
International Markets revenue increased by $21m in 2012 
(17%(cid:159)on a reported basis). The underlying increase was 
20%(cid:159)after adjusting 3% for unfavourable foreign 
currency translation.

Advanced Wound Care revenue decreased by $6m (-1% on 
a(cid:159)reported basis) from $849m in 2012 to $843m in 2013. The 
underlying growth of 1% is after adjusting for foreign currency 
translation. Conditions across many European markets remain 
challenging but the introduction of the ALLEVYN Life range 
continues to make good progress across Europe following 
product introductions and investment in marketing.

Advance Wound Devices revenue increased from $180m 
in(cid:159)2012 to $213m in 2013, a reported increase of $33m and 
18%. The underlying growth of 20% is after adjusting for 
unfavourable foreign currency translations of 2%. This growth 
was impacted by continued gain in market share in NPWT, 
and our recent expansion into the emerging markets.

Trading and operating pro(cid:178) t
Operating pro(cid:178) t, the most directly comparable (cid:178) nancial 
measure under IFRS, reconciles to trading pro(cid:178) t as follows:

Operating pro(cid:178) t

Acquisition related costs

Restructuring and rationalisation costs

Amortisation of acquisition intangibles 
and(cid:159)impairments

Trading pro(cid:178) t

2013
$m

190

24

14

47

275

2012
$m

214

11

8

4

237

Trading pro(cid:178) t margin decreased from 23.1% to 20.6%. Trading 
pro(cid:178) t increased by $38m to $275m from $237m in 2012. The 
increase in the year is primarily attributable to the full year 
bene(cid:178) t of the Healthpoint acquisition and growth in the 
Emerging & International Markets, partially offset by additional 
investment in R&D and sales and marketing. The decrease in 
trading margin re(cid:179) ects these same investments, combined 
with price and mix changes at a gross margin level.

Operating pro(cid:178) t decreased by $24m from $214m in 2012 
to(cid:159)$190m in 2013. This comprises of the increase in trading 
pro(cid:178) t of $38m discussed above, offset by an increase of(cid:159)$43m 
in amortisation of acquisition intangibles and an increase in 
acquisition related costs of $13m, both due to the Healthpoint 
acquisition which completed in December 2012, and an 
increase in restructuring and rationalisation costs of $6m.

Principal risks and risk management
As an integral part of planning and review Group, 
business(cid:159)area and functional management seek to identify 
the(cid:159)signi(cid:178) cant risks involved in the business, and to review the 
risk management action plans for those risks. The Group Risk 
Committee, which is comprised of the Chief Executive Of(cid:178) cer 
and Senior Executives, meets twice a year to review the risks 
identi(cid:178) ed by(cid:159)the businesses and corporate functions and any 
risk management actions being taken. As appropriate, the 
Risk Committee may re-categorise risks or require further 
information on the risk management action plans. The Risk 
Committee reports to the Board on an annual basis detailing 
all principal risks. In addition, the Board considers risk as part 
of the development of strategy. Internal audit reviews and the 
Audit Committee reports on(cid:159)the effectiveness of the operation 
of the risk management process.

There are known and unknown risks and uncertainties relating 
to Smith & Nephew’s business. The following pages provide 
an overview of what the Board considers the most signi(cid:178) cant 
risks that could cause the Group’s business, (cid:178) nancial position 
and results of operations to differ materially and adversely 
from expected and historical levels, and how these risks relate 
to the Group’s strategic priorities. In addition, other factors not 
listed here that Smith & Nephew cannot presently identify or 
does not believe to be equally signi(cid:178) cant, could also materially 
adversely affect Smith & Nephew’s business, (cid:178) nancial 
position or results of operations.

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

39

GROUP RISK MANAGEMENT PROCESS

Business and 
Corporate Function 
Risk Registers

Group Risk 
Committee 

Group Risk Register

 – Risk Champions arrange 

business/function reviews and 
submit updated Risk Register & 
Mitigation Plans to Chief 
Compliance Of(cid:178) cer (‘CCO’)
 – Registers contain pertinent
risks for(cid:159)each unit with 
Management plan

Process frequency: twice yearly

 – Group Risk Committee considers 
submissions and decides which 
risks go into group-level risks

 – CCO updates Group Risk Register 

and prepares reports for the 
Audit Committee and the Board 
of(cid:159)Directors 

 – Contains risks considered 
signi(cid:178) cant(cid:159)at Group level
 – Assigns responsibility for 

each(cid:159)risk(cid:159)and mitigation plan 
to(cid:159)senior(cid:159)executives

Disruptive technologies
The medical devices industry has a rapid rate of new product introduction. The Group must be adept at monitoring the 
landscape for technological advances, make good investment/acquisition choices, have an ef(cid:178) cient and valuable product 
pipeline and secure protection for its(cid:159)intellectual property.

Speci(cid:178) c risks we face

Risk management actions

Possible impacts

 –  Competitors may introduce a disruptive 
technology, or obtain patents or other 
intellectual property rights, that affect 
the(cid:159)Group’s competitive position
 –  Claims by third parties regarding 
infringement of their intellectual 
property(cid:159)rights

 –  Lack of innovation due to low R&D 

investment, R&D skills gap or poor product 
development execution for Established 
and(cid:159)Emerging & International Markets
 –  Failure to successfully commercialise 
a(cid:159)pipeline product, or failure to receive 
regulatory approval

 –  Ineffective acquisition due(cid:159)diligence, 

valuation, purchase terms or integration.

 –  Processes focused on identifying 

new(cid:159)products and potential disruptive 
technologies (internal and external)
 –  Increasing productivity, prioritisation 

and(cid:159)allocation of R&D funds

 –  Increasing R&D investment in order 
to(cid:159)enhance clinical capability, invest 
in(cid:159)biomaterials

 –  Strengthen intellectual property rights
 – Support an emerging market portfolio
 –  Business development resources and 

processes and investments to augment 
the(cid:159)internal product development

 –  Increasing speed to market of 

new products.

Loss of market share, 
pro(cid:178) t(cid:159)and(cid:159)long-term growth.

Link to Strategic Priority

3    INNOVATE FOR VALUE

4    SIMPLIFY AND IMPROVE 
OUR(cid:159)OPERATING MODEL

5    SUPPLEMENT THE ORGANIC 

GROWTH THROUGH 
ACQUISITIONS

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40 SMITH & NEPHEW ANNUAL REPORT 2013

GROUP STRATEGIC REPORT

Financial review and principal risks continued

Country risk, pricing and reimbursement pressure
In most markets throughout the world, expenditure on medical devices is controlled to a large extent by governments, many of 
which are facing increasingly intense budgetary constraints. The Group is therefore largely dependent on governments 
providing increased funds commensurate with the increased demand arising from demographic trends. Reimbursement rates 
may be set in response to perceived economic value of the devices, based on clinical and other data relating to cost, patient 
outcomes and comparative effectiveness. Political upheaval in the countries where the Group operates or surrounding regions 
could adversely affect Group operations or turnover.
Group operations are(cid:159)affected by transactional exchange rate movements. The Group’s manufacturing cost base is situated in 
the US, UK, China and Switzerland and (cid:178) nished products are exported worldwide.

Speci(cid:178) c risks we face

Risk management actions

Possible impacts

 –  Reduced reimbursement levels and 

increasing pricing pressures

 –  Reduced demand for elective surgery
 –  Increased focus on health economics
 –  Government policies favouring lower 
priced(cid:159)and locally sourced products
 –  Political upheavals prevent selling of 

products, receiving remittances of pro(cid:178) t 
from a member of the Group or future 
investments in that country

 –  The Group is exposed to (cid:179) uctuations 

in(cid:159)exchange rates. If the manufacturing 
country currencies strengthen against 
the(cid:159)selling currencies, the trading margin 
may be affected

 –  Economic downturn impacts demand 

and(cid:159)collections

 –  Increased generic and low cost products 

could impact revenue and pro(cid:178) ts.

 –  Develop innovative economic product and 
service solutions for both Established and 
Emerging & International Markets

 –  Incorporate health economic component 

into design and development of 
new(cid:159)products

 –  Enhanced expertise supporting 

reimbursement strategy and guidance
 –  Optimise cost to serve to protect margins 

and liberate funds for investment

 –  Streamline COGS, SKUs, and 

inventory(cid:159)management

 –  The Group may transact forward foreign 

currency commitments when (cid:178) rm 
purchase(cid:159)orders are placed to reduce 
exposure to currency (cid:179) uctuations.

Loss of revenue, 
pro(cid:178) t(cid:159)and(cid:159)cash(cid:159)(cid:179) ows.

Link to Strategic Priority

1  ESTABLISHED MARKETS

2   EMERGING & INTERNATIONAL 

MARKETS

3    INNOVATE FOR VALUE

4    SIMPLIFY AND IMPROVE 
OUR(cid:159)OPERATING MODEL

Supply, system and site disruption
Unexpected events could disrupt the business by affecting either a key facility or system or a large number of employees. 
The(cid:159)business is also reliant on certain key suppliers of raw materials, components, (cid:178) nished products and packaging materials.

Speci(cid:178) c risks we face

Risk management actions

Possible impacts

 –  Catastrophe could render one of the 

Group’s production facilities out of action

 –  A signi(cid:178) cant event could impact key 

leadership or a large number of employees

 –  Issues with a single source supplier of 
a(cid:159)key(cid:159)component and failure to secure 
critical(cid:159)supply

 –  A severe IT fault or cyber crime could 

disable critical systems and cause loss 
of(cid:159)sensitive data.

 –  Ensure crisis response/business 

continuity(cid:159)plans at major facilities and 
for(cid:159)key products and key suppliers
 –  Audit programme for critical suppliers 
and(cid:159)second sources or increased 
inventories for critical components
 –  Implement enhanced travel security 

and(cid:159)protection programme

 –  IT disaster and data recovery plans are 
in(cid:159)place and support overall business 
continuity plans

 –  Mobile device and cyber security 
protection(cid:159)plan implementation.

Loss of revenue, 
pro(cid:178) t(cid:159)and(cid:159)cash(cid:159)(cid:179) ows.

Link to Strategic Priority

1  ESTABLISHED MARKETS

4    SIMPLIFY AND IMPROVE 
OUR(cid:159)OPERATING MODEL

SMITH & NEPHEW ANNUAL REPORT 2013
GROUP STRATEGIC REPORT

41

Product safety, regulation, and litigation
National regulatory authorities enforce a complex series of laws and regulations that govern the design, development, approval, 
manufacture, labelling, marketing and sale of healthcare products. They also review data supporting the safety and ef(cid:178) cacy of 
such products and may also inspect for compliance with appropriate standards, including those relating to Quality Management 
Systems (‘QMS’) or Good Manufacturing Practice (‘GMP’) regulations. Design or manufacturing defects in products could result 
in product recalls and liability claims and impact revenues, pro(cid:178) ts and reputation.

Speci(cid:178) c risks we face

Risk management actions

Possible impacts

 –  Defective products supplied to 

Smith(cid:159)&(cid:159)Nephew or failure in design 
or(cid:159)manufacturing process

 –  New technology, product or processes 

changed by Smith & Nephew or supplier 
do not identify product de(cid:178) ciencies
 –  Failure to implement programmes and 

supporting resources to manage quality 
and(cid:159)regulatory compliance
 –  Failure to manage, process and 

analyse(cid:159)customer complaints and adverse 
event(cid:159)data.

 –  Standardise the Group’s quality 

management and(cid:159)practice

 –  Monitoring and auditing programmes 

to(cid:159)assure compliance

 –  Group-wide product complaint and 

registration systems

 –  Group-wide practices to drive design, 
and(cid:159)production line performance 
and(cid:159)dependability

 –  Design for manufacture 
in(cid:159)product(cid:159)development

 –  Post launch review of product safety 

and(cid:159)complaint data.

Loss of revenue, pro(cid:178) t and 
reduction in share price.
Negative impact on 
brand/reputation.

Link to Strategic Priority

3    INNOVATE FOR VALUE

4    SIMPLIFY AND IMPROVE 
OUR(cid:159)OPERATING MODEL

Compliance with laws and regulations
Business practices in the healthcare industry are subject to increasing scrutiny by government authorities. The trend in many 
countries is towards increased enforcement activity. The Group is also subject to increased regulation of personal information. 
Acquisitions and expansion into emerging markets could also require additional compliance resources.

Speci(cid:178) c risks we face

Risk management actions

Possible impacts

 –  Violation of healthcare, data privacy 

 – Strong Group oversight bodies with 

or(cid:159)anti-corruption laws could result in 
(cid:178) nes,(cid:159)loss of reimbursement and 
impact(cid:159)reputation

 –  Serious breaches could potentially 

prevent(cid:159)the Group from doing business 
in(cid:159)a(cid:159)certain market

 –  Failure to conduct adequate due diligence 
or to integrate appropriate internal controls 
into acquired businesses could result in 
(cid:178) nes and impact return on investment.

supporting global compliance resources

 – Code of Conduct/Global Policies and 
Procedures (‘GPPs’) providing controls 
for(cid:159)signi(cid:178) cant compliance risks
 – Training and e-resources to guide 
employees and third parties with 
compliance responsibilities

 – Monitoring and auditing programmes 

to(cid:159)verify implementation

 – Independent reporting channels for 

employees and third parties to report 
concerns with con(cid:178) dentiality

 – Additional controls for interactions with 

healthcare professionals and government 
of(cid:178) cials and for distributors and agents
 – Due diligence reviews and integration 

plans(cid:159)required for acquisitions.

Loss of pro(cid:178) t and 
reduction(cid:159)in(cid:159)share price.

Negative impact on 
brand/reputation.

Link to Strategic Priority

1  ESTABLISHED MARKETS

2   EMERGING & INTERNATIONAL 

MARKETS

4    SIMPLIFY AND IMPROVE 
OUR(cid:159)OPERATING MODEL

5   SUPPLEMENT ORGANIC 
GROWTH THROUGH 
ACQUISITIONS

By order of the Board, 26 February 2014

Susan Swabey
Company Secretary

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4242 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

43

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Corporate governance

Our Board of Directors

Our Executive Of(cid:178) cers

Corporate Governance Statement

Audit Committee Report

Directors’ remuneration report

44

46

48

58

62

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We have built our reputation by supporting healthcare 
professionals for more than 150 years and are proud 
of the trust(cid:159)they place in us.

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44 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Our Board of Directors

Our Board has the depth and breadth of experience necessary to help the business take full advantage of the opportunities and challenges ahead.

Sir John Buchanan (70)
Chairman
Sir John was appointed Independent Non-executive 
Director in 2005 and was appointed Chairman and 
Chairman of the Nomination & Governance Committee in 
April 2006. He will retire from the Board following the 
Annual General Meeting on 10 April 2014. 

Sir John has broad international experience gained in 
large and complex international businesses, with 
extensive former board experience at Vodafone Group 
Plc, AstraZeneca PLC and Boots Group PLC. He has 
substantial experience in the petroleum industry and 
knowledge of the international investor community. He(cid:159)has 
held various leadership roles in strategic, (cid:178) nancial, 
operational and marketing positions, including executive 
experience in different countries. He is a former Executive 
Director and Group Financial Of(cid:178) cer of BP, serving on the 
BP Board for six years until 2003.
Other Directorships
 – Chairman of ARM Holdings plc (until 1 March 2014)
 – Senior Independent Director of BHP Billiton Plc
 –  Chairman of International Chamber of Commerce UK
 –  Chairman of the Trustees for The Christchurch 

Earthquake Appeal (UK)

Nationality
British/New Zealand

Olivier Bohuon (55)
Chief Executive Of(cid:178) cer 
Olivier was appointed Chief(cid:159)Executive Of(cid:178) cer in April 
2011. He is a member of(cid:159)the(cid:159)Nomination & 
Governance Committee.

Olivier has had extensive international and leadership 
experience within a number of pharmaceutical and 
healthcare companies. Prior to joining Smith & 
Nephew, he was President of Abbott 
Pharmaceuticals, a division of Abbott Laboratories 
based in the US, where he was responsible for the 
entire business, including R&D, global manufacturing 
and global support functions.
Other Directorships
 – Non-executive Director of Virbac group
Nationality
French

Julie Brown (51)
Chief Financial Of(cid:178) cer
Julie was appointed Chief Financial Of(cid:178) cer 
on 4 February 2013 and elected by Shareholders 
at(cid:159)the Annual General Meeting on 11 April 2013. 
Julie is a Chartered Accountant and Fellow of the 
Institute of Taxation with international experience and 
a deep understanding of the healthcare sector. She 
trained with KPMG and then worked for AstraZeneca 
PLC, where she served as Vice President Group 
Finance, and more recently, as Interim Chief Financial 
Of(cid:178) cer. Prior to that she held commercial roles as 
Regional Vice President Latin America, Marketing 
Company President AstraZeneca Portugal, and Vice 
President Corporate Strategy and R&D Chief Financial 
Of(cid:178) cer. She has previously held Vice President 
Finance positions in all areas of the healthcare value 
chain including commercial, operations, R&D and 
business development.
Nationality
British

Roberto Quarta (64)
Independent Non-executive Director and 
Chairman Elect
Roberto was appointed Non-executive Director and 
Chairman Elect on 4 December 2013. He is a 
member of the Nomination & Governance 
Committee.

Roberto has signi(cid:178) cant management experience 
spanning a broad range of manufacturing and 
service businesses in both the UK and 
internationally. He is Chairman of IMI plc, a FTSE 100 
listed engineering business, Chairman of Clayton, 
Dubilier & Rice and Chairman of the Supervisory 
Board of Rexel SA. Previously, he was Chief 
Executive and then Chairman of BBA Group plc. 
Other Directorships
 – Chairman of IMI plc
 – Chairman of Clayton, Dubilier(cid:159)& Rice 
 – Chairman of the Supervisory Board of Rexel SA
Nationality
American/Italian

Richard De Schutter (73)
Senior Independent Director and 
Non-executive Director
Richard was appointed Non-executive Director in 
January 2001 and Senior Independent Director 
in(cid:159)April 2011. He is a member of the Nomination & 
Governance, Ethics & Compliance, Audit and 
Remuneration Committees. He will retire from the 
Board following the Annual General Meeting on 10 
April 2014. 

Richard has had extensive US corporate experience 
at Chief Executive and Chairman level in a number 
of(cid:159)major corporations with primarily a scienti(cid:178) c, 
chemical, engineering or pharmaceutical focus 
including G.D. Searle & Co., Monsanto Company, 
Pharmacia Corporation and DuPont Pharmaceuticals 
Company.
Other Directorships
 – Non-executive Chairman of Incyte Corporation
 – Non-executive Chairman of Durata Therapeutics, Inc. 
 – Non-executive Director of Navicure, Inc.
 – Non-executive Director of Sprout Pharmaceuticals, Inc. 
Nationality
American

Ian Barlow (62)
Independent Non-executive Director 
Chairman of the Audit Committee
Ian was appointed Non-executive Director in March 2010 
and Chairman of the Audit Committee in May 2010. 

Ian is a Chartered Accountant and has had considerable 
(cid:178) nancial experience both internationally and in the UK. 
Prior to his retirement in 2008, he was a(cid:159)Partner at KPMG, 
latterly Senior Partner, London. During his career with 
KPMG, he was Head of their UK tax and legal operations, 
and he acted as Lead Partner for many large international 
organisations operating extensively in North America, 
Europe and Asia.
Other Directorships
 –  Lead Non-executive Director chairing the Board of 

Her Majesty’s Revenue & Customs

 –  Non-executive Director of The Brunner Investment 

Trust PLC

 – Non-executive Director of Foxtons Group plc
 – Board Member of the China-Britain Council
 – Chairman of The Racecourse Association
Nationality
British

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

45

The Rt. Hon Baroness Virginia Bottomley (65)
Independent Non-executive Director
Baroness Virginia Bottomley was appointed Non-
executive Director in April 2012. She is a member of 
the Remuneration Committee. 

Baroness Virginia Bottomley has extensive 
experience and understanding of healthcare. She 
was appointed a Life Peer in 2005 following her career 
as a Member of(cid:159)Parliament between 1984 and 2005. 
She served successively as Secretary of State for 
Health and then National Heritage. She holds a 
number of positions within the public and private 
healthcare sector.
Other Directorships
 – Director of International Resources Group Limited
 –  Member of the International Advisory Board of 

Chugai Pharmaceutical Co.,

 – Chancellor of University of Hull and Sheriff of Hull
 – Pro Chancellor of the University of Surrey 
 – Governor of the London School of Economics 
 – Trustee of The Economist Newspaper
Nationality
British

Michael Friedman (70)
Independent Non-executive Director
Michael was appointed Non-executive Director and 
elected by Shareholders at the Annual General 
Meeting on 11 April 2013. He is a member of the Ethics 
& Compliance Committee.

Michael was formerly Chief Executive Of(cid:178) cer of City of 
Hope, the prestigious cancer research and treatment 
institution in California and is now Executive for 
Special Projects and Emeritus Cancer Center Director. 
He has also served as director of the institution’s 
comprehensive cancer centre and held the Irell & 
Manella Cancer Center Director’s Distinguished Chair. 
He was formerly senior vice president of research, 
medical and public policy for Pharmacia Corporation 
and has served as Deputy Commissioner and Acting 
Commissioner at the US(cid:159)Food and Drug 
Administration. He has also served on a number of 
Boards in a Non-executive capacity, including RiteAid 
Corporation.
Other Directorships
 – Non-executive Director of Celgene Corporation
 – Non-executive Director of MannKind Corporation
Nationality
American

Pamela Kirby (60)
Independent Non-executive Director 
Chairman of the Ethics & Compliance Committee
Pamela was appointed Non-executive Director 
in(cid:159)March 2002 and Chairman of the Ethics & 
Compliance Committee in April 2011. She is a member 
of the Remuneration Committee 

Pamela has extensive commercial and product 
development experience within the international 
pharmaceutical and healthcare industry. Her last 
executive position was Chief Executive of Quintiles 
Transnational Corporation in the US, having previously 
held senior positions in various pharmaceutical 
companies including AstraZeneca PLC and 
F.(cid:159)Hoffmann-La Roche. She is now a Non-executive 
Director of a number of international companies.
Other Directorships
 – Non-executive Chairman of Scynexis, Inc.
 – Senior Independent Non-executive Director of 

Informa plc

 – Non-executive Director of DCC plc
 – Non-executive Director of Victrex plc
Nationality
British

Brian Larcombe (60)
Independent Non-executive Director
Brian was appointed Non-executive Director in 
March(cid:159)2002. He is a member of the Nomination & 
Governance, Audit and Remuneration Committees. 
He will become Senior Independent Director following 
the Annual General Meeting on 10 April 2014. 
Brian spent his career in private equity with 3i(cid:159)Group. 
After leading the UK investment business for 
a(cid:159)number of years, he became Finance Director and 
then Chief Executive of the Group following its 
(cid:179) otation. He is well known in the City and has held 
a(cid:159)number of Non-executive Directorships.
Other Directorships
 – Non-executive Director of gategroup Holding AG
 –  Non-executive Director of Incisive

Media Holdings Limited

Nationality
British

Joseph Papa (58) 
Independent Non-executive Director 
Chairman of the Remuneration Committee
Joseph was appointed Non-executive Director in 
August 2008 and Chairman of the Remuneration 
Committee in April 2011. He is a member of the Ethics 
& Compliance and Audit Committees.

Joseph has had over 30 years’ experience in the 
pharmaceutical industry working for a number of 
companies both in the US and Switzerland. He is now 
Chairman and Chief Executive of Perrigo Company 
plc, one of the largest over the counter pharmaceutical 
companies in the US, having previously held senior 
positions at Novartis International AG, Cardinal 
Health, Inc. and Pharmacia Corporation.
Other Directorships
 – Chairman and Chief Executive

of Perrigo Company plc

Nationality
American

Ajay Piramal (58)
Independent Non-executive Director
Ajay was appointed Non-executive Director in 
January 2012. He will retire from the Board following 
the Annual General Meeting on 10 April 2014. 

Ajay is one of India’s most respected businessmen. 
He enabled the Piramal Group to transform from a 
textile-centric group to a conglomerate in diversi(cid:178) ed 
areas. He has extensive industry and market 
knowledge and international experience. He has held 
a number of global healthcare leadership positions in 
both India and(cid:159)internationally. 
Other Directorships
 –  Chairman of Piramal Enterprises Limited, Piramal 
Glass Limited, Allergan India Pvt. Limited, and 
IndiaREIT Fund Advisers Pvt. Ltd. 

 –  Chairman of the Board of Governors of the Indian 

Institute of Technology, Indore

 –  Member of the Board of Dean’s Advisors at Harvard 

Business School

 – Chairman of Pratham India
Nationality
Indian

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46 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Our Executive Of(cid:178) cers

Olivier Bohuon is supported in the day-to-
day management of the Group by a strong 
team of Executive Of(cid:178) cers:

Julie Brown (51) 
Chief Financial Of(cid:178) cer
Julie joined the Board on 4 February 2013 as Chief 
Financial Of(cid:178) cer. She is a Chartered Accountant and 
Fellow of the Institute of Taxation with international 
experience and a deep understanding of the 
healthcare sector. 
Previous Experience
Julie trained with KPMG and then worked for 
AstraZeneca PLC, where she served as Vice President 
Group Finance, and more recently, as Interim Chief 
Financial Of(cid:178) cer. Prior to that she held commercial 
roles as Regional Vice President Latin America, 
Marketing Company President AstraZeneca Portugal, 
and Vice President Corporate Strategy and R&D Chief 
Financial Of(cid:178) cer. She has previously held Vice 
President Finance positions in all areas of the 
healthcare value chain including commercial, 
operations, R&D and business(cid:159)development.
Nationality
British

Mike Frazzette (52) 
President, Advanced Surgical Devices
Mike joined Smith & Nephew in July 2006 as 
President of(cid:159)the Endoscopy Global Business Unit. 
Since July 2011, he has headed up the Advanced 
Surgical Devices division and is responsible for the 
Orthopaedic Reconstruction, Trauma and Endoscopy 
business. He is based in Andover, Massachusetts.
Previous Experience
Mike has held a number of senior positions within 
the(cid:159)global medical devices industry. He was President 
and Chief Executive Of(cid:178) cer of Micro Group, a US 
manufacturer of medical devices, and spent 15 years 
at Tyco Healthcare (Covidien) in various commercial 
roles eventually becoming President of the(cid:159)Patient 
Care and Health Systems divisions.
Nationality
American

Roger Teasdale (46) 
President, Advanced Wound Management
Roger joined Smith & Nephew in 1989 within the 
Wound Management business. He was appointed 
President of Advanced Wound Management in May 
2009. He is(cid:159)based in Hull, UK.
Previous Experience
Roger has held a number of key roles within the Smith 
& Nephew Group in both the UK and the US and has 
been responsible for leading the transformation of the 
Wound business in recent years.
Nationality
British

Rodrigo Bianchi (54) 
President, IRAMEA
Rodrigo joined Smith & Nephew in July 2013 with 
responsibility for Greater China, India, Russia, Asia, 
Middle East and Africa, focusing on continuing our 
strong momentum in these regions. He is based 
in(cid:159)Dubai. 
Previous Experience
Rodrigo’s experience in the healthcare industry 
includes 26 years with Johnson & Johnson in 
progressively senior roles. Most recently, he was 
Regional Vice President for Medical Devices and 
Diagnostics division in the Mediterranean region 
and(cid:159)prior to that President of Mitek and Ethicon. 
He(cid:159)started his career at Procter & Gamble, Italy. 
Nationality
Italian 

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

47

Francisco Canal Vega (52) 
President, Latin America
Francisco joined Smith & Nephew in January 2012 
and now leads the Latin American region, focusing on 
driving the substantial opportunities we see in this 
region. 
Previous Experience
Francisco has held senior management positions in 
global companies including Gambro AB and Baxter 
International. He has lived and worked in many 
countries including Switzerland, Germany, China, 
Japan, the US and Spain. Francisco was also formerly 
a(cid:159)board member of EUCOMED.
Nationality
Spanish

Jack Campo (59)
Chief Legal Of(cid:178) cer
Jack joined Smith & Nephew in June 2008     and heads 
up the Global Legal function. Initially based in London, 
 he(cid:159)has been based in Andover, Massachusetts since 
late(cid:159)2011.
Previous Experience
Prior to joining Smith & Nephew, Jack held a number 
of senior legal roles within the General Electric 
Company, including seven years at GE Healthcare 
(GE(cid:159)Medical Systems) in the US and Asia. He began 
his career with Davis Polk & Wardwell. 
Nationality
American

Gordon Howe (51) 
President, Global Operations
Gordon joined Smith & Nephew in 1998 and, since 
2013, is responsible for manufacturing, supply chain 
and procurement, IT systems and Regulatory and 
Quality Affairs. Prior to that, he headed up the Global 
Planning and Business Development teams. He is 
based in Memphis, Tennessee. 
Previous Experience
Gordon has held a number of senior management 
positions within the Smith & Nephew Group, (cid:178) rstly in 
the(cid:159)Orthopaedics division and more recently at Group 
level. Prior to joining the Company, he held senior 
roles at United Technologies Corporation.
Nationality
American

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Helen Maye (54)
Chief Human Resources Of(cid:178) cer
Helen joined Smith & Nephew in July 2011 and 
leads(cid:159)the(cid:159)Global Human Resources and Internal 
Communications functions. Since 2013, she has also 
led the Sustainability, Health, Safety & Environment 
functions. She is based in London.
Previous Experience
Helen has more than 35 years’ experience 
across(cid:159)a(cid:159)variety of international and global roles 
in(cid:159)medical devices and pharmaceuticals, including 
manufacturing, supply chain and human resources. 
Previously, she was Divisional Vice President of 
Human Resources at Abbott Laboratories.
Nationality
Irish

Cyrille Petit (43)
Chief Corporate Development Of(cid:178) cer
Cyrille joined Smith & Nephew in May 2012 and leads 
the(cid:159)Corporate Development function. He is based 
in(cid:159)London.
Previous Experience
Cyrille spent the previous 15 years of his career 
with(cid:159)General Electric Company, where he held 
progressively senior positions beginning with 
GE(cid:159)Capital, GE Healthcare and ultimately as the 
General Manager, Global Business Development 
of(cid:159)the Transportation Division. Cyrille’s career began 
in(cid:159)investment banking at BNP Paribas and then 
Goldman Sachs.
Nationality
French

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48 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Corporate Governance Statement

BOARD GENDER

BOARD NATIONALITY

BOARD BALANCE

FEMALE
3

MALE
9

12

NEW ZEALAND
1

AMERICAN
3

12

ITALIAN
1

INDIAN
1

FRENCH
1

BRITISH
5

BOARD COMMITTEE MEMBERSHIP AND ATTENDANCE

Sir John Buchanan 
Olivier Bohuon
Ian Barlow
Julie Brown (i)
Michael Friedman (ii)
Baroness Virginia Bottomley 
Pamela Kirby
Brian Larcombe (iii)
Joseph Papa 
Ajay Piramal (iv)
Roberto Quarta (v)
Richard De Schutter 

Board
8 meetings
8
8
8
8
6
8
8
8
8
3
1
8

Audit
Committee
8 meetings
–
–
8
–
–
–
–
8
8
–
–
8

CHAIRMAN
1

EXECUTIVE
DIRECTORS
2

12

Ethics & 
Compliance
Committee
4 meetings
–
–
–
–
–
–
4
–
4
–
–
4

Remuneration 
Committee
5 meetings
–
–
–
–
–
5
5
4
5
–
–
5

NON-EXECUTIVE
DIRECTORS
9

Nomination & 
Governance
Committee
5 meetings
5
5
–
–
–
–
–
5
–
–
–
5

(i)  Appointed to the Board on 4 February 2013.
(ii) 
 Appointed to the Board on 11 April 2013. 
(iii)  Unable to attend one Remuneration Committee meeting due to an unforeseen commitment. 
(iv)   Unable to attend some meetings due to other commitments. To retire from the Board following the Annual General Meeting on 10 April 2014. 
(v)  Appointed to the Board on 4 December 2013. 

COMPANY SECRETARY

Susan Swabey (52)
Susan was appointed Company Secretary in 
May 2009. 

Susan has 30 years’ experience as a company 
secretary in a wide range of companies including 
Prudential plc, Amersham plc and RMC Group plc. 
Her work has covered Board support, corporate 
governance, corporate transactions, share 
registration, listing obligations, corporate social 
responsibility, pensions, insurance and employee 
and executive share plans. Susan is a member of 
the(cid:159)GC100 Group Executive Committee and the 
CBI(cid:159)Companies Committee and is a frequent 
speaker on corporate governance related matters.

With effect from 1 March 2014, she will be a trustee 
of ShareGift, the share donation charity.

Nationality
British

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

49

Compliance statement
We are committed to the highest standards of corporate governance and 
comply with all the provisions of the UK Corporate Governance Code 
2012 (the(cid:159)‘Code’). The Company’s American Depositary Shares are listed 
on the NYSE and we are therefore subject to the rules of the NYSE as well 
as to the US securities laws and the rules of the SEC applicable to foreign 
private issuers. We comply with the requirements of the SEC and NYSE 
except that the Nomination & Governance Committee is not comprised 
wholly of Independent Directors, as required by the NYSE, but consists 
of(cid:159)a majority of Independent Directors in accordance with the Code. 
We(cid:159)shall explain in this corporate governance statement and the Reports 
of the Audit and Remuneration Committees, how we have applied the 
provisions and(cid:159)principles of the Financial Conduct Authority’s (‘FCA’) 
Listing Rules, Disclosure & Transparency Rules (‘DTR’) and the Code 
throughout the year.

Board
The Board is responsible for determining the strategy of the Company. 
The Chief Executive Of(cid:178) cer and his Executive team implement that 
strategy. More detail about the structure of the Board, the matters we deal 
with and the key activities we undertook in 2013 is on pages 49 and 50.

Changes to Board composition
We are making a number of changes to the composition of our Board at 
the Annual General Meeting:
 – Sir John Buchanan will be retiring from the Board, having joined the 
Board in 2005 and assumed the role of Chairman in April 2006

 – Roberto Quarta, who joined the Board as Non-executive Director and 

Chairman Elect on 4 December 2013, will become Chairman, assuming 
that he is elected as a Director by shareholders at the meeting

 – Richard De Schutter will retire from the Board. Richard has served on 
the Board since January 2001 as a Non-executive Director and a 
member of a number of the Board Committees. He has been the 
Senior Independent Director since April 2011

Chief Executive Of(cid:178) cer

 – Developing and implementing Group strategy
 – Recommending the annual budget and (cid:178) ve-year strategic and 

(cid:178) nancial plan

 – Ensuring coherent leadership of the Group
 – Managing the Group’s risk pro(cid:178) le and establishing effective internal 

controls

 – Regularly reviewing organisational structure, developing executive 

team and planning for succession

 – Ensuring the Chairman and Board are kept advised and updated 

regarding key matters

 – Maintaining relationships with shareholders and advising the Board 

accordingly

 – Setting the tone at the top with regard to compliance and 

sustainability matters.

The Non-executive Directors meet regularly prior to each Board meeting 
without management in attendance. The roles of Non-executive Directors 
and, in particular, the Senior Independent Director are de(cid:178) ned as follows:

Non-executive Directors

 – Providing effective challenge to management
 – Assisting in development of strategy
 – Serving on the Board Committees.

Senior Independent Director

 – Chairing meetings in the absence of the Chairman
 – Acting as a sounding board for the Chairman on Board-related 

matters

 – Acting as an intermediary for the other Directors where necessary
 – Available to Shareholders on matters which cannot otherwise 

 – Brian Larcombe will take over as Senior Independent Director to assist 

be(cid:159)resolved

a smooth transition between Chairmen 

 – Ajay Piramal will retire from the Board. He has served on the Board 

since January 2012.

 – Leading annual evaluation into the Board’s effectiveness
 – Leading search for a new Chairman, as necessary.

Roles of Directors
Whilst we all share collective responsibility for the activities of the Board, 
some of our roles have been de(cid:178) ned in greater detail. In particular, the 
roles and responsibilities of the Chairman and Chief Executive Of(cid:178) cer 
are(cid:159)clearly de(cid:178) ned.

Chairman

 – Building a well balanced Board
 – Chairing Board meetings and setting Board agendas
 – Ensuring effectiveness of the Board and ensuring annual review 

undertaken

 – Encouraging constructive challenge and facilitating effective 

communication between the Board members

 – Promoting effective Board relationships
 – Ensuring appropriate induction and development programmes
 – Ensuring effective two way communication and debate with 

Shareholders

 – Setting the tone at the top with regard to compliance and 

sustainability matters

 – Promoting high standards of corporate governance
 – Maintaining appropriate balance between stakeholders.

Independence of Non-executive Directors
We require our Non-executive Directors to remain independent from 
management so that they are able to exercise independent oversight 
and(cid:159)effectively challenge management. We therefore continually assess 
the independence of each of our Non-executive Directors. The Executive 
Directors have determined that all our Non-executive Directors are 
independent in accordance with both UK and US requirements. None of 
our Non-executive Directors or their immediate families has ever had a 
material relationship with the Group. None of them receives additional 
remuneration apart from Directors’ fees, nor do they participate in the 
Group’s share plans or pension schemes. None of them serve as 
directors of any companies or af(cid:178) liates in which any other Director 
is(cid:159)a director.

However, more importantly, each of our Non-executive Directors is 
prepared to question and challenge management, to request more 
information and to ask the dif(cid:178) cult question. They insist on robust 
responses both within the Board room and sometimes between Board 
meetings. The Chief Executive Of(cid:178) cer is open to challenge from the 
Non-executive Directors and uses this positively to provide more detail 
and to re(cid:179) ect further on issues.

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50 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Corporate Governance Statement continued

As explained, Richard De Schutter will retire from the Board following the 
Annual General Meeting. Brian Larcombe, who has served for 12 years, 
will remain on the Board as Senior Independent Director to ensure a 
smooth transition between chairmen. Pamela Kirby who has served for 
12 years will remain on the Board as Chairman of the Ethics & Compliance 
Committee and member of the Remuneration Committee. The Board 
believes that the skills, diversity and experience Brian and Pamela bring 
to the Board with their in-depth knowledge of the Company are important 
for continuity in this time of transition. 

We are mindful that some of our Non-executive Directors have served on 
the Board for a period of time that some might regard as likely to impact 
their independence. We do not believe this to be the case, but have 
reviewed the length of service of our Non-executive Board members and 
have taken this into consideration, when making the changes to the 
Board composition outlined above.

We continue to search for other suitable Non-executive Directors, whose 
experience will align with our strategic objectives and, in due course, our 
longer serving directors will step down.

Performance

 – Reviewing performance against strategy, budgets and (cid:178) nancial and 

business plans

 – Overseeing Group operations and maintaining a sound system of 

internal control

 – Determining dividend policy and dividend recommendations
 – Approving the appointment and removal of the Auditor and other 

professional advisers and approving signi(cid:178) cant changes to 
accounting policies or practices

 – Approving the use of the Company’s shares in relation to employee 

and executive incentive plans.

Risk

 – Determining risk appetite, regularly reviewing risk register and risk 

management processes (see pages 38–41 for more detail).

Board Membership

 – Non-executive Chairman Sir John Buchanan (to retire on 

10 April 2014)

 – Chief Executive Of(cid:178) cer Olivier Bohuon
 – Chief Financial Of(cid:178) cer Julie Brown (appointed 4 February 2013).

Nine Independent Non-executive Directors

 – Richard De Schutter (Senior Independent Director) 

(to retire on 10 April 2014)

 – Ian Barlow
 – Baroness Virginia Bottomley
 – Michael Friedman (appointed 11 April 2013)
 – Pamela Kirby
 – Brian Larcombe 

(to become Senior Independent Director on 10 April 2014)

 – Joseph Papa
 – Ajay Piramal (to retire on 10 April 2014) 
 – Roberto(cid:159)Quarta (appointed on 4 December 2013. Independent(cid:159)on 

appointment) (to become Chairman on 10 April 2014).

Role of the Board
Strategy

 – Approving the Group strategy including major changes to corporate 
and management structure, acquisitions, mergers, disposals, capital 
transactions over $10m, annual budget, (cid:178) nancial plan, business 
plan, major borrowings and (cid:178) nance and banking arrangements

 – Approving changes to the size and structure of the Board, 

overseeing succession planning and the appointment and removal 
of Directors and the Company Secretary

 – Approving Group policies relating to corporate social responsibility, 
health and safety, Code of Conduct and Code of Share Dealing and 
other matters.

Shareholder Communications

 – Approving preliminary announcement of annual results, annual 
report, half yearly report, quarterly (cid:178) nancial announcements, the 
release of price sensitive announcements and any listing particulars, 
circulars or prospectuses

 – Maintaining relationships and continued engagement 

with Shareholders.

Key activities in 2013
(in addition to regular annual activities)

 – Review and oversight of the implementation of the strategy and 

organisational structure

 – Oversight of risk management process and review of strategic risk
 – Approval of (cid:178) ve-year plan
 – Review of Board effectiveness
 – Continued review of Board composition and appointment of 

Michael(cid:159)Friedman and Roberto Quarta to the Board

 – Consideration and approval of the acquisitions of Sushrut-Adler 
in(cid:159)India, Plato Grup in Turkey and Politec Saude and Pro Cirurgia 
Especializada in Brazil

 – Approval and oversight of European Process Optimisation 

programme

 – Six physical scheduled meetings and two scheduled telephone 

meetings

 – Four day strategy review and visit to our Tokyo headquarters
 – Two day visit to our US operations in Andover, Massachusetts
 – Considered and approved the Capital Allocation Framework
 – Considered and reviewed succession planning both at Board level 

and below

 – Approved the sustainability policy and report.

Board Development Programme
Our Board Development Programme is directed to the speci(cid:178) c needs and 
interests of our Directors. We focus the development sessions on 
facilitating a greater awareness and understanding of our business rather 
than formal training in what it is to be a Director. We value our visits to the 
different Smith & Nephew sites around the world, where we meet with 
the local managers of our businesses and see the daily operations 
in(cid:159)action. Meeting our local managers helps us to understand the 
challenges they face and their plans to meet those challenges. We also 
take the opportunity to look at our products and in particular the new 
products being developed by our R&D teams. This direct contact with the 
business in the locations we operate around the world really helps us to 
make investment and strategic decisions. Meeting our local managers 
helps us when making succession planning decisions below Board level.

During the course of the year, we receive updates at the Board and 
Committee meetings on external corporate governance changes likely 
to(cid:159)impact the Company in the future. In 2013, we particularly focused on 
changes to Narrative Reporting and Reporting on Remuneration. We 
also(cid:159)looked into the implications of cyber security on the business.

New Directors receive tailored induction programmes, when they join the 
Board. In 2013, Michael Friedman attended a brie(cid:178) ng on UK company 
law(cid:159)and corporate governance practices. He also attended a series of 
one-to-one meetings with senior members of management at our head 
of(cid:178) ce. Roberto Quarta has commenced his induction programme, 
meeting the leaders of key divisions and functions and visiting our key 
site in Hull. All Non-executive Directors are encouraged to visit our 
overseas businesses, if they happen to be travelling for other purposes. 
In 2013, visits of this nature were made to operations in the US, Singapore 
and India. Our local management teams enjoy welcoming Non-executive 
Directors to their business and it emphasises the interest the Board takes 
in all our operations.

The following development sessions were run during 2013:

Month

April

July

Activity

Presentation from Roger Teasdale, President, Advanced 
Wound Management on the Advanced Wound 
Management business and progress of the integration 
of the Biotherapeutics business.

Audit Committee Development Session (open to all the 
Board) covering developments in the accounting and 
reporting landscape including narrative reporting, the 
Financial Reporting Council changes to Audit Committee 
and Auditor reporting, cyber security and other UK and 
European developments.

September

Visit to our Tokyo of(cid:178) ces with a presentation from senior 
Japanese management on the local business and 
challenges faced.

Presentations from the entire Executive team as part 
of(cid:159)the Board’s Strategy Review.

Board discussion on Risk as part of the Board’s 
Strategy discussions.

October

Visit(cid:159)to Advanced Surgical Devices facility in 
Andover, Massachusetts.

Series of presentations from our Advanced Surgical 
Devices senior executives on the challenges faced by 
the business, our strategy and initiatives to meet these 
challenges and an update on progress made since the 
previous year.

December 

Workshop on cyber security.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

51

Board Effectiveness Review
We conduct an annual review into the effectiveness of the Board. In 2012, 
the review was facilitated externally and drew positive conclusions. In 
2013 therefore, we undertook an internal review, which was led by 
Richard De Schutter, the Senior Independent Director. 

The review in 2013 consisted of a questionnaire followed by a series of 
interviews with the Directors towards the end of the year. The 
questionnaire was based on the internal questionnaire used in 2011 
enabling a comparison to be made between the two years. The 
interviews with the Directors were broadly based on the questionnaire 
but also covered any other matters the Directors wished to raise. 

Mr De Schutter presented the results of his (cid:178) ndings to the Board in early 
February 2014. Overall, the review concluded that the performance of the 
Board had improved since the previous internal review particularly in 
evaluating performance against the long-term strategic plan, identifying 
and monitoring strategic risks and gaining a better understanding of the 
competitive environment. Non-executive Directors also valued the 
meetings they held without management present, ahead of each Board 
and some Committee meetings as well as the opportunity to meet senior 
executives below Board level on site visits and at Board presentations. 

The review identi(cid:178) ed the following areas that would require attention in 
2014: 

Areas for Attention

The Board was currently in transition with the retirement of Sir John 
Buchanan as Chairman, Richard De Schutter as Senior Independent 
Director and Ajay Piramal as Non-executive Director following the Annual 
General Meeting. It was therefore recognised that Succession Planning at 
Non-executive Director level would be a key priority for the new 
Chairman, Roberto Quarta, after the Annual General Meeting.

It was felt that the number, timing and length of the Board and Committee 
meetings could be reviewed to consider whether the current pattern of 
meetings was most effective.

It is expected that the review in 2014 will be facilitated externally. 

Company Secretary and independent advice
The Company Secretary, Susan Swabey, is responsible to the Board 
for(cid:159)ensuring that we comply with all corporate governance requirements 
and are kept updated on our responsibilities. We all have access to her, 
individually and collectively. 

We may also, from time to time, obtain independent professional advice, 
at the Company’s expense, if we judge it necessary in order to ful(cid:178) l our 
responsibilities as Directors. If we are unable to attend a Board meeting 
or Board Committee meeting, we ensure that we are familiar with the 
matters to be discussed and make our views known to the Chairman or 
the Chairman of the relevant Committee prior to the meeting. 

Management of con(cid:179) icts of interest
None of us, nor our connected persons, has any family relationship with 
any other Director or of(cid:178) cer, nor has a material interest in any contract to 
which the Company or any of its subsidiaries are, or were, a party during 
the year or up to 24 February 2014.

Each of us has a duty under the Companies Act 2006 to avoid a situation 
in which we have or may have a direct or indirect interest that con(cid:179) icts or 
might con(cid:179) ict with the interests of the Company. This duty is in addition 
to(cid:159)the existing duty that we owe to the Company to disclose to the Board 
any transaction or arrangement under consideration by the Company. 
If(cid:159)we become aware of any situation which may give rise to a con(cid:179) ict of 
interest, we inform the rest of the Board immediately and the Board is 
then permitted under the Articles of Association to authorise such 
con(cid:179) ict. The information is recorded in the Company’s Register of 
Con(cid:179) icts together with the date on which authorisation was given. 
In(cid:159)addition, we certify, on an annual basis, that the information 
contained(cid:159)in(cid:159)the Register is correct.

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52 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Corporate Governance Statement continued

When the Board decides whether or not to authorise a con(cid:179) ict, only the 
Directors who have no interest in the matter are able to participate in the 
discussion and a con(cid:179) ict is only authorised if we believe that it would not 
have an impact on our ability to promote the Company’s success in the 
long term. Additionally, we may, as a Board, determine that certain limits 
or conditions must be imposed when giving authorisation. We have 
identi(cid:178) ed no actual con(cid:179) icts which have required approval by the Board. 
We have, however, identi(cid:178) ed six situations which could potentially give 
rise to a con(cid:179) ict and these have been duly authorised by the Board and 
are reviewed on an annual basis.

Re-appointment of Directors
In accordance with the Code, all Directors, offer themselves to 
Shareholders for re-election annually, except those who are retiring 
following the Annual General Meeting. Roberto Quarta who was 
appointed to the Board on 4 December 2013 will offer himself for 
election.(cid:159)Each Director may be removed at any time by the Board 
or(cid:159)the(cid:159)Shareholders. 

Directors’ Indemnity Arrangements
Each Director is covered by appropriate directors’ and of(cid:178) cers’ liability 
insurance and there are also Deeds of Indemnity in place between the 
Company and each Director. These Deeds of Indemnity mean that the 
Company indemni(cid:178) es Directors in respect of any proceedings brought by 
third parties against them personally in their capacity as Directors of the 
Company. The Company would also fund ongoing costs in defending a 
legal action as they are incurred rather than after judgement has been 
given. In the event of an unsuccessful defence in an action against them, 
individual Directors would be liable to repay the Company for any 
damages and to repay defence costs to the extent funded by 
the Company.

Liaison with Shareholders
The Executive Directors meet regularly with investors to discuss the 
Company’s business and (cid:178) nancial performance both at the time of the 
announcement of results and at industry investor events. During 2013, 
the Executive Directors held meetings with institutional investors, 
including investors representing approximately 43% of the share 
capital(cid:159)as at 31 December 2013.

As part of this programme of investor meetings, during 2013, as 
Chairman(cid:159)of the Company, I met with investors representing 16% 
of(cid:159)the(cid:159)share capital. Over the last three years, I have met investors 
representing in aggregate 21% of the share capital. Also during 2013, 
Joseph Papa met with Shareholders holding 20% of the share capital to 
discuss remuneration policies and plans. In addition, we contacted a 
further three Shareholders representing 8% of the share capital 
summarising the discussions held with the Shareholders we had met.  

We receive a short report at every Board meeting reviewing our major 
Shareholders and any signi(cid:178) cant changes in their holdings since the 
previous meeting. Olivier Bohuon and Julie Brown routinely advise us of 
any concerns or issues that Shareholders have raised with them in their 
meetings. We also receive copies of analysts’ reports on the Company 
and our peers between Board meetings.

The Company’s website (www.smith-nephew.com) contains information 
of interest to both institutional investors and private Shareholders, 
including (cid:178) nancial information and webcasts of the results presentations 
to analysts for each quarter, as well as speci(cid:178) c information for private 
Shareholders relating to the management of their shareholding.

Share capital
As at 24 February 2014, the Company’s total issued share capital with 
voting rights consisted of 893,814,245 ordinary shares of 20.0 US cents 
each. 25,122,968(cid:159)ordinary shares are held in treasury and are not 
included in the above (cid:178) gure. Further information on treasury shares 
can(cid:159)be found in Note 19 of the Notes to the Group accounts.

As at 24 February 2014, noti(cid:178) cation had been received from the 
undernoted investors under the DTR in respect of interests in 3% or 
more(cid:159)of the issued ordinary shares with voting rights of the Company. 

Invesco

BlackRock, Inc.

Number of Shares

66,740,225

42,621,011

%

7.5

4.8

In addition to the above the Company is aware that Walter Scott & 
Partners Limited hold approximately 37.7 million ordinary shares (4.2%). 
Otherwise, the Company is not aware of any person who has a signi(cid:178) cant 
direct or indirect holding of securities in the Company and is not aware of 
any persons holding securities which may control the Company. There 
are no securities in issue which have special rights as to the control of 
the Company.

Dividend
The Board has proposed a (cid:178) nal dividend of 17.0 US cents per ordinary 
share which, together with the interim dividend of 10.40 US cents, makes 
a total for 2013 of 27.40 US cents. The (cid:178) nal dividend is expected to be 
paid, subject to Shareholder approval, on 7 May 2014 to Shareholders 
on(cid:159)the Register of Members at the close of business on 22 April 2014.

Annual General Meeting
The Company’s Annual General Meeting is to be held on 10 April 2014 
at(cid:159)2:00 pm at No.11 Cavendish Square, London W1G 0AN. Registered 
Shareholders have been sent either a Notice of Annual General Meeting 
or noti(cid:178) cation of availability of the Notice of Annual General Meeting.

Code of Ethics for Senior Financial Of(cid:178) cers
We have adopted a Code of Ethics for Senior Financial Of(cid:178) cers, which 
is(cid:159)available free of charge on the Group’s website (www.smith-nephew.
com) and on request. This applies to the Chief Executive Of(cid:178) cer, Chief 
Financial Of(cid:178) cer, Vice President, Group Finance and the Group’s senior 
(cid:178) nancial of(cid:178) cers. There(cid:159)have been no waivers to any of the Code’s 
provisions nor any amendments made to the Code during 2013 or 
up(cid:159)until 24 February 2014.

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SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

53

We, as a Board, are responsible overall for reviewing and approving the 
adequacy and effectiveness of the risk management framework and the 
system of internal controls over (cid:178) nancial, operational (including quality 
management) and ethical compliance processes operated by the Group. 
We have delegated responsibility for this review to the Audit Committee. 
The Audit Committee, through the Internal Audit function reviews the 
adequacy and effectiveness of internal control procedures and identi(cid:178) es 
any weaknesses and ensures these are remediated within agreed 
timelines. The latest review covered the (cid:178) nancial year to 31 December 
2013 and included the period up to the approval of this Annual Report. 
The main elements of this annual review are as follows:

The Chief Executive Of(cid:178) cer and Chief Financial Of(cid:178) cer have evaluated 
the effectiveness of the design and operation of the Group’s disclosure 
controls and procedures as at 31 December 2013. Based upon this 
evaluation, the Chief Executive Of(cid:178) cer and Chief Financial Of(cid:178) cer 
concluded on 24 February 2014 that the disclosure controls and 
procedures were effective as at 31 December 2013.

Management is responsible for establishing and maintaining adequate 
internal control over (cid:178) nancial reporting. Management assessed the 
effectiveness of the Group’s internal control over (cid:178) nancial reporting as 
at 31 December 2013 in accordance with the requirements in the US 
under s404 of the Sarbanes-Oxley Act. In making this assessment, 
they used the criteria set forth by the Committee of Sponsoring 
Organisations of the Treadway Commission in Internal Control-
Integrated Framework. Based on their assessment, management 
concluded and reported that, as at 31 December 2013, the Group’s 
internal control over (cid:178) nancial reporting is effective based on 
those criteria.

Having received the report from management, the Audit Committee 
reports to the Board on the effectiveness of controls.

Ernst & Young LLP, an independent registered public accounting (cid:178) rm 
issued an audit report on the Group’s internal control over (cid:178) nancial 
reporting as at 31 December 2013. This report appears on page 91.

Internal controls
Evaluation of Internal Controls Procedures 
Management is responsible for(cid:159)establishing and maintaining adequate 
internal control over (cid:178) nancial reporting as de(cid:178) ned in Rule 13a-15(f) and 
15d-15(f) under the Securities Exchange Act of 1934.

There is an established system of internal control throughout the Group 
and our Divisions. The main elements of the internal control framework 
are as follows:

The management of each Division is responsible for the establishment 
and review of effective internal (cid:178) nancial controls within their Division.

The Group Finance Manual sets out, amongst other things, (cid:178) nancial 
and accounting policies and minimum internal (cid:178) nancial 
control standards.

The Internal Audit function agrees an annual work plan and scope of 
work with the Audit Committee.

The Audit Committee reviewed reports from Internal Audit on their 
(cid:178) ndings on internal (cid:178) nancial controls.

The Audit Committee reviews the Group Whistle-blower procedures.

The Audit Committee reviews regular reports from the Vice President, 
Group Finance and the Heads of the Taxation and Treasury functions.

This system of internal control has been designed to manage rather than 
eliminate material risks to the achievement of our strategic and business 
objectives and can provide only reasonable, and not absolute, assurance 
against material misstatement or loss. Because of inherent limitations, 
our(cid:159)internal controls over (cid:178) nancial reporting may not prevent or detect 
all(cid:159)misstatements. In addition, our projections of any evaluation of 
effectiveness in future periods are subject to the risk that controls may 
become inadequate because of changes in conditions, or that the degree 
of compliance with the policies or procedures may deteriorate. This 
process complies with the Financial Reporting Council’s ‘Internal Control: 
Revised Guidance for Directors on the Combined Code’ and additionally 
contributes to our compliance with the obligations under the Sarbanes-
Oxley Act 2002 and other internal assurance activities. There has been 
no change in the Group’s internal control over (cid:178) nancial reporting during 
the period covered by this Annual Report that has materially affected, or 
is reasonably likely to materially affect, the Group’s internal control over 
(cid:178) nancial reporting.

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54 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Corporate Governance Statement continued

The Auditor
Ernst & Young LLP have expressed their willingness to continue as the 
Auditor. Resolutions proposing their re-appointment for 2014 and to 
authorise the Directors to determine their remuneration will be proposed 
at the Annual General Meeting, as approved by the Audit Committee.

Corporate headquarters and registered of(cid:178) ce
The corporate headquarters is in the UK and the registered of(cid:178) ce 
address is: Smith & Nephew plc, 15 Adam Street, London WC2N 6LA, UK. 
Registered in England and Wales No. 324357. Tel: +44 (0)20 7401 7646. 
Website: www.smith-nephew.com

We shall be tendering the provision of Audit services for future years 
during 2014. Further(cid:159)details are included in the Audit Committee Report.

Disclosure of information to the Auditor
In accordance with Section 418 of the Companies Act 2006, the Directors 
serving at the time of approving the Directors’ Report con(cid:178) rm that, to the 
best of their knowledge and belief, there is no relevant audit information 
of which the Auditor, Ernst & Young LLP, are unaware and the Directors 
also con(cid:178) rm that they have taken reasonable steps to be aware of any 
relevant audit information and, accordingly, to establish that the Auditor 
is(cid:159)aware of such information.

Principal accountant fees and services
Fees for professional services provided by Ernst & Young LLP, the Group’s 
independent auditor in each of the last two (cid:178) scal years, in each of the 
following categories were: 

2013
$ million

2012
$ million

Audit

Audit related fees

Tax

Other

3

–

3

–

6

3

–

2

–

5

Audit fees include fees associated with the annual audit and local 
statutory audits required internationally. A more detailed breakdown 
of(cid:159)audit fees may be found in Note 3.2 of the Notes to the Group accounts.

Committees of the Board
We delegate some of the Board’s detailed work to each of the Nomination 
& Governance, Ethics & Compliance, Audit and Remuneration 
Committees. Each of these has their own Terms of Reference, which may 
be found on the Group’s website at www.smith-nephew.com. The 
Company Secretary or her designate is secretary to each of the 
Committees. The Chairman of each Committee reports orally to the Board 
and minutes of the meetings are circulated to all members of the Board.

Other Committees
Executive Risk Committee
Olivier Bohuon chairs our Executive Risk Committee which includes the 
Executive Directors and Executive Of(cid:178) cers of the Group. As an integral 
part of our planning and review process, the management of each of our 
divisions identi(cid:178) es the risks applicable to their business, the probability of 
those risks occurring, the impact if they do occur and the actions required 
and being taken to manage and mitigate those risks. The Executive Risk 
Committee meets twice a year to review the major risks they identify 
across the Group and the mitigation processes and plans. As 
appropriate, the Executive Risk Committee may re-categorise risks or 
require further information or mitigating action to be undertaken. We 
receive an annual report from the Executive Risk Committee, which 
details the signi(cid:178) cant risks categorised by potential (cid:178) nancial impact on 
pro(cid:178) t and share price and by likelihood of occurrence. Details of new, key 
or signi(cid:178) cantly increased risks, along with actions put in place to mitigate 
such risks, are also reported to us as appropriate. We have provided 
further information on the principal risks identi(cid:178) ed through this process 
in(cid:159)‘Financial review and principal risks’ on pages 36 to 41 of this 
Annual Report.

Disclosures Committee
Olivier Bohuon chairs the Disclosures Committee which includes the 
Chief Financial Of(cid:178) cer and various additional senior executives. The 
Committee meets as required and approves the release of all major 
communications to investors, to the UK Listing Authority, SEC and to 
the(cid:159)London and New York Stock Exchanges.

By order of the Board, on 26 February 2014

Sir John Buchanan
Chairman

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

55

Nomination & Governance Committee

Sir John Buchanan

appointment of Roberto Quarta as Non-executive Director and Chairman 
Elect with effect from 4 December 2013. I shall retire from the Board 
following the Annual General Meeting and Roberto Quarta will be 
appointed in my place.

Membership
 – Sir John Buchanan (Chairman) (Independent on appointment)
 – Olivier Bohuon
 – Brian Larcombe (Independent)
 – Richard De Schutter (Independent)
 – Roberto Quarta (Independent) (Chairman Elect) with effect from 

4 December 2013.

Five meetings

Main responsibilities
 – Review size and composition of the Board
 – Oversee the Board succession plans
 – Recommend Director appointments
 – Oversee governance aspects of the Board and its Committees
 – Oversee review into the Board’s effectiveness
 – Consider and update the Schedule of Matters Reserved to the Board 

and the Terms of Reference of the Board Committees

 – Monitor external corporate governance activities and keep the Board 

updated

 – Oversee the Board Development Programme and the induction 

process for new Directors.

Key activities in 2013 
(in addition to main responsibilities)
 – Recommended the appointment of Roberto Quarta as Chairman Elect
 – Recommended the appointment of Michael Friedman as a new 

Non-executive Director

 – Reviewed and approved new Terms of Reference for Board 

Committees and new Matters Reserved to the Board

 – Continued consideration of diversity issues, independence of 
Non-executive Directors and potential con(cid:179) icts of interests

 – Received updates on corporate governance matters.

Dear Shareholder,
I am pleased to present my report on the activities of the Nomination & 
Governance Committee in 2013. The membership and principal duties 
of(cid:159)the Committee are set out in the table above. In 2013, we dealt with the 
following matters:

Appointment of Roberto Quarta as Chairman Elect
In April 2014, I shall have served on the Smith & Nephew plc Board for 
nine(cid:159)years. The Board agreed therefore that they should commence a 
search for my replacement during 2013. Richard De Schutter, Senior 
Independent Director led this search assisted by Brian Larcombe, 
member of this Committee and by the independent search (cid:178) rm, Russell 
Reynolds. They interviewed a number of candidates, who also met with 
Olivier Bohuon, the Chief Executive Of(cid:178) cer and other Non-executive 
Directors. I(cid:159)did not take part in this search, but was kept updated of 
progress throughout. In October, the Committee recommended the 

Changes to Board Composition
The Committee recommended the appointment of Michael Friedman 
as(cid:159)Non-executive Director. He joined the Board on 11 April 2013 bringing 
exceptional experience of the US Healthcare market with both public and 
private sector experience.

The Committee reviewed the composition of the Board and 
recommended that Brian Larcombe replace Richard De Schutter as 
Senior Independent Director, when he retires following the Annual 
General Meeting. 

The Committee has continued its search for additional Non-executive 
Directors, focusing, in particular, on the skills, experience, independence 
and diversity each candidate brings to the Board. We look for candidates 
who will support the strategic priorities identi(cid:178) ed by the Board and in 
2014 will continue to look for Non-executive Directors with experience 
within emerging markets or within the US and European 
healthcare systems.

Our focus on emerging markets experience will be particularly important 
after the retirement of Ajay Piramel following the Annual General Meeting 
on 10 April 2014. 

Governance Matters
During the year, the Committee also addressed a number of governance 
matters. We reviewed the Terms of Reference of all the Board Committees 
in light of new regulations and guidance from the UK Government and 
the(cid:159)Financial Reporting Council on Executive Remuneration, Narrative 
Reporting and Audit Committee Reporting. We received updates from 
the(cid:159)Company Secretary on new developments in corporate reporting 
in(cid:159)both the UK and Europe. We reviewed the independence of our 
Non-executive Directors, considered potential con(cid:179) icts of interest 
and(cid:159)the(cid:159)diversity of the Board and made recommendations concerning 
these matters to the Board.

Diversity
As we explained in our 2011 Annual Report, we value diversity in the 
Boardroom. Our directors come from different backgrounds and each 
brings unique capabilities and perspectives to our discussions with a 
wide range of professional and geographical backgrounds. We are 
committed to maintaining a diverse Board. In 2012, we stated that our 
expectation would be that by 2015, 25% of our Board would be female 
and we have met this expectation. When appointing new directors, we 
will continue to appoint(cid:159)on merit whilst valuing diversity in its broadest 
sense. 

Whilst the whole Board remains responsible for ensuring that the 
Company is governed appropriately, the Committee carries out the 
more(cid:159)detailed work to support this.

Yours sincerely

Sir John Buchanan
Chairman of Nomination & Governance Committee

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56 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Corporate Governance Statement continued

Ethics & Compliance Committee

Pamela Kirby

Membership
 – Pamela Kirby (Chairman) (Independent)
 – Michael Friedman (Independent) with effect from 4 December 2013
 – Joseph Papa (Independent)
 – Richard De Schutter (Independent).

Four Meetings

Main responsibilities
 – Review ethics and compliance programmes
 – Review policies and training programmes
 – Review compliance performance based on monitoring, auditing 

and(cid:159)investigations data

 – Review allegations of signi(cid:178) cant compliance failures
 – Review Group’s internal and external communications relating to ethics 

and compliance issues

 – Review external developments and compliance activities
 – Receive reports from the Group’s ethics and compliance meetings 
and(cid:159)from the Chief Compliance Of(cid:178) cer and the Chief Legal Of(cid:178) cer.

Key activities in 2013
(in addition to main responsibilities)
 – Held meetings with independent monitor appointed under the DOJ/

SEC settlement to discuss the effectiveness of our Global Compliance 
programme, review his reports, and consider further enhancements
 – Continued to review compliance programme for third party sellers and 

other third parties doing business with the Company

 – Reviewed development of employee compliance training programmes
 – Considered compliance implications relating to potential acquisitions, 

including due diligence (cid:178) ndings and integration plans. 

Dear Shareholder,
I am pleased to present my report on the activities of the Ethics & 
Compliance Committee in 2013. The membership and the principal 
duties of(cid:159)the Committee are set out in the table. In 2013, we dealt with the 
following matters, among others:

Settlement with US Securities and Exchange 
Commission and US Department of Justice 
During the year, we continued to work closely with the independent 
monitor appointed as part of our settlement with the SEC and DOJ in 
2012. With his help, we have continued to evaluate the effectiveness of 
our compliance programme and adopt further enhancements to the 
programme. We met individually with the monitor and collectively as a 
Committee and discussed our compliance programme with him. In 
August, the monitor submitted to the SEC, DOJ and our Board a follow-up 
report to his initial report from 2012. The follow-up report contained 
additional recommendations and observations regarding implementation 
of his initial recommendations. It also concluded that Smith & Nephew’s 
programme is reasonably designed and implemented to detect and 
prevent violations of the anti-corruption laws and is functioning 
effectively. The SEC and DOJ concurred in that assessment, and in 
December 2013 we and the monitor submitted a (cid:178) nal, joint report. In 
January 2014, the SEC and DOJ con(cid:178) rmed that the independent 
monitorship has terminated. We are now subject to self-reporting and 
other requirements for the remainder of the settlement agreements 
(that(cid:159)is, until at least March 2015). 

Compliance Programme for Distributors 
We continued to review our compliance programme with third party 
sellers (such as distributors and sales agents), particularly in higher risk 
markets. This programme includes due diligence, contracts with 
compliance terms and compliance training. To increase oversight, we are 
also piloting related monitoring and auditing programmes in 2014. During 
2013, we required our distributors to complete expanded due diligence 
questionnaires and certi(cid:178) cations and have continued to work with them 
to build and enhance their own compliance programmes. We provide all 
our distributors with a set of resources, which they can customise and 
brand for their own compliance programmes.  

Compliance Programme for Other Third Parties 
We have continued to strengthen our controls over other third parties 
engaged by us to provide services other than selling our products, such 
as customs, registration and travel agents. In 2014, we will(cid:159)increase our 
scrutiny on potential higher risk third parties. We have established a 
policy and process requiring that managers categorise third(cid:159)parties and(cid:159) 
take appropriate steps, including performing a risk assessment, 
conducting due diligence and assigning training, based on third party 
type and risk pro(cid:178) le. We previously created Guidance on the Smith & 
Nephew Code of Conduct and Business Principles for Third Parties to 
highlight the areas of our Code of Conduct that apply directly to third 
parties and that we expect them to follow when working on our behalf. 

Employee Compliance Programme 
New employees are trained on our Code of Conduct which sets out the 
basic legal and ethical principles for carrying out business and applies 
both to the employees and others who act on the Group’s behalf. It sets 
out in detail how persons covered by the Code of Conduct are expected 
to interact ethically with healthcare professionals and government 
of(cid:178) cials. It also covered the broader issues of ethics and compliance 
throughout the business and includes a code of business principles. 
A(cid:159)copy of the Code of Conduct can be found on the Group’s website 
(www.smith-nephew.com). 

The Code of Conduct includes our whistle-blowing policy, which enables 
employees and members of the public to contact us anonymously 
through an independent provider (where allowed by local law). Individuals 
can also report a concern to their direct manager or a manager in 
Compliance, Legal or Human Resources. All calls and contacts are 
investigated and the appropriate action taken, including reports for senior 
management or the Board, where warranted. As stated in the Code of 
Conduct, we also enforce our non-retaliation policy against anyone who 
makes a report in good faith. The Ethics & Compliance Committee is 
advised of any potentially signi(cid:178) cant improprieties which are reported. 

In 2013, we reviewed the Group Policies and Procedures (‘GPPs’) 
supporting the Code of Conduct, and made revisions to policies covering 
booths at(cid:159)medical meetings, free products, digital media and other areas. 
We(cid:159)continually work to enhance the employee compliance training 
programme. New employees receive training on our Code of Conduct, 
and we assign annual compliance training to employees. People 
managers also must complete a certi(cid:178) cation that includes content 
targeted to their role and the challenges they face. In 2013, we created a 
refresher course on(cid:159)Preventing Bribery and Corruption and a course on 
Effective Communication. The preventing bribery model gave employees 
an opportunity to apply their knowledge in different scenarios. 

The annual bonus to senior managers can be negatively impacted if 
their(cid:159)team members have not completed the requisite training. The 
compliance training programme continues to evolve to focus more on 
tailored situations relevant to employees in speci(cid:178) c job situations. Further 
support is provided through a comprehensive set of tools and resources 
located on our global intranet platform. These tools and resources are 
regularly reviewed and updated. 

Compliance Infrastructure 
We are mindful that an effective compliance programme requires both a 
culture of integrity and investment in the necessary infrastructure to give 
effect to that culture. As the Company grows in new markets, we continue 
to expand our global network of Regional Compliance Of(cid:178) cers and they 
work with local management to reinforce the importance of compliance 
with our employees and third parties around the world. In 2013, we 
added regional compliance staff in Russia, Brazil, Turkey, Japan and 
the(cid:159)Middle East.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

57

Compliance Implications around Acquisitions
During 2013, there has been increased acquisition activity across the 
Group, with the acquisition of Plato Grup in Turkey, Sushrut-Adler in India 
and Politec in Brazil, as well as the announcement of an agreement to 
acquire Pro Cirurgia Especializada, also in Brazil. We have compliance 
due diligence reviews and integration plans relating to each of these 
transactions and we monitor progress against these plans. 

Compliance Investigations
Finally, an effective compliance programme must regularly evaluate and 
address emerging risks and design appropriate controls and take 
necessary remedial actions. These actions may include investigations 
about possible improprieties, which we pursue with due care. 

Yours sincerely

Pamela Kirby
Chairman of Ethics & Compliance Committee

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58 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Audit Committee Report

Ian Barlow

Dear Shareholder,
I am pleased to present the (cid:178) rst Audit Committee Report prepared in 
accordance with the newly revised Corporate Governance Code, in 
which(cid:159)the role of the Audit Committee and its activities during the year 
are(cid:159)described in more detail than in previous years.

The role of the Audit Committee is to undertake an independent 
assessment of the (cid:178) nancial affairs of the Company, to review the 
(cid:178) nancial(cid:159)statements and to ensure that there is a sound system of 
(cid:178) nancial control throughout the Group. Whilst the Board as a whole 
is(cid:159)responsible for approving the (cid:178) nancial results, we undertake the 
detailed(cid:159)work to support that decision.

Composition of the Audit Committee
I am Chairman of the Audit Committee and Brian Larcombe, Richard De 
Schutter and Joseph Papa are members of the Committee. We are all 
independent Non-executive Directors and served on the Committee 
throughout 2013. Richard De Schutter will be retiring from the Board and 
the Audit Committee following the 2014 Annual General Meeting. The 
Board has determined that, as a Chartered Accountant and former 
Senior(cid:159)Partner, London at KPMG, I am the designated (cid:178) nancial expert.

Role of the Audit Committee
Our work falls into the following (cid:178) ve areas:

Financial reporting
 –  Reviewing signi(cid:178) cant (cid:178) nancial reporting judgements and accounting 

policies and compliance with accounting standards

 –  Ensuring the integrity of the (cid:178) nancial statements and their 

compliance(cid:159)with UK and US statutory requirements

 –  Ensuring the Annual Report and Accounts are fair, balanced and 
understandable and recommending their adoption by the Board

 –  Monitoring announcements relating to(cid:159)the Group’s 

(cid:178) nancial(cid:159)performance.

Internal Controls and Risk Management
 –  Monitoring the effectiveness of internal controls and compliance with 
the UK Corporate Governance Code 2012 and the Sarbanes-Oxley 
Act, speci(cid:178) cally sections 302 and 404

 –  Reviewing the operation of the Group’s risk management processes 
and the control environment over (cid:178) nancial, regulatory and quality 
risks. 

Fraud and Whistle-blowing
 –  Receiving reports on the processes in place to prevent fraud and to 

enable whistle-blowing

 –  If required, receiving reports of fraud incidents.

Internal Audit
 –  Agreeing internal audit plans and reviewing reports of internal 

audit(cid:159)work

 –  Monitoring the effectiveness of the internal audit function.

External Audit
 – Overseeing the Board’s relationship with the external auditor
 –  Monitoring and reviewing the independence and performance of 

the(cid:159)external auditor and evaluating their effectiveness

 –  Making recommendations to the Board for the appointment or 

re-appointment of the external(cid:159)auditor.

The Terms of Reference of the Audit Committee describe our role 
and(cid:159)responsibilities more fully and can be found on our website at 
www.smith-nephew.com.

Activities of the Audit Committee in 2013 and since 
the(cid:159)year end
In 2013, we held (cid:178) ve physical meetings and three meetings by telephone. 
Each meeting was attended by all members of the Committee. The Chief 
Executive Of(cid:178) cer, Chief Financial Of(cid:178) cer, Head of Internal Audit, the 
external auditor and key (cid:178) nance personnel also attended by invitation. 
We also met the(cid:159)external auditor without management present.

Our programme of work in 2013 is set out below and took the following 
format: As part of our review of the (cid:178) nancial statements and the quarterly 
announcements, we reviewed management’s judgements applied 
in(cid:159)a(cid:159)number of areas including the valuation of inventories, liability 
provisioning, impairment, retirement bene(cid:178) t obligations, trade 
receivables, taxation and business combinations. The(cid:159)matters of 
judgement and our processes and conclusions are described in 
greater(cid:159)detail below.

During the year we received reports from the Group Treasurer, Head of 
Tax, Chief Information Of(cid:178) cer (‘CIO’) and Chief Business Development 
Of(cid:178) cer. All of these were focused on the risk management in these 
functions. The CIO’s report had a particular emphasis on cyber security. 
The Committee was satis(cid:178) ed that each function has evaluated the risks it 
is managing and has effective processes in place to mitigate and respond 
to those risks. We also had reports from the Heads of Quality Assurance 
and of Risk Assurance and had two dedicated discussions on the 
Group’s risk management during the year: (cid:178) rst to review the Group’s risk 
management procedures and risk maps as(cid:159)a basis for sign off on the 
Annual Report and Accounts; the second in September as part of the 
Board’s annual strategy meeting to review the Board’s attitude to risk 
and(cid:159)assessment of the high level strategic risks.

In light of the changes in UK reporting regulations we continued to review 
the style, format and content of the Annual Report and Accounts paying 
particular attention to the changes in the Corporate Governance Code 
and reporting regulations. We also revised our Terms of Reference to take 
account of these changes.

Since the year end, we have reviewed the Annual Report and Accounts 
for(cid:159)2013 and have concluded that taken as a whole they are fair, balanced 
and understandable and have advised the full Board accordingly. In 
coming to this conclusion, we have considered the description of the 
Group’s strategy and key risks, the key elements of the(cid:159)business model 
which is set out on page 7, and the key performance indicators and their 
link to the strategy.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

59

Signi(cid:178) cant matters related to the (cid:178) nancial statements
We considered the following key areas of judgement in relation to the 2013 accounts and at each reporting quarter end, which we discussed 
in all cases with management and the external auditor:

Area of judgement

Our action

Valuation of inventories
A feature of the Advanced Surgical Devices division’s business model 
(whose (cid:178) nished goods inventory makes up almost 80% of the Group total 
(cid:178) nished goods inventory) is the high level of product inventory required, 
some of which is located at customer premises and is available for 
customers’ immediate use. Complete sets of product, including large and 
small sizes,(cid:159)have to be made available in this way. These sizes are used 
less frequently than standard sizes and towards the end of the product 
life cycle are inevitably in excess of requirements. Adjustments to carrying 
value are therefore required to be made to orthopaedic inventory to 
anticipate this situation.

Liability provisioning
The recognition of provisions for(cid:159)legal disputes is subject to a signi(cid:178) cant 
degree of estimation. Provision is made for loss contingencies when it is 
considered probable that an adverse outcome will occur and the(cid:159)amount 
of the loss can be reasonably estimated. In making its estimates, 
management takes into account the advice of internal and external legal 
counsel. Provisions are reviewed regularly and amounts updated where 
necessary to re(cid:179) ect developments in the disputes. The ultimate liability 
may differ from the amount provided depending on the outcome of court 
proceedings or settlement negotiations or if new facts come to light.

The level of provisioning for contingent and other liabilities is an(cid:159)issue 
where management and legal judgements are important.

Impairment
In carrying out impairment reviews of goodwill, intangible assets and 
property, plant and equipment, a number of signi(cid:178) cant assumptions 
have(cid:159)to be made when preparing cash (cid:179) ow projections. These include 
the future rate of market growth, discount rates, the market demand for 
the products acquired, the future pro(cid:178) tability of acquired businesses or 
products, levels of reimbursement and success in obtaining regulatory 
approvals. If(cid:159)actual results should differ or changes in expectations arise, 
impairment charges may be required which would adversely impact 
operating results.

Retirement Bene(cid:178) ts Obligations
A number of key judgements have to(cid:159)be made in calculating the fair value 
of the Group’s de(cid:178) ned bene(cid:178) t pension plans. These assumptions affect 
the balance sheet liability, operating pro(cid:178) t and other (cid:178) nance income/
costs. The most critical assumptions are the discount rate and mortality 
assumptions to be applied to future pension plan liabilities. In making 
these judgements, management takes into account the advice of 
professional external actuaries and benchmarks its assumptions 
against(cid:159)external data.

At each quarter end we received reports from and discussed with 
management and the external auditor the level of provisioning 
and(cid:159)material areas at risk. Provisioning averaged 26% during the year 
(27% during 2012). We concluded that the proposed levels 
were appropriate.

As members of the Board, we receive regular updates from the Chief 
Legal Of(cid:178) cer. These updates form the basis for the level of provisioning. 
These have(cid:159)not moved materially during the year and we determined that 
the(cid:159)proposed levels at year end of $86m in 2013 ($80m in 2012) were 
appropriate in the circumstances.

We reviewed management’s reports on the key assumptions with respect 
to goodwill and investment in associates – particularly the forecast future 
cash (cid:179) ows and discount rates used to make these calculations. We have 
also considered the disclosure surrounding these reviews and concluded 
it was appropriate.

We received quarterly reports from management setting out the 
movement in the key assumptions for the principal pension schemes 
in(cid:159)the Group and the (cid:178) nancial impact of these movements. Any signi(cid:178) cant 
movement in the assumptions or movement in the underlying scheme 
assets and liabilities was discussed with management. Details of the 
assumptions used are set out in Note 18 of the Notes to the Group 
accounts. Following these discussions we(cid:159)concluded that the 
assumptions used were appropriate.

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60 SMITH & NEPHEW ANNUAL REPORT 2013

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Audit Committee Report continued

Area of judgement

Our action

Trade receivables
Guidance was issued by the Financial Reporting Council in early 2012 on 
responding to increased country and currency risk particularly in 
Southern Europe.

Taxation
Provisioning for potential current tax liabilities and the level of deferred tax 
asset recognition in relation to accumulated tax losses are underpinned 
by a range of judgements.

Business combinations
The Group has identi(cid:178) ed ‘growth through acquisitions’ as one of 
its(cid:159)Strategic Priorities and over the past 12 months we have made 
acquisitions in Turkey, India and(cid:159)Brazil. 

External Auditor
The independence of our external auditor is critical for the integrity of(cid:159)the 
audit. We therefore have an Auditor Independence Policy which ensures 
that this independence is maintained, a copy of which is available on the 
Company’s website. This governs our approach when we require our 
external auditor to carry out non-audit services, and all such services are 
strictly governed by this policy. During 2013, fees paid to Ernst & Young 
LLP, our external auditor, for non-audit work totalled $3m which equates 
to 44% of the total audit fees. Full details are shown in Note 3.2 of the 
Notes to the Group accounts.

The Auditor Independence Policy also governs the policy regarding the 
audit partner rotation. This year marks the (cid:178) fth and (cid:178) nal year for our audit 
partner, Les Clifford, who will be replaced for 2014 by Andrew Walton. 
Partners and senior audit staff may not be recruited by the Group unless 
two years have expired since their previous involvement with the Group. 
No such recruitment has occurred. We consider the implementation of 
this policy helps ensure that auditor objectivity and independence 
is safeguarded.

Each quarter we received reports from management containing key 
metrics(cid:159)with regard to receivables with additional focus on receivables 
in(cid:159)Southern Europe. We discussed the risk associated with trade 
receivables in Southern Europe and the level of provisioning and 
concluded that the stated values were appropriate.

We annually review our system and principles for management of tax 
risks. We review quarterly reports from management evaluating existing 
risks and tax provisions. We also consider reports from our external 
auditor before determining that the levels of provisions was appropriate.

For completed acquisitions, we received a report from management 
setting out the signi(cid:178) cant assets and liabilities acquired, details of the 
provisional fair value adjustments applied, an analysis of the intangible 
assets acquired, the assumptions behind the valuation of these acquired 
intangible assets, and the proposed useful economic life of each 
intangible asset class. These reports were reviewed and, following 
discussion, approved.

We formally reviewed the effectiveness of the external audit process and 
the quality of the audit. The review covered the following:
 – The audit partners with particular focus on the lead audit engagement 

partner; 

 – The skills and experience of the audit team;
 – The planning and scope of the audit and identi(cid:178) cation of areas of 

audit risk;

 – The execution of the audit;
 – The role of management in the audit process;
 – The quality of communication between the external auditor and the 

audit committee;

 – The quality of their regular reports on accounting matters, governance 

and control;

 – The support provided by the external auditor to the audit committee;
 – The contribution made by the external auditor towards insights and 

added value;

 – The reputation and standing of the external auditor;
 – The independence and objectivity of the external auditor; and
 – The quality of the formal report to Shareholders.

We conducted this review as part of the 2013 year-end process. The 
views of each member of the Audit Committee, the Chief Financial Of(cid:178) cer, 
the Vice President Group Finance and key members of the (cid:178) nance 
management team at Group and divisional level were sought. We 
considered the feedback from this process and shared it with the 
external auditor and with management.

During the year, we considered the inspection reports from the Audit 
Oversight Boards in the UK and US, speci(cid:178) cally the:

 – Financial Reporting Council’s Audit Quality Inspections Annual Report 

2012/13 and Public Report on the 2012 inspection of Ernst & Young LLP; 
and 

 – The US based Public Company Accounting Oversight Board’s Report 

on the 2012 inspection of Ernst & Young LLP.

We also reviewed the fees of the external auditor which benchmarked 
well against groups of comparable size and complexity.

Our conclusions were that the external audit was carried out effectively, 
ef(cid:178) ciently and with the necessary objectivity and independence.

Tender of External Audit Services
Ernst & Young or its predecessors have been our external auditor since 
we listed in 1937. We have regularly reviewed the provision of external 
audit services and because we have been satis(cid:178) ed with the quality and 
cost of the work undertaken by Ernst & Young, we have not considered 
it(cid:159)necessary to tender the appointment. We are however mindful of the 
recent changes introduced by the UK Corporate Governance Code 2012, 
the prospective new requirements of the Competition Commission to 
tender regularly, the imminent changes being progressed by the 
European Parliament for periodic mandatory rotation of auditors and the 
views of some of our Shareholders regarding the length of tenure of our 
external auditor. We recognise that now is the time to consider putting the 
external audit out to tender. We chose not to do this in 2013 given the 
very(cid:159)recent appointment of Julie Brown as Chief Financial Of(cid:178) cer. We 
have however decided that following the Annual General Meeting in 
2014, we(cid:159)will go out(cid:159)to tender in 2014 with a view to appointing a new 
external auditor, or(cid:159)re-appointing Ernst & Young as external auditor, for 
the(cid:159)year ending 31 December 2015.

As Chairman of the Audit Committee, I shall lead this process on 
behalf(cid:159)of(cid:159)the Board supported by Julie Brown and senior members of 
her(cid:159)(cid:178) nancial management. When we have made a decision regarding 
the(cid:159)appointment of the external auditor, we shall make an appropriate 
announcement to the market.

Internal Audit
Our Internal Audit function reports directly to the Audit Committee and 
carries out work in three areas: our (cid:178) nancial systems and processes; our 
systems that ensure compliance with our Code of Conduct, regulation 
and laws; and our quality managements systems in our manufacturing 
activities. In all three areas they act as a third line of defence behind 
operational management’s front line and our own assurance activities. 
During the year they completed 58 reviews, the results of which were 
reviewed by the Committee which also oversees the effective and timely 
remediation of any recommendations. The Committee receives a 
quarterly report detailing any un-remediated and overdue 
control recommendations.

We are keen to ensure that this vital function develops with the 
increasing(cid:159)scale and complexity of the business. With regards to 
new(cid:159)acquisitions speci(cid:178) cally, the function will perform an audit on the 
Group’s Acquisition Due Diligence process followed by site speci(cid:178) c 
audits on new acquisitions to ensure integration efforts are in line with 
approved plans. We will continue to monitor Internal Audit’s scope of 
work(cid:159)and operational methods to ensure it plays a full role in providing 
assurance of the Group’s(cid:159)identi(cid:178) cation and management of risk and its 
associated controls.

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61

Risk Management and Internal Control
On behalf of the Board we reviewed the system of internal (cid:178) nancial 
control and satis(cid:178) ed ourselves that we are meeting required standards 
both for the year ended 31 December 2013 and up to the date of approval 
of this Annual Report. No concerns were raised with us in 2013 about 
possible improprieties in matters of (cid:178) nancial reporting or other matters.

In coming to this conclusion:
 – We received regular reports from the internal audit function on their 
(cid:178) ndings from the reviews undertaken throughout the year both from 
an(cid:159)internal audit perspective and also with regard to compliance with 
the Sarbanes Oxley Act

 – We requested and reviewed a report mapping Group level risks and 

related control assurance

 – We requested various reports from management relating to speci(cid:178) c 
risks identi(cid:178) ed through the risk management process including the 
progress of the European Process Optimisation project (integration of 
enterprise reporting systems in Europe) and the risks inherent in our 
programme of business acquisitions. In addition the Board conducted 
a workshop on cyber security.

Our Risk Management Framework is underpinned by Business and 
Functional risk registers that highlight the risks identi(cid:178) ed and the 
probability and impact of risk to the Group, as well as mitigation plans. 
The most signi(cid:178) cant of these risks are considered by the Group Risk 
Committee for inclusion on a Group Risk Register. The effectiveness of 
this Framework is reviewed annually by Internal Audit and our Committee.

Yours sincerely

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Chairman of the Audit Committee

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62 SMITH & NEPHEW ANNUAL REPORT 2013

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Directors’ remuneration report

Our aim is to devise 
remuneration packages 
that drive performance 

Dear Shareholder,
I am pleased to present the (cid:178) rst Directors’ remuneration report prepared 
in accordance with the new regulations. Our remuneration arrangements 
have essentially remained unchanged from last year, but are now 
presented in a new format. We have discussed this format with a number 
of our major Shareholders and are very grateful for their suggestions 
helping us to improve the clarity of the new remuneration policy table and 
the remuneration policy report itself.

We made a number of decisions during the year, as follows:

–    Agreed to introduce a third performance measure relating to 

growth in Emerging & International Markets, into our Performance 
Share Programme.

–   Determined the incentive plan outcomes for long-term awards made  
 in 2010 and the Annual Incentive Plan 2012, and set the targets and  
 measures for the awards and plans in 2013.

–    Redesigned the Directors’ Remuneration Report in line with the 

new regulations.

Compliance statement
We have prepared this Directors’ Remuneration Report (the ‘Report’) in accordance with The(cid:159)Enterprise and Regulatory Reform Act 2012-2013 (clauses 81-84) and The Large and Medium-Sized 
Companies and Groups (Accounts and Reports) (Amendment) Regulations 2013 (the(cid:159)‘Regulations’). The Report also meets the relevant requirements of(cid:159)the Financial Conduct Authority (‘FCA’) 
Listing Rules.

As required by the regulations, the (cid:178) rst part of the Report (pages 64 to 72) is the Directors’ Remuneration Policy Report (the ‘Policy Report’). The Policy Report will be put to Shareholders for 
approval as a binding vote at the Annual General Meeting on 10 April 2014. The policy report describes our remuneration policy as it relates to the Directors of the Company. Once the policy 
report has been approved by Shareholders, all payments we make to any Director of the Company will be in accordance with this remuneration policy. We intend that this remuneration policy 
will remain in place unchanged for at least the next three years and will next be put to Shareholder vote at the Annual General Meeting to be held in 2017. We will bring the policy report back 
to(cid:159)Shareholders earlier in the event that we make any material change to the remuneration policy or Shareholders do not approve the annual report on remuneration.

The second part of the Report (pages 73 to 85) is the annual report on remuneration (the ‘Implementation Report’). The Implementation Report will be put to Shareholders for approval(cid:159)as an 
advisory vote at the Annual General Meeting on 10 April 2014. The Implementation Report explains how the remuneration policy was implemented during(cid:159)2013(cid:159)and also how it is currently 
being implemented in 2014.

Pages 74, 79 to 82 have been audited by Ernst & Young LLP.

 
 
SMITH & NEPHEW ANNUAL REPORT 2013
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63

in line with our strategy & 
which are simple & clear 
to(cid:159)understand

As a Remuneration Committee, our aim is to devise remuneration packages that drive a performance in line with our corporate strategy and(cid:159)which 
are(cid:159)simple and clear to understand both for our Shareholders and for those who participate in our plans. We aim to have a clear line of sight between 
the performance of the Company and how our Directors and senior executives are paid. We do this by setting the (cid:178) xed elements of pay, notably base 
salary and bene(cid:178) ts, in line with what our Executive Directors would be paid at another company of a comparable size, complexity and geographical 
spread. For the variable elements of pay, we(cid:159)select performance measures that are linked to one or more of our Strategic Priorities as detailed on 
page(cid:159)10 of the Annual Report as follows:

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Measures in our Variable(cid:159)Pay Plans
Financial measures in Annual Incentive Plans
Revenue, Trading pro(cid:178) t, Cash

Link to Strategic Priorities

We need to generate cash in our Established Markets to be able to invest in(cid:159)Emerging & International 
Markets, innovation, organic growth and acquisitions in order to continue to grow in the future. Cash (cid:179) ow is 
therefore important and this in turn is derived from increased revenues and healthy trading pro(cid:178) ts.

Business objectives in Annual Incentive Plans
Re-investment 

We need to release resources from the businesses through improved structures and ef(cid:178) ciencies in order 
to(cid:159)re-invest in our higher growth areas, including emerging markets, innovation, organic growth and 
acquisitions. 

Processes

People

Customer

We need to enhance our business processes in order to operate more effectively and ef(cid:178) ciently and to 
improve our operating model. 

We need to attract and retain the right people to achieve our strategy through improving our operating 
model, winning in Established Markets and growing in emerging markets. 

Our mission is to deliver advanced medical technologies that help healthcare professionals, our customers, 
improve the quality of life of their patients. 

Performance measures in our Performance Share Plan
Cash (cid:179) ow

Revenue in Emerging & 
International(cid:159)markets

TSR

Cash (cid:179) ow from our Established Markets is necessary in order to fund growth in emerging markets, 
innovation, organic growth and acquisitions.
Our long-term strategy depends on our ability to(cid:159)grow in Emerging & International Markets, to innovate 
for(cid:159)growth and to supplement organic growth through acquisitions. This depends on our ability to develop 
new products and to expand into(cid:159)new(cid:159)markets both geographically and by product.
If we execute our strategy successfully, this(cid:159)will(cid:159)lead to an increased return for our Shareholders.

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The following pages set out our remuneration policy in greater detail and then explain how we implement that policy. We believe that outstanding 
performance by our executives should be rewarded by attractive remuneration packages. We do however have measures in place which ensure 
that(cid:159)plans do not pay out where performance has not met threshold performance and to recover any amounts paid out, where subsequent events 
show that payments should not have been made.

We have aimed to design a remuneration package that will encourage our Executive Directors to drive performance in line with our strategy, 
whilst(cid:159)minimising risk, which will(cid:159)in turn deliver a healthy return to our Shareholders. We very much hope that the new style report is clearer for 
our(cid:159)Shareholders and(cid:159)shows how we(cid:159)have linked the design of our remuneration plans to our strategy.

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64 SMITH & NEPHEW ANNUAL REPORT 2013

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Directors’ remuneration report continued

The Policy Report
The Remuneration Committee presents the Directors’ remuneration policy report, which will be put to Shareholders as a binding vote at the 
Annual(cid:159)General Meeting to be held on 10 April 2014 and subject to Shareholder approval, shall take immediate effect.

Future policy table
Executive Directors
The following table and accompanying notes explain the different elements of remuneration we pay to our Executive Directors:

How the component supports the short- 
and long-term strategy of(cid:159)the Company

How the component operates

Base salary and bene(cid:178) ts
Base salary
We are a FTSE 50 listed company, operating in over 100 countries around the world. 
Our(cid:159)strategy to generate cash from Established Markets in order to invest for growth in 
Emerging Markets means that we are competing for international talent and our base 
salaries therefore need to re(cid:179) ect what our Executive Directors would receive if they 
were to work in another international company of a similar size, complexity and 
geographical scope.

Payment in lieu of(cid:159)pension
In order to attract and retain Executive Directors with the capability of driving our 
corporate strategy, we need to provide market-competitive retirement bene(cid:178) ts similar 
to the bene(cid:178) ts they would receive if they were to work for one of our competitors. 
At the same time, we seek to avoid exposing the Company to de(cid:178) ned bene(cid:178) t pension 
risks, and where possible will make payments in lieu of providing a pension.

Bene(cid:178) ts
In order to attract and retain Executive Directors with the capability of driving our 
corporate strategy, we need to provide a range of market-competitive bene(cid:178) ts similar 
to(cid:159)the bene(cid:178) ts they would receive if they were(cid:159)to work for one of our competitors.
It is important that our Executive Directors are free to focus on the Company’s business 
without being diverted by concerns about medical(cid:159)provision, risk bene(cid:178) t cover or, if 
required, relocation issues.

Salaries are normally reviewed annually, with any increase applying from(cid:159)1 April.
Salary levels and increases take account of:
 – market movements within a peer group of similarly sized UK listed companies;
 – scope and responsibility of the position;
 – skill/experience and performance of the individual Director;
 – general economic conditions in the relevant geographic market; and
 – average increases awarded across the Company, with particular regard to(cid:159)increases 

in the market in which the Executive is based.

Current Executive Directors receive an allowance in lieu of membership of(cid:159)a(cid:159)Company-
run pension scheme.
Base salary is the only component of remuneration that is pensionable.

A wide range of bene(cid:178) ts may be provided depending on the bene(cid:178) ts provided for 
comparable roles in the location in which the Executive Director is based. These bene(cid:178) ts 
will include, as a minimum, healthcare cover, life assurance, long-term disability, annual 
medical examinations, company car or car allowance. The Committee retains the 
discretion to provide additional bene(cid:178) ts where necessary or relevant in the context of the 
Executive’s location.
Where applicable, relocation costs may be provided in line with Company’s relocation 
policy for employees, which may include removal costs, assistance with accommodation, 
living expenses for self and family and (cid:178) nancial consultancy advice. In(cid:159)some cases such 
payments may be grossed up.

All-employee arrangements
All-employee share plans
To enable Executive Directors to participate in all-employee share plans on the same 
basis as other employees.

ShareSave Plans are operated in the UK and 27 other countries internationally. In the 
US, an Employee Stock Purchase Plan is operated. These plans enable employees to 
save on a regular basis and then buy shares in the Company. Executive Directors are 
able to participate in such plans on a similar basis to other employees, depending on 
where they are located.

SMITH & NEPHEW ANNUAL REPORT 2013
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65

Maximum levels of payment

Framework in which performance is assessed

The base salary of the Executive Directors with effect from 1 April 2014 will(cid:159)be as follows:
Olivier Bohuon €1,111,782
Julie Brown £514,000
The factors noted in the previous column will be taken into consideration when making 
increases to(cid:159)base salary and when appointing a new Director.
In normal circumstances, base salary increases for Executive Directors will relate to the 
geographic market and peer group. In addition, the average increases for employees 
across the(cid:159)group will be taken into account. The Remuneration Committee retains the 
right to approve higher increases when there is a substantial change in the scope of the 
Executive Director’s role. A full explanation will be provided in the Implementation Report 
should higher increases be approved in exceptional cases.

Performance in the prior year is one of the factors taken into account and poor 
performance is likely to lead to a zero salary increase.

Up to 30% of base salary.

The(cid:159)level of payment in lieu of a pension paid to(cid:159)Executive Directors is not dependent 
on performance.

The level and cost of bene(cid:178) ts provided to Executive Directors is not dependent on 
performance but on the(cid:159)package of bene(cid:178) ts provided to(cid:159)comparable roles(cid:159)within 
the(cid:159)relevant location.

The policy is framed by the nature of the bene(cid:178) ts that the Remuneration Committee is 
willing to(cid:159)provide to Executive Directors. The maximum amount payable will depend 
on(cid:159)the cost of providing such bene(cid:178) ts to an(cid:159)employee in the location at which the 
Executive Director is based. Shareholders should note that the cost of providing 
comparable bene(cid:178) ts in(cid:159)different jurisdictions may vary widely.
As an indication, the cost of such bene(cid:178) ts provided in 2013 was as follows:
Olivier Bohuon €80,705
Julie Brown £14,400
The maximum amount payable in bene(cid:178) ts to an Executive Director, in normal 
circumstances, will not be signi(cid:178) cantly more than amounts paid in(cid:159)2013 (or equivalent 
in(cid:159)local currency). The Remuneration Committee retains the right to pay more than this 
should the cost of providing the same(cid:159)underlying bene(cid:178) ts increase or in the event of a 
relocation. A full explanation will be provided in the Implementation Report should the 
cost(cid:159)of bene(cid:178) ts provided be signi(cid:178) cantly higher.

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Executive Directors may currently invest up to £250 per month in the UK 
ShareSave(cid:159)Plan. The Remuneration Committee may exercise its discretion to 
increase(cid:159)this amount(cid:159)up(cid:159)to(cid:159)the maximum permitted by the HM Revenue & Customs. 
Similar(cid:159)limits will apply(cid:159)in(cid:159)different locations.

The potential gains from all-employee plans are not based on performance but are 
linked to growth in the share price.

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Directors’ remuneration report continued

Future policy table – Executive Directors continued

How the component supports the short- 
and long-term strategy of(cid:159)the Company

Annual incentives
Annual Incentive Plan –  Cash Incentive

To motivate and reward the achievement of speci(cid:178) c annual (cid:178) nancial and business 
objectives related to the Company’s strategy and sustained through a clawback 
mechanism explained more fully in the notes.
The objectives which determine the payment of the annual cash incentive(cid:159)and the
level(cid:159)of the annual equity award are linked closely to(cid:159)the(cid:159)Group strategy.
The (cid:178) nancial measures of revenue, trading pro(cid:178) t and cash (cid:179) ow underlie(cid:159)our strategy 
for(cid:159)growth and the need to generate cash to fund(cid:159)future growth.
The business objectives are also linked to the Group strategy. These change from
year(cid:159)to year to re(cid:179) ect the evolving strategy, but will typically be linked to the Strategic 
Priorities set out on page 10 of this Annual Report. The Implementation Report each
year will explain how each objective is linked to a speci(cid:178) c strategic priority.
For example, a Reinvestment objective links to the priority of improving the ef(cid:178) ciency of 
the business model and investment in higher growth segments and geographies and 
Processes and People objectives link to developing the right organisation.

Annual Incentive Plan –  Equity Incentive
To drive share ownership and encourage sustained high standards through the 
application of a ‘malus’ provision over three years, explained(cid:159)more fully in the notes.

Long-term incentives (awards actively being made)
Performance Share Programme
To motivate and reward longer term performance linked to the long-term strategy and 
share price of the Company.
The performance measures which determine the level of vesting of the Performance 
Share Awards are linked to our corporate strategy.
Our strategy requires the generation of cash in order to invest for growth. Cash (cid:179) ow is 
therefore a key performance measure in our performance share plan.
Growth in our Emerging & International Markets is a key part of our strategy. Revenue in 
our Emerging & International Markets is therefore included as one of our performance 
share plan measures.
If our strategy succeeds, the total return to our shareholders will also increase and 
therefore we include a relative TSR measure in our long-term share plan.

How the component operates

The Annual Incentive Plan comprises a cash and an equity component, both based 
on(cid:159)the achievement of (cid:178) nancial and business objectives set at(cid:159)the start of the year.
The cash component is paid in full after the end of the performance year.
At the end of the year, the Remuneration Committee determines the extent to which 
performance against these has been achieved and sets the award level.

The equity award component comprises conditional share awards (made at the time 
of(cid:159)the cash award), with vesting phased over the following three years.
The equity component vests 1(cid:174)3, 1(cid:174)3, 1(cid:174)3 on successive award anniversaries, only 
if(cid:159)performance remains satisfactory over each of these three years; otherwise the 
award(cid:159)will lapse.
Participants will receive an additional number of shares equivalent to the(cid:159)amount of 
dividend payable per vested share during the relevant performance period.

The Performance Share Programme comprises conditional share awards which vest 
after three years, subject to the achievement of stretching performance targets linked 
to(cid:159)the Company’s strategy.
Awards may be subject to clawback in the event of material (cid:178) nancial misstatement 
or misconduct.
Participants will receive an additional number of shares equivalent to the(cid:159)amount of 
dividend payable per vested share during the relevant performance period.

One-off share awards
In order to implement our Group strategy, we recognise that it is not always possible 
to(cid:159)promote from within the Company. In the event that we(cid:159)recruit an Executive Director 
who is currently employed by another company, we recognise that we might be 
required to compensate that Executive Director for cash or share awards, they may 
forfeit on leaving their former employer. Our policy regarding such awards is detailed 
in(cid:159)the notes.

One-off share awards may be made under the provisions of Listing Rule(cid:159)9.4.2 to 
facilitate the appointment of a new Executive Director. Such(cid:159)awards will be made 
on(cid:159)a(cid:159)case-by-case basis depending on the(cid:159)circumstances at the time to take account of 
amounts forfeited elsewhere on accepting appointment. 

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

67

Maximum levels of payment

Framework in which performance is assessed

The total maximum payable under the Annual Incentive Plan is 215% of(cid:159)base salary 
(150% Cash Incentive and 65% Equity Incentive).
50% salary awarded for threshold performance.
100% salary awarded for target performance.
150% salary awarded for maximum performance.
Performance assessed against individual objectives and Group (cid:178) nancial targets.

The cash and share awards are subject to malus and clawback as detailed in the notes 
following this table. 
70% of the cash component is based on (cid:178) nancial performance measures, 
which(cid:159)currently include revenue, trading pro(cid:178) t and trading cash. The Remuneration 
Committee retains the discretion to adopt any (cid:178) nancial performance measure that 
is(cid:159)relevant to the Company.
30% of the cash component is based on other business goals linked to the Company’s 
strategy, which could include (cid:178) nancial and non-(cid:178) nancial measures.
The Remuneration Committee has the discretion to(cid:159)apply a multiplier, adjusting the 
outcome up or down by 10% to reward or penalise conduct in respect(cid:159)of leadership, 
corporate reputation, ethics, organisational behaviours and representing the Company 
both internally and externally.
The maximum opportunity shown to the left cannot be(cid:159)exceeded through the application 
of the multiplier.

0% of salary awarded for performance below target.
50% of salary awarded for target performance.
65% of salary awarded for maximum performance.
Performance assessed against individual performance which includes an(cid:159)element 
of(cid:159)Group(cid:159)(cid:178) nancial targets.

The Remuneration Committee will use their judgement of the individual’s performance 
in determining the level of equity award that may be awarded within the range of 50% 
to(cid:159)65% of salary.
The equity component will vest in three equal tranches over a three-year period, 
provided that the annual performance conditions set at the beginning of(cid:159)each year 
continue to be met.

Annual awards:
47.5% of salary for threshold performance.
95% of salary for target performance.
190% of salary for maximum performance.

Currently:
 – 50% of the award vests on achievement of a three-year cumulative free cash(cid:179) ow 

target

 – 25% of the award vests subject to three-year Total Shareholder Return (‘TSR’) at 

median performance relative to industry peers

 – 25% of the award vests subject to the achievement of revenue targets in Emerging 

&(cid:159)International Markets

 – These measures are described in more detail in the notes and the(cid:159)targets and 
performance against them will be disclosed in the(cid:159)Implementation Report if 
appropriate

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 – The Performance Share Award will vest on the third anniversary of the date of grant, 
depending on the extent to which the performance conditions are met over the three 
year period commencing in the year the award was made

 – The Remuneration Committee retains the discretion to change the measures and their 
respective weightings to ensure continuing alignment with the Company’s strategy
 – The cash and share awards are subject to malus and clawback as detailed in the 

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notes following this table.

Awards made prior to 2014 were subject to TSR and cash (cid:179) ow targets. 

Each award will be determined on a case-by-case basis. In normal circumstances 
such(cid:159)awards will be no more bene(cid:178) cial than the value of(cid:159)amounts forfeited by 
the(cid:159)Executive Director on leaving a previous company to join the Board. 

The Remuneration Committee has the discretion to apply performance conditions 
to(cid:159)one-off awards if appropriate. However, if it is impossible to replicate the vesting 
conditions applicable to awards granted by other companies, awards may be made 
without performance conditions.

 
 
 
 
 
 
 
68 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Directors’ remuneration report continued

Notes to Future policy table – Executive(cid:159)Directors
Changes to remuneration policy
The remuneration policy described in the future policy table – Executive 
Directors is the same remuneration policy in respect of Executive 
Directors that has been in force since the beginning of 2012. It is 
anticipated that this policy will apply at least until the Annual General 
Meeting in 2017. The only change made has been to introduce a third 
performance measure to our Performance Share Programme. 

Performance measures – Annual Incentive Plan
The performance measures which apply to the Annual Incentive Plan for 
Executive Directors comprise 70% (cid:178) nancial measures and 30% business 
goals linked to the Company’s strategy, which could include (cid:178) nancial and 
non-(cid:178) nancial measures.

The (cid:178) nancial measures may differ from year to year to provide continued 
alignment with the Company strategy. Measures to be used in 2014 are 
detailed in the Implementation Report. Each year the measures are 
chosen in order to relate to our Strategic Priorities and in turn to our key 
performance indicators, which are set out on pages 12 and 13. The 
performance targets are set by taking into account the strategy of(cid:159)the 
Company and are designed to be realistic yet stretching.

The business measures will differ from year to year as the evolving 
corporate strategy means that we will wish to set Executive Directors 
different business objectives in order to meet the current corporate 
needs. The business objectives are personal to each Executive Director, 
and are tailored to re(cid:179) ect their role and responsibilities during the year. 
These are set at the start of the year and re(cid:179) ect the most important areas 
of strategic focus for the Company. The Remuneration Committee sets 
annual measurement criteria (performance targets) that are appropriate 
to motivate and measure an Executive Director’s performance in any one 
year. The factors taken into consideration include the three-year strategic 
plan, prior years’ delivered performance and budgeted performance. In 
the past, measures have included R&D investment, succession planning, 
employee engagement, compliance, development of product portfolio, 
M&A activity and shared services implementation.

Performance measures – 
Performance Share Programme
The performance measures which apply to the Performance Share 
Programme awards made in 2014 relate to cumulative free cash (cid:179) ow, 
revenue in Emerging & International Markets and Total Shareholder 
Return. We have chosen three measures which are relevant for the 
long-term success of the Company. 

The free cash (cid:179) ow measure is important for us in a period of growth, 
when we need to generate cash to fund both organic and 
inorganic investment.

Revenue in Emerging & International Markets is important for us when we 
are seeking to generate pro(cid:178) table revenue in new markets and from new 
products. 

The Total Shareholder Return measure, which compares our long-term 
performance against that of our peers, seeks to align the payout of the 
Performance Share Programme with the experience of our Shareholders. 
This helps Executive Directors relate to the Shareholder experience and 
ensure that vesting is aligned to the out-performance of our sector.

The Remuneration Committee will keep these performance measures 
under review and retains the discretion to alter the measures or their 
respective weightings to ensure continuing alignment to the 
corporate strategy.

Malus and clawback
The Remuneration Committee may determine that an unvested 
award(cid:159)or(cid:159)part of an award may not vest (regardless of whether or not the 
performance conditions have been met) or may determine that any cash 
bonus, vested shares, or their equivalent value in cash be returned to the 
Company in the event that any of the following matters is discovered:
 – A material misstatement of the Company’s (cid:178) nancial results; or
 – A material error in determining the extent to which any performance 

condition has been satis(cid:178) ed; or

 – A signi(cid:178) cant adverse change in the (cid:178) nancial performance of the 
Company, or a signi(cid:178) cant loss at a general level or at the division 
or(cid:159)function in which a participant worked; or

 – Inappropriate conduct (for example reputational issues), capability 
or(cid:159)performance(cid:159)by a participant, or within a team business area or 
pro(cid:178) t centre.

These provisions apply to share awards under the Global Share Plan 
2010 and cash amounts under the Annual Cash Incentive Plan.

Illustrations of the application of the remuneration policy
The following charts show the potential split between the different 
elements of the Executive Directors’ remuneration under three different 
performance scenarios:

Chief Executive Of(cid:178) cer

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€1,526,022

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Chief Financial Of(cid:178) cer

€4,249,888

€6,028,739

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£682,600

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£1,941,900

£2,764,300

(cid:81)  Base salary  (cid:81)  Payment in lieu of pension  (cid:81)  Bene(cid:178) ts  (cid:81)  Annual Incentive (Cash)

(cid:81)  Annual Incentive (Equity)  (cid:81)  Performance Share Programme

TOTAL REMUNERATION BY PERFORMANCE SCENARIO 
FOR 2014 FINANCIAL YEAR

Chief Executive Of(cid:178) cer

Chief Financial Of(cid:178) cer

€1,526,022

€4,249,888

€6,028,739

£682,600

£1,941,900

£2,764,300

%
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MINIMUM

TARGET

MAXIMUM

MINIMUM

TARGET

MAXIMUM

(cid:81)  Fixed pay  (cid:81)  Annual Incentive (Cash)  (cid:81)  Annual Incentive (Equity)  (cid:81)  Long-term Incentives

Data for the Chief Executive Of(cid:178) cer assumes an exchange rate of €1 = £0.8494.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

69

Policy on recruitment arrangements
Our policy on the recruitment of Executive Directors is to pay a fair 
remuneration package for the role being undertaken and the experience 
of the Executive Director appointed. In terms of base salary, we will seek 
to pay a salary comparable, in the opinion of the Committee, to that which 
would be paid for an equivalent position elsewhere. The Remuneration 
Committee will determine a base salary in line with the policy and having 
regard to the parameters set out on pages 64 and 65. Incoming Executive 
Directors will be entitled to pension, bene(cid:178) t and incentive arrangements 
which are the same as provided to existing Executive Directors. On that 
basis, awards would not exceed 405% of base salary.

We recognise that in the event that we require a new Executive Director 
to(cid:159)relocate to take up a position with the Company, we will also pay 
relocation and related costs as described in the Future policy table on 
pages 64 and 65, which is in line with the relocation arrangements we 
operate across the Group.

We also recognise that in many cases, an external appointee may forfeit 
sizeable cash bonuses and share awards if they choose to leave their 
former employer and join us. The Remuneration Committee therefore 
believes that we need the ability to compensate new hires for incentive 
awards they give up on joining us. The Committee will use its discretion in 
setting any such compensation, which will be decided on a case-by-case 
basis. We will only provide compensation which is no more bene(cid:178) cial 
than that given up by the new appointee and we will seek evidence from 
the previous employer to con(cid:178) rm the full details of bonus or share awards 
being forfeited. As far as possible, we will seek to replicate forfeited share 
awards using Smith & Nephew incentive plans or through reliance on 
9.4.2 in the Listing Rules, whilst at the same time aiming for simplicity. 

If we appoint an existing employee as an Executive Director of the 
Company, pre-exisiting obligations with respect to remuneration, such 
as(cid:159)pension, bene(cid:178) ts and legacy share awards, will be honoured. Should 
these differ materially from current arrangements, these will be disclosed 
in the next Implementation Report. 

We will supply details via an announcement to the London Stock 
Exchange of an incoming Executive Director’s remuneration 
arrangements at the time of their appointment.

Service contracts
We employ Executive Directors on rolling service contracts with notice 
periods of up to 12 months from the Company and six months from the 
Executive Director. On termination of the contract, we may require the 
Executive Director not to work their notice period and pay them an 
amount equivalent to the base salary and payment in lieu of pension and 
bene(cid:178) ts they would have received if they had been required to work their 
notice period. 

Under the terms of the Executive Director’s service contract, Executive 
Directors are restricted for a period of 12 months after leaving the 
employment of the Company from working for a competitor, soliciting 
orders from customers and offering employment to employees of 
Smith(cid:159)&(cid:159)Nephew. The Company retains the right to waive these 
provisions in certain circumstances. In the event that these provisions 
are(cid:159)waived and the former Executive Director commences employment 
earlier than at the end of the notice period, no further payments shall be 
made in respect of the portion of notice period not worked. Directors’ 
service contracts are available for inspection at the Company’s registered 
of(cid:178) ce: 15 Adam Street, London WC2N 6LA.

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70 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Directors’ remuneration report continued

Policy on payment for loss of of(cid:178) ce
Our policy regarding termination payments to departing Executive 
Directors is to limit severance payments to pre-established contractual 
arrangements. In the event that the employment of an Executive Director 
is terminated, any compensation payable will be determined in 
accordance with the terms of the service contract between the Company 
and the Executive Director, as well as the rules of any incentive plans.

Under normal circumstances (excluding termination for gross 
misconduct) all leavers are entitled to receive termination payments in lieu 
of notice equal to base salary, payment in lieu of pension, and bene(cid:178) ts. In 
some circumstances additional bene(cid:178) ts may become payable to cover 
reimbursement of untaken holiday leave, repatriation and outplacement 
fees, legal and (cid:178) nancial advice. 

In addition, we may also in exceptional circumstances exercise our 
discretion to pay the Executive Director a proportion of the annual cash 
incentive they would have received had they been required to work their 
notice period. Any entitlement or discretionary payment may be reduced 
in line with the Executive Director’s duty to mitigate losses, subject to 
applying our non-compete clause.

We will supply details via an announcement to the London Stock 
Exchange of a departing Executive Director’s termination arrangements 
at(cid:159)the time of departure.

In the case of a change of control which results in the termination of 
an(cid:159)Executive Director or a material alteration to their responsibilities or 
duties, within 12 months of the event, the Executive Director would be 
entitled to receive 12 months’ base salary plus payment in lieu of pension 
and bene(cid:178) ts. In addition, the Remuneration Committee has discretion 
to(cid:159)pay an Executive Director in these circumstances an annual cash 
incentive. For Directors appointed prior to 1 November 2012, an automatic 
annual cash incentive is payable at target.

In the event that an Executive Director leaves for reasons of ill-health, 
death, redundancy or retirement in agreement with the Company, then 
the vesting of any outstanding annual cash incentive and equity incentive 
awards will generally depend on the Remuneration Committee’s 
assessment of performance to date. Performance share awards will be 
pro-rated for the time worked during the relevant performance period, 
and will remain subject to performance over the full performance period.

For all other leavers, the annual cash incentive will generally be forfeited 
and outstanding equity incentive awards and performance share awards 
will lapse.

One-off awards granted on appointment will normally lapse on leaving 
except in cases of death, retirement, redundancy, or ill-health. The 
Remuneration Committee has discretion to permit such awards to vest 
in(cid:159)other circumstances and will be subject to satisfactorily meeting 
performance conditions if applicable.

The Remuneration Committee retains discretion to alter these provisions 
on a case-by-case basis following a review of circumstances and to 
ensure fairness for both Shareholders and Executive Directors.

We will supply details via an announcement to the London Stock 
Exchange of an out-going Executive Director’s remuneration 
arrangements around the time of leaving.

Policy on shareholding requirements
The Remuneration Committee believes that one of the best ways our 
Executive Directors can have a greater alignment with Shareholders 
is(cid:159)for(cid:159)them to hold a signi(cid:178) cant number of shares in the Company. 
Executive(cid:159)Directors are therefore expected to build up a holding of 
Smith & Nephew shares worth two-times their base salary. In order to 
reinforce this expectation, we require them to retain 50% of all shares 
vesting under the(cid:159)Company share plans (after tax) until this holding has 
been met recognising that differing international tax regimes affect 
the(cid:159)pace at which an Executive Director may ful(cid:178) l the shareholding 
requirement. When calculating whether or not this requirement has been 
met, we will(cid:159)include ordinary shares or ADRs held by the Executive 
Director and(cid:159)their(cid:159)immediate family and the intrinsic value of any vested 
but unexercised options.

Statement of consideration of employment 
conditions(cid:159)elsewhere in the Company and 
differences(cid:159)to the Executive Director Policy
All employees across the Group including the Executive Directors are 
incentivised in a similar manner. Although the salary levels and maximum 
opportunities under bonus and share plans differ, generally speaking the 
same targets and performance conditions relating to the Company’s 
strategy apply throughout the organisation.

Executive Director base salaries will generally increase at a rate in line 
with the average salary increases awarded across the Company. Given 
the diverse geographic markets within which the Company operates, the 
Committee will generally be informed by the average salary increase in 
both the market local to the Executive and the(cid:159)UK, recognising the 
Company’s place of listing, and will also consider market data periodically.

A range of different pension arrangements operate across the Group 
depending on location and/or length of service. Executive Directors and 
Executive Of(cid:178) cers either participate in the legacy pension arrangements 
relevant to their local market or receive a cash payment of 30% of salary 
in(cid:159)lieu of a pension. Senior Executives who do not participate in a local 
Company pension plan receive a cash payment of 20% of salary in lieu 
of(cid:159)pension. Differing amounts apply for lower levels within the Company.

The Company has established a bene(cid:178) ts framework under which the 
nature of bene(cid:178) ts varies by geography. Executive Directors participate 
in(cid:159)bene(cid:178) t arrangements similar to those applied for employees within 
the(cid:159)applicable location.

All employees are set objectives at the beginning of each year, which link 
through to the objectives set for the Executive Directors. Annual cash 
incentives payable to employees across the Company depend on the 
satisfactory completion of these objectives as well as performance 
against relevant Group and divisional (cid:178) nancial targets relating to revenue, 
trading pro(cid:178) t and trading cash, similar to the (cid:178) nancial targets set for the 
Executive Directors.

Executive Of(cid:178) cers and Senior Executives (currently 72) participate in 
the(cid:159)annual Equity Incentive Programme and the Performance Share 
Programme. The maximum amounts payable are lower, but the 
performance conditions are the same as those that apply to the 
Executive Directors.

No speci(cid:178) c consultation with employees has been undertaken relating 
to(cid:159)Director remuneration. However, regular employee surveys are 
conducted across the Group, which cover a wide range of issues relating 
to local employment conditions and an understanding of Group-wide 
strategic matters. Currently over 4,500 employees in 32 countries 
participate in one or more of our global share plans. 

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

71

Future policy table
Chairman and Non-executive Directors
The following table and accompanying notes explain the different elements of remuneration we pay to our Chairman and Non-executive Directors. 
No(cid:159)element of their remuneration is subject to performance. All(cid:159)payments made to the Chairman are determined by the Remuneration Committee, 
whilst payments made to the Non-executive Directors are determined by the Directors who are not themselves Non-executive Directors, currently 
the(cid:159)Chairman, the Chief Executive Of(cid:178) cer and the Chief Financial Of(cid:178) cer.

How the component supports the short- 
and long-term strategy of the Company

Annual fees
Basic annual fee
To attract and retain Directors by setting fees at 
rates comparable to what would be paid in an 
equivalent position elsewhere.

A proportion of the fees are paid in shares in 
the(cid:159)third quarter of each year in order to align 
Non-executive Directors’ fees with the interest 
of Shareholders.

How the component operates

Maximum levels of payment

Fees will be reviewed periodically. In(cid:159)future, any 
increase will be paid in(cid:159)shares until 25% of the 
total fee is(cid:159)paid in shares.

Fees are set in line with market practice for fees 
paid by similarly sized UK listed companies. 

Annual fees are set and paid in(cid:159)UK(cid:159)sterling 
or(cid:159)US(cid:159)dollars depending(cid:159)on the location of 
the Non-executive Director. If appropriate, fees 
may be set and paid in alternative currencies.

Annual fees are currently as follows:

£63,000 in cash plus £3,150 in shares; or

$120,000 in cash plus $6,000 in shares.

Chairman fee:

£400,000 plus £20,000 in shares 
(to(cid:159)April 2014).

£300,000 plus £100,000 in shares 
(from April 2014).

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Fee for Senior Independent Director and Committee Chairmen
To compensate Non-executive Directors for the 
additional time spent as Committee Chairmen 
or(cid:159)as the Senior Independent Director.

A (cid:178) xed fee is paid, which is 
reviewed periodically.

Whilst it is not expected to increase the fees 
paid(cid:159)to the Non-executive Directors and the 
Chairman by more than the(cid:159)increases paid 
to(cid:159)employees generally, in exceptional 
circumstances, higher fees might 
become payable.

The total maximum aggregate fees payable to 
the Non-executive Directors will not exceed 
£1.5m(cid:159)as set out in the Company’s articles 
of(cid:159)association. 

£15,000 in cash; or

$27,000 in cash.

Whilst it is not expected that the fees paid to 
the(cid:159)Senior Independent Director or Committee 
Chairman will exceed the(cid:159)increases paid to 
employees generally, in exceptional 
circumstances, higher fees might 
become payable.

Intercontinental travel fee
To compensate Non-executive Directors 
for(cid:159)the(cid:159)time spent travelling to attend meetings 
in(cid:159)another continent.

A (cid:178) xed fee is paid, which is 
reviewed periodically.

£3,500 in cash; or

$7,000 in cash.

Whilst it is not expected to increase these fees 
by more than the increases paid to employees 
generally, in exceptional circumstances, higher 
fees might become payable.

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72 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Directors’ remuneration report continued

Notes to Future policy table – Non-executive Directors
Changes to remuneration policy
The Board has altered the policy regarding the payment of Non-executive 
Directors and to the Chairman in one respect in 2013, by introducing the 
payment of a proportion of the fees in the form of shares. The fees paid 
to(cid:159)the Non-executive Directors and to the Chairman were reviewed in 
July(cid:159)2013 and it was agreed that the basic fee should be increased by 5% 
(there having been no increase to these fees since August 2011) and that 
the increase be paid in the form of shares. The amount of the increase 
less applicable taxes was used to purchase shares in the market on 
15 August 2013. Going forward any increase in the level of fees paid to a 
Non-executive Director will be paid in the form of shares until 25% of the 
Non-executive Director’s fee is paid in the form of shares. We have made 
this change in order to align the fees paid to Non-executive Directors with 
the experience of our Shareholders. With the appointment of Roberto 
Quarta as Chairman of the Company with effect from the Annual General 
Meeting, we have taken the opportunity to pay 25% of his fees in the form 
of shares immediately.

Policy on recruitment arrangements
Any new Non-executive Director shall be paid in accordance with the 
current fee levels on appointment, in line with the policy set out above. 
With respect to the appointment of a new Chairman, fee levels will take 
into account market rates, the individual’s pro(cid:178) le and experience, the 
time required to undertake the role and general business conditions. 
In(cid:159)addition, the Remuneration Committee retains the right to authorise 
the(cid:159)payment of relocation assistance or an accommodation allowance 
in(cid:159)the(cid:159)event of the appointment of a Chairman not based within the UK.

Letters of appointment
The Chairman and Non-executive Directors have letters of appointment 
which set out the terms under which they provide their services to the 
Company and are available for inspection at the Company’s registered 
of(cid:178) ce: 15(cid:159)Adam Street, London WC2N 6LA. The appointment of Non-
executive Directors is not subject to a notice period, nor is there any 
compensation payable on loss of of(cid:178) ce, for example, should they not be 
re-elected at an Annual General Meeting. The appointment of the 
Chairman is subject to a(cid:159)notice period of six months.

The Chairman and Non-executive Directors are required to acquire a 
shareholding in the Company equivalent in value to one times their 
basic(cid:159)fee within two years of their appointment to the Board.

Statement of consideration of Shareholder views
This policy report sets out the remuneration policy in relation to Executive 
Directors, which has been in place since 2012. As this policy evolved at 
the end of 2011 and during 2012, we engaged actively with Shareholders 
to explain our remuneration arrangements and to discuss their views 
on(cid:159)our proposals. At the time, Joseph Papa, the Chairman of the 
Remuneration Committee and members of the Senior Executive Team 
met with the holders of around 30% of our shares, including collectively 
with a number of smaller engaged investors, as well as Shareholder 
advisory bodies. We discussed the structure of our remuneration 
package, our policies on termination, recruitment, shareholding 
requirements and the operation of Annual Incentive Plan. The Directors’ 
remuneration report was approved by 96% of Shareholders who voted at 
the Annual General Meeting in 2013 and we received feedback from 
Shareholders around the time of this meeting that they understood and 
approved of our remuneration arrangements. Although the remuneration 
policy has remained essentially unchanged as in previous years, given 
the changes in remuneration reporting, we also conducted an 
engagement programme with our larger Shareholders in 2013. Joseph 
Papa met with the holders of around 20% of our shares, and with a 
number of Shareholder advisory bodies. He has also been available to 
discuss any aspect of our remuneration programme with Shareholders 
throughout the year. The Shareholders who have engaged with us have 
all been supportive of our approach to remuneration, recognising the link 
between the corporate strategy and executive reward. 

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

73

The Implementation Report
The Remuneration Committee presents the Annual report on remuneration, (the ‘Implementation Report’), which together with the annual 
statement will be put to shareholders as an advisory vote at the Annual(cid:159)General Meeting to be held on 10 April 2014.

Key activities of the Remuneration Committee in 2013 were:
 – Determination of remuneration packages and termination arrangement 

for certain Executive Of(cid:178) cers

 – Development of revised reporting style on remuneration in line with the 

new reporting regulations

 – Reviewed Executive service contracts
 – Reviewed and revised the performance measures applying to our 

Performance Share Programme

 – Monitored the use of shares required for our employee share plans to 

ensure they remained within the dilution limits

 – Monitored adherence by executives to our shareholding guidelines
 – Approved the remuneration package for Roberto Quarta, our 

Chairman(cid:159)Elect

 – Reviewed and approved remuneration arrangements for various 

Executive Of(cid:178) cers

 – Amended the terms of reference of the Remuneration Committee to 

re(cid:179) ect new reporting regulations

 – Met with key Shareholders to discuss remuneration matters.

The Implementation Report sets out both what we have paid our Directors 
in 2013 and what we intend to pay them in 2014.

Remuneration Committee
The Chairman of the Remuneration Committee is Joseph Papa and 
the(cid:159)remaining members of the Remuneration Committee are Baroness 
Virginia Bottomley, Pamela Kirby, Brian Larcombe and Richard De 
Schutter, all of whom are independent Non-executive Directors and 
served throughout the year.

From time to time, other members of the Board attended meetings of 
the(cid:159)Remuneration Committee by invitation. In addition, the meetings 
are(cid:159)also attended by Susan Swabey, Company Secretary, Helen Maye, 
Chief(cid:159)Human Resources Of(cid:178) cer and Bob Newcomb, SVP Global 
Rewards. Members of the Board and the Executive Team left any 
meeting(cid:159)at which their own remuneration was discussed.

During the year the Remuneration Committee met (cid:178) ve times and agreed 
three matters by written resolution. Our main responsibilities are:
 – Determination of remuneration policy for Executive Directors and 

senior executives

 – Approval of individual remuneration packages for Executive Directors 
and Executive Of(cid:178) cers at least annually and any major changes to 
individual packages throughout the year

 – Determination of the use of long-term incentive plans and oversee 

the(cid:159)use of shares in all executive and all-employee plans

 – Approval of appropriate performance measures for short-term 
and(cid:159)long-term incentive plans for Executive Directors and 
senior(cid:159)executives

 – Determination of pay-outs under short-term and long-term incentive 

plans for Executive Directors and senior executives

 – Approval of Directors’ Remuneration Report ensuring compliance 

with related governance provisions

 – Continuance of constructive engagement on remuneration issues 

with Shareholders

 – Consideration of remuneration policies and practices across 

the Group.

During the year, the Remuneration Committee received information and 
advice from Towers Watson, an independent executive remuneration 
consultancy (cid:178) rm appointed by the Remuneration Committee in 2011 
following a full tender process. They(cid:159)provided advice on market trends 
and remuneration issues in general, attended Remuneration Committee 
meetings, assisted in the review of the Director’s Remuneration Report 
and in determining the third performance measure for the Performance 
Share Programme. The fees paid to Towers Watson for Remuneration 
Committee advice during 2013, charged on a time and expense basis, 
totalled £59,538. Towers Watson also provided other human resources 
and compensation advice to the Company for the level below the Board. 
Towers Watson comply with the Code of Conduct in relation to Executive 
Remuneration Consulting in the United Kingdom and the Remuneration 
Committee is satis(cid:178) ed that their advice is objective and independent.

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74 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Directors’ remuneration report continued

Single total (cid:178) gure on remuneration – Executive Directors

Fixed pay

Annual 
variable pay

Hybrid

Long-term variable pay

Other items in the nature 
of(cid:159)remuneration

Payment in 
lieu of 
pension

Taxable 
bene(cid:178) ts

Annual 
Incentive 
Plan – cash

Annual 
Incentive 
Plan – equity

Performance 
Share Plan

Share 
Option Plan

All-Employee 
Share Plans

One-off 
awards

Total

Director

Base salary

Olivier Bohuon
Appointed 1 April 2011

2013

2012

$1,425,559

$427,668

$107,160

$1,793,584

$933,410

$1,394,190

$418,257

$482,815

$1,755,285

$906,224

Julie Brown
Appointed 4 February 2013

2013

$708,450

$212,536

$22,510

$858,978

$390,800

$0

–

–

$0

–

–

–

– $4,687,381

– $4,956,771

–

$5,684 $838,266 $3,037,224

These (cid:178) gures have been calculated as follows:

Base salary: the actual salary receivable for the year.

Payment in lieu of pension: the value of the salary supplement paid by the Company in lieu of a pension.

Bene(cid:178) ts: the gross value of all taxable bene(cid:178) ts (or bene(cid:178) ts that would be taxable in the UK) received in the year. Prior years are restated to re(cid:179) ect 
amounts not known at the date of signing the previous annual report.

Annual Incentive Plan – cash: the value of the cash incentive payable for performance in respect of the relevant (cid:178) nancial year.

Annual Incentive Plan – equity: the value of the equity element awarded in respect of performance in the relevant (cid:178) nancial year, but subject to an 
ongoing performance test as described on pages 66 and 67 of this(cid:159)report.

Performance Share Plan: the value* of shares vesting that were subject to performance over the three-year period ending on 31 December in the 
relevant (cid:178) nancial year.

Share Option Plan: the embedded gain* of options vesting that were subject to performance over the three-year period ending on 31 December in 
the relevant (cid:178) nancial year.

All-Employee Share Plans: the gain on the date of grant for SAYE awards (these are only subject to an employment condition and therefore the total 
value is captured in the year of grant), re(cid:179) ecting the 20% discount at which options are granted in the relevant (cid:178) nancial year.

One-off awards: the total face value of shares awarded to Julie Brown on appointment in 2013 as described on pages 66 and 67 of this report (these 
awards are only subject to an employment condition and therefore the total value is captured in the year of award).

Total: the sum of the above elements.

*  Awards and options granted in 2011 subject to a three-year performance period ending on 31 December 2013 have lapsed. 
The amounts have been converted into US$ for ease of comparability using the exchange rates of £ to US$1.5632 and € to US$1.3278.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

75

Base salary
With effect from 1 April in each year Executive Directors were paid the 
following base salaries:

Annual Incentive Plan
During 2013, the Annual Incentive Plan for Executive Directors was 
based(cid:159)in the achievement of speci(cid:178) c (cid:178) nancial and business objectives 
as follows:

Olivier Bohuon

Julie Brown

2012

€1,050,000

N/A

2013

€1,081,500

£500,000

In February 2014, we reviewed the base salaries of the Executive 
Directors, having considered general economic conditions and average 
salary increases across the rest of the Group, which have averaged at 
2.8%. The Remuneration Committee has therefore agreed that the 
Executive Directors’ base salaries will increase by 2.8% with effect from 
1 April 2014 to the following:

Financial objectives
Revenue 30%

Trading pro(cid:178) t 30%

Trading cash 10%

Business objectives
R&D investment

Succession planning

Olivier Bohuon

Julie Brown

€1,111,782

Employee engagement

£514,000

Compliance

70%

30%

Payment in lieu of pension 
In 2013, both Olivier Bohuon and Julie Brown received a salary supplement 
of 30% of their basic salary to apply towards their retirement savings, in lieu 
of membership of one of the Company’s pension schemes. The same 
arrangement will apply in 2014.

Bene(cid:178) ts
In 2013, both Olivier Bohuon and Julie Brown received death in service 
cover of seven times basic salary, of which four times salary is payable as 
a lump sum with the balance used to provide for any spouse and 
dependant persons. They also received health cover for themselves and 
their families and a car allowance. Olivier Bohuon also received (cid:178) nancial 
consultancy advice and assistance with travel costs between London and 
Paris. The(cid:159)same arrangements will apply in 2014. The following table 
summarises the value of bene(cid:178) ts on an element-by-element basis 
in(cid:159)respect of 2012 and 2013.

Olivier Bohuon

Adrian 
Hennah

Julie Brown

2012

2013

2012

£16,870

£12,088(i)

£1,439

2013

£1,130

€18,486

€18,050

£21,524

£13,270

Health cover 

Car and fuel 
allowance

Financial 
consultancy advice

£33,751

€25,577

Travel costs

£15,647

£19,407

Relocation costs

£226,893(ii)

£0

–

N/A

N/A

–

N/A

N/A

(i)  Olivier Bohuon is a member of our international healthcare plan.
(ii)  One-off relocation expense relating to relocating Olivier Bohuon from Paris to London. 

Prior years are restated to re(cid:179) ect amounts not known at the date of signing the previous  
annual report.

Development of product portfolio (Olivier Bohuon only)

Shared services (Julie Brown only)

At the end of 2013, the Remuneration Committee conducted an 
assessment of each Executive Director against their (cid:178) nancial and 
business objectives.

Over the period, revenue was $4,351m (ahead of target), trading pro(cid:178) t 
was $987m (ahead of target) and trading cash (cid:179) ow $877m (between 
target and maximum). 

The Board have considered whether it would be in the best interests of 
the Company and its Shareholders to disclose the precise targets agreed 
for each of the performance measures in 2013. The targets for each year 
are set within the context of the Group’s (cid:178) ve-year plan, which is updated 
at least annually. If we were to disclose the precise targets for one year 
of(cid:159)the plan, this would give information to our competitors about our 
long-term plans, which they could use to compete against us, for 
example by re-timing the launch of new products or extension into new 
growth areas. This could be detrimental to our commercial performance 
both in 2014 and going forward. The Board has concluded that even 
though the actual results for 2013 are known and published, it would be 
commercially sensitive to disclose what the precise targets determined 
at(cid:159)the beginning of 2013 were. 

The Remuneration Committee reviewed the performance of Olivier 
Bohuon and Julie Brown against their agreed business objectives for 
2013. The Committee determined that Olivier Bohuon had an outstanding 
year. He led the Group strongly forward in both strategic and commercial 
terms, building and rebalancing the business through investments and 
acquisitions in areas of higher growth whilst delivering growth and 
Shareholder value. The Committee determined that Julie Brown also 
performed to a high standard in 2013. In her (cid:178) rst year as Chief Financial 
Of(cid:178) cer, Julie has strengthened the Group’s (cid:178) nancial platform, processes 
and disciplines, introducing new frameworks and methodologies to 
support the sustained delivery of Smith & Nephew’s strategic priorities. 
It(cid:159)is not possible to disclose the precise personal targets set as a number 
of the measurements continue to apply into 2014 and would be 
commercially sensitive if known by our competitors. The Committee 
did(cid:159)highlight a number of their achievements as follows: 

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76 SMITH & NEPHEW ANNUAL REPORT 2013

CORPORATE GOVERNANCE

Directors’ remuneration report continued

Commentary on 2013 performance

Acquisitions and R&D investment

Olivier Bohuon

Julie Brown

The Remuneration Committee also considered whether to apply the 
multiplier to the annual incentive assessment of Olivier Bohuon and 
Julie(cid:159)Brown and agreed that no multiplier was appropriate in respect of 
2013. In summary the performance of the Executive Directors against the 
targets set for 2013 was therefore as follows:

Signi(cid:178) cantly increased investment 
in organic R&D and, through 
successful M&A, further 
strengthened the Group’s business 
and product pipeline. More closely 
aligned R&D to growth 
opportunities including meeting 
the(cid:159)needs of emerging market 
customers. Increased the rate of 
innovation to support sustainable 
growth and maximise long-term 
value to Shareholders. 

Delivered Capital Allocation 
Framework that ensures highly 
disciplined use of cash; enabling 
focused investment in key areas and 
balance sheet ef(cid:178) ciency. Supported 
the completion of three emerging 
market deals over the year. Return 
on investment assessments 
established for R&D and Capital 
investments to ensure resources 
are(cid:159)allocated to areas that generate 
the best return for business.  

Succession planning

Olivier Bohuon

Julie Brown

Succession plans refreshed for all 
Executive Of(cid:178) cers and top talent 
identi(cid:178) ed, developed and retained 
through signi(cid:178) cant personal 
engagement across the Company.   

Strengthened (cid:178) nance management 
team through providing stretching 
development opportunities for key 
individuals and placement of top 
talent. Completed comprehensive 
Finance Talent Review and 
established succession plans for 
all(cid:159)key (cid:178) nance leadership positions.  

Employee engagement

Olivier Bohuon

Julie Brown

Delivered demonstrable 
improvements from implementation 
of 2012 Employee Survey actions 
and initiated Great places to Work 
in initial tranche of 12 countries.

Increased business knowledge, 
cross-functional alignment, 
empowerment and personal 
development across the (cid:178) nance 
function, ensured employees 
embrace objectives in context 
of(cid:159)Group strategy and pursue 
stretching goals. 

Compliance

Olivier Bohuon

Julie Brown

Consistently demonstrated the 
highest personal ethics, held 
management to these same 
standards, and reinforced 
imperative in all employee 
communications. 

Set the tone from the top with the 
highest personal standards and 
ensured timely and rigorous 
enactment of (cid:178) nancial controls 
on(cid:159)all(cid:159)strategic plans, product 
development and acquisitions. 

Development of product portfolio

Olivier Bohuon

Delivered high cadence of new 
products including (cid:178) rst portfolios 
for the emerging markets, major 
knee platform, Sports Medicine 
advances and 25 Advanced 
Wound Management launches. 

Shared services

Olivier Bohuon 

Not applicable

Julie Brown 

Not applicable

Julie Brown

Initiated a Finance Transformation 
Programme to consolidate shared 
services globally to leverage 
ef(cid:178) ciency across the Group and 
strengthen KPI reporting. 

Below 
threshold

Between 
threshold 
and target

Between 
target 
and 
maximum

Above 
maximum

(cid:22)

(cid:22)

(cid:22)

(cid:22)

(cid:22)

N/A

N/A

Revenue (30%)

Trading pro(cid:178) t (30%)

Trading cash (10%)

Business objectives 
(30%): Olivier Bohuon

Business objectives 
(30%): Julie Brown

Multiplier (+/- 10%): 
Olivier Bohuon

Multiplier (+/- 10%): 
Julie Brown

In summary, as a result of the performance described above, the 
Remuneration Committee determined that the following awards be 
made(cid:159)under the Annual Incentive Plan in respect of performance in 2013:

Executive Director

Cash component

Equity component

% of salary

Amount

% of salary

Amount

Olivier Bohuon

125% €1,350,794

65% €702,975

Julie Brown

110% £549,500

50% £250,000

As both Olivier Bohuon and Julie Brown achieved the targets set them 
in(cid:159)2013, the (cid:178) rst tranche of Equity Incentive Award made in 2013 and the 
second tranche of the Equity Incentive Award made in 2012 (to Olivier 
Bohuon only) will vest.

Annual Incentive Plan 2014
The Remuneration Committee has also reviewed the Annual Incentive 
Plan arrangements for 2014 and has determined that the following 
performance measures and weightings will apply to the (cid:178) nancial 
objectives as in 2013. The business objectives for the Executive(cid:159)Directors 
for 2014 will therefore be as follows:

Financial objectives

Revenue 30%

Trading pro(cid:178) t 30%

Trading cash 10%

Business objectives

Reinvestment 

Business 

People

Customer

Olivier Bohuon

Julie Brown 

70%

70%

Olivier Bohuon

Julie Brown 

5%

25%

10%

20%

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

77

The Board has determined that the disclosure of performance targets 
at(cid:159)this time is commercially sensitive. As explained on page 75, these 
targets are determined within the context of a (cid:178) ve-year plan and the 
disclosure of these targets could give information to our competitors 
about details of our strategy which would enable them to compete 
more(cid:159)effectively with us to the detriment of our performance.

For the (cid:178) nancial performance measures, ‘Target’ is set at target 
performance as approved by the Board in the Budget for 2014. ‘Threshold’ 
and ‘Maximum’ are set at -/+ 3% from the target for revenue and trading 
pro(cid:178) t measures and -/+ 10% for the cash (cid:179) ow measure.

Details of awards made under the Equity Incentive 
Programme
Details of conditional awards over shares, granted as part of the Annual 
Equity Incentive Programme to Executive Directors under the rules of 
the(cid:159)Global Share Plan 2010 in 2013 are shown below. The performance 
conditions and performance periods applying to these awards are 
detailed above.

Number of shares 
under award

Date of vesting

Date granted

Olivier Bohuon 

7 March 2013

82,423 ordinary shares

1(cid:174)3 on 7 March 2014, 
1(cid:174)3 on 7 March 2015 and 
1(cid:174)3 on 7 March(cid:159)2016

No awards were made to Julie Brown under the Equity Incentive 
Programme in 2013, as she was not an employee in 2012 and did not 
participate in the programme in 2013. The exact awards granted in 2014 
in respect of service in 2013 will be disclosed in the 2014 Annual Report. 

Performance Share Programme – grants
Performance share awards in 2013 were made to Executive Directors 
under the Global Share Plan 2010 to a maximum value of 190% of salary 
(95% for target performance). Performance will be measured over the 
three (cid:178) nancial years beginning in 2013 and will vest subject to 
performance and continued employment in 2016.

50% of the award will vest based on the Company’s Total Shareholder 
Return (TSR) performance relative to a bespoke peer group of companies 
in the medical devices sector over a three-year period commencing 
1 January 2013 as follows: 

Relative TSR ranking

Award vesting as % of salary

Below median

Median

Upper quartile

Nil

23.75%

95%

Awards will vest on a straight-line basis between these points. If the 
Company’s TSR performance is below median, none of this part of the 
award will vest.

The Group’s TSR performance and its performance relative to the 
comparator group is independently monitored and reported to the 
Remuneration Committee by Towers Watson. TSR is calculated in 
common currency using a three-month averaging period at the start 
and(cid:159)end of the performance period. The Committee has established 
protocols for dealing with companies that cease to be listed or merger 
and acquisition activity within the peer group.

The remaining 50% of the award is subject to cumulative free cash 
(cid:179) ow(cid:159)performance. Free cash (cid:179) ow is de(cid:178) ned as net cash in(cid:179) ows from 
operating activities, less capital expenditure. Free cash (cid:179) ow is the 
most(cid:159)appropriate measure of cash (cid:179) ow performance because it relates 
to(cid:159)the cash generated to (cid:178) nance additional investment in business 
opportunities, debt repayments and distributions to Shareholders. 
This(cid:159)measure includes signi(cid:178) cant elements of operational and 
(cid:178) nancial(cid:159)performance and helps to align Executive Director awards 
with(cid:159)shareholder value creation.

The 50% of the 2013 award subject to free cash (cid:179) ow performance will 
vest as follows:

Cumulative free cash (cid:179) ow

Award vesting as % of salary

Below $1.55bn

$1.55bn

$1.78bn

$2.01bn or more

Nil

23.75%

47.5%

95%

Performance Share Programme 2014
Performance share awards will be made in 2014 to Executive Directors 
under the Global Share Plan 2010 to a maximum value of 190% of salary 
(95% for target performance). Performance will be measured over the 
three (cid:178) nancial years beginning in 2014 and will vest subject to 
performance and continued employment in 2017. Vesting will be subject 
to three performance measures. 50% of the award will be subject to free 
cash (cid:179) ow performance, 25% to revenue in Emerging & International 
Markets and 25% to TSR. 

Free cash (cid:179) ow is de(cid:178) ned as net cash in(cid:179) ows from operating activities, 
less capital expenditure. Free cash (cid:179) ow is the most appropriate measure 
of cash (cid:179) ow performance because it relates to the cash generated to 
(cid:178) nance additional investment in business opportunities, debt 
repayments and distributions to Shareholders. This measure includes 
signi(cid:178) cant elements of operational and (cid:178) nancial performance and helps 
to align Executive Director awards with Shareholder value creation.

The 50% of the award that will be subject to free cash (cid:179) ow performance 
will vest as follows:

Cumulative free cash (cid:179) ow

Award vesting as % of salary

Below $1.64bn

$1.64bn

$1.88bn

$2.12bn or more

Nil

23.75%

47.5%

95%

The bespoke peer group for the 2013 awards comprises of the following 
companies: Arthrocare, Baxter, Becton Dickinson, Boston Scienti(cid:178) c, 
CR(cid:159)Bard, Coloplast, Conmed, Covidien, Edwards LifeSciences, Medtronic, 
Nobel Biocare, Nuvasive, Ortho(cid:178) x, Stryker, St Jude Medical, Wright 
Medical and Zimmer.

Awards will vest on a straight-line basis between these points. 

Revenue in Emerging & International Markets is de(cid:178) ned as cumulative 
revenue over a three-year period commencing 1 January 2014 from our 
Emerging & International Markets. 

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78 SMITH & NEPHEW ANNUAL REPORT 2013

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Directors’ remuneration report continued

The 25% of the award that will be subject to revenue in Emerging & 
International Market performance will vest as follows:

Revenue in Emerging & 
International(cid:159)Markets

Below Threshold

Threshold

Target

Maximum or above

Award vesting as % of salary

Nil

11.875%

23.750%

47.500%

It is not possible to disclose precise targets for revenue growth in 
Emerging & International Markets, as this will give commercially sensitive 
information to our competitors concerning our growth plans in Emerging 
& International Markets, which they could use against us to launch new 
products and enter new markets. This would be detrimental to our 
business in the Emerging & International Markets, which are key to our 
success overall. ‘Target’ is set at target cumulative revenue from Emerging 
& International Markets in the corporate plan approved by the Board for 
the three years commencing 1 January 2014. ‘Threshold’ and ‘Maximum’ 
are set at -/+ 15% from target.

25% of the award will vest based on the Company’s Total Shareholder 
Return (TSR) performance relative to a bespoke peer group of companies 
in the medical devices sector over a three-year period commencing 
1 January 2014 as follows:

Relative TSR ranking

Award vesting as % of salary

Below median

Median

Upper quartile

Nil

11.875%

47.500%

Awards will vest on a straight line basis between these points. If the 
Company’s TSR performance is below median, none of this part of the 
award will vest.

The bespoke peer group for the 2014 awards comprises of the following 
companies: Arthrocare, Baxter, Becton Dickinson, Boston Scienti(cid:178) c, 
CR(cid:159)Bard, Coloplast, Conmed, Covidien, Edwards LifeSciences, Medtronic, 
Nobel Biocare, Nuvasive, Ortho(cid:178) x, Stryker, St Jude Medical, Wright 
Medical and Zimmer. 

The Group’s TSR performance and its performance relative to the 
comparator group is independently monitored and reported to the 
Remuneration Committee by Towers Watson. TSR is calculated in 
common currency using a three-month averaging period at the start 
and(cid:159)end of the performance period. The Committee has established 
protocols for dealing with companies that cease to be listed or merger 
and acquisition activity within the peer group.

Vesting of share options and awards made in 2010
In 2013, the Remuneration Committee also reviewed the vesting 
of(cid:159)conditional awards made to Executive Directors under the 
2004(cid:159)Performance Share Plan and share options granted under 
the(cid:159)2004 Executive Share Option Plan in 2010.

Vesting of the conditional share awards made in 2010 was linked to 
adjusted EPS (‘EPSA’) growth, and the number of shares could then be 
increased subject to TSR performance relative to the major companies in 
the medical devices industry. EPSA growth over the three years ended 
31 December 2012 was 18.7% (adjusted for the Bioventus transaction) 
against the compounded market growth rate of 11.7%. Over the same 
period, the Company was ranked 10th out of 19 companies in the medical 
devices comparator group, which meant that the multiplier of one was 
applied to the number of shares vesting under the EPSA target. 

The awards made to Adrian Hennah in 2010 lapsed on his leaving 
the(cid:159)Company. The award made in 2010 to David Illingworth, a former 
Executive Director vested on 1 March 2013 at 26%. The current 
Executive(cid:159)Directors did not receive awards in 2010, which was prior 
to(cid:159)their(cid:159)appointments to the Board at the Company.

Vesting of the share options were subject to TSR performance relative 
to(cid:159)the major companies in the medical devices industry. Over the three 
years ended 31 December 2012, the Company was ranked 10th out of 19 
companies in the medical devices comparator group, which meant that 
the options vested at 33%. The share option granted in 2010 to Adrian 
Hennah lapsed on his leaving the Company. The share option granted in 
2010 to David Illingworth, a former Executive Director, vested on 
9 September 2013.

Vesting of share options and awards made in 2011
Since the end of the year, the Remuneration Committee has reviewed 
the(cid:159)vesting of conditional awards made to Executive Directors under 
the(cid:159)2004 Performance Share Plan and share options granted under 
the(cid:159)2004 Executive Share Option Plan in 2011.

Vesting of the conditional awards made in 2011 was linked to EPSA 
growth, and the number of shares could then be increased subject to 
TSR(cid:159)performance relative to the major companies in the medical devices 
industry. EPSA growth over the three years ended 31 December 2013 was 
4%. This was well below the threshold for awards to vest. Over the same 
period, the Company was ranked 12th out of 19 companies in the(cid:159)medical 
devices comparator group, which meant that no multiplier was applied to 
the number of shares vesting under the EPSA target. The awards made to 
Adrian Hennah in 2011 lapsed on his leaving the Company. The award 
made in 2011 to Olivier Bohuon has therefore lapsed. 

Vesting of the share options were subject to TSR performance relative 
to(cid:159)the major companies in the medical devices industry. Over the three 
years ended 31 December 2013, the Company was ranked 12th out of 19 
companies in the medical devices comparator group, which meant that 
the options lapsed. The share option granted to Adrian Hennah in(cid:159)2011 
lapsed on his leaving the Company. The share option granted in 2011 to 
Olivier Bohuon has therefore lapsed. 

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

79

Remuneration arrangements for Julie Brown
On appointment as Chief Financial Of(cid:178) cer and Director on 4 February 2013, Julie Brown’s salary was set at £500,000 with her other bene(cid:178) ts and 
ongoing incentive opportunities in line with the Smith & Nephew remuneration policy.

In addition to participation in the standard Smith & Nephew incentive plans, the Remuneration Committee made a one-off award over 75,000 shares 
which were valued at £536,250 on the date of grant. These shares will vest in three equal tranches in February 2014, 2015 and(cid:159)2016 subject to 
continued employment. In making this award the Committee was informed by the value of share awards that Julie Brown was forfeiting at her previous 
employer which had a minimum value of(cid:159)£505,000 and a maximum value of £1,434,000 (excluding any share(cid:159)price movement). The Remuneration 
Committee felt it was appropriate to(cid:159)align Julie Brown’s interests with those of our Shareholders immediately(cid:159)and to take into account these awards 
forfeited on joining Smith(cid:159)& Nephew.

Summary of scheme interests awarded during the(cid:159)(cid:178) nancial year

Olivier Bohuon

Basis on which award is(cid:159)made

Number of shares

Face value Number of shares

82,423

–

€682,500

–

–

–

Julie Brown

Face value

–

–

Annual Equity Incentive Award (see pages 66 and 67)
65% base salary at maximum

50% base salary at target

Performance Share Award (see pages 66 and 67) 
190% base salary at(cid:159)maximum

95% base salary at(cid:159)target 
Share award granted on(cid:159)joining Company in compensation (see pages 66 and 67)
Compensation for shares forfeited at former employer

120,464

€997,500

–

–

75,000

£536,250

240,928

€1,995,000

132,866

66,433

£950,000

£475,000

Please see policy table on pages 66 and 67 for details of how the above plans operate. The number of shares is calculated using the closing share 
price on the day before the grant which for the awards granted on 7 March 2013 was £7.15. 

Details of awards made under the Performance Share(cid:159)Programme
Details of conditional awards over shares, granted to Executive Directors subject to performance conditions are shown below. These awards were 
granted under the 2004 Performance Share Plan in 2011 and under the Global Share Plan 2010 in 2012 and 2013. The performance conditions and 
performance periods applying to these awards are detailed on pages 66 and 67.

Director

Olivier Bohuon

Julie Brown

Date granted

Number of ordinary shares under award

7 September 2011 (i)

8 March 2012

7 March 2013

7 March 2013

227,547 

267,304 

240,928 

132,866 

Date of vesting

7 September 2014 

8 March 2015 

7 March 2016 

7 March 2016 

(i)  On 6 February 2014 100% of the award granted to Olivier Bohuon lapsed following completion of the performance period. 

Details of option grants under the All-Employee ShareSave Plan
Details of options held by Directors are shown below. These options were granted under the Smith & Nephew Sharesave Plan (2012). 

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Director

Julie Brown

Date granted

Number of shares 
under option

Date of vesting

Exercise period

Option price

17 September 2013 

2,400 ordinary shares

1 November 2018

1 November 2018 to 
30 April 2019

£6.25

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Directors’ remuneration report continued

Details of one-off awards
Details of awards granted to Executive Directors on joining to Company to compensate them for shares forfeited on leaving their former companies 
are(cid:159)shown below. These awards are made under Listing Rule 9. There are(cid:159)no performance conditions attaching to these shares other than continued 
service. 

Director

Olivier Bohuon

Julie Brown

Date granted

1 April 2011

7 March 2013

Number of shares under award

66,666 ordinary shares

25,000 ordinary shares

25,000 ordinary shares 

Date of vesting

1 April 2014

4 February 2015

4 February 2016

Single total (cid:178) gure on remuneration – Chairman and Non-executive Directors

Director

Basic annual fee (i)

2012

2013

Sir John Buchanan

£400,000

£420,000

Senior Independent 
Director/Committee 
Chairman fee

2012

n/a

2013

n/a

£63,000

£45,150

£66,150

£66,150

n/a

$126,000

£15,000

£15,000

n/a

n/a

n/a

n/a

Intercontinental travel fee

2012

2013

2012

Total

2013

£7,000

£7,000

£7,000

£0

£407,000

£420,000

£7,000

£7,000

£85,000

£52,150

£88,150

£73,150

n/a

$28,000

n/a

$154,000

£63,000

£63,000

£66,150

£66,150

£15,000

£15,000

n/a

n/a

£7,000

£7,000

£7,000

£7,000

£85,000

£70,000

£88,150

£73,150

$120,000

$126,000

$27,000

$27,000

$42,000

$28,000

$189,000

$181,000

Roberto Quarta (iii)

n/a

£4,846

£63,000

£66,150

n/a

n/a

n/a

n/a

£10,500

£10,500

£73,500

£76,650

n/a

n/a

n/a

£4,846

Richard De Schutter

$120,000

$126,000

$27,000

$27,000

$42,000

$35,000

$189,000

$188,000

(i)  The basic annual fee includes shares purchased for the Chairman and Non-executive Directors in lieu of part of their annual fees details of which can be found in the table on page 71. 
(ii)  Appointed 11 April 2013.
(iii)  Appointed 4 December 2013.
(iv)  Total Executive and Non-executive Directors’ emoluments for 2013 amounted to $7,368,000 (2012 – $7,838,000).

Ian Barlow

Baroness Bottomley 

Michael Friedman (ii)

Pamela Kirby

Brian Larcombe

Joseph Papa

Ajay Piramal 

SMITH & NEPHEW ANNUAL REPORT 2013
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81

Chief Executive Of(cid:178) cer’s remuneration compared to employees generally
The percentage change in the remuneration of the Chief Executive Of(cid:178) cer between 2012 and 2013 compared to that of all employees 
generally is as follows:

Chief Executive Of(cid:178) cer

Average for all employees*

Base salary

% change
2013

3.0

3.0

Bene(cid:178) ts

Annual cash bonus

% change
2013

-77.8

N/A

% change
2013

2.2

N/A

*   The average cost of wages and salaries for employees generally rose by 6.86% in 2013 (see Notes 2.4 and 3.1 of the Notes to the Group accounts). Figures for annual cash bonuses are 

included in the numbers.

Payments made to past Directors
David Illingworth received $230,531 following the vesting of his 2010 Performance Share award on 1 March 2013 and $83,384 following the exercise of 
his 2010 option which vested on 9 September 2013. No other payments have been made in 2013 to former Directors of the Company.

Payments for loss of of(cid:178) ce
No payments were made in respect of a Director’s loss of of(cid:178) ce in 2013.

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82 SMITH & NEPHEW ANNUAL REPORT 2013

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Directors’ remuneration report continued

Directors’ interests in ordinary shares
Bene(cid:178) cial interests of the Executive Directors in the ordinary shares of the Company are as follows:

1 January 2013 (or(cid:159)date 
of appointment) if later

31 December 2013 
(or(cid:159)date of retirement) 
if(cid:159)earlier

24 February 2014 (i)

1 January 2013 
(or date of 
appointment) if later

31 December 2013 
(or(cid:159)date of retirement) 
if(cid:159)earlier

24 February 2014 (i)

Olivier Bohuon

Julie Brown

Ordinary shares

Share options (v)

Performance Share 
Awards (ii)

Equity Incentive 
Awards (ii)

Other awards

37,015

151,698

494,851

91,446

133,333

111,238

151,698

111,238 (iii)

0

735,779

508,232

143,387

66,666

143.387

66,666

(i)  The latest practicable date for this Annual Report.
(ii)  These share awards are subject to further performance conditions before they may vest, as detailed on pages 66 and 67.
(iii)  The ordinary shares held by Olivier Bohuon on 24 February 2014 represents 120% of his base annual salary.
(iv)  The ordinary shares held by Julie Brown on 24 February 2014 represents 48% of her base annual salary.
(v)  This option was granted under the Smith & Nephew Sharesave Plan (2012).

0

0

0

0

0

0

2,400

25,000 (iv)

2,400

132,866

132,866

0

75,000

0

50,000

In addition, Olivier Bohuon holds 50,000 deferred shares. Following the redenomination of ordinary shares into US dollars on 23 January 2006, the Company issued 50,000 deferred shares. 
These shares are normally held by the Chief Executive Of(cid:178) cer and are not listed on any Stock Exchange and have extremely limited rights attached to them.

Bene(cid:178) cial interests of the Chairman and Non-executive Directors in the ordinary shares of the Company are as follows:

1 January 2013 (or date 
of appointment) if later

31 December 2013 
(or date of retirement) 
if earlier

24 February 2014 (i)

Shareholding as % of (annual fee 
for(cid:159)Non-executive Directors) (ii)

Director

Sir John Buchanan

Ian Barlow

Baroness Bottomley

Michael Friedman

Pamela Kirby

Brian Larcombe

Joseph Papa

Ajay Piramal

Roberto Quarta

162,695

18,000

17,500

0

15,000

40,000

12,500

0

0

166,337

166,337

18,232

17,820

8,624

15,232

40,212

12,799

240

0

18,232

17,820

8,624

15,232

40,212

12,799

240

0

380.2

264.6

258.6

109.5

221.1

583.6

162.5

3.5

0

1527.6

Richard De Schutter

220,000

220,299

220,299

(i)  The latest practicable date for this Annual Report.
(ii)  Calculated using the closing share price of 960p per ordinary shares and $80.00 per ADS on 24 February 2014, and an exchange rate of £1/$ 1.6631.
(iii)  Michael Friedman, Joseph Papa and Richard De Schutter hold some of their shares in the form of ADS.

The total holdings of the Directors represents less than 1% of the ordinary share capital of the Company.

The register of Directors’ interests, which is open to inspection at the Company’s registered of(cid:178) ce, contains full details of Directors’ shareholdings.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

83

Relative importance of spend on pay
The following table sets out the total amounts spent in 2013 and 2012 on remuneration, the attributable pro(cid:178) t for each year and the dividends declared 
and paid in each year:

Attributable pro(cid:178) t for the year

Dividends paid during the(cid:159)year

Share buyback

Total Group spend on remuneration

For the year to 31 December 2013

For the year to 31 December 2012

$556m

$239m

$226m

$998m

$721m (i)

$186m

N/A

$886m

% change

-22.88

28.49

N/A

12.64

(i)  Attributable pro(cid:178) t for 2012 has been restated following the adoption of the revised IAS 19 Employee Bene(cid:178) t standard. See Note 1 of the Notes to the Group accounts. 

Total Shareholder Return
A graph of the Company’s TSR performance compared to that of the FTSE 100 index is shown below in accordance with Schedule 8 to the Regulations. 

FIVE YEAR TOTAL SHAREHOLDER RETURN 
(MEASURED IN UK STERLING, BASED ON MONTHLY SPOT VALUES)

120

100

80

60

40

20

0

-20

-40

-60

Dec 2008

Source: DataStream

Jan 2010

Jan 2011

Jan 2012

Jan 2013

Smith & Nephew

FTSE 100

However, as we compare the Company’s performance to a tailored sector peer group of medical devices companies (see page 77), when considering 
TSR performance in the context of the 2004 Performance Share Plan and the Global Share Plan 2010, we feel that the following graph showing the TSR 
performance of this peer group is also of interest. 

FIVE YEAR TOTAL SHAREHOLDER RETURN 
(MEASURED IN US DOLLARS, BASED ON MONTHLY SPOT VALUES)

160

140

120

100

80

60

40

20

0

-20

-40

-60

Dec 2008

Jan 2010

Jan 2011

Jan 2012

Jan 2013

Source: DataStream
Medical Devices comparators for awards made since 2012

Smith & Nephew

Medical Devices

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Directors’ remuneration report continued

Table of historic data
The following table details information about the pay of the Chief Executive Of(cid:178) cer in the previous (cid:178) ve years. 

Year

2013

2012

2011

2011

2010

2009

Chief Executive Of(cid:178) cer

Olivier Bohuon

Olivier Bohuon

Olivier Bohuon (i)(iii)

David Illingworth (ii)

David Illingworth

David Illingworth

Long-term incentive vesting rates against 
maximum opportunity

Single (cid:178) gure of 
total remuneration

Annual cash incentive 
payout against maximum 
%

Performance 
shares 
%

$4,687,381

$4,956,771

$7,442,191

$3,595,787

$4,060,707

$4,406,485

84

84

68

37

57

59

N/A

N/A

N/A

27

70

46

Options 
%

N/A

N/A

N/A

27

61

59

(i)  Appointed Chief Executive Of(cid:178) cer on 1 April 2011.
(ii)  Resigned as Chief Executive Of(cid:178) cer on 1 April 2011.
(iii)  Includes recruitment award of €1,400,000 cash and a share award over 200,000 shares valued at €1,410,000 on grant. 
(iv)   Prior years are restated to re(cid:179) ect amounts not known at the date of signing the previous annual report.

Implementation of remuneration policy in 2014
The Remuneration Committee proposes to make no changes to the way that the remuneration policy is implemented in 2014 from how it was 
implemented in 2013, other than increasing base salaries in line with the salary increases across the Group as explained on page 75 and(cid:159)setting new 
targets for the Annual Incentive Plan and the Performance Share Programme as explained on page 77 to 78.

Statement of voting at Annual General Meeting held in 2013
At the Annual General Meeting held on 11 April 2103, votes cast by proxy and at the meeting and votes withheld in respect of the Directors’ 
remuneration were as follows:

Resolution

Votes for

% for

Votes against

% against Total votes validly(cid:159)cast

Votes withheld

Approval of the Directors’ 
remuneration report

613,386,066

96.5

22,233,539

3.5

635,619,605

14,465,350

In future years, voting information will be provided in respect of the votes in respect of the remuneration policy report and the Annual Report on 
Remuneration (the Implementation Report). 

In 2013, Joseph Papa, the Chairman of the Remuneration Committee, met with Shareholders holding 20% of the share capital to(cid:159)discuss remuneration 
policies and plans. In addition, we contacted a further three Shareholders representing 8% of the share capital summarising the discussions held with 
the Shareholders we met. Although our remuneration policies and practices have not changed materially since 2012, we wanted to(cid:159)discuss the impact 
of the new reporting regulations with our investors to ensure that we addressing the issues they wanted us to. We had some useful discussions, as a 
result of which, we have re-worded some sections to improve clarity. The Shareholders we met were broadly supportive of our 
remuneration arrangements.

Other remuneration matters
Senior Management remuneration
The Group’s administrative, supervisory and management body 
(‘the(cid:159)Senior Management’) is comprised, for US reporting purposes, 
of(cid:159)Executive Directors and Executive Of(cid:178) cers. Details of the current 
Executive Directors and Executive Of(cid:178) cers are given on pages 44 to 47.

In respect of the (cid:178) nancial year 2013, the total compensation (excluding 
pension emoluments but including cash payments under the 
performance-related incentive plans) paid to the Senior Management 
for(cid:159)the year was $13,534,000 (2012 – $15,249,000, 2011 – $17,403,000), 
the total compensation for loss(cid:159)of of(cid:178) ce was $Nil (2012 – $Nil, 2011 – 
$1,161,000), the aggregate increase in accrued pension scheme bene(cid:178) ts 
was $257,000 (2012 – increase of $229,000, 2011 – increase of $387,000) 
and the aggregate amounts provided for under the supplementary 
schemes was(cid:159)$414,000 (2012 – $537,000, 2011(cid:159)– $711,000).

During 2013, Senior Management were granted equity incentive awards 
over 263,538 shares, performance share awards over 747,828 shares 
and conditional share awards over 140,000 shares under the Global 
Share Plan 2010 and options over 2,688 shares under the Employee 
ShareSave Plans. As of 24 February 2014, the Senior Management (10 
persons) owned 251,283 shares and 55,904 ADSs, constituting less than 
0.1% of the issued share capital of the Company. Senior Management as 
at this date also held options to purchase 557,858 shares, conditional 
share awards over 223,466 shares, equity incentive awards over 428,538 
shares, performance shares awards over 1,300,234 shares awarded 
under the Global Share Plan 2010; and awards over 4,262 shares and 
1,947 ADSs under the Deferred Bonus Plan.

SMITH & NEPHEW ANNUAL REPORT 2013
CORPORATE GOVERNANCE

85

Dilution headroom
The Remuneration Committee ensures that at all times the number of 
new shares which may be issued under any share based plans, including 
all-employee plans, does not exceed 10% of the Company’s issued share 
capital over any rolling 10-year period (of which up to 5% may be issued to 
satisfy awards under the Company’s discretionary plans). The Company 
monitors headroom closely when granting awards over shares, taking 
into account the number of options or shares that might be expected to 
lapse be forfeited before vesting or exercise. In the event that insuf(cid:178) cient 
new shares are available there are processes in place to purchase shares 
in the market to satisfy vesting awards and to net-settle option exercises.

Over the previous 10 years (2004 to 2013), the number of new shares 
issued under our share plans has been as follows:

All-employee share plans

Discretionary share plans

8,028,215 (0.90% of issued share capital 
as at 24 February 2014)

36,627,154 (4.10% of issued share capital 
as at 24 February 2014)

By order of the Board, on 26 February 2014

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Joseph Papa
Chairman of the Remuneration Committee

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8686 SMITH & NEPHEW ANNUAL REPORT 2013

FINANCIAL STATEMENTS

SMITH & NEPHEW ANNUAL REPORT 2013
FINANCIAL STATEMENTS

87

Financial statements 
& other information

Accounts and other information

Directors’ responsibilities for the accounts

Independent auditor’s US reports

Independent auditor’s UK report

Group accounts

Notes to the Group accounts

Independent auditor’s report for(cid:159)the Company

Company accounts

Notes to the Company accounts

Group information

Other (cid:178) nancial information

Information for shareholders

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We are responsive to the needs of our customers 
and(cid:159)deliver quality and value, creating con(cid:178) dence 
in(cid:159)our(cid:159)performance.

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88

Directors’ responsibilities for the accounts 

The Directors are responsible for preparing the Group and Company 
accounts in accordance with applicable UK law and regulations. As a 
consequence of the Company’s ordinary shares being traded on the 
New York Stock Exchange (in the form of American Depositary 
Shares) the Directors are responsible for the preparation and filing 
of an annual report on Form 20-F with the US Securities and 
Exchange Commission.  

The Directors are required to prepare Group accounts for each 
financial year, in accordance with the International Financial 
Reporting Standards (‘IFRS’) as adopted by the European Union 
which present fairly the financial position of the Group and the 
financial performance and cash flows of the Group for that period. 
In preparing those Group accounts, the Directors are required to:  

−  select suitable accounting policies in accordance with IAS 8 

Accounting Policies, Changes in Accounting Estimates and Errors 
and then apply them consistently;  

−  present information, including accounting policies, in a manner 

that provides relevant, reliable, comparable and understandable 
information;  

−  provide additional disclosures when compliance with the specific 
requirements in IFRS is insufficient to enable users to understand 
the impact of particular transactions, other events and conditions 
on the Group’s financial position and financial performance; and  

−  state that the Group has complied with IFRS, subject to any 

material departures disclosed and explained in the accounts.  

Under UK law the Directors have elected to prepare the Company 
accounts in accordance with UK Generally Accepted Accounting 
Practice (UK Accounting Standards and applicable law), which are 
required by law to give a true and fair view of the state of affairs of 
the Company and of the profit or loss of the Company for that period. 
In preparing the Company accounts, the Directors are required to:  

−  select suitable accounting policies and then apply them 

consistently;  

−  make judgements and estimates that are reasonable and prudent;  
−  state whether applicable UK Accounting Standards have been 
followed, subject to any material departures disclosed and 
explained in the accounts; and  

−  prepare the accounts on a going concern basis unless it is 
inappropriate to presume that the Company will continue in 
business.  

The Directors confirm that they have complied with the above 
requirements in preparing the accounts.  

The Directors are responsible for keeping proper accounting records 
that disclose with reasonable accuracy at any time the financial 
position of the Group and the Company and enable them to ensure 
that the accounts comply with the Companies Act 2006 and, in the 
case of the Group accounts, Article 4 of the IAS Regulation. They are 
also responsible for safeguarding the assets of the Group and the 
Company and hence for taking reasonable steps for the prevention 
and detection of fraud and other irregularities.  

The Directors are responsible for the maintenance and integrity 
of the corporate and financial information included on the Group’s 
website. It should be noted that information published on the 
internet is accessible in many countries with different legal 
requirements. Legislation in the UK governing the preparation 
and dissemination of accounts may differ from legislation in 
other jurisdictions. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
89

Fair, Balanced and Understandable 
As required by the UK Corporate Governance Code, the Directors 
confirm that they consider that the Annual Report, taken as a whole, 
is fair, balanced and understandable and provides the information 
necessary for shareholders to assess the Company’s performance, 
business model and strategy. When arriving at this conclusion the 
Board was assisted by a number of processes including: 

Going concern 
The Group’s business activities, together with the factors likely to 
affect its future development, performance and position are set out 
in the ‘Financial review and principal risks’ section on pages 36 to 41. 
The financial position of the Group, its cash flows, liquidity position 
and borrowing facilities are described under ‘Commentary on the 
Group cash flow statement’ section set out on page 99. 

−  The Annual Report is drafted and comprehensively reviewed by 

appropriate senior management with overall co-ordination by the 
Head of Financial Reporting; 

−  An extensive verification process is undertaken to ensure factual 

accuracy, with third party review by legal advisers; and 
−  The final draft is reviewed by the Audit Committee prior to 

consideration by the Board. 

Directors’ responsibility statement pursuant to 
disclosure and transparency Rule 4 
The Directors confirm that, to the best of each person’s knowledge:  

−  the Group accounts in this report, which have been prepared in 
accordance with IFRS as adopted by the European Union and 
those parts of the Companies Act 2006 applicable to companies 
reporting under IFRS, give a true and fair view of the assets, 
liabilities, financial position and profit of the Group taken as a 
whole;  

−  the Company accounts in this report, which have been prepared 
in accordance with UK Generally Accepted Accounting Practice 
and the Companies Act 2006, give a true and fair view of the 
assets, liabilities, financial position and profit of the Company; and  

−  the ‘Financial review and principal risks’ section and commentary 

on pages 36 to 41 contained in the accounts includes a fair review 
of the development and performance of the business and the 
financial position of the Company and the Group taken as a whole, 
together with a description of the principal risks and uncertainties 
that they face.  

In addition, the Notes to the Group accounts include the Group’s 
objectives, policies and processes for managing its capital; its 
financial risk management objectives; details of its financial 
instruments and hedging activities; and its exposure to credit risk 
and liquidity risk. 

The Group has considerable financial resources and its customers 
and suppliers are diversified across different geographic areas. As 
a consequence, the directors believe that the Group is well placed 
to manage its business risk successfully despite the on-going 
uncertain economic outlook. 

The directors have a reasonable expectation that the Group has 
adequate resources to continue in operational existence for the 
foreseeable future. Thus they continue to adopt the going concern 
basis for accounting in preparing the annual financial statements. 

Management also believes that the Group has sufficient working 
capital for its present requirements. 

Directors’ Report 
The Directors’ Report has been prepared in accordance with the 
requirements of the Companies Act 2006. 

By order of the Board, 26 February 2014  

Susan Swabey  
Company Secretary 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
90

Critical accounting policies 

The Group prepares its consolidated financial statements in 
accordance with IFRS as issued by the IASB and IFRS as adopted 
by the EU, the application of which often requires judgements to 
be made by management when formulating the Group’s financial 
position and results. Under IFRS, the Directors are required to 
adopt those accounting policies most appropriate to the Group’s 
circumstances for the purpose of presenting fairly the Group’s 
financial position, financial performance and cash flows. 

In determining and applying accounting policies, judgement is 
often required in respect of items where the choice of specific 
policy, accounting estimate or assumption to be followed could 
materially affect the reported results or net asset position of the 
Group; it may later be determined that a different choice would 
have been more appropriate. 

The Group’s significant accounting policies are set out in Notes 1 to 
23 of the Notes to the Group accounts. Of those, the policies which 
require the most use of management’s judgement are as follows: 

Inventories 
A feature of the Orthopaedic Reconstruction and Trauma & 
Extremities franchises (whose finished goods inventory makes up 
approximately 79% of the Group total finished goods inventory) is the 
high level of product inventory required, some of which is located at 
customer premises and is available for customers’ immediate use. 
Complete sets of products, including large and small sizes, have to 
be made available in this way. These sizes are used less frequently 
than standard sizes and towards the end of the product life cycle are 
inevitably in excess of requirements. Adjustments to carrying value 
are therefore required to be made to orthopaedic inventory to 
anticipate this situation. These adjustments are calculated in 
accordance with a formula based on levels of inventory compared 
with historical usage. This formula is applied on an individual product 
line basis and is first applied when a product group has been on the 
market for two years. This method of calculation is considered 
appropriate based on experience, but it does involve management 
judgements on customer demand, effectiveness of inventory 
deployment, length of product lives, phase-out of old products and 
efficiency of manufacturing planning systems. 

Impairment 
In carrying out impairment reviews of goodwill, intangible assets and 
property, plant and equipment, a number of significant assumptions 
have to be made when preparing cash flow projections. These 
include the future rate of market growth, discount rates, the market 
demand for the products acquired, the future profitability of acquired 
businesses or products, levels of reimbursement and success in 
obtaining regulatory approvals. If actual results should differ or 
changes in expectations arise, impairment charges may be required 
which would adversely impact operating results. 

Retirement benefits 
A number of key judgements have to be made in calculating the 
fair value of the Group’s defined benefit pension plans. These 
assumptions impact the balance sheet liability, operating profit and 
other finance income/costs. The most critical assumptions are the 
discount rate and mortality assumptions to be applied to future 
pension plan liabilities. For example, as of 31 December 2013, a 
0.5% increase in discount rate would have reduced the combined 
UK and US pension plan deficit by $112m whilst a 0.5% decrease 
would have increased the combined deficit by $123m. A 0.5% 
increase in discount rate would have increased profit before taxation 
by $6m whilst a 0.5% decrease would have decreased it by $6m. 
A one-year increase in the assumed life expectancy of the average 
60 year old male pension plan member in both the UK and US would 
have increased the combined deficit by $42m. In making these 
judgements, management takes into account the advice of 
professional external actuaries and benchmarks its assumptions 
against external data. 

The discount rate is determined by reference to market yields on 
high quality corporate bonds, with currency and term consistent with 
those of the liabilities. In particular for the UK and US, the discount 
rate is derived by reference to an AA yield curve derived by the 
Group’s actuarial advisers. 

See Note 18 of the Notes to the Group accounts for a summary of 
how the assumptions selected in the last five years have compared 
with actual results. 

Contingencies and provisions 
The recognition of provisions for legal disputes is subject to a 
significant degree of estimation. Provision is made for loss 
contingencies when it is considered probable that an adverse 
outcome will occur and the amount of the loss can be reasonably 
estimated. In making its estimates, management takes into account 
the advice of internal and external legal counsel. Provisions are 
reviewed regularly and amounts updated where necessary to reflect 
developments in the disputes. The ultimate liability may differ 
from the amount provided depending on the outcome of court 
proceedings and settlement negotiations or if investigations bring 
to light new facts. 

The Group operates in numerous tax jurisdictions around the world. 
Although it is Group policy to submit its tax returns to the relevant 
tax authorities as promptly as possible, at any given time the Group 
has unagreed years outstanding and is involved in disputes and 
tax audits. Significant issues may take several years to resolve. 
In estimating the probability and amount of any tax charge, 
management takes into account the views of internal and external 
advisers and updates the amount of provision whenever necessary. 
The ultimate tax liability may differ from the amount provided 
depending on interpretations of tax law, settlement negotiations 
or changes in legislation. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
Independent auditor’s US reports 

Report of Independent Registered Public 
Accounting Firm to the Board of Directors 
and Shareholders of Smith & Nephew plc 
We have audited the accompanying Group balance sheets of Smith 
& Nephew plc as of 31 December 2013 and 2012, and the related 
Group income statements, Group statements of comprehensive 
income, Group cash flow statements and Group statements of 
changes in equity for each of the three years in the period ended 
31 December 2013. 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 the standards of the 
Public Company Accounting Oversight Board (United States). 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 
Smith & Nephew plc at 31 December 2013 and 2012, and the 
consolidated results of its operations and its cash flows for each of 
the three years in the period ended 31 December 2013, in conformity 
with International Financial Reporting Standards as issued by the 
International Accounting Standards Board and International Financial 
Reporting Standards as adopted by the European Union. 

We also have audited, in accordance with the standards of the 
Public Company Accounting Oversight Board (United States), 
Smith & Nephew plc’s internal control over financial reporting as of 
31 December 2013, based on criteria established in Internal Control – 
Integrated Framework issued by the Committee of Sponsoring 
Organisations of the Treadway Commission (1992 framework) 
and our report dated 26 February 2014 expressed an unqualified 
opinion thereon. 

Ernst & Young LLP 
London, England 
26 February 2014 

91

Report of Independent Registered Public 
Accounting Firm to the Board of Directors 
and Shareholders of Smith & Nephew plc  
We have audited Smith & Nephew plc’s internal control over financial 
reporting as of 31 December 2013, based on criteria established in 
Internal Control – Integrated Framework issued by the Committee of 
Sponsoring Organisations of the Treadway Commission (1992 
framework), (the COSO criteria). Smith & Nephew plc’s management 
is responsible for maintaining effective internal control over financial 
reporting, and for its assessment of the effectiveness of internal 
control over financial reporting included in the accompanying 
‘Evaluation of Internal Control Procedures’. Our responsibility is to 
express an opinion on the company’s internal control over financial 
reporting based on our audit.  

We conducted our audit in accordance with the standards of the 
Public Company Accounting Oversight Board (United States). Those 
standards require that we plan and perform the audit to obtain 
reasonable assurance about whether effective internal control over 
financial reporting was maintained in all material respects. Our audit 
included obtaining an understanding of internal control over financial 
reporting, assessing the risk that a material weakness exists, testing 
and evaluating the design and operating effectiveness of internal 
control based on the assessed risk, and performing such other 
procedures as we considered necessary in the circumstances. We 
believe that our audit provides a reasonable basis for our opinion. 

A company’s internal control over financial reporting is a process 
designed to provide reasonable assurance regarding the reliability 
of financial reporting and the preparation of financial statements for 
external purposes in accordance with generally accepted accounting 
principles. A company’s internal control over financial reporting 
includes those policies and procedures that (1) pertain to the 
maintenance of records that, in reasonable detail, accurately and 
fairly reflect the transactions and dispositions of the assets of the 
company; (2) provide reasonable assurance that transactions are 
recorded as necessary to permit preparation of financial statements 
in accordance with generally accepted accounting principles, and 
that receipts and expenditures of the company are being made only 
in accordance with authorisations of management and directors of 
the company; and (3) provide reasonable assurance regarding 
prevention or timely detection of unauthorised acquisition, use or 
disposition of the company’s assets that could have a material effect 
on the financial statements. 

Because of its inherent limitations, internal control over financial 
reporting may not prevent or detect misstatements. Also, projections 
of any evaluation of effectiveness to future periods are subject to the 
risk that controls may become inadequate because of changes in 
conditions, or that the degree of compliance with the policies or 
procedures may deteriorate. 

In our opinion, Smith & Nephew plc maintained, in all material 
respects, effective internal control over financial reporting as of 
31 December 2013, based on the COSO criteria. 

We also have audited, in accordance with the standards of the Public 
Company Accounting Oversight Board (United States), the Group 
balance sheets of Smith & Nephew plc as of 31 December 2013 and 
2012, and the related Group income statements, Group statements 
of comprehensive income, Group cash flow statements and Group 
statements of changes in equity for each of the three years in the 
period ended 31 December 2013 of Smith & Nephew plc and our 
report dated 26 February 2014 expressed an unqualified opinion 
thereon. 

Ernst & Young LLP 
London, England 
26 February 2014 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
92

Independent auditor’s UK report 

Independent auditor’s report to the members of 
Smith & Nephew plc 
We have audited the group financial statements of Smith & Nephew 
plc for the year ended 31 December 2013 which comprise the Group 
income statement, the Group statement of comprehensive income, 
the Group balance sheet, the Group cash flow statement, the Group 
statement of changes in equity and the related Notes 1 to 23. The 
financial reporting framework that has been applied in their 
preparation is applicable law and International Financial Reporting 
Standards (‘IFRS’s) as adopted by the European Union.  

This report is made solely to the Company’s members, as a body, 
in accordance with Chapter 3 of Part 16 of the Companies Act 2006. 
Our audit work has been undertaken so that we might state to the 
Company’s members those matters we are required to state to them 
in an auditor’s report and for no other purpose. To the fullest extent 
permitted by law, we do not accept or assume responsibility to 
anyone other than the Company and the Company’s members as 
a body, for our audit work, for this report, or for the opinions we 
have formed. 

Respective responsibilities of directors and auditor  
As explained more fully in the Directors’ responsibilities statement 
set out on pages 88 and 89, the Directors are responsible for the 
preparation of the Group financial statements and for being satisfied 
that they give a true and fair view. Our responsibility is to audit and 
express an opinion on the Group financial statements in accordance 
with applicable law and International Standards on Auditing (UK and 
Ireland). Those standards require us to comply with the Auditing 
Practices Board’s Ethical Standards for Auditors.  

Scope of the audit of the financial statements  
An audit involves obtaining evidence about the amounts and 
disclosures in the financial statements sufficient to give reasonable 
assurance that the financial statements are free from material 
misstatement, whether caused by fraud or error. This includes an 
assessment of: whether the accounting policies are appropriate to 
the Group’s circumstances and have been consistently applied and 
adequately disclosed; the reasonableness of significant accounting 
estimates made by the Directors; and the overall presentation of the 
financial statements. In addition, we read all the financial and non-
financial information in the Annual Report to identify material 
inconsistencies with the audited financial statements and to identify 
any information that is apparently materially incorrect based on, or 
materially inconsistent with, the knowledge acquired by us in the 
course of performing the audit. If we become aware of any apparent 
material misstatements or inconsistencies we consider the 
implications for our report.  

Opinion on financial statements  
In our opinion the Group financial statements:  

−  give a true and fair view of the state of the Group’s affairs as at 
31 December 2013 and of its profit for the year then ended;  

−  have been properly prepared in accordance with IFRSs as adopted 

by the European Union; and  

−  have been prepared in accordance with the requirements of the 

Companies Act 2006 and Article 4 of the IAS Regulation.  

Our assessment of risks of material misstatement  
We identified the following risks that have had the greatest effect 
on the overall audit strategy; the allocation of resources in the audit; 
and directing the efforts of the engagement team:  

−  Recognition and measurement of provisions for legal disputes 
−  Recognition and measurement of provisions for taxation 
−  Existence and valuation of inventory 
−  Timing of revenue recognition and measurement of related 

reserves. 

Our application of materiality  
We determined planning materiality for the Group to be $45million, 
which was approximately 5% of forecast pre-tax profit. This 
provided a basis for identifying and assessing the risk of material 
misstatement and determining the nature, timing and extent of 
further audit procedures.  

On the basis of our risk assessments, together with our assessment 
of the Group’s overall control environment, our judgement was that 
overall performance materiality (i.e. our tolerance for misstatement in 
an individual account or balance) for the Group should be 75% of 
planning materiality, namely $33.75million. Our objective in adopting 
this approach was to reduce to an appropriately low level the 
probability that the aggregate of total undetected and uncorrected 
misstatements for the accounts as a whole did not exceed our 
planning materiality.  

We agreed with the Audit Committee that we would report to the 
Committee all audit differences in excess of $2.25million, as well 
as differences below that threshold that, in our view warranted 
reporting on qualitative grounds.  

An overview of the scope of our audit  
Following our assessment of the risk of material misstatement to 
the Group financial statements, we selected 11 components which 
represent the principal business units within the Group’s two 
reportable segments and account for 70% of the Group’s total 
assets, 65% Group revenue and 81% of the Group’s profit before tax. 
Two of these components were subject to a full audit, whilst the 
remaining nine were subject to a partial audit where the extent of 
audit work was based on our assessment of the risks of material 
misstatement and of the materiality of the Group’s business 
operations at those locations. They were also selected to provide 
an appropriate basis for undertaking audit work to address the 
risks of material misstatement identified above. For the remaining 
components, we performed other procedures to test or assess that 
there were no significant risks of material misstatement in these 
components in relation to the Group financial statements. 

The audit work at the 11 components was executed at levels of 
materiality applicable to each individual entity which were lower 
than Group materiality.  

The Group audit team continued to follow a programme of planned 
visits that has been designed to ensure that the Senior Statutory 
Auditor or his designate visits each of the locations where the Group 
audit scope was focused at least once every two years and the most 
significant of them at least once a year. For all full scope entities, in 
addition to the location visit, the Group audit team reviewed key 
working papers, participated in the component team’s planning 
including the component team’s discussion of fraud and error. The 
Group audit team visited 9 locations in total over the course of the 
current year audit. 

This page does not form part of Smith & Nephew’s Annual Report and Form 20-F as filed with the SEC. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
93

Our response to the risks identified above was as follows: 

−  Recognition and measurement of provisions for legal disputes – 
We obtained legal advice that the Company had received, read 
legal invoices and corresponded directly with external legal 
advisers to assess the appropriateness of the provisions; 
−  Recognition and measurement of provisions for taxation – We 
tested tax calculations and challenged the Company’s transfer 
pricing arrangements, tax planning activities and ongoing tax 
audits to assess the reasonableness of the provisions; 

−  Existence and valuation of inventory – We carried out tests of 
controls over inventory processes, independently counted 
inventory levels at a sample of locations, challenged the 
Company’s plans for launching new product lines and 
discontinuing existing product lines and tested the detailed 
calculations for excess and obsolete inventory to assess the 
inventory balance; 

Under the Companies Act 2006 we are required to report to you if, 
in our opinion:  

−  certain disclosures of Directors’ remuneration specified by law are 

not made; or  

−  we have not received all the information and explanations we 

require for our audit.  

Under the Listing Rules we are required to review:  

−  the Directors’ statement, set out on page 89, in relation to going 

concern; and  

−  the part of the Corporate Governance Statement relating to the 

Company’s compliance with the nine provisions of the UK 
Corporate Governance Code specified for our review; and  
−  certain elements of the report to shareholders by the Board 

on Directors’ remuneration.  

−  Timing of revenue recognition and measurement of related 
reserves – We carried out tests of controls over revenue 
recognition, including the timing of revenue recognition, as well as 
substantive testing, analytical procedures and assessing whether 
the revenue recognition policies adopted complied with IFRS; 

Other matter  
We have reported separately on the parent company financial 
statements of Smith & Nephew plc for the year ended 31 December 
2013 and on the information in the Directors’ Remuneration Report 
that is described as having been audited. 

Separate opinion in relation to IFRSs 
As explained in Note 1 to the Group financial statements, the Group, 
in addition to complying with its legal obligation to comply with IFRS 
as adopted by the European Union, has also complied with IFRS as 
issued by the International Accounting Standards Board. 

In our opinion the Group financial statements give a true and fair 
view, in accordance with IFRS, of the state of the Group’s affairs as 
at 31 December 2013, and of its profit for the year then ended. 

Les Clifford (Senior statutory auditor) 
for and on behalf of Ernst & Young LLP, Statutory Auditor 
London 
26 February 2014 

Opinion on other matter prescribed by 
the Companies Act 2006  
In our opinion the information given in the Strategic Report and 
the Directors’ Report for the financial year for which the Group 
financial statements are prepared is consistent with the Group 
financial statements.  

Matters on which we are required to report by 
exception  
We have nothing to report in respect of the following:  

Under the ISAs (UK and Ireland), we are required to report to you if, 
in our opinion, information in the annual report is:  

−  materially inconsistent with the information in the audited financial 

statements; or  

−  apparently materially incorrect based on, or materially inconsistent 

with, our knowledge of the Group acquired in the course of 
performing our audit; or  
−  is otherwise misleading.  

In particular, we are required to consider whether we have identified 
any inconsistencies between our knowledge acquired during the 
audit and the Directors’ statement that they consider the Annual 
Report is fair, balanced and understandable and whether the Annual 
Report appropriately discloses those matters that we communicated 
to the Audit Committee which we consider should have been 
disclosed.  

This page does not form part of Smith & Nephew’s Annual Report and Form 20-F as filed with the SEC.

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
94

Group income statement 

Notes

2

3
3
2 & 3
4
4
4
11
21

5

6

Notes

18
5

Revenue 
Cost of goods sold 
Gross profit 
Selling, general and administrative expenses 
Research and development expenses 
Operating profit 
Interest receivable 
Interest payable 
Other finance costs 
Share of results of associates 
Profit on disposal of net assets held for sale 
Profit before taxation 
Taxation 
Attributable profit for the year (ii) 
Earnings per ordinary share (ii) 
Basic 
Diluted 

Group statement of comprehensive income 

Attributable profit for the year (ii) 
Other comprehensive income: 
Items that will not be reclassified to income statement 
Actuarial gains/(losses) on retirement benefit obligations 
Taxation on other comprehensive income 

Total items that will not be reclassified to 
income statement 

Items that may be reclassified subsequently to 
income statement 
Cash flow hedges – interest rate swaps 

– losses arising in the year 
– losses transferred to income statement for the year 
Cash flow hedges – forward foreign exchange contracts 

– gains/(losses) arising in the year 
– (gains)/losses transferred to inventories for the year 
Exchange differences on translation of foreign operations  
Exchange on borrowings classified as net 
investment hedges 

Total items that may be reclassified subsequently to 
income statement 

Other comprehensive (expense)/income for the year, 
net of taxation 

Total comprehensive income for the year (ii) 

(i) 
Restated for the adoption of the revised IAS 19 Employee Benefits standard, see Note 1. 
(ii)  Attributable to equity holders of the Company and wholly derived from continuing operations. 

The Notes on pages 101 to 149 are an integral part of these accounts. 

Year ended
31 December
2013
$ million

Year ended 
31 December 
2012 
Restated(i) 
$ million 

Year ended
31 December
2011
Restated(i)
$ million

4,351 
(1,100)
3,251
(2,210)
(231)
810 
14 
(10)
(11)
(1)
– 
802 
(246)
556 

61.7¢
61.4¢

4,137  
(1,070) 
3,067  
(2,050) 
(171) 
846  
11  
(9) 
(11) 
4  
251  
1,092  
(371) 
721  

80.4¢ 
80.0¢ 

4,270 
(1,140)
3,130
(2,101)
(167)
862 
4 
(12)
(13)
– 
– 
841 
(266)
575 

64.5¢
64.2¢

Year ended
31 December
2013
$ million

Year ended 
31 December 
2012 
Restated(i) 
$ million 

Year ended
31 December
2011
Restated(i)
$ million

556 

12 
(16)

(4)

– 
– 

8
(3)
(6)

– 

(1)

(5)

551 

721  

(5) 
20  

15  

–  
–  

(1) 
(6) 
36 

1 

30  

45  

766  

575 

(63)
24 

(39)

(1)
1 

1 
13 
(32)

(4)

(22)

(61)

514 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
 
Commentary on the Group income statement and Group statement of comprehensive income 

95

Operating profit 
Operating profit decreased by $36m to $810m from $846m in 2012. 
This comprised a decrease of $12m in Advanced Surgical Devices 
and a decrease of $24m in Advanced Wound Management.  

The movement in Advanced Surgical Devices is attributable to the 
continuing pressure on margins and its investment in the Emerging 
& International Markets. Advanced Wound Management has 
continued to invest in new products and new geographic markets 
throughout the year. 

Net interest receivable/(payable) 
Net interest receivable increased, by $2m, from net $2m receivable 
in 2012 to a net receivable of $4m in 2013. This increase is 
principally a consequence of the interest receivable on the Bioventus 
LLC (‘Bioventus’) loan note issued following the disposal of the 
Clinical Therapies business which has been in place for a full year 
in 2013 compared to eight months in 2012. 

Other finance costs 
Other finance costs in 2013 remained at $11m and principally relate 
to costs associated with the Group’s retirement benefit schemes. 

Taxation 
The taxation charge decreased, by $125m, to $246m from $371m 
in 2012. The rate of tax was 30.5%, compared with 33.7% in 2012. 

After adjusting for specific transactions that management considers 
affect the Group’s short-term profitability (profit on disposal of the 
Clinical Therapies business, restructuring and rationalisation 
expenses, amortisation of acquisition intangibles and acquisition- 
related costs) the tax rate was 29.2% (2012 – 29.9%). 

Revenue 
Group revenue increased by $214m (5% on a reported basis), from 
$4,137m in 2012 to $4,351m in 2013. The underlying increase is 4% 
after adjusting for the net impact of 2% on the Healthpoint 
acquisition and Clinical Therapies disposal and 1% attributable 
to the unfavourable impact of currency movements. 

Cost of goods sold 
Cost of goods sold increased by $30m (3% on a reported basis) from 
$1,070m in 2012 to $1,100m in 2013. The underlying movement is 2% 
after adjusting for the net impact of 2% on the Healthpoint 
acquisition and Clinical Therapies disposal and 1% attributable to the 
favourable impact of currency movements. The movement in 
underlying costs of goods sold of 2% is largely attributable to the 
increase in underlying trading.  

During 2013, $12m of restructuring and rationalisation expenses 
(2012 - $3m) and $5m of acquisition related costs (2012 - $nil) were 
charged to cost of goods sold. 

Selling, general and administrative expenses  
Selling, general and administrative expenses increased by $160m 
(8% on a reported basis) from $2,050m in 2012 to $2,210m in 2013. 
The underlying movement is 6% after adjusting for the net impact of 
3% on the Healthpoint acquisition and Clinical Therapies disposal 
and 1% attributable to the favourable impact of currency movements. 

The underlying increase of 6% is due to the continuing investment in 
Emerging & International Markets, promotion of new products in 
ASD and AWM and the underlying increase in trading. 

In 2013, administrative expenses included $64m of amortisation of 
other intangible assets (2012 – $51m), $46m of restructuring and 
rationalisation expenses (2012 – $62m), an amount of $88m relating 
to amortisation of acquisition intangibles (2012 – $43m) and $26m of 
acquisition related costs (2012 – $11m). 

Research and development expenses 
Research and development expenditure as a percentage of revenue 
increased by 1.2% to 5.3% in 2013 (2012 – 4.1%). Actual expenditure 
was $231m in 2013 compared to $171m in 2012. The Group 
continues to invest in innovative technologies and products to 
differentiate it from competitors. It also continues to invest in HP802-
247, currently in Phase III trials, which was acquired as part of the 
Healthpoint acquisition in December 2012. 

The financial commentary on this page forms part of the business review and is unaudited. 
See pages 164 to 167 for commentary on the 2012 financial year. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
96

Group balance sheet 

Assets 

Non-current assets: 
Property, plant and equipment 
Goodwill 
Intangible assets 
Investments 
Investments in associates 
Loans to associates 
Retirement benefit asset 
Deferred tax assets 

Current assets: 
Inventories 
Trade and other receivables 
Cash at bank 

Total assets 

Equity and liabilities 

Equity attributable to owners of the Company: 
Share capital 
Share premium 
Capital redemption reserve 
Treasury shares 
Other reserves 
Retained earnings 

Total equity 
Non-current liabilities: 
Long-term borrowings 
Retirement benefit obligations 
Other payables 
Provisions  
Deferred tax liabilities 

Current liabilities: 
Bank overdrafts and loans 
Trade and other payables  
Provisions 
Current tax payable 

Total liabilities 

Total equity and liabilities 

At 
31 December 
2013 
$ million 

At
31 December
2012 
$ million

Notes

7
8
9
10
11
11
18
5

12
13
15

19

19

15
18
14
17
5

15
14
17

816 
1,256  
1,054  
2  
107  
178  
5  
145  

3,563  

1,006  
1,113  
137  

2,256  
5,819  

184  
535  
10  
(322) 
120  
3,520  

4,047  

347  
230  
7  
65  
50  

699  

44  
785  
60  
184  

1,073  
1,772  

5,819  

793 
1,186 
1,064 
2 
116 
167 
6 
164 

3,498 

901 
1,065 
178 

2,144 
5,642 

193 
488 
– 
(735)
121 
3,817 

3,884 

430 
266 
8 
63 
61 

828 

38 
656 
59 
177 

930 
1,758 

5,642

The accounts were approved by the Board and authorised for issue on 26 February 2014 and are signed on its behalf by: 

Sir John Buchanan  Olivier Bohuon  
Chairman 

Chief Executive Officer 

Julie Brown 
Chief Financial Officer 

The Notes on pages 101 to 149 are an integral part of these accounts. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Commentary on the Group balance sheet  

97

Non-current assets 
Non-current assets increased by $65m to $3,563m in 2013 from 
$3,498m in 2012. This is principally attributable to the following: 

Non-current liabilities 
Non-current liabilities decreased by $129m from $828m in 2012 
to $699m in 2013. This movement relates to the following items: 

−  Property, plant and equipment increased by $23m from $793m 
in 2012 to $816m in 2013. Depreciation of $209m was charged 
during 2013 and assets with a net book value of $12m were 
disposed of. These movements were offset by $242m of additions 
relating primarily to instruments and other plant & machinery and 
$5m of additions arising on acquisitions in Turkey, Brazil and 
India. The balance relates to unfavourable currency movements 
totalling $3m 

−  Goodwill increased by $70m from $1,186m in 2012 to $1,256m in 
2013. Of this movement, $37m arose on acquisitions in Turkey, 
Brazil and India. An additional $16m arose on finalisation of the of 
the Healthpoint opening balance sheet. The remaining balance 
relates to favourable currency movements totalling $17m 

−  Intangible assets decreased by $10m from $1,064m in 2012 to 
$1,054m in 2013. Intangible assets totalling $64m arose on the 
acquisition in Turkey, Brazil and India. There was a reduction of 
$11m on finalisation of the Healthpoint opening balance sheet. 
Amortisation of $152m was charged during the year and assets 
with a net book value of $11m were disposed of. A total of $98m 
relates to the cost of intellectual property, distribution rights and 
software acquired. The balance relates to favourable currency 
movements totalling $2m 

−  Investment in associates (including a loan to an associate of 

$178m in 2013, up from $167m in 2012) has increased from $283m 
in 2012 to $285m in 2013. This movement relates to the interest of 
$11m arising on the Bioventus loan note which was largely offset 
from the disposal of the Group’s 49% interest in the Austrian 
entities Plus Orthopedics GmbH and Intraplant GmbH and its 20% 
interest in the German entity Intercus GmbH 

−  Deferred tax assets decreased by $19m in the year from $164m 

in 2012 to $145m in 2013. 

Current assets 
Current assets increased by $112m to $2,256m from $2,144m 
in 2012. The movement relates to the following: 

−  Inventories rose by $105m to $1,006m in 2013 from $901m in 
2012. This movement is principally attributable to an increase 
of $48m in the US due to inventory build prior to the launch of 
JOURNEY II BCS and an increase of $17m due to inventory build 
in our Hull factory prior to the transfer of part of our Wound 
production to China. A further increase of $12m arose on the 
acquisitions in Turkey, Brazil and India. The movement also 
includes $6m of unfavourable currency movements 

−  The level of trade and other receivables increased by $48m to 
$1,113m in 2013 from $1,065m in 2012. The movement primarily 
relates to the increase in underlying revenues and includes $9m 
of unfavourable currency movements 

−  Cash at bank has fallen by $41m to $137m from $178m in 2012. 

−  Long-term borrowings have decreased from $430m in 2012 

to $347m in 2013 

−  The Retirement benefit obligation decreased by $36m to $230m 
in 2013 from $266m in 2012. This was largely due to the Group’s 
additional pension contributions, together with net actuarial gains 
for the year 

−  Deferred tax liabilities decreased by $11m in the year from $61m 

in 2012 to $50m in 2013. 

Current liabilities 
Current liabilities increased by $143m from $930m in 2012 to 
$1,073m in 2013. This movement is attributable to: 

−  Bank overdrafts and current borrowings have increased by $6m 

from $38m in 2012 to $44m in 2013 

−  Trade and other payables have increased by $129m to $785m in 
2013 from $656m in 2012. This increase includes $50m largely 
driven from strong sales performance in the US in quarter four and 
a $23m increase in Europe associated with promotional activities 
in Advanced Surgical Devices. A total of $19m of trade and other 
payables arose on the acquisitions in Turkey, Brazil and India 
and an amount of $5m is attributable to favourable currency 
movements. 

−  Current tax payable is $184m at the end of 2013 compared to 

$177m in 2012. 

Total equity 
Total equity increased by $163m from $3,884m in 2012 to $4,047m 
in 2013. The principal movements were: 

1 January 2013 
Attributable profit 
Currency translation gains 
Hedging reserves 
Actuarial gains on retirement benefit obligations 
Dividends paid during the year 
Purchase of own shares 
Taxation on Other Comprehensive Income and 
equity items 
Net share-based transactions 

31 December 2013 

Total equity
$ million

3,884 
556 
(6)
5
12 
(239)
(231)
(16)

82 

4,047

The financial commentary on this page forms part of the business review and is unaudited. 
See pages 164 to 167 for commentary on the 2012 financial year. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
98

Group cash flow statement 

Cash flows from operating activities  
Profit before taxation 
Net interest (receivable)/payable 
Depreciation, amortisation and impairment 
Loss on disposal of property, plant and equipment 
and software 
Share-based payments expense 
Share of results of associates 
Dividends received from associates 
Profit on disposal of net assets held for sale 
Decrease in retirement benefit obligations 
(Increase)/Decrease in inventories 
Increase in trade and other receivables 
Increase/(Decrease) in trade and other payables 
and provisions 

Cash generated from operations (ii) (iii) 
Interest received 
Interest paid 
Income taxes paid 

Net cash inflow from operating activities 

Cash flows from investing activities  
Acquisitions (net of $2m of cash received in 2011) 
Proceeds on disposal of net assets held for sale 
Capital expenditure 
Investment in associate 
Cash received on disposal of associate 

Net cash used in investing activities 

Cash flows from financing activities  
Proceeds from issue of ordinary share capital 
Purchase of own shares 
Proceeds of borrowings due within one year 
Settlement of borrowings due within one year 
Proceeds on borrowings due after one year 
Settlement of borrowings due after one year 
Proceeds from own shares 
Settlement of currency swaps 
Equity dividends paid 

Net cash (used in)/from financing activities 
Net (decrease)/increase in cash and cash equivalents  
Cash and cash equivalents at beginning of year 
Exchange adjustments 

Cash and cash equivalents at end of year 

Year ended
31 December
2013
$ million

Notes

Year ended 
31 December 
2012 
Restated(i) 
$ million 

Year ended
31 December
2011
Restated(i)
$ million

4

23
11
11
21

21
21
2
11

20
20
20
20

20
19

20
20

20

802 
(4)
361 

23 
28 
1 
1 
– 
(27)
(99)
(70)

122 

1,138 
4 
(10)
(265)

867 

(74)
– 
(340)
–
7 

(407)

48 
(231)
12 
(6)
695 
(779)
3 
(1)
(239)

(498)
(38)
167 
(3)

126 

1,092  
(2) 
312  

12  
34  
(4) 
7  
(251) 
(28) 
12  
(5) 

5  

1,184  
4  
(8) 
(278) 

902  

(782) 
103  
(265) 
(10) 
–  

(954) 

77  
–  
40  
(296) 
415  
(1) 
6  
(1) 
(186) 

54  
2  
161  
4  

167  

841 
8 
297 

9 
30 
– 
– 
– 
(37)
40 
(47)

(6)

1,135 
4 
(12)
(285)

842 

(33)
– 
(321)
– 
– 

(354)

17 
(6)
78 
(330)
92 
(232)
7 
(1)
(146)

(521)
(33)
195 
(1)

161

(i) 
(i) 
(ii) 

Restated for the adoption of the revised IAS 19 Employee Benefits standard, see Note 1. 
Includes $54m (2012 – $55m, 2011 – $20m) of outgoings on restructuring and rationalisation expenses. 
Includes $25m (2012 – $3m, 2011 – $1m) of acquisition-related costs and $nil (2012 – $nil, 2011 – $3m) of costs unreimbursed by insurers relating to macrotextured knee revisions. 
In the year ended 31 December 2012 cash outflows included a legal settlement of $22m. 

The Notes on pages 101 to 149 are an integral part of these accounts.

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
Commentary on the Group cash flow statement  

The main elements of the Group’s cash flow and movements in net 
debt can be summarised as follows: 

Net cash inflow from operating activities 
Cash generated from operations in 2013 of $1,138m (2012 – $1,184m, 
2011 – $1,135m) is after paying out $25m (2012 – $3m, 2011 – $1m) of 
acquisition-related costs, $54m (2012 – $55m, 2011 – $20m) of 
restructuring and rationalisation expenses and $22m in 2012 relating 
to a legal settlement. 

Capital expenditure 
The Group’s ongoing capital expenditure and working capital 
requirements were financed through cash flow generated by 
business operations and, where necessary, through short-term 
committed and uncommitted bank facilities. In 2013, capital 
expenditure on tangible and intangible fixed assets represented 
approximately 8% of continuing Group revenue (2012 – 6%,  
2011 – 8%). 

In 2013, capital expenditure amounted to $340m (2012 – $265m, 
2011 – $321m). The principal areas of investment were the placement 
of orthopaedic instruments with customers, patents and licences, 
plant and equipment and information technology. 

At 31 December 2013, $41m (2012 – $4m, 2011 – $9m) of capital 
expenditure had been contracted but not provided for which will 
be funded from cash inflows. 

Acquisitions and disposals 
In the three-year period ended 31 December 2013, $889m was 
spent on acquisitions, funded from net debt and cash inflows. This 
comprised, $33m for Tenet Medical Engineering during 2011, $782m 
for Healthpoint acquired in December 2012 and $74m relating to 
acquisitions in Turkey, Brazil and India completed in quarter four 
of 2013. 

During 2012, the Group completed the transfer of its Biologics and 
Clinical Therapies business (‘CT’) to Bioventus for total consideration 
of $367m. As part of this transaction the Group received a 49% 
interest in Bioventus with a value of $104m and subsequently 
invested a further $10m. 

Cash proceeds of $7m were received from the disposal of the 
Group’s 49% interest in the Austrian entities Plus Orthopedics GmbH 
and Intraplant GmbH and its 20% interest in the German entity 
Intercus GmbH. 

99

Liquidity and capital resources 
The Group’s policy is to ensure that it has sufficient funding and 
facilities in place to meet foreseeable borrowing requirements. 
In December 2010, the Group entered into a five-year $1bn multi- 
currency revolving facility with an initial interest of 70 basis points 
over LIBOR. 

At 31 December 2013, the Group held $126m (2012 – $167m, 2011 - 
$161m) in cash and bank. The Group has committed and 
uncommitted facilities of $1,008m and $319m respectively. The 
undrawn committed facilities totalling $672m expire after one year 
(2012 – $597m expiring within two to five years). Smith & Nephew 
intends to repay the amounts due within one year by using available 
cash and drawing down on the longer term facilities. In addition, 
Smith & Nephew has finance lease commitments of $14m (of which 
$3m extends beyond five years). 

In December 2013, the Group signed a private placement agreement 
to borrow $325m of long-term debt. The funds, which have an 
average fixed rate of 3.7% and an average maturity of just over nine 
years, were drawn down on 21 January 2014 and used to repay 
existing bank debt. 

Subsequent to the balance sheet date, on 3 February 2014 the 
Group announced the execution of a definitive agreement to acquire 
100% of the shares of ArthroCare Corp. for approximately $1.7 billion. 
The acquisition is subject to customary conditions, including a vote 
of ArthroCare’s shareholders and governmental clearances. The 
acquisition is expected to close in mid-2014. The acquisition will be 
financed through existing debt facilities and cash balances, including 
the existing $1 billion revolving credit facility and a new two-year 
$1.4 billion term loan facility, established in February 2014. 

The principal variations in the Group’s borrowing requirements result 
from the timing of dividend payments, acquisitions and disposals of 
businesses, timing of capital expenditure and working capital 
fluctuations. Smith & Nephew believes that its capital expenditure 
needs and its working capital funding for 2014, as well as its other 
known or expected commitments or liabilities, can be met from its 
existing resources and facilities. The Group’s net debt decreased 
from $492m at the beginning of 2011 to $253m at the end of 2013, 
representing an overall decrease of $239m. 

The Group’s planned future contributions are considered adequate 
to cover the current underfunded position in the Group’s defined 
benefit plans. 

Further disclosure regarding borrowings, related covenants and the 
liquidity risk exposure is set out in Note 15 of the Notes to the Group 
accounts. The Group believes that its borrowing facilities do not 
contain restrictions that would have significant impact on its funding 
or investment policy for the foreseeable future. 

The financial commentary on this page forms part of the business review and is unaudited. 
See pages 164 to 167 for commentary on the 2012 financial year. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
100

Group statement of changes in equity 

Share  
capital  
$ million 

Share 
premium 
$ million

Capital 
redemption 
reserve 
$ million

Treasury 
shares (ii) 
$ million

Other  
reserves (iii)  
$ million 

Retained  
earnings  
$ million 

Total 
equity 
$ million

At 31 December 2010 
Total comprehensive income (i) 
Equity dividends declared and paid 
Share-based payments recognised 
Deferred taxation on share-based 
payments 
Purchase of own shares 
Cost of shares transferred to beneficiaries
Issue of ordinary share capital (iv) 

At 31 December 2011 
Total comprehensive income (i) 
Equity dividends declared and paid 
Share-based payments recognised 
Cost of shares transferred to beneficiaries
Issue of ordinary share capital (iv) 

At 31 December 2012 
Total comprehensive income (i) 
Equity dividends declared and paid 
Share-based payments recognised 
Deferred taxation on share-based 
payments 
Purchase of own shares 
Cost of shares transferred to beneficiaries
Cancellation of treasury shares 
Issue of ordinary share capital (iv) 

191  
–  
–  
–  

–  
–  
–  
–  

191  
–  
–  
–  
–  
2  

193  
–  
–  
–  

–  
–  
–  
(10) 
1  

396 
– 
– 
– 

– 
– 
– 
17 

413 
– 
– 
– 
– 
75 

488 
– 
– 
– 

– 
– 
– 
– 
47 

At 31 December 2013 

184  

535 

– 
– 
– 
– 

– 
– 
– 
– 

– 
– 
– 
– 
– 
– 

– 
– 
– 
– 

– 
– 
– 
10 
– 

10 

(778)
– 
– 
– 

– 
(6)
18 
– 

(766)
– 
– 
– 
31 
– 

(735)
– 
– 
– 

– 
(231)
21 
623 
– 

(322)

116  
(25) 
–  
–  

–  
–  
–  
–  

91  
30  
–  
–  
–  
–  

121  
(1) 
–  
–  

–  
–  
–  
–  
–  

2,848  
539  
(146) 
30  

(2) 
–  
(11) 
–  

3,258  
736  
(186) 
34  
(25) 
–  

3,817  
552  
(239) 
28  

3  
–  
(18) 
(623) 
–  

2,773 
514 
(146)
30 

(2)
(6)
7 
17 

3,187 
766 
(186)
34 
6 
77 

3,884 
551 
(239)
28 

3 
(231)
3 
– 
48 

120  

3,520  

4,047 

(i)  Attributable to equity holders of the Company and wholly derived from continuing operations. 
(ii)  Refer to Note 19.2 for further information. 
(iii)  Other reserves comprises gains and losses on cash flow hedges, foreign exchange differences on translation of foreign operations and the difference arising as a result 
of translating share capital and share premium at the rate ruling on the date of redenomination instead of the rate at the balance sheet date. The cumulative translation 
adjustments within Other Reserves at 31 December 2013 were $118m (2012 – $124m, 2011 – $87m). 
Issue of ordinary share capital as a result of options being exercised. 

(iv) 

The Notes on pages 101 to 149 are an integral part of these accounts.

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
Notes to the Group accounts 

1 Basis of preparation 
Smith & Nephew plc (the ‘Company’) is a public limited company 
incorporated in England and Wales. In these accounts, the ‘Group’ 
means the Company and all its subsidiaries. The principal activities 
of the Group are to develop, manufacture, market and sell medical 
devices in the sectors of Advanced Surgical Devices and Advanced 
Wound Management. 

As required by the European Union’s IAS Regulation and the 
Companies Act 2006, the Group has prepared its accounts in 
accordance with International Financial Reporting Standards (‘IFRS’) 
as adopted by the European Union (‘EU’) effective as at 31 December 
2013. The Group has also prepared its accounts in accordance with 
IFRS as issued by the International Accounting Standards Board 
(‘IASB’) effective as at 31 December 2013. IFRS as adopted by the 
EU differs in certain respects from IFRS as issued by the IASB. 
However, the differences have no impact for the periods presented. 

The preparation of accounts in conformity with IFRS requires 
management to use estimates and assumptions that affect the 
reported amounts of assets and liabilities and disclosure of 
contingent assets and liabilities at the date of the accounts and the 
reported amounts of revenues and expenses during the reporting 
period. The accounting policies requiring management to use 
significant estimates and assumptions are; inventories, impairment, 
retirement benefits, contingencies and provisions. These are 
discussed under Critical accounting policies on page 90. Although 
these estimates are based on management’s best knowledge of 
current events and actions, actual results ultimately may differ from 
those estimates. Estimates and underlying assumptions are 
reviewed on an ongoing basis. Revisions to estimates are 
recognised prospectively.  

The Directors continue to adopt the going concern basis for 
accounting in preparing the annual financial statements. The 
Directors have a reasonable expectation that the Group has 
adequate resources to continue in operational existence for the 
foreseeable future. 

From 1 January 2013, the Group adopted the revised IAS 19 
Employee Benefits standard, which was endorsed by the EU in 
June 2012. The previous method of including the expected income 
from the plan assets at an estimated asset return is replaced by 
applying the discount rate used to calculate the net retirement 
benefit obligation. The change in accounting policy has been 
applied retrospectively but does not impact the net retirement 
benefit obligation or retained earnings as at the beginning or during 
the years ended 31 December 2011 or 2012. The income statement 
and statement of comprehensive income for the years ended 
31 December 2012 and 31 December 2013 have been adjusted for 
the change in accounting policy. These adjustments have resulted 
in an increase of $8m in other finance costs and an increase of $8m 
in actuarial gains on retirement benefit obligations recorded within 
other comprehensive income for the year ended 31 December 2012 
and an increase of $7m in other finance costs and an increase of 
$7m in actuarial gains on retirement benefit obligations recorded 
within other comprehensive income for the year ended 31 December 
2011. Due to the change in other finance costs, basic and diluted 
earnings per share for the year ended 31 December 2012 both 
decreased by 0.9¢ and for the year ended 31 December 2011 both 
decreased by 0.8¢. 

The Group has also adopted the amendments to IAS 1 Presentation 
of Items of Other Comprehensive Income, resulting in a change to the 
presentation of items within other comprehensive income. 

In addition, effective 1 January 2013, the Group has adopted the 
following new IFRS standards and amendments to standards, none 
of which had a material impact on the Group’s net results, net assets 
or disclosure; IFRS 10 Consolidated Financial Statements,

101

IFRS 11 Joint Arrangements, IFRS 12 Disclosure of Interests in Other 
Entities and IFRS 13 Fair Value Measurement, along with 
consequential amendments to IAS 27 Separate Financial Statements 
and IAS 28 Investments in Associates and Joint Ventures, and 
amendments to IFRS 7 Financial Instruments: Disclosures on 
Offsetting Financial Assets and Liabilities. 

A number of new standards, amendments to standards and 
interpretations are effective for annual periods beginning after 
1 January 2013, and have not been applied in preparing these 
consolidated accounts. None of these is expected to have a 
significant effect on the consolidated accounts of the Group. 

Consolidation 
The Group accounts include the accounts of Smith & Nephew plc 
and its subsidiaries for the periods during which they were members 
of the Group. 

Subsidiaries are entities controlled by the Group. The Group controls 
an entity when it is exposed to, or has rights to, variable returns from 
its involvement with the entity and has the ability to affect those 
returns through its power over the entity. Subsidiaries are 
consolidated in the Group accounts from the date that the Group 
obtains control, and continue to be consolidated until the date that 
such control ceases. Intra-group balances and transactions, and any 
unrealised income and expenses arising from intra-group 
transactions, are eliminated on consolidation. All subsidiaries have 
year ends which are co-terminus with the Group’s. 

When the Group loses control over a subsidiary, it derecognises the 
assets and liabilities of the subsidiary and any related components of 
equity. Any resulting gain or loss is recognised in profit or loss. Any 
retained interest in the former subsidiary is measured at fair value. 

Foreign currencies 
Functional and presentation currency 
The Group accounts are presented in US Dollars, which is the 
Company’s functional currency. 

Foreign currency transactions 
Transactions in foreign currencies are translated to the 
respective functional currencies of Group companies at exchange 
rates at the dates of the transactions. Monetary assets and liabilities 
denominated in foreign currencies are retranslated to the functional 
currency at the exchange rate at the reporting date. Non-monetary 
items are not retranslated. 

Foreign operations 
Balance sheet items of foreign operations, including goodwill and 
fair value adjustments arising on acquisition are translated into US 
Dollars on consolidation at the exchange rates at the reporting date. 
Income statement items and the cash flows of foreign operations 
are translated at average rates as an approximation to actual 
transaction rates, with actual transaction rates used for large 
one-off transactions. 

Foreign currency differences are recognised in Other comprehensive 
income and accumulated in ‘Other reserves’ within equity. These 
include: exchange differences on the translation at closing rates of 
exchange of non-US Dollar opening net assets; the differences 
arising between the translation of profits into US Dollars at actual (or 
average, as an approximation) and closing exchange rates; to the 
extent that the hedging relationship is effective, the difference on 
translation of foreign currency borrowings or swaps that are used to 
finance or hedge the Group’s net investments in foreign operations; 
and the movement in the fair value of forward foreign exchange 
contracts used to hedge forecast foreign exchange cash flows.

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
102

Notes to the Group accounts continued 

1 Basis of preparation continued 
The exchange rates used for the translation of currencies into 
US Dollars that have the most significant impact on the Group 
results were: 

The following tables present revenue, profit, asset and liability 
information regarding the Group’s operating segments. Investments 
in associates and loans to associates are segmentally allocated to 
Advanced Surgical Devices. 

2013 

2012 

2011

2.1 Revenue by business segment and geography 

ACCOUNTING POLICY

Revenue comprises sales of products and services to third 
parties at amounts invoiced net of trade discounts and rebates, 
excluding taxes on revenue. Revenue from the sale of products 
is recognised upon transfer to the customer of the significant 
risks and rewards of ownership. This is generally when goods 
are delivered to customers. Sales of inventory located at 
customer premises and available for customers’ immediate 
use are recognised when notification is received that the product 
has been implanted or used. Appropriate provisions for returns, 
trade discounts and rebates are deducted from revenue. Rebates 
comprise retrospective volume discounts granted to certain 
customers on attainment of certain levels of purchases from the 
Group. These are accrued over the course of the arrangement 
based on estimates of the level of business expected and 
adjusted at the end of the arrangement to reflect actual volumes. 

Revenue by business segment
Advanced Surgical Devices 
Advanced Wound Management 

2013  
$ million 

2012 
$ million

2011 
$ million

3,015 
1,336 

4,351 

3,108 
1,029 

4,137 

3,251 
1,019 

4,270 

There are no material sales between business segments. 

Revenue by geographic market
United States 
United Kingdom 
Other Established Markets 
Emerging & International Markets

2013  
$ million 

2012 
$ million

2011 
$ million

1,862 
293 
1,633 
563 

4,351 

1,651 
297 
1,706 
483 

4,137 

1,756 
291 
1,769 
454 

4,270 

Revenue has been allocated by basis of destination. No revenue 
from a single customer is in excess of 10% of the Group’s revenue. 

Average rates  
Sterling 
Euro 
Swiss Franc 

Year-end rates 
Sterling 
Euro 
Swiss Franc 

1.56 
1.33 
1.08 

1.66 
1.38 
1.12 

1.58 
1.28 
1.07 

1.63 
1.32 
1.09 

1.60
1.39
1.13

1.55
1.29
1.06

2 Business segment information 
For management purposes, the Group is organised into business 
segments according to the nature of its products and has two 
reportable business segments – Advanced Surgical Devices and 
Advanced Wound Management. The types of products and services 
offered by each business segment are: 

−  Smith & Nephew’s Advanced Surgical Devices (‘ASD’) business 

offers the following products and technologies: 
−  Orthopaedic Reconstruction which includes Hip Implants, Knee 

Implants and ancillary products such as bone cement and 
mixing systems used in cemented reconstruction joint surgery 
−  Trauma & Extremities consisting of internal and external devices 

used in the stabilisation of severe fractures and deformity 
correction procedures 

−  Sports Medicine Joint Repair, which offers surgeons a broad 
array of instruments, technologies and implants necessary to 
perform minimally invasive surgery of the joints 

−  Arthroscopy Enabling Technologies which offer healthcare 

providers a variety of technologies such as fluid management 
equipment for surgical access, high definition cameras, digital 
image capture, scopes, light sources and monitors to assist with 
visualisation inside the joints, radio frequency wands, 
electromechanical and mechanical blades, and hand 
instruments for removing damaged tissue 

−  Other ASD which includes gynaecological instrumentation and 
the remaining Clinical Therapies geographies which are in the 
process of being transferred to Bioventus.  

−  Smith & Nephew’s Advanced Wound Management (‘AWM’) 

business offers a range of products: 
−  Advanced Wound Care includes products for the treatment of 

acute and chronic wounds, including leg, diabetic and pressure 
ulcers, burns and post-operative wounds 

−  Advanced Wound Devices consists of traditional and single-use 
Negative Pressure Wound Therapy and hydrosurgery systems 

−  Advanced Wound Bioactives includes biologics and other 
bioactive technologies that provide unique approaches to 
debridement and dermal repair/regeneration. 

Management monitors the operating results of its business 
segments separately for the purposes of making decisions 
about resource allocation and performance assessment. Group 
financing (including interest receivable and payable) and income 
taxes are managed on a Group basis and are not allocated to 
business segments. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
 
 
103

2.2 Trading and operating profit by business segment 
Trading profit is a trend measure which presents the long-term profitability of the Group excluding the impact of specific transactions that 
management considers affects the Group’s short-term profitability. The Group presents this measure to assist investors in their understanding 
of trends. The Group has identified the following items, where material, as those to be excluded from operating profit when arriving at trading 
profit: acquisition and disposal related items including amortisation of acquisition intangibles and impairments; significant restructuring events; 
gains and losses arising from legal disputes; and uninsured losses. Operating profit reconciles to trading profit as follows: 

Notes

3
3
9
3

Operating profit 
Acquisition-related costs 
Restructuring and rationalisation expenses 
Amortisation of acquisition intangibles and impairments 
Legal provision 

Trading profit 

Trading profit by business segment  
Advanced Surgical Devices 
Advanced Wound Management 

Operating profit by business segment 
reconciled to attributable profit for the year 
Advanced Surgical Devices 
Advanced Wound Management 

Operating profit 
Net interest receivable/(payable) 
Other finance costs 
Share of results of associates 
Profit on disposal on net assets held for sale 
Taxation 

Attributable profit for the year 

2013 
$ million

2012  
Restated  
$ million 

2011 
Restated 
$ million

810 
31 
58 
88 
– 

987 

712 
275 

987 

620 
190 

810 
4 
(11)
(1)
– 
(246)

556 

846  
11  
65  
43  
–  

965  

728  
237  

965  

632  
214  

846  
2  
(11) 
4  
251  
(371) 

721  

862 
– 
40 
36 
23 

961 

714 
247 

961 

630 
232 

862 
(8)
(13)
– 
– 
(266)

575 

2.3 Assets and liabilities by business segment and geography 

2013 
$ million

2012  
$ million 

2011 
$ million

Balance sheet 
Assets: 
Advanced Surgical Devices 
Advanced Wound Management 

Operating assets by business segment 
Assets held for sale (relating to Advanced Surgical Devices 
business segment) 
Unallocated corporate assets 

Total assets 
Liabilities: 
Advanced Surgical Devices 
Advanced Wound Management 

Operating liabilities by business segment 
Liabilities directly associated with assets held for sale  
(relating to Advanced Surgical Devices business segment) 
Unallocated corporate liabilities 

Total liabilities 

3,684 
1,848 

5,532 
– 

287 

5,819 

609 
308 

917 
– 

855 

1,772 

3,518  
1,776  

5,294  
–  

348  

5,642  

530  
256  

786  
–  

972  

1,758  

3,396 
819 

4,215 
125 

407 

4,747 

526 
169 

695 
19 

846 

1,560 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
104

Notes to the Group accounts continued 

2 Business segment information continued 
Unallocated corporate assets and liabilities comprise the following: 

Deferred tax assets 
Retirement benefit asset 
Cash at bank 

Unallocated corporate assets 
Long-term borrowings 
Retirement benefit obligations 
Deferred tax liabilities 
Bank overdrafts and loans due within one year 
Current tax payable 

Unallocated corporate liabilities 

Capital expenditure (including acquisitions) 
Advanced Surgical Devices 
Advanced Wound Management 

Capital expenditure segmentally allocated above comprises: 

Additions to property, plant and equipment 
Additions to intangible assets 

Capital expenditure (excluding business combinations) 
Acquisitions – Goodwill 
Acquisitions – Intangible assets 
Acquisitions – Property, plant and equipment 

Capital expenditure 

Depreciation, amortisation and impairment 
Advanced Surgical Devices 
Advanced Wound Management 

2013 
$ million

2012  
$ million 

2011 
$ million

145 
5 
137 

287 
347 
230 
50 
44 
184 

855 

164  
6  
178  

348  
430  
266  
61  
38  
177  

972  

223 
– 
184 

407 
16 
287 
66 
306 
171 

846 

2013 
$ million

2012  
$ million 

2011 
$ million

327 
124 

451 

188  
839  

1,027  

334 
31 

365 

2013 
$ million

2012  
$ million 

2011 
$ million

242 
98 

340 
53 
53 
5 

451 

197  
68  

265  
73  
662  
27  

1,027  

229 
92 

321 
44 
– 
– 

365

2013 
$ million

2012  
$ million 

2011 
$ million

268 
93 

361 

274  
38  

312  

259 
38 

297 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
105

Amounts comprise depreciation of property, plant and equipment, amortisation of other intangible assets, impairment of investments and 
amortisation of acquisition intangibles and impairments as follows: 

Amortisation of acquisition intangibles 
Depreciation of property, plant and equipment 
Impairment of goodwill in Austrian associate 
Amortisation of other intangible assets 
Impairment of investments 

2013 
$ million

2012  
$ million 

2011 
$ million

88 
209 
– 
64 
– 

361 

43  
212  
4  
51  
2  

312  

36 
217 
– 
42 
2 

297 

No impairments were recognised within operating profit in 2013 (2012 – $6m, 2011 – $2m, both recognised within the administrative 
expenses line). In 2012 and 2011, the impairments were segmentally allocated to Advanced Surgical Devices. 

Geographic 

Assets by geographic location 
United States 
United Kingdom 
Other Established Markets 
Emerging & International Markets 

Non-current operating assets by geographic location 
United States 
United Kingdom 
Other Established Markets 
Emerging & International Markets 

Current operating assets by geographic location 
Unallocated corporate assets (see page 104) 

Total assets 

2.4 Other business segment information 

2013  
$ million 

2012 
$ million

2,086  
255  
902  
170  

3,413  
1,121  
288  
486  
224  

2,119  
287  

5,819  

2,122 
257 
895 
54 

3,328 
999 
279 
528 
160 

1,966 
348 

5,642 

Other significant expenses recognised within operating profit 
Advanced Surgical Devices 
Advanced Wound Management 

2013 
$ million

2012  
$ million 

2011 
$ million

51 
38 

89 

57  
19  

76  

32 
8 

40 

The $89m incurred in 2013 relates to $58m restructuring and rationalisation expenses and $31m acquisition-related costs (2012 – $65m 
relates to restructuring and rationalisation expenses and $11m acquisition-related costs, 2011 – $40m relates to restructuring and 
rationalisation expenses). 

Average number of employees 
Advanced Surgical Devices 
Advanced Wound Management 

2013 
numbers

2012  
numbers 

7,066 
3,970 

11,036 

7,194  
3,283  

10,477  

2011 
numbers

7,611 
3,132 

10,743 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
106

Notes to the Group accounts continued 

3 Operating profit 

ACCOUNTING POLICIES 

Research and development 
Research expenditure is expensed as occurred. Internal development expenditure is only capitalised if the recognition criteria in IAS 38 
Intangible Assets have been satisfied. The Group considers that the regulatory, technical and market uncertainties inherent in the 
development of new products mean that in most cases development costs should not be capitalised as intangible assets until products 
receive approval from the appropriate regulatory body.  

Payments to third parties for research and development projects are accounted for based on the substance of the arrangement. If the 
arrangement represents outsourced research and development activities the payments are generally expensed except in limited 
circumstances where the respective development expenditure would be capitalised under the principles established in IAS 38. By 
contrast, the payments are capitalised if the arrangement represents consideration for the acquisition of intellectual property developed at 
the risk of the third party.  

Capitalised development expenditures are amortised on a straight-line basis over their useful economic lives from product launch. 

Advertising costs 
Expenditure on advertising costs is expensed as incurred. 

Revenue 
Cost of goods sold (i)(ii) 

Gross profit 
Research and development expenses 
Selling, general and administrative expenses: 

Marketing, selling and distribution expenses 
Administrative expenses (iii) (iv) (v) (vi) 

Operating profit 

2013 
$ million

4,351 
(1,100)

3,251 
(231)

(1,535)
(675)

(2,210)

810 

2012  
$ million 

4,137  
(1,070) 

3,067  
(171) 

(1,440) 
(610) 

(2,050) 

846  

2011 
$ million

4,270 
(1,140)

3,130 
(167)

(1,526)
(575)

(2,101)

862 

2013 includes $12m of restructuring and rationalisation expenses (2012 – $3m, 2011 – $7m). 

(i) 
(ii)  2013 includes $5m of acquisition-related costs (2012 – $nil, 2011 – $nil). 
(iii)  2013 includes $64m of amortisation of other intangible assets (2012 – $51m, 2011 – $42m). 
(iv)  2013 includes $46m of restructuring and rationalisation expenses and $88m of amortisation of acquisition intangibles (2012 – $62m of restructuring and rationalisation 

expenses and $43m of amortisation of acquisition intangibles, 2011 – $33m of restructuring and rationalisation expenses and $36m of amortisation of acquisition intangibles). 

(v)  2013 includes $nil relating to legal provision (2012 – $nil, 2011 – $23m). 
(vi)  2013 includes $26m of acquisition-related costs (2012 – $11m, 2011 – $nil). 

Note that items detailed in (i), (ii), (iv), (v) and (vi) are excluded from the calculation of trading profit. 

Operating profit is stated after charging the following items: 

Amortisation of acquisition intangibles 
Amortisation of other intangible assets 
Impairment of goodwill in Austrian associate 
Depreciation of property, plant and equipment 
Loss on disposal of property, plant and equipment and software 
Impairment of investments 
Minimum operating lease payments for land and buildings 
Minimum operating lease payments for other assets 
Advertising costs 

2013 
$ million

2012  
$ million 

2011 
$ million

88 
64 
– 
209 
23 
– 
32 
19 
91 

43  
51  
4  
212  
12  
2  
29  
21  
74  

36 
42 
– 
217 
9 
2 
33 
32 
90 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
3.1 Staff costs 
Staff costs during the year amounted to: 

Wages and salaries 
Social security costs 
Pension costs (including retirement healthcare) 
Share-based payments 

Notes

18
23

2013 
$ million

998 
106 
72 
28 

1,204 

2012 
Restated 
$ million 

886  
97  
72  
34  

1,089  

107

2011
Restated
$ million

930 
99 
71 
30 

1,130 

3.2 Audit Fees – information about the nature and cost of services provided by auditors 

2013 
$ million

2012  
$ million 

2011 
$ million

Audit services: Group accounts 
Other services:  

Local statutory audit pursuant to legislation 

Taxation services: 

Compliance services 
Advisory services 

Total auditors’ remuneration 
Arising: 

In the UK 
Outside the UK 

1 

2 

2 
1 

6 

3 
3 

6 

1  

2  

1  
1  

5  

2  
3  

5  

1 

2 

1 
1 

5 

2 
3 

5 

3.3 Acquisition-related costs 
Acquisition-related costs of $31m (2012 – $11m, 2011 – $nil) were incurred in the twelve month period to 31 December 2013. These costs 
relate to professional and adviser fees and integration costs in connection with the acquisition of Healthpoint Biotherapeutics completed in 
2012 and the acquisitions in Turkey, Brazil and India during 2013. 

3.4 Restructuring and rationalisation expenses 
Restructuring and rationalisation costs of $58m (2012 – $65m, 2011 – $40m) were incurred in the twelve month period to 31 December 2013. 
Charges of $58m (2012 – $65m, 2011 – $26m) were incurred, relating mainly to people costs and contract termination costs associated with 
the structural and process changes announced in August 2011. During 2013, no charges (2012 – $nil, 2011 – $14m) were incurred in relation 
to the earnings improvement programme which was completed in 2011.  

3.5 Legal provision 
In 2011, the Group established a provision of $23m in connection with the previously disclosed investigation by the US Securities and 
Exchange Commission (‘SEC’) and Department of Justice (‘DOJ’) into potential violations of the US Foreign Corrupt Practices Act in the 
medical devices industry. 

On 6 February 2012, Smith & Nephew announced that it had reached settlement with the SEC and DOJ in connection with this matter. Smith 
& Nephew paid slightly less than $23m in fines and profit disgorgement and committed to maintain an enhanced compliance programme 
and appoint an independent monitor for at least 18 months to review and report on its compliance programme. The monitor’s final report was 
filed in late 2013, and the independent monitorship has now been terminated. The settlement agreements impose detailed reporting, 
compliance and other requirements on Smith & Nephew for a three-year term. Failure to comply with these requirements, or any other 
violation of law, could have severe consequences for the Group. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
108

Notes to the Group accounts continued 

4 Interest and other finance costs 

4.1 Interest receivable/(payable) 

Interest receivable 
Interest payable: 
Bank borrowings 
Other 

Net interest receivable/(payable) 

4.2 Other finance costs 

Retirement benefit net interest expense 
Other 

Other finance costs 

Notes

18

2013 
$ million

2012  
$ million 

2011 
$ million

14 

(8)
(2)

(10)
4 

2013 
$ million

(11)
– 

(11)

11  

(7) 
(2) 

(9) 
2  

2012  
Restated  
$ million 

(11) 
–  

(11) 

4 

(6)
(6)

(12)
(8)

2011 
Restated 
$ million

(14)
1 

(13)

Foreign exchange gains or losses recognised in the income statement arose primarily on the translation of intercompany and third party 
borrowings and amounted to a net $1m gain in 2013 (2012 – net $5m loss, 2011 – net $3m gain). These amounts were fully matched in the 
income statement by the fair value gains or losses on currency swaps (carried at fair value through profit and loss) held to manage this 
currency risk. 

5 Taxation 

ACCOUNTING POLICY 

The charge for current taxation is based on the results for the year as adjusted for items which are non-assessable or disallowed. It is 
calculated using tax rates that have been enacted or substantively enacted by the balance sheet date. 

The Group operates in multiple tax jurisdictions around the world and records provisions for taxation liabilities and tax audits when it is 
considered probable that a tax charge will arise and the amount can be reliably estimated. Although Group policy is to submit its tax 
returns to the relevant tax authorities as promptly as possible, at any time the Group has un-agreed years outstanding and is involved in 
disputes and tax audits. Significant issues may take many years to resolve. In estimating the probability and amount of any tax charge, 
management takes into account the views of internal and external advisers and updates the amount of the provision whenever 
necessary. The ultimate tax liability may differ from the amount provided depending on interpretations of tax law, settlement negotiations 
or changes in legislation. 

Deferred tax is recognised in respect of temporary differences between the carrying amounts of assets and liabilities for financial 
reporting purposes and the amounts used for taxation purposes.  

Deferred tax is not recognised for: temporary differences related to investments in subsidiaries and associates where the Group is able to 
control the timing of the reversal of the temporary difference and it is probable that this will not reverse in the foreseeable future; on the 
initial recognition of non-deductible goodwill; and on the initial recognition of an asset or liability in a transaction that is not a business 
combination and that, at the time of the transaction, does not affect the accounting or taxable profit. 

Deferred tax assets are recognised to the extent that it is probable that future taxable profits will be available against which they can be 
used. Deferred tax assets are reviewed at each reporting date.  

Deferred tax is measured on an undiscounted basis, and at the tax rates that have been enacted or substantively enacted by the 
reporting date that are expected to apply in the periods in which the asset or liability is settled. It is recognised in the income statement 
except when it relates to items credited or charged directly to other comprehensive income or equity, in which case the deferred tax is 
also recognised within other comprehensive income or equity respectively. 

Deferred tax assets and liabilities are offset when they relate to income taxes levied by the same taxation authority, when the Group 
intends to settle its current tax assets and liabilities on a net basis and that authority permits the Group to make a single net payment. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
5.1 Taxation charge attributable to the Group 

Current taxation: 
UK corporation tax at 23.3% (2012 – 24.5%, 2011 – 26.5%) 
Overseas tax 

Current income tax charge 
Adjustments in respect of prior periods 

Total current taxation 
Deferred taxation: 
Origination and reversal of temporary differences 
Changes in tax rates 
Adjustments to estimated amounts arising in prior periods 

Total deferred taxation 
Total taxation as per the income statement 
Deferred taxation in other comprehensive income 
Deferred taxation in equity 

Taxation attributable to the Group 

109

2013 
$ million

2012  
$ million 

2011 
$ million

50 
229 

279 
(5)

274 

(23)
(4)
(1)

(28)
246 
16 
(3)

259 

53  
248  

301  
(17) 

284  

88  
(3) 
2  

87  
371  
(20) 
–  

351  

56 
214 

270 
(16)

254 

18 
(3)
(3)

12 
266 
(24)
2 

244 

The tax charge was reduced by $40m as a consequence of restructuring and rationalisation expenses, amortisation of acquisition 
intangibles and acquisition-related costs. In 2012, the tax charge was increased by $82m as a consequence of the profit on disposal of net 
assets held for sale after adjusting for acquisition-related costs, restructuring and rationalisation expenses and amortisation of acquisition 
intangibles. In 2011, the tax charge was reduced by $17m as a consequence of restructuring and rationalisation expenses, amortisation of 
acquisition intangibles and legal provision. 

The applicable tax for the year is based on the UK standard rate of corporation tax of 23.3% (2012 – 24.5%, 2011 – 26.5%). Overseas taxation 
is calculated at the rates prevailing in the respective jurisdictions. The average effective tax rate differs from the applicable rate as follows: 

UK standard rate 
Non-deductible/non-taxable items 
Prior year items 
Tax losses incurred not relieved 
Overseas income taxed at other than UK standard rate 

Total effective tax rate 

2013
%

23.3 
(1.0)
(0.5)
0.9 
7.8 

30.5 

2012 
% 

24.5  
0.4  
(1.3) 
0.8  
9.3  

33.7  

2011
%

26.5 
(0.5)
(1.6)
0.3 
6.7 

31.4 

The enacted UK tax rate applicable from 1 April 2013 is 23%. The UK Government have enacted legislation to reduce the tax rate to 21% from 
1 April 2014 and 20% from 1 April 2015.  

5.2 Deferred taxation 

Deferred tax assets 
Deferred tax liabilities 

Net position at 31 December 

2013  
$ million 

145  
(50) 

95  

2012 
$ million

164 
(61)

103 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
110

Notes to the Group accounts continued 

5 Taxation continued 
The movement in the year in the Group’s net deferred tax position was as follows: 

At 1 January 
Exchange adjustment 
Movement in income statement – current year 
Movement in income statement – prior years 
Movement in other comprehensive income 
Movement in shareholders’ equity 
Arising on acquisition 

At 31 December 

Movements in the main components of deferred tax assets and liabilities were as follows:  

2013  
$ million 

2012 
$ million

103  
(4) 
27  
1  
(16) 
3  
(19) 

95  

157 
– 
(85)
(2)
20 
– 
13 

103 

Deferred tax assets 
At 1 January 2012 
Exchange adjustment 
Movement in income statement – current year 
Movement in income statement – prior years 
Movement in other comprehensive income 
Acquisition 
Transfers 

At 31 December 2012 
Exchange adjustment 
Movement in income statement – current year 
Movement in income statement – prior years 
Movement in other comprehensive income 
Charge to equity 
Acquisition 

At 31 December 2013 

Retirement 
benefit 
obligation
$ million

Macro-
textured 
claim 
$ million

Other  
$ million 

Total 
$ million

79 
– 
(4)
2 
17 
– 
(9)

85 
– 
5 
– 
(32)
– 
– 

58 

52 
– 
– 
– 
– 
– 
– 

52 
– 
– 
– 
– 
– 
– 

52 

92  
1  
(85) 
(4) 
1  
13  
9  

27  
(3) 
15  
1  
(2) 
2  
(5) 

35  

223 
1 
(89)
(2)
18 
13 
– 

164 
(3)
20 
1 
(34)
2 
(5)

145 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
111

The Group has unused tax losses of $31m (2012 – $61m) available for offset against future profits. A deferred tax asset has been recognised 
in respect of $3m (2012 – $1m) of such losses. No deferred tax asset has been recognised on the remaining unused tax losses as these are 
not expected to be realised in the foreseeable future. 

Accelerated tax 
depreciation
 $ million

Intangible 
assets 
$ million

Other  
$ million 

Total 
$ million

Deferred tax liabilities 

At 1 January 2012 
Exchange adjustment 
Movement in income statement – current year 
Movement in other comprehensive income 

At 31 December 2012 
Exchange adjustment 
Movement in income statement – current year 
Movement in other comprehensive income 
Charge to equity 
Acquisitions/disposals 

At 31 December 2013 

6 Earnings per ordinary share 

ACCOUNTING POLICIES 

(28)
(1)
2 
– 

(27)
(1)
3 
– 
– 
– 

(25)

(27)
– 
6 
– 
(21)
– 
8 
– 
– 
– 

(13)

(11) 
–  
(4) 
2  
(13) 
–  
(4) 
18  
1  
(14) 

(12) 

(66)
(1)
4 
2 
(61)
(1)
7 
18 
1 
(14)

(50)

Earnings per share 
Basic earnings per share is calculated by dividing the profit attributable to equity holders by the weighted average number of Ordinary 
shares in issue during the year, excluding shares held by the Company in the Employees’ Share Trust or as treasury shares. 

Adjusted earnings per share 
Adjusted earnings per share is a trend measure, which presents the long-term profitability of the Group excluding the impact of specific 
transactions that management considers affects the Group’s short-term profitability. The Group presents this measure to assist investors 
in their understanding of trends. Adjusted attributable profit is the numerator used for this measure. The Group has identified the 
following items as those to be excluded when arriving at adjusted attributable profit: acquisition and disposal related items including 
amortisation of acquisition intangible assets and impairments; significant restructuring events; significant gains and losses arising from 
legal disputes and significant uninsured losses; and taxation thereon. 

The calculations of the basic, diluted and adjusted earnings per ordinary share are based on the following attributable profit and numbers of 
shares: 

Earnings 
Attributable profit for the year 

Adjusted attributable profit (see below) 

2013 
$ million

556 

693 

2012 
Restated  
$ million 

721  

671  

2011
Restated 
$ million

575 

657 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
112

Notes to the Group accounts continued 

6 Earnings per ordinary share continued 
Attributable profit is reconciled to adjusted attributable profit as follows: 

Notes

2013
 $ million

2012  
Restated  
$ million 

2011 
Restated 
$ million

Attributable profit for the year 
Acquisition-related costs 
Restructuring and rationalisation expenses 
Amortisation of acquisition intangibles and impairments 
Profit on disposal of net assets held for sale 
Legal provision 
Taxation on excluded items 

Adjusted attributable profit 

3
3
9
21
3
5

556 
31 
58 
88 
– 
– 
(40)
693 

721  
11  
65  
43  
(251) 
–  
82  
671  

575 
– 
40 
36 
– 
23 
(17)
657 

The numerators used for basic and diluted earnings per ordinary share are the same. The denominators used for all categories of earnings 
for basic and diluted earnings per ordinary share are as follows: 

Number of shares (millions) 
Basic weighted number of shares 
Dilutive impact of share options outstanding 

Diluted weighted average number of shares 

Earnings per ordinary share 
Basic 
Diluted 
Adjusted: Basic 
Adjusted: Diluted 

2013

901 
5 

906 

61.7¢ 
61.4¢ 
76.9¢ 
76.5¢ 

2012 

897  
4  

901  

2011

891 
4 

895 

Restated 

Restated

80.4¢ 
80.0¢ 
74.8¢ 
74.5¢ 

64.5¢
64.2¢
73.7¢
73.4¢

Share options not included in the diluted EPS calculation because they were non-dilutive in the period totalled 0.5m (2012 – 8.2m,  
2011 – 12.9m). 

7 Property, plant and equipment 

ACCOUNTING POLICIES 

Property, plant and equipment 
Items of property, plant and equipment are stated at cost less accumulated depreciation and any accumulated impairment losses. 

Depreciation is calculated to write off the cost of items of property, plant and equipment less their estimated residual values using the 
straight-line method over their estimated useful lives, and is generally recognised in profit or loss. Leased assets are depreciated over 
the shorter of the lease term and their useful lives unless it is reasonably certain that the Group will obtain ownership by the end of the 
lease term. Freehold land is not depreciated. The estimated useful lives of items of property, plant and equipment is 3–20 years and for 
buildings is 20–50 years.  

Assets in course of construction are not depreciated until they are available for use. 

Depreciation methods, useful lives and residual values are reviewed at each reporting date and adjusted if appropriate.  

Finance costs relating to the purchase or construction of property, plant and equipment and intangible assets that take longer than 
one year to complete are capitalised based on the Group weighted average borrowing costs. All other finance costs are expensed 
as incurred. 

Impairment of assets 
The carrying values of property, plant and equipment are reviewed for impairment when events or changes in circumstances indicate the 
carrying value may be impaired. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the 
extent of impairment loss. Where it is not possible to estimate the recoverable amount of an individual asset, the Group estimates the 
recoverable amount of the cash-generating unit to which it belongs. 

An asset’s recoverable amount is the higher of an asset’s or cash-generating unit’s fair value less costs to sell and its value-in-use. In 
assessing value-in-use, its estimated future cash flow is discounted to its present value using a pre-tax discount rate that reflects the 
current market assessments of the time value of money and the risks specific to the asset. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
113

Land and buildings

Plant and equipment 

Freehold 
$ million

Leasehold
 $ million

Instruments 
$ million

Other  
$ million 

Assets in 
course of 
construction 
$ million

Total 
$ million

133 
2 
8 
– 
– 
– 

143 
1 
– 
2 
(3)
– 

143 

43 
1 
2 
– 

46 
(1)
1 
(3)

43 

100 
97 

52 
– 
– 
1 
(1)
– 

52 
(1)
1 
1 
– 
– 

53 

27 
– 
3 
(1)

29 
(1)
3 
– 

31 

22 
23 

1,009 
3 
– 
122 
(92)
– 

1,042 
(16)
2 
139 
(102)
– 

1,065 

688 
2 
137 
(89)

738 
(10)
135 
(99)

764 

301 
304 

878  
15  
7  
46  
(37) 
10  

919  
6  
2  
23  
(80) 
68  

938  

573  
11  
70  
(31) 

623  
5  
70  
(73) 

625  

313  
296  

42 
1 
12 
28 
– 
(10)

73 
– 
– 
77 
(2)
(68)

80 

– 
– 
– 
–

–
– 
– 
– 

– 

80 
73 

2,114 
21 
27 
197 
(130)
– 

2,229 
(10)
5 
242 
(187)
– 

2,279 

1,331 
14 
212 
(121)

1,436 
(7)
209 
(175)

1,463 

816 
793 

Cost 
At 1 January 2012 
Exchange adjustment 
Acquisitions (see Note 21.4) 
Additions 
Disposals 
Transfers 

At 31 December 2012 
Exchange adjustment 
Acquisitions (see Note 21.1) 
Additions 
Disposals 
Transfers 

At 31 December 2013 
Depreciation and impairment 
At 1 January 2012 
Exchange adjustment 
Charge for the year 
Disposals 

At 31 December 2012 
Exchange adjustment 
Charge for the year 
Disposals 

At 31 December 2013 
Net book amounts 
At 31 December 2013 
At 31 December 2012 

Land and buildings includes land with a cost of $15m (2012 – $15m) that is not subject to depreciation. Assets held under finance leases 
with a net book amount of $10m (2012 – $11m) are included within land and buildings. 

Historically, capital expenditure represents the Group’s expected annual investment in property, plant and equipment and other intangible 
assets. This varies between 6% and 8% (2012 – 7% and 8%) of annual revenue. 

Group capital expenditure relating to property, plant and equipment contracted but not provided for amounted to $20m (2012 – $4m). 

The amount of borrowing costs capitalised in 2013 and 2012 was minimal. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
114

Notes to the Group accounts continued 

8 Goodwill 

ACCOUNTING POLICY 

Goodwill is not amortised but is reviewed for impairment annually. Goodwill is allocated to the cash-generating unit (‘CGU’) that 
is expected to benefit from the acquisition. The recoverable amount of CGUs to which goodwill has been allocated is tested for 
impairment annually. The CGUs, monitored by management, are at the business segment level, Advanced Surgical Devices and 
Advanced Wound Management.  

If the recoverable amount of the cash-generating unit is less than its carrying amount then an impairment loss is determined to have 
occurred. Any impairment losses that arise are recognised immediately in the income statement and are allocated first to reduce the 
carrying amount of goodwill and then to the carrying amounts of the other assets of the CGU. 

In carrying out impairment reviews of goodwill a number of significant assumptions have to be made when preparing cash flow 
projections. These include the future rate of market growth, discount rates, the market demand for the products acquired, the future 
profitability of acquired businesses or products, levels of reimbursement and success in obtaining regulatory approvals. If actual results 
should differ, or changes in expectations arise, impairment charges may be required which would adversely impact operating results.  

Cost 
At 1 January 
Exchange adjustment 
Acquisitions (i) 

At 31 December 

Impairment 
At 1 January and 31 December 

Net book amounts 

Notes

21

(i) Includes an adjustment of $16m (2012: $nil) following the finalisation of the Healthpoint acquisition balance sheet. See Note 21.4. 

Each of the Group’s business segments represent a CGU and include goodwill as follows: 

Advanced Surgical Devices 
Advanced Wound Management 

2013  
$ million 

2012 
$ million

1,186  
17  
53  
1,256  

–  

1,256  

2013  
$ million 

918  
338  

1,256  

1,096 
17 
73 
1,186 

– 

1,186 

2012 
$ million

886 
300 

1,186 

In September 2013 and 2012 impairment reviews were performed by comparing the recoverable amount of each CGU with its carrying 
amount, including goodwill. These are updated during December, taking into account significant events that occurred between September 
and December. 

For each CGU, the recoverable amounts are based on value-in-use which is calculated from pre-tax cash flow projections for five years 
using data from the Group’s budget and strategic planning process, the results of which are reviewed and approved by the Board. These 
projections exclude any estimated future cash inflows or outflows expected to arise from future restructurings. The five-year period is in-line 
with the Group’s strategic planning process. 

The calculation of value-in-use for the identified CGUs is most sensitive to discount and growth rates as set out below: 

The discount rate reflects management’s assessment of risks specific to the assets of each CGU. The pre-tax discount rate used in the 
Advanced Surgical Devices business is 10% (2012 – 10%) and for the Advanced Wound Management business it is 10% (2012 – 9%). 

In determining the growth rate used in the calculation of the value-in-use, the Group considered the annual revenue growth and trading profit 
margins. Projections are based on anticipated volume and value growth in the markets served by the Group and assumptions as to market 
share movements. Each year the projections for the previous year are compared to actual results and variances are factored into the 
assumptions used in the current year. Growth rates for the five-year period for the Advanced Surgical Devices business vary up to 7% 
(2012 – 7%) and for the Advanced Wound Management business up to 18% (2012 – 9%). 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
115

Specific considerations and strategies taken into account in determining the sales growth and trading profit margin for each CGU are: 

−  Advanced Surgical Devices – In the Advanced Surgical Devices CGU management intends to deliver growth through continuing to focus 

on the customer, high-quality customer service, innovative product development and through continuing to make efficiency improvements 
−  Advanced Wound Management – Management intends to develop this CGU by focusing on the higher added value sectors of exudate and 
infection management through improved wound bed preparation, moist and active healing, NPWT, healing of chronic wounds and tissue 
repair using bioactives and by continuing to improve efficiency. 

A long-term growth rate of 3% for Advanced Surgical Devices business and 5% for the Advanced Wound Management business (2012 – 
both businesses 4%) in pre-tax cash flows is assumed after five years in calculating a terminal value for the Group’s CGUs. Management 
considers this to be an appropriate estimate based on the growth rates of the markets in which the Group operates. 

Management has considered the following sensitivities: 

−  Growth of market and market share – Management has considered the impact of a variance in market growth and market share. 

The value-in-use calculation shows that if the assumed long-term growth rate was reduced to nil, the recoverable amount of all of the 
CGUs independently would still be greater than their carrying values 

−  Discount rate – Management has considered the impact of an increase in the discount rate applied to the calculation. The value-in-use 
calculation shows that for the recoverable amount of the CGU to be less than its carrying value, the discount rate would have to be 
increased to 33% (2012 – 31%) for the Advanced Surgical Devices business and 65% (2012 – 49%) for the Advanced Wound 
Management business. 

9 Intangible assets 

ACCOUNTING POLICIES 

Intangible assets 
Intangible assets acquired separately from a business combination (including purchased patents, know-how, trademarks, licences and 
distribution rights) are initially measured at cost. The cost of intangible assets acquired in a material business combination (referred to as 
acquisition intangibles) is the fair value as at the date of acquisition. Following initial recognition, intangible assets are carried at cost less 
any accumulated amortisation and any accumulated impairment losses. All intangible assets are amortised on a straight-line basis over 
their estimated useful economic lives. The estimated useful economic life of an intangible asset ranges between three and 20 years 
depending on its nature. Internally generated intangible assets are expensed in the income statement as incurred. 

Purchased computer software and certain costs of information technology projects are capitalised as intangible assets. Software that is 
integral to computer hardware is capitalised as plant and equipment. 

Impairment of intangible assets 
The carrying values of intangible assets are reviewed for impairment when events or changes in circumstances indicate the carrying 
value may be impaired. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of 
impairment loss. Where it is not possible to estimate the recoverable amount of an individual asset, the Group estimates the recoverable 
amount of the cash-generating unit to which it belongs. 

An asset’s recoverable amount is the higher of an asset’s or cash-generating unit’s fair value less costs to sell and its value-in-use. 
In assessing value-in-use, its estimated future cash flow is discounted to its present value using a pre-tax discount rate that reflects 
the current market assessments of the time value of money and the risks specific to the asset. 

In carrying out impairment reviews of intangible assets a number of significant assumptions have to be made when preparing cash flow 
projections. These include the future rate of market growth, discount rates, the market demand for the products acquired, the future 
profitability of acquired businesses or products, levels of reimbursement and success in obtaining regulatory approvals. If actual results 
should differ, or changes in expectations arise, impairment charges may be required which would adversely impact operating results. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
116

Notes to the Group accounts continued 

9 Intangible assets continued 

Acquisition 
 intangibles  
$ million 

Software
 $ million

Distribution 
rights 
$ million

Patents &  
Intellectual  
property 
 $ million 

Total
 $ million

Cost 
At 1 January 2012 
Exchange adjustment 
Acquisitions (i) 
Additions 
Disposals 

At 31 December 2012 
Exchange adjustment 
Acquisitions (ii) 
Additions 
Disposals 

At 31 December 2013 
Amortisation and impairment 
At 1 January 2012 
Exchange adjustment 
Charge for the year 
Disposals 

At 31 December 2012 
Exchange adjustment 
Charge for the year 
Disposals 

At 31 December 2013 
Net book amounts 

At 31 December 2013 
At 31 December 2012 

436  
11  
662  
–  
–  

1,109  
3  
53  
–  
–  

1,165  

234  
6  
43  
–  

283  
1  
88  
–  

372  

793  
826  

170 
1 
– 
37 
(3)

205 
– 
– 
53 
(29)

229 

65 
– 
26 
– 

91 
– 
31 
(18)

104 

125 
114 

60 
– 
– 
– 
(17)

43 
– 
– 
27 
– 

70 

34 
– 
10 
(17)

27 
– 
14 
– 

41 

29 
16 

143  
2  
–  
31  
–  

176  
–  
–  
18  
–  

194  

53  
–  
15  
–  

68  
–  
19  
–  

87  

107  
108  

809 
14 
662 
68 
(20)

1,533 
3 
53 
98 
(29)

1,658 

386 
6 
94 
(17)

469 
1 
152 
(18)

604 

1,054 
1,064 

(i) 

(ii) 

The majority of this balance relates to the acquisition of the product rights for two established Healthpoint products (see Note 21.4). These product rights are amortised over 
15 years. 
Includes an adjustment of $11m following the finalisation of the Healthpoint acquisition balance sheet. See Note 21.4. 

Group capital expenditure relating to software contracted but not provided for amounted to $21m (2012 – $4m). 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
117

10 Investments 

ACCOUNTING POLICY 

Investments, other than those related to associates, are initially recorded at fair value plus any directly attributable transaction costs on 
the trade date. The Group has an investment in an entity that holds mainly unquoted equity securities, which by their very nature have 
no fixed maturity date or coupon rate. The investment is classed as ‘available-for-sale’ and carried at fair value. The fair value of the 
investment is based on the underlying fair value of the equity securities: marketable securities are valued by reference to closing prices 
in the market; non-marketable securities are estimated considering factors including the purchase price, prices of recent significant 
private placements of securities of the same issuer and estimates of liquidation value. Changes in fair value are recognised in other 
comprehensive income except where management considers that there is objective evidence of an impairment of the underlying equity 
securities. Objective evidence would include a significant or prolonged decline in the fair value of the investment below its cost less any 
impairment loss previously recognised. Impairment losses are recognised by reclassifying the losses accumulated in other reserves to 
profit or loss. 

At 1 January 
Impairment 

At 31 December 

11 Investments in associates 

ACCOUNTING POLICY 

2013 
$ million 

2  
–  

2  

2012 
$ million

4 
(2)

2 

Investments in associates, being those entities over which the Group has a significant influence and which is neither a subsidiary nor 
a joint venture, are accounted for using the equity method, with the Group recording its share of the associate’s profit and loss and other 
comprehensive income. The Group’s share of associates profit or loss is included in one separate income statement line and is calculated 
after deduction of their respective taxes.  

At 31 December 2013 and 31 December 2012, the Group holds 49% of Bioventus LLC (‘Bioventus’). Bioventus is a limited liability company 
operating as a partnership. The Company’s headquarters is located in Durham, North Carolina, US. The Company focuses its medical 
product development around its core competencies of orthobiologic therapies and orthopaedic diagnostics from which it develops and 
markets clinically proven orthopaedic therapies and diagnostic tools, including osteoarthritis pain treatments, bone growth stimulators and 
ultrasound devices. The Company sells bone stimulation devices and a provider of osteoarthritis injection therapies. The loss after taxation 
recognised in the income statement relating to Bioventus was $2m (2012 – profit after taxation $4m). 

The carrying amount of this investment was reviewed for impairment as at the balance sheet date. For the purposes of impairment testing the 
recoverable amount of this investment was based on its fair value less cost to sell, estimated using discounted cash flows. The fair value 
measurement was categorised as a level 3 fair value based on the inputs and valuation technique used. Given the relatively short passage 
of time between the date of acquisition and the impairment review, the estimated recoverable amount of the investment marginally exceeded 
its carrying amount. Management has identified that a reasonable possible change in the key assumptions and estimated cash flows could 
cause the carrying amount to exceed the recoverable amount. However, any such change would not result in the recognition of a material 
impairment loss. 

In addition to its 49% ownership interest in Bioventus, the Group holds a senior secured five year loan note with Bioventus. The loan note 
was created in May 2012 with a principal amount of $160m and an annual coupon rate of LIBOR plus 5%. The loan note is carried at 
amortised cost. Interest receivable of $11m was accrued during 2013 (2012: $7m). In accordance with the terms of the agreement $10m of 
interest receivable has been rolled-up into principal during 2013. As at the balance sheet date, the carrying amount of the loan note and the 
related interest receivable is neither past due nor impaired. 

In 2013, the Group sold its 49% interest in the Austrian entities Plus Orthopedics GmbH and Intraplant GmbH and its 20% interest in the 
German entity Intercus GmbH. The profit after taxation recognised in the income statement prior to the disposal was $1m (2012 – $nil).  

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
118

Notes to the Group accounts continued 

11 Investments in associates continued 
The following table summarises the financial position of the Group’s investment in these associates: 

2013 
$ million 

2012 
$ million

Share of results of associates: 
Revenue 
Operating costs and taxation 

Share of associates (loss)/profit after taxation recognised in the income statement 
Investments in associates at 1 January 
Investment of 49% in Bioventus 
Additional investment in Bioventus 
Dividends received  
Impairment of goodwill in Austrian associate 
Disposal of interest in Plus and Intraplant 
Other non-cash movements 

Investments in associates at 31 December 
Investments in associates is represented by: 
Non-current assets 
Current assets 
Non-current liabilities  
Current liabilities 

Net assets (100%) 
Group’s share of net assets (49%) 
Group adjustments (i) 

Investment in associate 

(i)  Group adjustments primarily relate to an adjustment to the useful economic life of intangible assets. 

Loans to associates:  
Loan note receivable from Bioventus  
Accrued interest on loan note receivable 

12 Inventories 

ACCOUNTING POLICY 

113  
(114) 

(1) 
116  
–  
–  
(1) 
–  
(7) 
– 

107  

315  
129  
(194) 
(59) 

191  
93  
14  

107  

171  
7  

178  

80 
(76)

4 
13 
104 
10 
 (7)
(4)
– 
(4)

116 

310 
129 
(167)
(33)

239 
117 
(1)

116 

160 
7 

167 

Finished goods and work-in-progress are valued at factory cost, including appropriate overheads, on a first-in first-out basis. Raw 
materials and bought-in finished goods are valued at purchase price. All inventories are reduced to net realisable value where lower 
than cost. Inventory acquired as part of a business acquisition is valued at selling price less costs of disposal and a profit allowance 
for selling efforts. 

Orthopaedic instruments are generally not sold but provided to customers and distributors for use in surgery. They are recorded as 
inventory until they are deployed at which point they are transferred to plant and equipment and depreciated over their useful economic 
lives of between three and five years. 

A feature of the orthopaedic business is the high level of product inventory required, some of which is located at customer premises and 
is available for customers’ immediate use (referred to as consignment inventory). Complete sets of product, including large and small 
sizes, have to be made available in this way. These outer sizes are used less frequently than standard sizes and towards the end of the 
product life cycle are inevitably in excess of requirements. Adjustments to carrying value are therefore required to be made to orthopaedic 
inventory to anticipate this situation. These adjustments are calculated in accordance with a formula based on levels of inventory 
compared with historical or forecast usage. This formula is applied on an individual product line basis and is first applied when a product 
group has been on the market for two years. This method of calculation is considered appropriate based on experience but it involves 
management judgements on effectiveness of inventory deployment, length of product lives, phase-out of old products and efficiency of 
manufacturing planning systems. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
 
Raw materials and consumables 
Work-in-progress 
Finished goods and goods for resale 

2013 
$ million

151 
72 
783 

1,006 

2012  
$ million 

138  
45  
718  

901  

119

2011 
$ million

140 
24 
695 

859 

Reserves for excess and obsolete inventories were $354m (2012 – $332m, 2011 – $322m). During 2013, $73m was recognised as an 
expense within cost of goods sold resulting from the write down of excess and obsolete inventory (2012 – $84m, 2011 – $65m). The 
cost of inventories recognised as an expense and included in cost of goods sold amounted to $958m (2012 – $906m, 2011 – $991m). 

Notwithstanding inventory acquired within acquisitions, no inventory is carried at fair value less costs to sell in any year. 

13 Trade and other receivables 

ACCOUNTING POLICY 

Trade and other receivables are carried at amortised cost, less any allowances for uncollectible amounts. They are included in current 
assets, except for maturities greater than 12 months after the balance sheet date. These are classified as non-current assets. 

The Group manages credit risk through credit limits which require authorisation commensurate with the size of the limit and which are 
regularly reviewed. Credit limit decisions are made based on available financial information and the business case. Significant receivables 
are regularly reviewed and monitored at Group level. The Group has no significant concentration of credit risk, with exposure spread over 
a large number of customers and geographies. Furthermore the Group’s principal customers are backed by government and public or 
private medical insurance funding, which historically represent a lower risk of default. The maximum exposure to credit risk at the 
reporting date is the fair value of each class of receivable. The Group does not hold any collateral as security. 

Trade receivables 
Less: provision for bad and doubtful debts 

Trade receivables – net (loans and receivables) 
Derivatives – forward foreign exchange contracts 
Other receivables 
Prepayments and accrued income 

2013 
$ million

992 
(57)

935 
28 
60 
90 

1,113 

2012  
$ million 

964  
(49) 

915  
12  
65  
73  

1,065  

2011 
$ million

936 
(36)

900 
21 
50 
66 

1,037 

Management considers that the carrying amount of trade and other receivables approximates to the fair value. 

The provision for bad and doubtful debts is based on specific assessments of risk and reference to past default experience. The bad debt 
expense for the year was $15m (2012 – $16m, 2011 – $42m). Amounts due from insurers in respect of the macro textured claim of $138m  
(2012 – $137m, 2011 – $136m) are included within other receivables and have been provided in full. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
120

Notes to the Group accounts continued 

13 Trade and other receivables continued 
The amount of trade receivables that were past due were as follows: 

Past due not more than three months 
Past due more than three months and not more than six months 
Past due more than six months and not more than one year 
Past due more than one year 

Neither past due nor impaired 
Provision for bad and doubtful debts 

Trade receivables – net (loans and receivables) 

Movements in the provision for bad and doubtful debts were as follows: 

At 1 January 
Exchange adjustment 
Receivables provided for during the year 
Utilisation of provision 
Provision transferred to assets held for sale 

At 31 December 

Trade receivables include amounts denominated in the following major currencies: 

US Dollar 
Sterling 
Euro 
Other 

Trade receivables – net (loans and receivables) 

14 Trade and other payables 

Trade and other payables due within one year 
Trade and other payables 
Derivatives – forward foreign exchange contracts 
Acquisition consideration 

Other payables due after one year: 
Acquisition consideration 

2013 
$ million

2012  
$ million 

2011 
$ million

206 
52 
61 
70 

389 
603 
(57)

935 

49 
1 
15 
(8)
– 

57 

225  
52  
52  
80  

409  
555  
(49) 

915  

36  
–  
16  
(3) 
–  

49  

198 
51 
59 
94 

402 
534 
(36)

900 

49 
(1)
42 
(34)
(20)

36 

2013 
$ million

2012  
$ million 

2011 
$ million

293 
103 
271 
268 

935 

258  
100  
276  
281  

915  

238 
75 
317 
270 

900

2013 
$ million 

2012 
$ million

751  
20  
14  

785  

7  

646 
10 
– 

656 

8 

The acquisition consideration due after more than one year is expected to be payable as follows: $4m in 2015 and $3m in 2016 (2012 – $8m 
in 2014). 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
15 Cash and borrowings 

15.1 Net debt 
Net debt comprises borrowings and credit balances on currency swaps less cash at bank. 

Bank overdrafts and loans due within one year 
Long-term borrowings 

Borrowings 
Cash at bank 
Debit balance on derivatives – currency swaps 

Net debt 

Borrowings are repayable as follows: 

121

2013  
$ million 

2012 
$ million

44  
347  

391  
(137) 
(1) 

253  

38 
430 

468 
(178)
(2)

288 

At 31 December 2013: 
Bank loans 
Bank overdrafts 
Finance lease liabilities 

At 31 December 2012: 
Bank loans 
Bank overdrafts 
Finance lease liabilities 

Within 
one year 
or on demand 
$ million

Between 
one and 
two years 
$ million

Between 
two and 
three years 
$ million

Between 
three and 
four years 
$ million

Between 
 four and 
 five years  
$ million 

After
 five years 
$ million

Total 
$ million

31 
11 
2 

44 

25 
11 
2 

38 

335 
– 
2 

337 

1 
– 
2 

3 

– 
– 
2 

2 

415 
– 
2 

417 

– 
– 
2 

2 

– 
– 
2 

2 

–  
–  
3  

3  

–  
–  
2  

2  

– 
– 
3 

3 

– 
– 
6 

6 

366 
11 
14 

391 

441 
11 
16 

468 

15.2 Post balance sheet event 
In December 2013, the Group signed a private placement agreement to borrow $325m of long-term debt. The funds, which have a weighted 
average fixed rate of 3.7% and an average maturity of just over nine years, were drawn down on 21 January 2014 and used to repay existing 
bank debt. 

Subsequent to the balance sheet date, on 3 February 2014 the Group announced the execution of a definitive agreement to acquire 100% 
of the shares of ArthroCare Corp. for approximately $1.7 billion. The acquisition is subject to customary conditions, including a vote of 
ArthroCare’s shareholders and governmental clearances. The acquisition is expected to close in mid-2014. The acquisition will be financed 
through existing debt facilities and cash balances, including the existing $1 billion revolving credit facility and a new two-year $1.4 billion term 
loan facility, established in February 2014.  

15.3 Assets pledged as security 
Assets are pledged as security under normal market conditions. Secured borrowings and pledged assets are as follows: 

Finance lease liabilities – due within one year 
Finance lease liabilities – due after one year 

Total amount of secured borrowings 

Total net book value of assets pledged as security: 
Property, plant and equipment 

2013 
 $ million 

2012 
$ million

2  
12  

14  

10  
10  

2 
14 

16 

11 

11 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
 
122

Notes to the Group accounts continued 

15 Cash and borrowings continued 

15.4 Currency swap analysis 
All currency swaps are stated at fair value. Gross US Dollar equivalents of $146m (2012 – $175m) receivable and $145m (2012 – $173m) 
payable have been netted. Currency swaps comprise foreign exchange swaps and were used in 2013 and 2012 to hedge intragroup loans 
and other monetary items. 

Currency swaps mature as follows: 

At 31 December 2013 

Within one year: 
Euro 
Japanese Yen 
Chinese Renminbi 
Sterling 

At 31 December 2013 

Within one year: 
New Zealand Dollar 
Swiss Franc 
Swedish Krona 
Australian Dollar 
Canadian Dollar 
Sterling 

At 31 December 2012 

Within one year: 
Euro 
Japanese Yen 
Canadian Dollar 

At 31 December 2012 

Within one year: 
New Zealand Dollar 
Swiss Franc 
Swedish Krona 
Australian Dollar 
Japanese Yen 

Amount receivable  
$ million 

Amount payable 
Currency million

28  
13  
17  
11  

69  

EUR 20 
JPY 1,315 
CNY 100 
GBP 7 

Amount receivable 
Currency million 

Amount payable 
$ million

NZD 9  
CHF 14  
SEK 31  
AUD 41  
CAD 3  
GBP 6  

7 
16 
5 
36 
3 
10 

77

Amount receivable  
$ million 

Amount payable 
Currency million

76 
19 
17 

112 

EUR 58
JPY 1,500
CAD 17

Amount receivable 
Currency million 

Amount payable 
$ million

NZD 1 
CHF 35 
SEK 33 
AUD 14 
JPY 335 

1
38
5
15
4

63

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
123

15.5 Liquidity risk exposures 
The Board has established a set of policies to manage funding and currency risks. The Group uses derivative financial instruments only 
to manage the financial risks associated with underlying business activities and their financing. 

Liquidity risk is the risk that the Group is not able to settle or meet its obligations on time or at a reasonable price. The Group’s policy is to 
ensure that there is sufficient funding and facilities in place to meet foreseeable borrowing requirements. The Group manages and monitors 
liquidity risk through regular reporting of current cash and borrowing balances and periodic preparation and review of short and 
medium-term cash forecasts having regard to the maturities of investments and borrowing facilities. 

Bank loans and overdrafts represent drawings under total committed facilities of $1,008m (2012 – $1,017m) and total uncommitted facilities of 
$319m (2012 – $341m). The Group has undrawn committed facilities of $672m (2012 – $597m). Of the undrawn committed facilities, $665m 
expires after one but within two years (2012 – $586m expiring after two but within five). The interest payable on borrowings under committed 
facilities is at floating rate and is typically based on the LIBOR interest rate relevant to the term and currency concerned.  

In December 2010, the Company entered into a five-year $1 billion multi-currency revolving facility with an initial interest rate of 70 basis 
points over LIBOR. The commitment fee on the undrawn amount of the revolving facility is 24.5 basis points. The Company is subject to 
restrictive covenants under the facility agreement requiring the Group’s ratio of net debt to EBITDA to not exceed 3.0 to 1 and the ratio of 
EBITA to net interest to not be less than 3.0 to 1, with net debt, EBITDA, EBITA and net interest all being calculated as defined in the 
agreement. These financial covenants are tested at the end of each half year for the 12 months ending on the last day of the testing period. 
As of 31 December 2013, the Company was in compliance with these covenants. The facility is also subject to customary events of default, 
none of which are currently anticipated to occur. 

15.6 Year-end financial liabilities by contractual maturity 
The table below analyses the Group’s year-end financial liabilities by contractual maturity date, including interest payments and excluding the 
impact of netting arrangements: 

At 31 December 2013 

Non-derivative financial liabilities: 
Bank overdrafts and loans 
Trade and other payables 
Finance lease liabilities 
Acquisition consideration 
Derivative financial liabilities: 
Currency swaps/forward foreign exchange contracts – outflow 
Currency swaps/forward foreign exchange contracts – inflow 

At 31 December 2012 

Non-derivative financial liabilities: 
Bank overdrafts and loans 
Trade and other payables 
Finance lease liabilities 
Acquisition consideration 
Derivative financial liabilities: 
Currency swaps/forward foreign exchange contracts – outflow 
Currency swaps/forward foreign exchange contracts – inflow 

Within one 
year or on 
demand 
$ million

Between 
one and 
two years 
$ million

Between 
 two and 
 five years 
$ million 

After 
five years
 $ million

Total 
$ million

42 
751 
3 
14 

1,734 
(1,733)

811 

42 
646 
3 
– 

1,422 
(1,424)

689 

335 
– 
3 
4 

– 
– 

342 

4 
– 
3 
8 

– 
– 

15 

–  
–  
9  
3  

–  
–  

12  

418  
–  
9  
–  

–  
–  

427  

– 
– 
3 
– 

– 
– 

3 

– 
– 
6 
– 

– 
– 

6 

377 
751 
18 
21 

1,734 
(1,733)

1,168 

464 
646 
21 
8 

1,422 
(1,424)

1,137 

The amounts in the tables above are undiscounted cash flows, which differ from the amounts included in the balance sheet where the 
underlying cash flows have been discounted. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
 
 
124

Notes to the Group accounts continued 

15 Cash and borrowings continued 

15.7 Finance leases 

ACCOUNTING POLICY 

Leases are classified as finance leases when the terms of the lease transfer substantially all the risks and rewards of ownership to the 
Group. All other leases are classified as operating leases. 

The leased assets are measured initially at an amount equal to the lower of their fair value and the present value of the minimum lease 
payments. Assets held under finance leases are capitalised as property, plant or equipment and depreciated accordingly. Minimum lease 
payments are apportioned between the finance expense and the reduction in the outstanding liability. The finance expense is allocated to 
each period during the lease term so as to produce a constant periodic rate of interest on the remaining balance of the liability. 

Future minimum lease payments under finance leases together with the present value of the minimum lease payments are as follows: 

Within one year 
After one and within two years 
After two and within three years 
After three and within four years 
After four and within five years  
After five years 

Total minimum lease payments 
Discounted by imputed interest 

Present value of minimum lease payments 

2013  
$ million 

2012 
$ million

3  
3  
3  
3  
3  
3  

18  
(4) 

14  

3
3
3
3
3
6

21
(5)

16

Present value of minimum lease payments can be split out as: $2m (2012 – $2m) due within one year, $9m (2012 – $8m) due between one to 
five years and $3m (2012– $6m) due after five years. 

16 Financial instruments and risk management 

ACCOUNTING POLICY 

Derivative financial instruments 
Derivative financial instruments are initially recognised at fair value on the date a derivative contract is entered into and are subsequently 
re-measured at their fair value at subsequent balance sheet dates.  

Changes in the fair value of derivative financial instruments that are designated and effective as cash flow hedges of forecast third party 
and intercompany transactions are recognised in other comprehensive income until the associated asset or liability is recognised. 
Amounts taken to other comprehensive income are transferred to the income statement in the period in which the hedged transaction 
affects profit and loss. Where the hedged item is the cost of a non-financial asset, the amounts taken to other comprehensive income are 
transferred to the initial carrying value of the asset. 

Currency swaps to match foreign currency net assets with foreign currency liabilities are fair valued at year-end. Changes in the fair 
values of currency swaps that are designated and effective as net investment hedges are matched in other comprehensive income 
against changes in value of the related net assets. 

Interest rate swaps transacted to fix interest rates on floating rate borrowings are accounted for as cash flow hedges and changes in 
the fair values resulting from changes in market interest rates are recognised in other comprehensive income. Amounts taken to other 
comprehensive income are transferred to the income statement when the hedged transaction affects profit and loss. 

Any ineffectiveness on hedging instruments and changes in the fair value of derivative financial instruments that do not qualify for hedge 
accounting are recognised in the income statement within other finance income/(costs) as they arise. 

Hedge accounting is discontinued when the hedging instrument expires or is sold, terminated or exercised, or no longer qualifies for 
hedge accounting. At that point in time, any cumulative gain or loss on the hedging instrument recognised in other comprehensive 
income is retained there until the forecast transaction occurs. If a hedged transaction is no longer expected to occur, the net cumulative 
gain or loss recognised in other comprehensive income is transferred to the income statement for the period. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
125

16.1 Foreign exchange exposures 
The Group operates in over 90 countries and as a consequence has transactional and translational foreign exchange exposure. It is Group 
policy for operating units not to hold material unhedged monetary assets or liabilities other than in their functional currencies. 

Foreign exchange variations affect trading results in two ways. Firstly, on translation of overseas sales and profits into US Dollars and 
secondly, transactional exposures arising where some or all of the costs of sale are incurred in a different currency from the sale. The 
principal transactional exposures arise as the proportion of costs in US Dollars, Sterling and Swiss Francs exceed the proportion of sales 
in each of these currencies and correspondingly the proportion of sales in Euros exceeds the proportion of costs in Euros. 

The impact of currency movements on the cost of purchases is partly mitigated by the use of forward foreign exchange contracts. The Group 
uses forward foreign exchange contracts, designated as cash flow hedges, to hedge forecast third party and intercompany trading cash 
flows for forecast foreign currency inventory purchases for up to one year. When a commitment is entered into, forward foreign exchange 
contracts are normally used to increase the hedge to 100% of the exposure. Cash flows relating to cash flow hedges are expected to occur 
within 12 months of inception and profits and losses on hedges are expected to enter into the determination of profit (within cost of goods 
sold) within a further 12-month period. The principal currencies hedged by forward foreign exchange contracts are US Dollars, Euros and 
Sterling. At 31 December 2013, the Group had contracted to exchange within one year the equivalent of $1.6bn (2012 – $1.3bn). 

Based on the Group’s net borrowings as at 31 December 2013, if the US Dollar were to weaken against all currencies by 10%, the Group’s net 
borrowings would decrease by $2m (2012 – decrease by $8m) as the Group held a higher amount of foreign denominated cash than foreign 
denominated borrowings. In respect of borrowings held in a different currency to the relevant reporting entity, if the US Dollar were to weaken 
by 10% against all other currencies, the Group’s borrowings would increase by $4m (2012 – decrease by $4m).  

If the US Dollar were to weaken by 10% against all other currencies, then the fair value of the forward foreign exchange contracts as at 
31 December 2013 would have been $34m lower (2012 – $23m). Similarly, if the Euro were to weaken by 10% against all other currencies, 
then the fair value of the forward foreign exchange contracts as at 31 December 2013 would have been $27m higher (2012 – $30m). 
Movements in the fair value of forward foreign exchange contracts would be recognised in other comprehensive income and accumulated 
in the hedging reserve.  

A 10% strengthening of the US Dollar or Euro against all other currencies at 31 December 2013 would have had the equal but opposite effect 
to the amounts shown above, on the basis that all other variables remain constant. 

The Group’s policy to hedge all actual foreign exchange exposures and the Group’s forward foreign exchange contracts are designated 
as cash flow hedges. The net impact of transaction related foreign exchange on the income statement from a movement in exchange rates 
on the value of forward foreign exchange contracts is not significant. In addition, the movements in the fair value of other financial 
instruments used for hedging such as currency swaps for which hedge accounting is not applied, offset movements in the values of assets 
and liabilities and are recognised through the income statement.  

16.2 Interest rate exposures 
The Group is exposed to interest rate risk on cash, borrowings and certain currency swaps which are all at floating rates. When required the 
Group uses interest rate swaps to meet its objective of protecting borrowing costs within parameters set by the Board. Interest rate swaps 
are accounted for as cash flow hedges and, as such, changes in fair value resulting from changes in market interest rates are recognised 
in other comprehensive income and accumulated in the hedging reserve, with the fair value of the interest rate swaps recorded in the 
balance sheet. The cash flows resulting from interest rate swaps match cash flows on the underlying borrowings so that there is no net cash 
flow from movements in market interest rates on the hedged items. During 2013 and 2012 the Group was not exposed to significant interest 
rate risk. As a result, interest rate swaps were not utilised in accordance with the Board approved policy.  

Based on the Group’s gross borrowings as at 31 December 2013, if interest rates were to increase by 100 basis points in all currencies then 
the annual net interest charge would increase by $4m (2012 – $5m). A decrease in interest rates by 100 basis points in all currencies would 
have an equal but opposite effect to the amounts shown above. 

16.3 Credit risk exposures 
The Group limits exposure to credit risk on counterparties used for financial instruments through a system of internal credit limits which, with 
certain minor exceptions due to local market conditions, require counterparties to have a minimum ‘A’ rating from one of the major ratings 
agencies. The financial exposure of a counterparty is determined as the total of cash and deposits, plus the risk on derivative instruments, 
assessed as the fair value of the instrument plus a risk element based on the nominal value and the historic volatility of the market value of 
the instrument. The Group does not anticipate non-performance of counterparties and believes it is not subject to material concentration of 
credit risk as the Group operates within a policy of counterparty limits designed to reduce exposure to any single counterparty. 

The maximum credit risk exposure on derivatives at 31 December 2013 was $29m (2012 – $14m), being the total debit fair values on forward 
foreign exchange contracts and currency swaps. The maximum credit risk exposure on cash at bank at 31 December 2013 was $137m (2012 
– $178m). The Group’s exposure to credit risk is not material as the amounts are held in a wide number of banks in a number of different 
countries. 

Credit risk on trade receivables is detailed in Note 13. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
126

Notes to the Group accounts continued 

16 Financial instruments and risk management continued 

16.4 Currency and interest rate profile of interest bearing liabilities and assets 
Short-term debtors and creditors are excluded from the following disclosures. 

Currency and Interest Rate Profile of Interest Bearing Liabilities: 

At 31 December 2013: 

US Dollar 

Euro 

Other 

Total interest bearing liabilities 

At 31 December 2012: 

US Dollar 

Euro 

Other 

Total interest bearing liabilities 

Gross 
borrowings  
$ million 

Currency
swaps
$ million

Total
liabilities
$ million

Floating 
rate liabilities
$ million

Fixed 
rate liabilities 
$ million 

297  

59  

35  

391  

432  

7  

29  

468  

77 

28 

40 

145 

62 

76 

35 

173 

374 

87 

75 

536 

494 

83 

64 

641 

360 

87 

75

522 

478 

83 

64 

625 

14  

–  

–  

14 

16  

–  

–  

16  

Fixed rate liabilities

Weighted 
average 
Interest 
rate 
% 

Weighted
average time
for which
rate is fixed
Years

7.1  

–  

–  

7.1  

–  

–  

4 

– 

– 

4 

– 

– 

At 31 December 2013, $14m (2012 – $16m) of fixed rate liabilities relate to finance leases. In 2013, the Group also had liabilities due for 
deferred acquisition consideration (denominated in US Dollars and Brazilian Real) totalling $21m (2012 – $8m, 2011 – $11m) on which no 
interest was payable (see Note 14). There are no other significant interest bearing financial liabilities. 

Floating rates on liabilities are typically based on the one or three-month LIBOR interest rate relevant to the currency concerned. 
The weighted average interest rate on floating rate borrowings as at 31 December 2013 was 1% (2012 – 1%). 

Currency and Interest Rate Profile of Interest Bearing Assets: 

At 31 December 2013: 

US Dollars 

Other 

Total interest bearing assets 

At 31 December 2012: 

US Dollars 

Other 

Total interest bearing assets 

Cash 
at bank
$ million

Currency
swaps
$ million

Total assets 
$ million 

Floating
rate assets
$ million

8 

129 

137 

59 

119 

178 

69 

77 

146 

113 

62 

175 

77  

206  

283  

172  

181  

353  

77 

206 

283 

172 

181 

353 

Floating rates on assets are typically based on the short-term deposit rates relevant to the currency concerned. There were no fixed rate 
assets at 31 December 2013 or 31 December 2012. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
127

16.5 Fair value of financial assets and liabilities 

ACCOUNTING POLICY 

Measurement of fair values 
A number of the Group’s accounting policies and disclosures require the measurement of fair values, for both financial assets and 
liabilities and non-financial assets acquired in a business combination (see Note 21). 

When measuring the fair value of an asset or liability, the Group uses market observable data as far as possible. Fair values are 
categorised into different levels in the fair value hierarchy based on the inputs used in the valuation techniques as follows: Level 1: quoted 
prices (unadjusted) in active markets for identical assets or liabilities; Level 2: inputs other than quoted prices included in Level 1 that are 
observable for the asset or liability, either directly (i.e. as prices) or indirectly (i.e. derived from prices); Level 3: inputs for the asset or 
liability that are not based on observable data (unobservable inputs). 

The Group recognises transfers between the levels of the fair value hierarchy at the end of the reporting period during which the change 
has occurred. 

The following table shows the carrying amounts and fair values of financial assets and financial liabilities, including their levels in the fair 
value hierarchy. It does not include fair value information for financial assets and financial liabilities not measured at fair value if the carrying 
amount is a reasonable approximation of fair value. 

At 31 December 2013 

Financial assets measured 
at fair value 

Forward foreign exchange 
contracts 

Investments 

Currency swaps 

Financial liabilities measured 
at fair value 

Acquisition consideration 

Forward foreign exchange 
contracts 

Financial assets not measured 
at fair value 

Trade and other receivables 

Cash at bank 

Financial liabilities not 
measured at fair value 

Bank overdrafts 

Bank loans 

Finance lease liabilities 

Trade and other payables 

Carrying amount 

Fair value

Designated 
at fair  
value 
$ million 

Fair value –
hedging
instruments
$ million

Loans 
and
receivables
$ million

Available 
for sale
$ million

Other
financial
liabilities
$ million

Total 
$ million 

Level 2 
$ million 

Level 3
$ million

Total
$ million

–  

–  

1 

1  

(21) 

–  

(21) 

–  

–  

–  

–  

–  

–  

–  

–  

28 

– 

–

28 

– 

(20)

(20)

– 

– 

– 

– 

– 

– 

– 

– 

– 

– 

–

– 

– 

– 

– 

1,085 

137 

1,222 

– 

– 

– 

– 

– 

– 

2 

–

2 

– 

– 

– 

– 

– 

– 

– 

– 

– 

– 

– 

– 

– 

–

– 

– 

– 

– 

– 

– 

– 

(11)

(366)

(14)

(751)

28    

2    

1    

31    

28  

–  

1 

29  

(21)   

–  

(20)   

(41)   

(20) 

(20) 

– 

2 

–

2 

(21)

– 

(21)

28 

2 

1

31 

(21)

(20)

(41)

1,085    

137    

1,222    

(11)   

(366)   

(14)   

(751)   

(1,142)

(1,142)   

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
128

Notes to the Group accounts continued 

16 Financial instruments and risk management continued 

At 31 December 2012 

Financial assets measured 
at fair value 

Forward foreign exchange 
contracts 

Investments 

Currency swaps 

Financial liabilities measured 
at fair value 

Acquisition consideration 

Forward foreign exchange 
contracts 

Financial assets not measured 
at fair value 

Trade and other receivables 

Cash at bank 

Financial liabilities not 
measured at fair value 

Bank overdrafts 

Bank loans 

Finance lease liabilities 

Trade and other payables 

Designated 
at fair  
value 
$ million 

Fair value – 
hedging 
instruments 
$ million 

Loans 
and
receivables
$ million

Available 
for sale
$ million

Other
financial
liabilities
$ million

Total
$ million

Level 2 
$ million 

Level 3
$ million

Total
$ million

Carrying amount

Fair value

12  

– 

2 

14  

– 

(10) 

(10) 

– 

2 

–

2 

(8)

–

(8)

12 

2 

2

16 

(8)

(10)

(18)

–  

– 

2 

2 

(8) 

– 

(8) 

– 

– 

– 

– 

– 

– 

– 

– 

12  

– 

– 

12  

– 

(10) 

(10) 

– 

– 

– 

– 

– 

– 

– 

– 

– 

–

–

–

–

–

–

1,053 

178 

1,231 

–

–

–

–

–

– 

2 

–

2 

–

–

–

–

–

–

–

–

–

–

–

– 

–

–

–

–

–

–

–

–

–

(11)

(441)

(16)

(646)

(1,114)

12 

2 

2

16 

(8)

(10)

(18)

1,053 

178 

1,231 

(11)

(441)

(16)

(646)

(1,114)

The Group enters into derivative financial instruments with financial institutions with investment grade credit ratings. The fair value of forward 
foreign exchange contracts is calculated by reference to quoted market forward exchange rates for contracts with similar maturity profiles. 
The fair value of currency swaps is determined by reference to quoted market spot rates. As a result, foreign forward exchange contracts 
and currency swaps are classified as Level 2 within the fair value hierarchy.  

As at 31 December 2013 and 31 December 2012, the fair value of derivatives is net of a credit valuation adjustment attributable to derivative 
counterparty default risk. The changes in counterparty credit risk had no material effect on the hedge effectiveness for derivatives designated 
in hedge relationships and other financial instruments recognised at fair value. 

The fair value of contingent consideration is estimated using a discounted cash flow model. The valuation model considers the present value 
of expected payment, discounted using a risk-adjusted discount rate. The expected payment is determined by considering the possible 
scenarios, which relate to the achievement of established milestones and targets, the amount to be paid under each scenario and the 
probability of each scenario. As a result, contingent consideration is classified as Level 3 within the fair value hierarchy.  

There were no transfers between level 1, 2 and 3 during 2013 and 2012.  

For cash and cash equivalents, short-term loans and receivables, overdrafts and other short-term liabilities which have a maturity of less than 
three months the book values approximate the fair values because of their short-term nature. 

Long-term borrowings are measured in the balance sheet at amortised cost. As the Group’s long-term borrowings are not quoted publicly 
and as market prices are not available their fair values are estimated by discounting future contractual cash flows to net present values 
at the current market interest rates available to the Group for similar financial instruments as at the year-end. At 31 December 2013 and 
31 December 2012, the fair value of the Group’s long-term borrowing was not materially different from amortised cost. 

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17 Provisions and contingencies 

ACCOUNTING POLICY 

In the normal course of business the Group is involved in various legal disputes. Provision is made for loss contingencies when it is 
deemed probable that an adverse outcome will occur and the amount of the loss can be reasonably estimated. Where the Group is the 
plaintiff in pursuing claims against third parties legal and associated expenses are charged to the income statement as incurred.  

The recognition of provisions for legal disputes is subject to a significant degree of estimation. In making its estimates management takes 
into account the advice of internal and external legal counsel. Provisions are reviewed regularly and amounts updated where necessary 
to reflect developments in the disputes. The ultimate liability may differ from the amount provided depending on the outcome of court 
proceedings or settlement negotiations or as new facts emerge. 

A provision for onerous contracts is recognised when the expected benefits to be derived by the Group from a contract are lower than the 
unavoidable cost of meeting its obligations under the contract. For the purpose of calculating any onerous lease provision, the Group has 
taken the discounted future lease payments, net of expected rental income. Before a provision is established, the Group recognises any 
impairment loss on the assets associated with that contract. 

A provision for rationalisation is recognised when the Group has approved a detailed and formal restructuring plan, and the restructuring 
either has commenced or has been announced publicly. Future operating losses are not provided for. 

17.1 Provisions 

At 1 January 2012 
Charge to income statement 
Provision arising on acquisition 
Utilised 

At 31 December 2012 
Charge to income statement 
Utilised 

At 31 December 2013 
Provisions – due within one year 
Provisions – due after one year 

At 31 December 2013 
Provisions – due within one year 
Provisions – due after one year 

At 31 December 2012 

Rationalisation 
provisions 
$ million

Legal and other  
provisions  
$ million 

Total
$ million

26 
29 
–
(30)

25 
15 
(22)

18 
18 
– 

18 
25 
–

25 

97  
21  
13  
(34) 

97  
22  
(12) 

107  
42  
65  

107  
34  
63  

97  

123 
50 
13 
(64)

122 
37 
(34)

125 
60 
65 

125 
59 
63 

122 

The principal provisions within rationalisation provisions relate to the rationalisation of operational sites (mainly severance and legal costs) 
arising from the legacy earnings improvement programme and people costs associated with the structural and process changes announced 
in August 2011. 

Included within the legal and other provisions are: 

−  $16m (2012 – $17m) relating to the declination of insurance coverage for macrotextured knee revisions (see Note 17.2) 
−  A provision of $15m (2012 – $13m) relating to the acquisition and integration of Healthpoint Biotherapeutics (see Note 21.4) 
−  The remaining balance largely represents provisions for various patent disputes and other litigation. 

All provisions are expected to be substantially utilised within three years of 31 December 2013 and none are treated as financial instruments. 

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Notes to the Group accounts continued 

17 Provisions and contingencies continued 

17.2 Contingencies 
The Company and its subsidiaries are parties to various legal proceedings, some of which include claims for substantial damages. The 
outcome of these proceedings cannot readily be foreseen, but management believes none of them are likely to result in a material adverse 
effect on the financial position of the Group. The Group provides for outcomes that are deemed to be probable and can be reliably estimated. 
There is no assurance that losses will not exceed provisions or will not have a significant impact on the Group’s results of operations in the 
period in which they are realised. 

In August 2003, the Group withdrew voluntarily from all markets the macrotextured versions of its OXINIUM femoral knee components. 
A number of related claims have been filed, most of which have been settled. The aggregate cost at 31 December 2013 related to this matter 
is approximately $215m. The Group has sought recovery from its primary and excess insurers for costs of resolving the claims. The primary 
insurance carrier has paid $60m in full settlement of its policy liability. However, the excess carriers have denied coverage, citing defences 
relating to the wording of the insurance policies and other matters. In December 2004, the Group brought suit against them in the US district 
court for the Western District of Tennessee. Trial has not yet begun. An additional $22m was received during 2007 from a successful 
settlement with a third party. 

A charge of $154m was recorded in 2004 for anticipated expenses in connection with macrotexture claims. Most of that amount has since 
been applied to settlements of such claims. Management believes that the $16m (2012 – $17m) provision remaining is adequate to cover 
remaining claims. Given the uncertainty inherent in such matters, there can be no assurance on this point. 

17.3 Legal proceedings 
Product liability claims 
The Group faces other claims from time to time for alleged defects in its products and has on occasion recalled or withdrawn products from 
the market. Such claims are endemic to the orthopaedic device industry. The Group maintains product liability insurance subject to limits and 
deductibles that management believes are reasonable. All policies contain exclusions and limitations, however, and there can be no 
assurance that insurance will be available or adequate to cover all claims. 

In recent years, there has been heightened concern about possible adverse effects of hip implant products with metal-on-metal bearing 
surfaces, and the Group has incurred and will continue to incur expenses to defend claims in this area. As of February 2014 approximately 
650 such claims had been notified to the Group around the world, of which 310 had given rise to pending legal proceedings. Most of the 
pending legal proceedings are in the United States. Most claims relate to the Group’s Birmingham Hip Resurfacing (‘BHR’) product and the 
Birmingham Hip Modular Head (‘BHMH’) and R3 Metal Liner (‘R3ML’) components. In 2012, the Group restricted instructions for use of the 
BHMH and ceased offering the R3ML. In 2013, the Group’s US subsidiary agreed with lawyers representing metal-on-metal claimants to 
consolidate pre-trial proceedings (such as discovery) in their lawsuits in a state court in Memphis, Tennessee, and those lawsuits account for 
most of the US proceedings. The Group takes care to monitor the clinical evidence relating to its metal hip implant products and ensure that 
its product offerings and training are designed to serve patients’ interests. 

Business practice investigations 
Business practices in the healthcare industry are subject to regulation and review by various government authorities. From time to time 
authorities undertake investigations of the Group’s activities to verify compliance. In September 2007, the SEC notified the Group that it was 
conducting an informal investigation of companies in the medical devices industry, including the Group, regarding possible violations of the 
Foreign Corrupt Practices Act (‘FCPA’) in connection with the sale of products in certain countries outside of the US. The US Department of 
Justice (‘DOJ’) subsequently joined the SEC’s request. 

On 6 February 2012, Smith & Nephew announced that it had reached settlement with the SEC and DOJ in connection with this matter. Smith 
& Nephew paid slightly less than $23m in fines and profit disgorgement and committed to maintain an enhanced compliance programme 
and appoint an independent monitor for at least 18 months to review and report on its compliance programme. The monitor’s final report was 
filed in late 2013, and the independent monitorship has now been terminated. The settlement agreements impose detailed reporting, 
compliance and other requirements on Smith & Nephew for a three-year term. Failure to comply with these requirements, or any other 
violation of law, could have severe consequences for the Group. 

Intellectual property disputes 
The Group is engaged, as both plaintiff and defendant, in litigation with various competitors and others over claims of patent infringement 
and other intellectual property matters. These disputes are being heard in courts in the US and other jurisdictions and also before agencies 
that examine patents. Outcomes are rarely certain and costs are often significant. 

The Group has won a jury verdict in the US district court for Oregon against Arthrex Inc. for infringement of the Group’s patents relating to 
suture anchors. The verdict was initially overturned by the district court but then (in January 2013) reinstated on appeal. Arthrex continues to 
appeal the amount of the damages award. 

Other matters 
In April 2009, the Group was served with a subpoena by the US Department of Justice in Massachusetts requiring the production of 
documents from 1995 to 2009 associated with the marketing and sale of the Group’s EXOGEN bone growth stimulator. Similar subpoenas 
have been served on a number of competitors in the bone growth stimulator market. Around the same time a qui tam or ‘whistle-blower’ 
complaint concerning the industry’s sales and marketing of those products, originally filed in 2005 against the primary manufacturers of bone 
growth stimulation products (including Smith & Nephew), was unsealed in federal court in Boston, Massachusetts. A motion to dismiss that 
complaint was denied in December 2010. 

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The Group is subject to country of origin requirements under the US Buy American and Trade Agreements Acts with regard to sales to certain 
US government customers. The Group has voluntarily disclosed to the US Veterans Administration and the US Department of Defense that a 
small percentage of the products sold to the US government in the past, primarily from the orthopaedics business, may have originated from 
countries that are not eligible for such sales except with government consent. Government auditors subsequently conducted an on-site visit 
at the Group’s orthopaedics business. In December 2008, three months after Smith & Nephew’s initial voluntary disclosure, a whistle-blower 
suit was filed in the US district court for the Western District of Tennessee alleging these violations. Smith & Nephew’s motion to dismiss the 
suit was denied in November 2010. 

18 Retirement benefit obligations 

ACCOUNTING POLICY 

The Group’s major pension plans are of the defined benefit type. A defined benefit pension plan defines an amount of pension benefit 
that an employee will receive on retirement, which is dependent on various factors such as age, years of service and final salary. The 
Group’s obligation is calculated separately for each plan by discounting the estimated future benefit that employees have earned in return 
for their service in the current and prior periods. The fair value of any plan assets is deducted to arrive at the net liability. 

The calculation of the defined benefit obligation is performed annually by external actuaries using the projected unit credit method. 
Re-measurements arising from defined benefit plans comprise actuarial gains and losses and the return on the plan assets net of the 
costs of managing the plan assets. The Group recognises these immediately in other comprehensive income (‘OCI’) and all other 
expenses, such as service cost, net interest cost, administration costs and taxes, are recognised in the income statement. 

A number of key assumptions are made when calculating the fair value of the Group’s defined benefit pension plans. These assumptions 
impact the balance sheet asset and liabilities, operating profit and finance income/costs. The most critical assumptions are the discount 
rate, the rate of inflation and mortality assumptions to be applied to future pension plan liabilities. The discount rate is based on the yield 
at the reporting date on bonds that have a credit rating of AA, denominated in the currency in which the benefits are expected to be paid 
and have a maturity profile approximately the same as the Group’s obligations. In determining these assumptions management take into 
account the advice of professional external actuaries and benchmarks its assumptions against external data. 

The Group determines the net interest expense/(income) on the net defined benefit liability/(asset) for the period by applying the discount 
rate used to measure the defined benefit obligation at the beginning of the annual period to the net defined benefit liability/(asset). 

The Group also operates a number of defined contribution plans. A defined contribution plan is a pension plan under which the Group 
and employees pay fixed contributions to a third party financial provider. The Group has no further payment obligations once the 
contributions have been paid. Contributions are recognised as an employee benefit expense when they are due. 

18.1 Retirement benefit net (assets)/obligations 
The Group’s retirement benefit obligations comprise: 

Funded plans: 
UK Plan 
US Plan 
Other Plans 

Unfunded Plans: 
Other Plans 
Retirement Healthcare 

Amount recognised on the balance sheet - liability 

Amount recognised on the balance sheet - asset 

2013 
$ million 

2012
$ million

50 
65 
28 

143 

39 
43 

225 

230 

(5) 

(6)
147
38

179

36
45

260

266

(6)

The Group sponsors pension plans for its employees in 16 countries and these are established under the laws of the relevant country. 
Funded plans are funded by the payment of contributions and the assets are held by separate trust funds or insurance companies. In 
countries where there is no Company-sponsored pension plan, state benefits are considered by management to be adequate. Employees’ 
retirement benefits are the subject of regular management review. The Group’s defined benefit plans provide employees with an entitlement 
to retirement benefits varying between 1.3% and 66.7% of final salary on attainment of retirement rage. The level of entitlement is dependent 
on the year of service of the employee. 

The Group’s two major defined benefit pension plans are in the UK and US. Both these plans were closed to new employees in 2003 and 
defined contribution plans are offered to new joiners. 

The UK Plan operates under trust law and responsibility for its governance lies with a Board of Trustees. This Board is composed of 
representatives of the Group, plan participants and an independent trustee who act on behalf of members in accordance with the terms of 
the Trust Deed and Rules and relevant legislation. The UK Plan’s assets are held by the trust. Annual increases on benefits in payment are 
dependent on inflation. The main uncertainties affecting the level of benefits payable under the UK Plan are future inflation levels (including 
the impact of inflation on future salary increase) and the actual longevity of the membership. 

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Notes to the Group accounts continued 

18 Retirement benefit obligations continued 
The US Plan is governed by a US Pension Committee which is composed of both plan participants and representatives of the Group. In the 
US, the Pension Protection Act (2006) established both a minimum required contribution and a maximum deductible contribution. Failure to 
contribute at least the minimum required amount will subject the Company to significant penalties and contributions in excess of the 
maximum deductible have negative tax consequences. The minimum funding requirement is intended to fully fund the present value of 
accrued benefits over seven years. 

18.2 Reconciliation of benefit obligations and pension assets 
The movement in the Group’s pension benefit obligation and pension assets is as follows: 

Amounts recognised on the balance sheet at 
beginning of the period 
Income statement expense: 
Current service cost 
Net interest (expense)/income, administration costs 
and taxes  

Costs recognised in Income statement 
Re-measurements: 
Actuarial gain due to liability experience 
Actuarial gain/(loss) due to financial 
assumptions change 
Actuarial loss due to demographic assumptions 
Return on plan assets greater than discount rate 

Re-measurements recognised in OCI 
Cash: 
Employer contributions 
Employee contributions 
Benefits paid directly by the Group, taxes and 
administration costs paid from scheme assets 
Benefits paid 

Net cash 

Exchange rates 

Amount recognised on the balance sheet 

Amount recognised on the balance sheet - liability 
Amount recognised on the balance sheet - asset 

Represented by: 

UK Plan 
US Plan 
Other Plans 

Total 

Obligation
$ million

Asset
$ million

2013

Total
$ million

Obligation 
$ million 

Asset 
$ million 

2012

Total
$ million

(1,487)

1,227 

(260)

(1,350) 

1,063 

(287)

(29)

(62)

(91)

1

16
(42)
–

(25)

–
(4)

3
45

44

(22)

(1,581)

(1,548)

(33)

–

51

51

–

–
–
37

37

67
4

(3)
(45)

23

18

1,356

1,318

38

(29)

(11)

(40)

1

16
(42)
37

12

67
–

–
–

67

(4)

(225)

(230)

5

(29) 

(63) 

(92) 

18 

(51) 
(13) 
– 

(46) 

– 
(4) 

1 
44 

41 

(40) 

(1,487) 

(749) 
(738) 

– 

52 

52 

– 

– 
– 
41 

41 

73 
4 

– 
(44) 

33 

38 

1,227 

483 
744 

Obligation
$ million

Asset
$ million

(855)
(482)
(244)

(1,581)

805
417
134

1,356

2013

Total
$ million

(50)
(65)
(110)

(225)

Obligation 
$ million 

Asset 
$ million 

(738) 
(506) 
(243) 

744 
359 
124 

(1,487) 

1,227 

(29)

(11)

(40)

18

(51)
(13)
41

(5)

73
–

1
–

74

(2)

(260)

(266)
6

2012

Total
$ million

6
(147)
(119)

(260)

All benefits are vested at the end of each reporting period. The weighted average duration of the defined benefit obligation at the end of the 
reporting period is 20 years and 16 years for the UK and US plans respectively. For 2012, this was 19 years for the UK Plan and 17 years for 
the US Plan. 

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18.3 Plan assets 
The market value of the US, UK and Other Plans assets are as follows: 

2013
$ million

2012 
$ million 

2011
$ million

UK Plan: 
Assets with a quoted market price: 
Cash and cash equivalents 
Equity securities 
Government bonds – fixed interest 
– index linked 

Diversified growth funds 

Other assets: 
Insurance contract 

Market value of assets 

US Plan: 
Assets with a quoted market price: 
Cash and cash equivalents 
Equity securities 
Government bonds – fixed interest 
Corporate bonds 
Hedge funds 

Market value of assets 

Other Plans: 
Assets with a quoted market price: 
Cash and cash equivalents 
Equity securities 
Government bonds – fixed interest 
– index linked 

Corporate bonds 
Insurance contracts 
Property 
Other quoted securities 

Other assets: 
Equities 
Insurance contracts 
Investment property 

Market value of assets 
Total market value of assets 

8
220
61
109
159

557

248

805

6
181
64
151
15

417

6
32
9
11
13
24
6
3

104

–
29
1

11 
249 
92 
282 
110 

744 

– 

744 

1 
242 
106 
– 
10 

359 

5 
26 
7 
34 
2 
– 
5 
11 

90 

2 
31 
1 

6
248
88
265
49

656

–

656

5
195
88
–
10

298

5
24
6
33
2
–
5
11

86

2
20
1

134
1,356

124 
1,227 

109
1,063

No plans invest directly in property occupied by the Group or in financial securities issued by the Group. 

The US and UK plan assets are invested in a diversified range of industries across a broad range of geographies. These assets include 
liability matching assets and annuity policies purchased by the trustees of each plan, which aim to match the benefits to be paid to certain 
members from the plan and therefore remove the investment, inflation and demographic risks in relation to those liabilities.  

In January 2013, the UK Plan, in order to minimise longevity and interest risk, purchased an insurance contract with Rothesay Life covering 
a subset of the UK Plan pensioner liabilities. The terms of this policy means that it exactly matches the amount and timing of the pensioner 
obligations covered by the contract. 

In accordance with IAS19, the fair value of the insurance contract is deemed to be the present value of the related obligations which is 
discounted at the AA corporate bond rate. 

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Notes to the Group accounts continued 

18 Retirement benefit obligations continued 

18.4 Expenses recognised in the income statement 
The total expense relating to retirement benefits recognised for the year is $72m (2012 – $72m, 2011 – $71m). Of this cost recognised for the 
year, $40 million (2012 – $40m, 2011 – $42m) relates to the defined benefit plan and $32m (2012 – $32m, 2011 – $29m) relates to defined 
contributions. 

The cost charged in respect of the Group’s defined contribution plans represents contributions payable to these plans by the Group at rates 
specified in the rules of the plans. These were charged to operating profit in selling, general and administrative expenses. There were $nil 
outstanding payments as at 31 December 2013 due to be paid over to the plans (2012 – $nil, 2011 – $nil). 

Defined benefit plan costs comprise service cost which is charged to operating profit in selling, general and administrative expenses and net 
interest cost and administration costs and taxes which are reported as other finance costs. 

The defined benefit pension costs charged for the UK and US plans are: 

Service cost 
Net interest cost, administration and taxes

UK Plan  
$ million 

7 
1 

8 

2013

US Plan 
$ million

10
7

17

UK Plan 
$ million

8
1

9

2012

US Plan 
$ million

11
7

18

UK Plan  
$ million 

10 
3 

13 

2011

US Plan 
$ million

9
6

15

18.5 Principal actuarial assumptions 
The following are the principal financial actuarial assumptions used at the reporting date to determine the UK and US defined benefit 
obligations and expense. 

UK Plan: 
Discount rate 
Future salary increases 
Future pension increases 
Inflation (RPI) 
Inflation (CPI) 
US Plan: 
Discount rate 
Future salary increases 
Inflation 

2013
% per annum

2012 
% per annum 

2011
% per annum

4.4
3.9
3.4
3.4
2.4

4.9
3.0
2.5

4.5 
3.5 
3.0 
3.0 
2.2 

4.0 
3.0 
2.5 

4.9
5.1
3.1
3.1
2.1

4.6
4.5
2.5

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Actuarial assumptions regarding future mortality are based on mortality tables. The UK uses the S1NA with projections in line with the CMI 
2011 table and the US uses the RP2000 table with scale AA. The current longevities underlying the values of the obligations in the defined 
benefit plans are as follows: 

Life expectancy at age 60 

UK Plan: 
Males 
Females 
US Plan: 
Males 
Females 

Life expectancy at age 60 in 20 years’ time 
UK Plan: 
Males 
Females 
US Plan: 
Males 
Females 

2013
years

29.3
31.1

23.8
25.5

32.2
33.2

23.8
25.5

2012 
years 

28.7 
30.2 

22.9 
25.0 

31.2 
31.9 

24.6 
25.0 

2011
years

28.6
30.2

22.8
25.0

31.0
31.8

24.5
25.0

18.6 Sensitivity analysis 
The calculation of the defined benefit obligation is sensitive to the assumptions used. The following table summarises the increase/decrease 
on the UK and US defined benefit obligation and pension costs as a result of reasonably possible changes in some of the assumptions while 
holding all other assumptions consistent. The sensitivity to the inflation assumption change includes corresponding changes to the future 
salary increases and future pension increase assumptions. The analysis does not take into account the full distribution of cash flows 
expected under the plan. 

$ million 

UK Plan: 
Discount rate 
Inflation 
Mortality 
US Plan: 
Discount rate 
Inflation 
Mortality 

Increase in pension obligation

Increase in pension cost

+50bps/+1yr

-50bps/-1yr

+50bps/+1 yr 

-50bps/-1yr

-77
+87
+29

-35
+5
+13

+88
-75
-29

+35
-5
-13

-4 
+5 
+1 

-2 
+1 
+1 

+4
-4
-1

+2
-1
-1

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Notes to the Group accounts continued 

18 Retirement benefit obligations continued 

18.7 Risk 
The pension plans expose the Group to the following risks: 

Interest rate risk 

Inflation risk 

Investment risk 

Longevity risk 

Volatility in financial markets can change the calculations of the obligation dramatically as the calculation of 
the obligation is linked to yields on AA-rated corporate bonds. A decrease in the bond yield will increase the 
measure of plan liabilities, although this will be partially offset by increases in the value of matching plan assets 
such as bonds and insurance contracts. 

The UK Plan is linked to inflation. A high rate of inflation will lead to a higher liability. This risk is managed by 
holding inflation-linked bonds and an inflation-linked insurance contract in respect of some of the obligation. 
If the return on plan assets is below the discount rate, all else being equal, there will be an increase in the 
plan deficit. 
In the UK, this risk is partially managed by holding bonds and a bulk annuity, together with a dynamic 
de-risking policy to switch growth assets into bonds over time. 
In 2013, the US Pension committee implemented a dynamic de-risking policy to shift plan assets into longer 
term stable asset classes. The policy established ten pre-determined funded status levels and when each 
trigger point is reached, the plan assets are re-balanced accordingly. 

The present value of the plans defined benefit liability is calculated by reference to the best estimate of the 
mortality of the plan participants both during and after their employment. An increase in the life expectancy 
of plan participants above that assumed will increase the benefit obligation. 
The UK Plan, in order to minimise longevity risk, entered into an insurance contract which covers a portion 
of pensioner obligations.  

Salary risk 

The calculation of the defined benefit obligation uses the future estimated salaries of plan participants. 
Increases in the salary of plan participants above that assumed will increase the benefit obligation. 

18.8 Funding 
A full valuation is performed by actuaries for the Trustees of each plan to determine the level of funding required. Employer contributions 
rates, based on these full valuations, are agreed between the trustees of each plan and the Group. The assumptions used in the funding 
actuarial valuations may differ from those assumptions above. Employees are required to contribute to the plans. 

UK Plan 
The most recent full actuarial valuation of the UK Plan was undertaken as at 30 September 2012. These valuations are performed every 
two years with the next scheduled for 30 September 2014. Contributions to the UK Plan in 2013 were $37m (2012 – $39m, 2011 – $37m). 
This included supplementary payments of $31m (2012 – $30m, 2011 – $29m). 

The Group has agreed to pay the supplementary payments each year until 2017. The agreed supplementary contributions for 2014 are $31m.  

US Plan 
Full actuarial valuations are performed annually for the US Plan with the last undertaken as at 20 September 2013. Contributions to the US 
Plan were $20m (2012 – $27m, 2011 – $30m) which included supplementary payments of $17m. The agreed contributions for 2014 are $26m. 

18.9 Post balance sheet event 
On 7 February 2014, the Group announced its intention to close the US Pension Plan to future accrual with effect from 31 March 2014. The 
Group expects to recognise a gain in 2014 as a result of the closure, but due to the member consultation period currently underway, is 
unable to calculate the precise past service cost adjustment. However, it is estimated that the gain will not be material. The effect of the 
closure has not been recognised as at 31 December 2013. 

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19 Equity 

ACCOUNTING POLICY 

Incremental costs directly attributable to the issue of ordinary shares, net of any tax effects, are recognised as a deduction from equity. 

When shares recognised as equity are repurchased, the amount of the consideration paid, which includes directly attributable costs, net 
of any tax effects, is recognised as a deduction from equity. Repurchased shares are classified as treasury shares and are presented in 
the treasury share reserve. When treasury shares are sold or reissued subsequently, the amount received is recognised as an increase 
in equity and the resulting surplus or deficit on the transaction is presented within share premium. 

19.1 Share capital 

Authorised 
At 31 December 2011 
At 31 December 2012 
At 31 December 2013 
Allotted, issued and fully paid 
At 1 January 2011 
Share options 

At 31 December 2011 
Share options 

At 31 December 2012 
Share options 
Shares cancelled 

At 31 December 2013 

Ordinary shares (20¢)

Deferred Shares (£1.00)

Thousand

$ million

Thousand 

$ million

Total
$ million 

1,223,591 
1,223,591 
1,223,591 

952,837 
1,991 

954,828 
8,752 

963,580 
5,587 
(51,000)

918,167 

245 
245 
245 

191 
– 

191 
2 

193 
1 
(10)

184 

50  
50  
50  

50  
–  

50  
–  

50  
–  
–  

50  

– 
– 
– 

– 
– 

– 
– 

– 
– 
– 

– 

245 
245 
245 

191 
– 

191 
2 

193 
1 
(10)

184 

The deferred shares were issued in 2006 in order to comply with English Company law. They are not listed on any stock exchange and have 
extremely limited rights and effectively have no value. These rights are summarised as follows: 

−  The holder shall not be entitled to participate in the profits of the Company; 
−  The holder shall not have any right to participate in any distribution of the Company’s assets on a winding up or other distribution except 
that after the return of the nominal amount paid up on each share in the capital of the Company of any class other than the deferred 
shares and the distribution of a further $1,000 in respect of each such share there shall be distributed to a holder of a deferred share 
(for each deferred share held by him) an amount equal to the nominal value of the deferred share; 

−  The holder shall not be entitled to receive notice, attend, speak or vote at any general meeting of the Company; and 
−  The Company may create, allot and issue further shares or reduce or repay the whole or any part of its share capital or other capital 

reserves without obtaining the consent of the holders of the deferred shares. 

The Group’s objectives when managing capital are to ensure the Group has adequate funds to continue as a going concern and sufficient 
flexibility within the capital structure to fund the ongoing growth of the business and to take advantage of business development 
opportunities including acquisitions. 

The Group determines the amount of capital taking into account changes in business risks and future cash requirements. The Group reviews 
its capital structure on an ongoing basis and uses share buy-backs, dividends and the issue of new shares to adjust the retained capital. 

The Group considers the capital that it manages to be as follows: 

Share capital 
Share premium 
Capital redemption reserve 
Treasury shares 
Retained earnings and other reserves 

2013
$ million

184 
535 
10 
(322)
3,640 
4,047 

2012 
$ million 

193  
488  
–  
(735) 
3,938  
3,884  

2011
$ million

191 
413 
– 
(766)
3,349 
3,187 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
138

Notes to the Group accounts continued 

19 Equity continued 

19.2 Treasury shares 
Treasury shares represents the holding of the Company’s own shares in respect of the Smith & Nephew Employee’s Share Trust and shares 
bought back as part of the share buy-back programme. On 2 May 2013, as part of the new Capital Allocation Framework, the Group 
announced the start of a new share buy-back programme to return $300m of surplus capital to its Shareholders. The programme has now 
been suspended as a result of our agreement to acquire ArthroCare Corp. announced on 3 February 2014. As at 31 December 2013, a total 
of 18.2m ordinary shares (2.0%) had been purchased at a cost of $226m and 51.0m ordinary shares (5.7%) had been cancelled. The 
maximum number of ordinary shares held in treasury during 2013 was 65.2m (7.3%) with a nominal value of $13.0m.  

The Smith & Nephew 2004 Employees’ Share Trust (‘Trust’) was established to hold shares relating to the long-term incentive plans referred 
to in the ‘Directors’ Remuneration Report’. The Trust is administered by an independent professional trust company resident in Jersey and is 
funded by a loan from the Company. The cost of the Trust is charged to the income statement as it accrues. A partial dividend waiver is in 
place in respect of those shares held under the long-term incentive plans. The trust only accepts dividends in respect of nil-cost options and 
deferred bonus plan shares. The waiver represents less than 1% of the total dividends paid. 

The movements in Treasury shares and the Employees’ Share Trust are as follows: 

At 1 January 2012 
Shares transferred from treasury 
Shares transferred to Group beneficiaries 

At 31 December 2012 
Shares purchased 
Shares transferred from treasury 
Shares transferred to Group beneficiaries 
Shares cancelled 

At 31 December 2013 

At 1 January 2012 
Shares transferred from treasury 
Shares transferred to Group beneficiaries 

At 31 December 2012 
Shares purchased 
Shares transferred from treasury 
Shares transferred to Group beneficiaries 
Shares cancelled 

At 31 December 2013 

19.3 Dividends 

The following dividends were declared and paid in the year: 
Ordinary final of 16.20¢ for 2012 (2011 – 10.80¢, 2010 – 9.82¢) 
paid 8 May 2013 
Ordinary interim of 10.40¢ for 2013 (2012 – 9.90¢, 2011 – 6.60¢) 
paid 29 October 2013 

Treasury
$ million

Employees’  
Share Trust  
$ million 

750 
(10)
(10)

730
226 
(8)
(7)
(623)

318 

16  
10  
(21) 

5  
5  
8  
(14) 
–  

4  

Total 
$ million

766 
– 
(31)

735 
231 
– 
(21)
(623)

322

No of shares 
million

No of shares  
million 

No of shares 
million

61.2 
(0.9)
(0.8)

59.5 
18.2
(0.6)
(0.6)
(51.0)

25.5

1.4  
0.9  
(1.8) 

0.5  
0.4 
0.6 
(1.2) 
–  

0.3 

62.6 
– 
(2.6)

60.0 
18.6
–
(1.8)
(51.0)

25.8

2013 
$ million

2012  
$ million 

2011 
$ million

146

93

239

97  

89  

186  

88 

58 

146 

A final dividend for 2013 of 17.0 US cents per ordinary share was proposed by the Board on 5 February 2014 and will be paid, subject to 
shareholder approval, on 7 May 2014 to shareholders on the Register of Members on 22 April 2014. The estimated amount of this dividend 
on 24 February 2014 is $152m. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
139

20 Cash flow statement 

ACCOUNTING POLICY 

In the Group cash flow statement, cash and cash equivalents includes cash at bank, other short-term liquid investments with original 
maturities of three months or less and bank overdrafts. In the Group balance sheet, bank overdrafts are shown within bank overdrafts and 
loans under current liabilities. 

Analysis of net debt 

At 1 January 2011 
Net cash flow 
Other non-cash changes 
Exchange adjustment 

At 31 December 2011 
Net cash flow 
Exchange adjustment 

At 31 December 2012 
Net cash flow 
Exchange adjustment 
At 31 December 2013 

Cash 
$ million

Overdrafts 
$ million

Due within 
one year 
$ million

Due after  
one year  
$ million 

Net currency 
swaps 
$ million

Total 
$ million

Borrowings

207 
(21)
– 
(2)

184 
(10)
4 

178 
(38)
(3)

137 

(12)
(12)
– 
1 

(23)
12 
– 

(11)
– 
– 

(11)

(45)
252 
(517)
27 

(283)
256 
– 

(27)
(6)
– 

(33)

(642) 
140  
517  
(31) 

(16) 
(414) 
–  

(430) 
84  
(1) 

(347) 

– 
1 
– 
(1)

– 
1 
1 

2 
1 
(2)

1 

(492)
360 
– 
(6)

(138)
(155)
5 

(288)
41 
(6)

(253)

Reconciliation of net cash flow to movement in net debt 

Net cash flow from cash net of overdrafts 
Settlement of currency swaps 
Net cash flow from borrowings 

Change in net debt from net cash flow 
Exchange adjustment 

Change in net debt in the year 
Opening net debt 

Closing net debt 

2013 
$ million

2012 
 $ million 

2011 
$ million

(38)
1 
78 

41 
(6)

35 
(288)

(253)

2  
1  
(158) 

(155) 
5  

(150) 
(138) 

(288) 

(33)
1 
392 

360 
(6)

354 
(492)

(138)

Cash and cash equivalents 
For the purposes of the Group Cash Flow Statement cash and cash equivalents at 31 December 2013 comprise cash at bank net of bank 
overdrafts. 

Cash at bank 
Bank overdrafts 

Cash and cash equivalents 

2013 
$ million

137 
(11)

126 

2012  
$ million 

178  
(11) 

167  

2011 
$ million

184 
(23)

161 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
140

Notes to the Group accounts continued 

21 Acquisitions and disposals 

ACCOUNTING POLICY 

The Group accounts for business combinations using the acquisition method when control is transferred to the Group. The consideration 
transferred in the acquisition is measured at fair value, as are the identifiable net assets acquired. Any goodwill that arises is tested 
annually for impairment. Any gain on a bargain purchase is recognised in profit or loss immediately. Transaction costs are expensed as 
incurred, except if related to the issue of debt or equity securities. 

Any contingent consideration payable is measured at fair value at the acquisition date. If the contingent consideration is classified as 
equity, then it is not re-measured and settlement is accounted for within equity. Otherwise, subsequent changes in the fair value of the 
contingent consideration are recognised in profit or loss. 

21.1 Acquisitions 
Year ended 31 December 2013 
On 30 September 2013, the Group acquired certain assets and liabilities in respect of a Turkish business, which distributes products related 
to orthopaedic reconstruction, trauma, sports medicine and arthroscopic technologies.  

The acquisition is deemed to be a business combination within the scope of IFRS 3. 

The estimated fair value of the consideration is $63m and includes $12m of contingent consideration in respect of agreed milestones and 
$36m through the settlement of working capital commitments. The fair values shown below are provisional. If new information is obtained 
within the measurement period about facts and circumstances that existed at the acquisition date, the acquisition accounting will be revised. 

The provisional estimate of goodwill arising on the acquisition is $12m. It is attributable to the additional economic benefits expected from the 
transaction, including the assembled workforce, which has been transferred as part of the acquisition. The goodwill recognised is expected 
to be deductible for tax purposes. 

The following table summarises the consideration transferred, and the recognised amounts of assets acquired and liabilities assumed at the 
acquisition date. 

Identifiable assets acquired and liabilities assumed 
Property, plant and equipment 
Inventories 
Trade receivables and prepayments 
Identifiable intangible assets 
Payables and accruals 

Net assets 
Goodwill 

Cost of acquisition 

$ million

4 
8 
24 
17 
(2)

51 
12 

63 

The Group incurred acquisition-related costs of $4m, primarily related to external legal fees and due diligence costs. These costs have been 
recognised in administrative expenses in the Group’s income statement.  

In 2013, the contribution to revenue and attributable profit from the acquisition was immaterial. If the acquisition had occurred at the 
beginning of the year the contribution to revenue and attributable profit would have also been immaterial. 

Other acquisitions 
During the year ended 31 December 2013, the Group acquired a Brazilian distributor of its advanced wound management products and a 
business based in India primarily engaged in the manufacture and distribution of trauma products. These acquisitions are deemed to be 
business combinations within the scope of IFRS 3.  

The aggregated total estimated fair value of the consideration is $63m and includes $2m of contingent consideration and $2m through the 
settlement of working capital commitments. The fair values shown below are provisional. If new information is obtained within the 
measurement period about facts and circumstances that existed at the acquisition date, the acquisition accounting will be revised. 

As at the acquisition date, the aggregated value of the net assets acquired was $38 million, which included property, plant and equipment of 
$1 million, inventory of $4 million, trade receivables and prepayments of $3 million, identifiable intangible assets of $47 million, payables and 
accruals of $3 million and deferred tax liabilities of $14 million. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
141

The provisional aggregated estimate of goodwill arising on the acquisitions is $25m. This is attributable to the additional economic benefits 
expected from the transactions, including the assembled workforces, which have been transferred as part of the acquisitions. The goodwill 
recognised is not expected to be deductible for tax purposes. 

In 2013, the contribution to revenue and attributable profit from these acquisitions is immaterial. If these acquisitions had occurred at the 
beginning of the year their contribution to revenue and attributable profit would have also been immaterial. 

21.2 Post balance sheet event 
Subsequent to the balance sheet date, on 3 February 2014 the Group announced the execution of a definitive agreement to acquire 100% of 
the shares of ArthroCare Corp. for approximately $1.7 billion. The acquisition is subject to customary conditions, including a vote of 
ArthroCare’s shareholders and governmental clearances. The acquisition is expected to close in mid-2014. The acquisition will be financed 
through existing debt facilities and cash balances, including the existing $1 billion revolving credit facility and a new two-year $1.4 billion term 
loan facility, established in February 2014. Information regarding the assets and liabilities acquired will not be available until after completion. 

21.3 Commitment 
On 26 March 2013, the Group entered into an agreement to acquire the assets related to the distribution business for its sport medicine, 
orthopaedic reconstruction, and trauma products in Brazil. This acquisition is expected to close in the first half of 2014 subject to the 
satisfaction of conditions required for closing. The final consideration for this acquisition is subject to change based on the terms and 
conditions of the agreement and is not expected to be material. As at 31 December 2013 and the date of approval of these financial 
statements, the Group does not hold any legal ownership in, or control this business. 

21.4 Year ended 31 December 2012 
On 21 December 2012 the Group acquired substantially all the assets of Healthpoint Biotherapeutics (‘Healthpoint’), a leader in bioactive 
debridement, dermal repair and regeneration wound care treatments.  

The acquisition is deemed to be a business combination within the scope of IFRS 3. Consideration was in the form of a single payment of 
$782m. The accounting for the acquisition was completed during 2013. The fair values shown below include measurement period 
adjustments recognised during the period. 

The goodwill arising on the acquisition is $89m. It is attributable to the additional economic benefits expected from the transaction, including 
revenue synergies and the assembled workforce, which has been transferred as part of the acquisition. The goodwill recognised is 
deductible for tax purposes. 

The following table summarises the consideration transferred, and the recognised amounts of assets acquired and liabilities assumed at the 
acquisition date. 

Identifiable assets acquired and liabilities assumed 
Property, plant and equipment 
Inventories 
Trade receivables 
Identifiable intangible assets 
Deferred tax assets 
Payables and accruals 
Provisions 

Net assets 
Goodwill 

Cost of acquisition 

Provisional 
values 
$ million 

Adjustment
$ million

Revised
 values
$ million

27  
46  
31  
662  
5  
(49) 
(13) 

709  
73  

782  

– 
– 
– 
(11)
(5)
– 
– 

(16)
16 

– 

27 
46 
31 
651 
– 
(49)
(13)

693 
89 

782 

In 2012, the Group incurred acquisition-related costs of $11m related to professional and adviser fees. These costs have been recognised in 
administrative expenses in the income statement. No acquisition-related costs were incurred in 2011. 

In 2012, since the date of acquisition, the contribution to attributable profit from Healthpoint products was immaterial. The unaudited 
revenues from Healthpoint products during 2012 were $190m.  

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
142

Notes to the Group accounts continued 

21 Acquisitions continued 

21.5 Disposal of business 
Year ended 31 December 2012 
In January 2012, the Group announced its intention to sell the Clinical Therapies business to Bioventus. This was completed during May 2012 
for a total consideration of $367m and resulted in a profit on disposal before taxation of $251m. The revenue of the Clinical Therapies 
business in the four-month period to disposal was $69m and profit before taxation was $12m. The details of the transaction are set out 
below.  

Loan note receivable 
Investment in associate 
Cash 

Total consideration 
Net assets of business disposed and disposal transaction costs 

Profit before taxation 

22 Operating leases 

ACCOUNTING POLICY 

$ million 

160 
104 
103 

367 
(116)

251 

Leases are classified as finance leases when the terms of the lease transfer substantially all the risks and rewards of ownership to the 
Group. All other leases are classified as operating leases. 

Payments under operating leases are expensed in the income statement on a straight line basis over the term of the lease. Lease 
incentives received are recognised as an integral part of the total lease expense, over the term of the lease. 

Future minimum lease payments under non-cancellable operating leases fall due as follows: 

Land and buildings: 
Within one year 
After one and within two years 
After two and within three years 
After three and within four years 
After four and within five years 
After five years 

Other assets: 
Within one year 
After one and within two years 
After two and within three years 
After three and within four years 

2013  
$ million 

2012
 $ million

30  
22  
16  
13  
7  
5  
93  

15  
9  
4  
2  
30 

30 
24 
17 
14 
8 
4 
97 

15 
10 
4 
1 
30 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
143

23 Other Notes to the accounts 

23.1 Share-based payments 

ACCOUNTING POLICY 

The Group operates a number of equity-settled executive and employee share plans. For all grants of share options and awards, the fair 
value at the grant date is calculated using appropriate option pricing models. The grant date fair value is recognised over the vesting 
period as an expense, with a corresponding increase in retained earnings. 

Employee plans 
The Smith & Nephew Sharesave Plan (2002) (adopted by Shareholders on 3 April 2002) (the Save As You Earn (‘SAYE’) plan), the Smith & 
Nephew International Sharesave Plan (2002), Smith & Nephew France Sharesave Plan (2002), Smith & Nephew Sharesave Plan (2012) (the 
Save As You Earn (‘SAYE 2012’) plan) (adopted by Shareholders on 12 April 2012), Smith & Nephew International Sharesave Plan (2012) 
(adopted by Shareholders on 12 April 2012) and Smith & Nephew France Sharesave Plan (2012) (adopted by Shareholders on 12 April 2012) 
are together termed the “Employee Plans”. 

The SAYE and SAYE 2012 plans are available to all employees in the UK employed by participating Group companies, subject to three 
months’ service. The schemes enable employees to save up to £250 per month and give them an option to acquire shares based on the 
committed amount to be saved. The option price is not less than 80% of the average of middle market quotations of the ordinary shares on 
the three dealing days preceding the date of invitation. The Smith & Nephew International Sharesave Plan (2002) and Smith & Nephew 
International Sharesave Plan (2012) are available to employees in Australia, Austria, Belgium, Canada, Denmark, Finland, Germany, 
Hong Kong, India, Ireland, Italy, Japan, South Korea, Mexico, the Netherlands, New Zealand, Norway, Poland, Portugal, Singapore, South 
Africa, Spain, Sweden, Switzerland and the United Arab Emirates. Employees in China and France participated in these plans for the first time 
in 2013. Puerto Rico participants were eligible to receive options under the International Plans up to 2011 and were eligible to receive 
phantom options in 2013. The Smith & Nephew France Sharesave Plans were available to all employees in France up to 2012. The 
International and French plans operate on a substantially similar basis to the SAYE plans.  

Employees in the US are able to participate in the Employee Stock Purchase Plan, which gives them the opportunity to acquire shares, in the 
form of ADSs, at a discount of 15% (or more if the shares appreciate in value during the plan’s quarterly purchase period) to the market price, 
through a regular savings plan. 

Executive plans 
The Smith & Nephew 2001 UK Approved Share Option Plan, the Smith & Nephew 2001 UK Unapproved Share Option Plan, the Smith & 
Nephew 2001 US Share Plan (adopted by Shareholders on 4 April 2001), the Smith & Nephew 2004 Executive Share Option Plan (adopted 
by Shareholders on 6 May 2004) and the Smith & Nephew Global Share Plan 2010 (adopted by shareholders on 6 May 2010) are together 
termed the ‘Executive Plans’. 

Under the terms of the Executive Plans, the Remuneration Committee, consisting of Non-Executive Directors, may at their discretion approve 
the grant of options to employees of the Group to acquire ordinary shares in the Company. Options granted under the Smith & Nephew 2001 
US Share Plan (the ‘US Plan’) and the Smith & Nephew 2004 Executive Share Option Plan are to acquire ADSs or ordinary shares. For 
Executive Plans adopted in 2001 and 2004, the market value is the average quoted price of an ordinary share for the three business days 
preceding the date of grant or the average quoted price of an ADS or ordinary share, for the three business days preceding the date of grant 
or the quoted price on the date of grant if higher. For the Global Share Plan adopted in 2010 the market value is the closing price of an 
ordinary share or ADS on the last trading day prior to the grant date. With the exception of options granted under the 2001 US Plan and the 
Global Share Plan 2010, the vesting of options granted from 2001 is subject to achievement of a performance condition. Options granted 
under the 2001 US Plan and the Global Share Plan 2010 are not subject to any performance conditions. Prior to 2008, the 2001 US Plan 
options became cumulatively exercisable as to 10% after one year, 30% after two years, 60% after three years and the remaining balance 
after four years. With effect from 2008, options granted under the 2001 US Plan became cumulatively exercisable as to 33.3% after one year, 
66.7% after two years and the remaining balance after the third year. The 2001 UK Unapproved Share Option Plan was open to certain 
employees outside the US and the US Plan is open to certain employees in the US, Canada, Mexico and Puerto Rico. The Global Share Plan 
2010 is open to employees globally. The 2004 Plan was open to Senior Executives only. 

The maximum term of options granted, under all plans, is 10 years from the date of grant. All share option plans are settled in shares. 

From 2012 onwards Senior Executives were granted share awards instead of share options and from 2013 executives were granted 
conditional share awards instead of share options. The awards vest 33.3% after one year, 66.7% after two years and the remaining balance 
after the third year subject to continued employment. There are no performance conditions for executives. Vesting for senior executives is 
subject to personal performance levels. The market value used to calculate the number of awards is the closing price of an ordinary share 
on the last trading day prior to the grant date.  

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
144

Notes to the Group accounts continued 

23 Other Notes to the accounts continued 

23.1 Share based payments continued 
At 31 December 2013 13,601,000 (2012 – 19,690,000, 2011 – 27,316,000) options were outstanding under share option plans as follows: 

Number of 
shares 
Thousand

Range of option 
 exercise prices  
Pence 

Weighted average 
exercise price 
Pence

Employee Plans: 
Outstanding at 1 January 2011 
Granted 
Forfeited 
Exercised 
Expired 

Outstanding at 31 December 2011 
Granted 
Forfeited 
Exercised 
Expired 

Outstanding at 31 December 2012 
Granted 
Forfeited 
Exercised 
Expired 

Outstanding at 31 December 2013 
Options exercisable at 31 December 2013 
Options exercisable at 31 December 2012 
Options exercisable at 31 December 2011 

Executive Plans: 
Outstanding at 1 January 2011 
Granted 
Forfeited 
Exercised 
Expired 

Outstanding at 31 December 2011 
Granted 
Forfeited 
Exercised 
Expired 

Outstanding at 31 December 2012 
Forfeited 
Exercised 
Expired 

Outstanding at 31 December 2013 
Options exercisable at 31 December 2013 
Options exercisable at 31 December 2012 
Options exercisable at 31 December 2011 

3,358 
1,090 
(122)
(602)
(144)

3,580 
947 
(402)
(925)
(38)

3,162 
1,178 
(174)
(751)
(128)

3,287 
71 
152 
122 

22,395 
5,706 
(763)
(2,369)
(1,233)

23,736 
3,046 
(954)
(8,740)
(560)

16,528 
(118)
(5,540)
(556)

10,314 
6,631 
8,512 
7,979 

348.0-640.0 
452.0-585.0 
348.0-609.0 
348.0-576.5 
380.0-609.0 

348.0-640.0 
535.0-535.0 
348.0-609.0 
348.0-609.0 
348.0-640.0 

380.0-609.0 
625.0 
380.0-625.0 
380.0-609.0 
380.0-625.0 

380.0-625.0 
461.0-556.0 
380.0-609.0 
348.0-640.0 

409.5-680.5 
580.0-703.0 
479.0-637.8 
445.0-680.5 
445.0-637.8 

409.5-703.0 
642.0-650.0 
479.0-703.0 
434.0-651.0 
435.5-637.8 

409.5-680.5 
514.0-650.0 
435.5-671.0 
435.5-650.0 

409.5-680.5 
409.5-680.5 
409.5-680.5 
409.5-680.5 

430.1
454.8
427.6
454.7
450.7

432.8
535.0
434.5
396.0
496.2

473.1
625.0
488.2
453.8
490.0

530.5
467.8
400.8
470.8

544.9
599.4
565.5
536.6
549.7

561.2
650.0
569.0
547.7
588.7

583.3
618.8
568.0
582.3

591.1
571.1
562.7
595.6

The weighted average remaining contractual life of options outstanding at 31 December 2013 was 6.2 years (2012 – 6.6 years, 2011 – 6.6 
years) for Executive Plans and 2.5 years (2012 – 2.6 years, 2011 – 2.6 years) for Employee Plans. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
Weighted average share price 

Options granted during the year were as follows: 

2013 
pence

764.7

2012  
pence 

640.5 

145

2011 
pence

639.9

Weighted 
average fair 
value per 
option at
 grant date 
Pence

Weighted 
average 
share price at 
 grant date  
Pence 

Options 
granted 
Thousand

Weighted 
average 
exercise 
price
 Pence

Weighted 
average 
option life 
Years

Employee Plans 

1,178

203.9

792.5 

625.0

3.8

The weighted average fair value of options granted under Employee Plans during 2012 was 184.0p (2011 – 189.2p) and those under Executive 
Plans during 2012 was 148.7p (2011 – 176.1p). 

Options granted under Employee Plans are valued using the Black-Scholes option model as management consider that options granted 
under these plans are exercised within a short period of time after the vesting date. 

For all plans the inputs to the option pricing models are reassessed for each grant. The following assumptions were used in calculating the 
fair value of options granted: 

Dividend yield % 
Expected volatility % (i) 
Risk free interest rate % (ii) 
Expected life in years 

Employee plans

Executive plans

2013

2.0
25.0
1.3
3.8

2012

1.5
25.0
1.3
3.8

2011

1.5
30.0
2.0
3.9

2013 

– 
– 
– 
– 

2012

1.5
25.0
1.2
10.0

2011

1.5
30.0
2.0
10.0

(i)  Volatility is assessed on a historic basis primarily based on past share price movements over the expected life of the options. 
(ii)  The risk free interest rate reflects the yields available on zero coupon government bonds over the option term and currency. 

Summarised information about options outstanding under the share option plans at 31 December 2013 is as follows: 

Employee Plans: 
380.0p to 764.7p (i)  

Executive Plans: 
409.5p to 764.7p (i) 

(i) 

The split has been determined based on the weighted average share price of 764.7p. 

Number  
outstanding  
Thousand 

Weighted average 
remaining contract life 
Years

3,287 

10,314 

2.5

6.2

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
146

Notes to the Group accounts continued 

23 Other Notes to the accounts continued 

23.1 Share based payments continued 
Share-based payments – long-term incentive plans 
In 2004, a share-based incentive plan was introduced for Executive Directors, Executive Officers and the next level of Senior Executives. 
The plan included a Performance Share Plan (‘PSP’) and a Bonus Co-Investment Plan (‘CIP’). 

Vesting of the PSP awards is dependent upon performance relative to the FTSE 100 and an index based on major international companies 
in the medical devices industry. 

Under the CIP, participants could elect to use up to a maximum of one-half of their annual bonus to purchase shares. If the shares are 
held for three years and the Group’s EPSA growth targets are achieved participants receive an award of matching shares for each 
share purchased. 

From 2009, the CIP was replaced by the Deferred Bonus Plan. This plan was designed to encourage Executives to build up and maintain 
a significant shareholding in the Company. Under the plan, up to one-third of any bonus earned at target level or above by an eligible 
employee was compulsorily deferred into shares which vested, subject to continued employment, in equal annual tranches over three 
years (ie one-third each year). No further performance conditions applied to the deferred shares. 

From 2010, Performance Share awards were granted under the Global Share Plan 2010 for all Executives other than Executive Directors. 
Awards granted under both plans are combined to provide the figures below. 

From 2012, Deferred Bonus Plan and GSP 2010 options for Executive Directors, Executive Officers and the next level of Senior Executives 
were replaced by Equity Incentive Awards (‘EIA’). EIA are designed to encourage Executives to build up and maintain a significant 
shareholding in the Company. EIA will vest, in equal annual tranches over three years (ie one-third each year), subject to continued 
employment and personal performance. No further performance conditions apply to the EIA. 

The fair values of awards granted under long-term incentive plans are calculated using a binomial model. Performance Share awards 
under both the PSP and Global Share Plan 2010 contain vesting conditions based on TSR versus a comparator group which represent 
market-based performance conditions for valuation purposes and an assessment of vesting probability is therefore factored into the award 
date calculations. The assumptions include the volatilities for the comparator groups. A correlation of 40% (2012 – 35%, 2011 – 40%) has 
also been assumed for the companies in the medical devices sector as they are impacted by similar factors. The Performance Target for 
the Global Share Plan 2010 is a combination of Free Cash Flow growth and the Group’s TSR performance over the three-year 
performance period. 

The other assumptions used are consistent with the Executive scheme assumptions disclosed in Note 23.1. 

At 31 December 2013 the maximum number of shares that could be awarded under the Group’s long-term incentive plans was: 

Outstanding at a January 2011 
Awarded 
Vested 
Forfeited 

Outstanding at 31 December 2011 
Awarded 
Vested 
Forfeited 

Outstanding at 31 December 2012 
Awarded 
Vested 
Forfeited 

Other 
Awards

– 
838 
(44)
– 

794 
187 
(263)
– 

718
1,179 
(437)
(11)

EIA

– 
– 
– 
– 

– 
1,060 
(49)
(82)

929 
785 
(379)
(51)

Outstanding at 31 December 2013 

1,449 

1,284 

Number of shares in Thousands

Deferred 
Bonus Plan 

522  
351  
(375) 
(6) 

492  
–  
(287) 
(41) 

164  
–  
(115) 
(5) 

44  

CIP 

197  
–  
–  
(197) 

–  
–  
–  
–  

–  
–  
–  
–  

– 

Total

6,731 
3,471 
(785)
(1,863)

7,554 
3,437 
(2,384)
(1,554)

7,053 
3,927 
(1,342)
(1,664)

7,974 

PSP

6,012 
2,282 
(366)
(1,660)

6,268 
2,190 
(1,785)
(1,431)

5,242 
1,963 
(411)
(1,597)

5,197 

Other awards mainly comprises of conditional share awards granted under the Global Share Plan 2010. 

The weighted average remaining contractual life of awards outstanding at 31 December 2013 was 1.4 years (2012 – 0.8 years, 2011 – 
1.2 years) for the PSP, 0.2 years (2012 – 0.9 years, 2011 – 1.7 years) for the Deferred Bonus Plan, 1.8 years (2012 – 2.2 years) for the EIA and 
2.1 years (2012 – 0.9 years, 2011 – 1.5 years) for the other awards. There were no awards outstanding under the CIP in 2013, 2012 or 2011. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
Share-based payments – charge to income statement 
The expense charged to the income statement for share-based payments is as follows: 

Granted in current year 
Granted in prior years 

Total share-based payments expense for the year 

2013 
$ million

10 
18 

28 

2012  
$ million 

9  
25  

34  

147

2011 
$ million

9 
21 

30 

Under the Executive Plans, PSP, EIA and CIP the number of ordinary shares over which options and share awards may be granted is limited 
so that the number of ordinary shares issued or that may be issued during the 10 years preceding the date of grant shall not exceed 5% of 
the ordinary share capital at the date of grant. The total number of ordinary shares which may be issuable in any 10-year period under all 
share plans operated by the Company may not exceed 10% of the ordinary share capital at the date of grant. 

23.2 Related party transactions 
Trading transactions 
In the course of normal operations, the Group traded with its associates detailed in Note 11. The aggregated transactions, which have not 
been disclosed elsewhere in the financial statements, are summarised below: 

Sales to the associates 
Purchases from the associates 

2013 
$ million

5 
2 

2012 
$ million 

14  
8  

2011 
$ million

8 
4 

All sale and purchase transactions occur on an arm’s length basis. 

Key management personnel 
The remuneration of executive officers (including Non-executive Directors) during the year is summarised below: 

Short-term employee benefits 
Share-based payments expense 
Pension and post-employment benefit entitlements 
Termination benefits 

2013 
$ million

2012  
$ million 

2011 
$ million

15 
11 
1 
– 

27 

16  
10  
1  
–  

27  

19 
9 
1 
1 

30 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
148

Notes to the Group accounts continued 

23 Other Notes to the accounts continued 

23.3 Principal subsidiary undertakings 
The information provided below is given for principal trading and manufacturing subsidiary undertakings, all of which are 100% owned, 
in accordance with Section 410 of the Companies Act 2006. A full list will be appended to Smith & Nephew’s next annual return to 
Companies House: 

Company Name 

Activity 

Country of operation and incorporation 

UK: 
Smith & Nephew Healthcare Limited 
Smith & Nephew Medical Limited 
T. J. Smith & Nephew, Limited 

Continental Europe: 
Smith & Nephew GmbH 
Smith & Nephew SA-NV 
Smith & Nephew A/S 
Smith & Nephew Oy 
Smith & Nephew SAS 
Smith & Nephew Orthopaedics GmbH 
Smith & Nephew GmbH 
Smith & Nephew Orthopaedics Hellas SA 
Smith & Nephew Limited 
Smith & Nephew Srl 
Smith & Nephew Nederland CV 
Smith & Nephew A/S 
Smith & Nephew Sp Zoo 
Smith & Nephew Lda 
Smith & Nephew SAU 
Smith & Nephew AB 
Smith & Nephew Manufacturing AG 
Smith & Nephew Orthopaedics AG 

US: 
Smith & Nephew Inc. 

Medical Devices 
Medical Devices 
Medical Devices 

England & Wales 
England & Wales 
England & Wales 

Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 

Austria 
Belgium 
Denmark 
Finland 
France 
Germany 
Germany 
Greece 
Ireland 
Italy 
Netherlands 
Norway 
Poland 
Portugal 
Spain 
Sweden 
Switzerland 
Switzerland 

Medical Devices 

United States 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
  
  
 
 
 
 
 
149

Company Name 

Activity 

Country of operation and incorporation 

Africa, Asia, Australasia and Other America: 
Smith & Nephew Pty Limited 
Smith & Nephew do Brasil Participacoes S.A. 
Smith & Nephew Inc. 
Smith & Nephew (Alberta) Inc. 
Tenet Medical Engineering Inc. 
Smith & Nephew Medical (Shanghai) Limited 
Smith & Nephew Medical (Suzhou) Limited 
Smith & Nephew Orthopaedics (Beijing) Limited 
Smith & Nephew Limited 
Adler Mediequip Private Limited 
Smith & Nephew Healthcare Private Limited 
Smith & Nephew KK 
Smith & Nephew Limited 
Smith & Nephew Healthcare Sdn Berhad 
Smith & Nephew SA de CV 
Smith & Nephew Limited 
Smith & Nephew Inc. 
LLC Smith & Nephew 
Smith & Nephew Pte Limited 
Smith & Nephew (Pty) Limited 
Smith & Nephew Limited 
Smith ve Nephew Medikal Cihazlar Ticaret Limited Sirketi 
Smith & Nephew FZE 

Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 
Medical Devices 

Australia 
Brazil 
Canada 
Canada 
Canada 
China 
China 
China 
Hong Kong 
India 
India 
Japan 
Korea 
Malaysia 
Mexico 
New Zealand 
Puerto Rico 
Russia 
Singapore 
South Africa 
Thailand 
Turkey 
United Arab Emirates 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
  
  
150

Independent auditor’s report for the Company 

Independent Auditor’s Report to the members of 
Smith & Nephew plc 
We have audited the Parent Company financial statements of 
Smith & Nephew plc for the year ended 31 December 2013 which 
comprise the Parent Company balance sheet and the related Notes 1 
to 9. The financial reporting framework that has been applied in 
their preparation is applicable law and UK accounting standards 
(United Kingdom Generally Accepted Accounting Practice). 

This report is made solely to the Company’s members, as a body, 
in accordance with Chapter 3 of Part 16 of the Companies Act 2006. 
Our audit work has been undertaken so that we might state to the 
Company’s members those matters we are required to state to them 
in an auditor’s report and for no other purpose. To the fullest extent 
permitted by law, we do not accept or assume responsibility to 
anyone other than the Company and the Company’s members 
as a body, for our audit work, for this report, or for the opinions 
we have formed. 

Opinion on other matters prescribed by 
the Companies Act 2006 
In our opinion: 

−  the part of the Directors’ remuneration report to be audited has 
been properly prepared in accordance with the Companies Act 
2006; and 

−  the information given in the Strategic Report and the Directors’ 
Report for the financial year for which the financial statements 
are prepared is consistent with the parent company 
financial statements. 

Matters on which we are required to report 
by exception 
We have nothing to report in respect of the following matters 
where the Companies Act 2006 requires us to report to you if, 
in our opinion: 

Respective responsibilities of Directors and auditor 
As explained more fully in the Directors’ responsibility statement set 
out on pages 88 and 89, the Directors are responsible for the 
preparation of the Parent Company financial statements and for 
being satisfied that they give a true and fair view. Our responsibility 
is to audit and express an opinion on the Parent Company financial 
statements in accordance with applicable law and International 
Standards on Auditing (UK and Ireland). Those standards require us 
to comply with the Auditing Practices Board’s (APB’s) Ethical 
Standards for Auditors. 

−  adequate accounting records have not been kept by the Parent 
Company, or returns adequate for our audit have not been 
received from branches not visited by us; or 

−  the Parent Company financial statements and the part of the 

Directors’ remuneration report to be audited are not in agreement 
with the accounting records and returns; or 

−  certain disclosures of Directors’ remuneration specified by law are 

not made; or 

−  we have not received all the information and explanations we 

require for our audit. 

Other matter 
We have reported separately on the Group financial statements of 
Smith & Nephew plc for the year ended 31 December 2013. 

Les Clifford (Senior statutory auditor) 
for and on behalf of Ernst & Young LLP, Statutory Auditor 
London 
26 February 2014 

Scope of the audit of the financial statements 
An audit involves obtaining evidence about the amounts and 
disclosures in the financial statements sufficient to give reasonable 
assurance that the financial statements are free from material 
misstatement, whether caused by fraud or error. This includes an 
assessment of: whether the accounting policies are appropriate to 
the Parent Company’s circumstances and have been consistently 
applied and adequately disclosed; the reasonableness of significant 
accounting estimates made by the Directors; and the overall 
presentation of the financial statements. In addition, we read all the 
financial and non-financial information in the annual report to identify 
material inconsistencies with the audited financial statements. 
If we become aware of any apparent material misstatements 
or inconsistencies we consider the implications for our report. 

Opinion on accounts 
In our opinion the Parent Company financial statements: 

−  give a true and fair view of the state of the Company’s affairs as at 

31 December 2013; 

−  have been properly prepared in accordance with United Kingdom 

Generally Accepted Accounting Practice; and 

−  have been prepared in accordance with the requirements of the 

Companies Act 2006. 

The Parent Company financial statements of Smith & Nephew plc on pages 151 to 154 do not form part of the Smith & Nephew’s Annual 
Report on Form 20-F as filed with the SEC. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
Company balance sheet 

Fixed assets: 
Investments 

Current assets: 
Debtors 
Cash and bank 

Creditors: amounts falling due within one year: 
Borrowings 
Other creditors 

Net current assets 

Total assets less current liabilities 

Creditors: amounts falling due after one year: 
Borrowings 

Total assets less total liabilities 

Equity shareholders’ funds: 
Called up equity share capital 
Share premium account 
Capital redemption reserve 
Capital reserve 
Treasury shares 
Exchange reserve 
Profit and loss account 

Shareholders’ funds 

151

At 31 December  
2013 
$ million 

At 31 December
2012
$ million

Notes

3

4
6

6
5

6

7
7
7
7
7
7
7

3,597  

2,140  
6  

2,146  

(2) 
(1,590) 

(1,592) 

554  

4,151  

(335) 

3,816  

184  
535  
10  
2,266  
(322) 
(52) 
1,195  

3,816  

3,597 

2,679 
20 

2,699 

(1)
(1,871)

(1,872)

827 

4,424 

(415)

4,009 

193 
488 
– 
2,266 
(735)
(52)
1,849 

4,009 

The accounts were approved by the Board and authorised for issue on 26 February 2014 and signed on its behalf by: 

Sir John Buchanan   Olivier Bohuon  
Chairman  

Chief Executive Officer 

Julie Brown 
Chief Financial Officer 

The Parent Company financial statements of Smith & Nephew plc on pages 151 to 154 do not form part of the Smith & Nephew’s Annual 
Report on Form 20-F as filed with the SEC. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
152

Notes to the Company accounts 

1 Basis of preparation 
Smith & Nephew plc (the ‘Company’) is a public limited company incorporated in England and Wales. 

The separate accounts of the Company are presented as required by the Companies Act 2006. The accounts have been prepared under 
the historical cost convention, modified to include revaluation to fair value of certain financial instruments as described below, and in 
accordance with applicable UK accounting standards. As consolidated financial information has been disclosed under IFRS 7 Financial 
Instruments: Disclosures, the Company is exempt from FRS 29 Financial Instruments: Disclosures. The Group accounts have been prepared 
in accordance with International Financial Reporting Standards as adopted by the European Union and are presented on pages 94 to 149. 

The Company has taken advantage of the exemption in FRS 8 Related Party Disclosures not to present its related party disclosures as the 
Group accounts contain these disclosures. In addition, the Company has taken advantage of the exemption in FRS 1 Cash Flow Statements 
not to present its own cash flow statement as the Group accounts contain a consolidated cash flow. 

In applying these policies management is required to make estimates and assumptions that affect the reported amounts of assets and 
liabilities and disclosure of contingent assets and liabilities at the date of the accounts and the reported amounts of revenues and expenses 
during the reporting period. Although these estimates are based on management’s best knowledge of current events and actions, actual 
results ultimately may differ from those estimates. 

Foreign currencies 
Transactions in foreign currencies are initially recorded at the exchange rate ruling at the date of the transaction. Monetary assets and 
liabilities denominated in foreign currencies are retranslated at the rate of exchange ruling at the balance sheet date. All exchange 
differences are dealt with in arriving at profit before taxation. 

Deferred taxation 
Deferred taxation is recognised in respect of all timing differences that have originated but not reversed at the balance sheet date where 
transactions or events have occurred at that date that will result in an obligation to pay more, or a right to pay less or to receive more, tax. 

Deferred tax is measured on an undiscounted basis at the tax rates that are expected to apply in the periods in which timing differences 
are expected to reverse. These are based on tax rates and laws substantively enacted at the balance sheet date. 

2 Results for the year 
As permitted by Section 408(4) of the Companies Act 2006, the Company has not presented its own profit and loss account. Profit for the 
year was $198m (2012 – $167m). 

3 Investments 

ACCOUNTING POLICY 

Investments in subsidiaries are stated at cost less provision for impairment. 

At 1 January 
Impairment 

At 31 December 

2013  
$ million 

3,597  
–  
3,597  

2012 
$ million

3,598 
(1)

3,597 

Investments represent holdings in subsidiary undertakings. 

The information provided below is given for the principal direct subsidiary undertakings, all of which are 100% owned and, in accordance with 
Section 410 of the Companies Act 2006, a full list will be appended to Smith & Nephew’s next annual return to Companies House. 

Company Name 
Smith & Nephew UK Limited 
Smith & Nephew (Overseas) Limited 

Activity 

Country of operation 
and incorporation

Holding Company 
Holding Company 

England & Wales
England & Wales

Refer to Note 23.3 of the Notes to the Group accounts for the principal trading and manufacturing subsidiary undertakings of the Group. 

The Parent Company financial statements of Smith & Nephew plc on pages 151 to 154 do not form part of the Smith & Nephew’s Annual 
Report on Form 20-F as filed with the SEC. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
4 Debtors 

Amounts falling due within one year: 
Amounts owed by subsidiary undertakings 
Prepayments and accrued income 
Current asset derivatives – forward foreign exchange contracts 
Current asset derivatives – currency swaps 
Current taxation 

5 Other creditors  

Amounts falling due within one year: 
Amounts owed to subsidiary undertakings 
Other creditors 
Current taxation 
Current liability derivatives – forward foreign exchange contracts 

6 Cash and borrowings 

ACCOUNTING POLICY 

153

2013  
$ million 

2012 
$ million

2,091  
3  
45  
1  
–  
2,140  

2,628 
7 
20 
2 
22 
2,679 

2013  
$ million 

2012 
$ million

1,533  
10  
2  
45  
1,590  

1,832 
19 
–
20 
1,871 

Financial instruments 
Currency swaps are used to match foreign currency net assets with foreign currency liabilities. They are initially recorded at fair value and 
then for reporting purposes remeasured to fair value at exchange rates and interest rates at subsequent balance sheet dates. 

Changes in the fair value of derivative financial instruments are recognised in the profit and loss account as they arise. 

Bank loans and overdrafts due within one year or on demand 
Bank loans due after one year 

Borrowings  
Cash and bank 
Debit balance on derivatives – currency swaps 

Net debt 

2013  
$ million 

2012 
$ million

2  
335  

337  
(6) 
(1) 
330  

1
415 

416 
(20)
(2)
394 

All currency swaps are stated at fair value. Gross US Dollar equivalents of $146m (2012 – $175m) receivable and $145m (2012 – $173m) 
payable have been netted. Currency swaps comprise foreign exchange swaps and were used in 2013 and 2012 to hedge intragroup loans. 

The Parent Company financial statements of Smith & Nephew plc on pages 151 to 154 do not form part of the Smith & Nephew’s Annual 
Report on Form 20-F as filed with the SEC. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtSGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
154

Notes to the Company accounts continued 

7 Equity and reserves 

Share  
capital  
$ million 

Share 
premium  
$ million 

Capital 
redemption 
reserve  
$ million 

At 1 January 
Attributable profit for 
the year 
Equity dividends 
paid in the year 
Share-based 
payments 
recognised 
Cost of shares 
transferred to 
beneficiaries 
New shares issued 
on exercise of share 
options 
Cancellation of 
treasury shares 
Treasury shares 
purchased 

193  
–  

488  
–  

–  

–  

–  

1  

(10) 

–  

–  

–  

–  

47  

–  

–  

–  
–  

–  

–  

–  

–  

10  

–  

Treasury 
shares 
$ million

Exchange 
reserves 
$ million

Profit and 
loss account  
$ million 

2013 

2012

Total  
shareholders’ 
funds  
$ million 

Total 
shareholders’ 
funds 
$ million 

(735)
– 

(52)
– 

1,849  
198  

4,009  
198  

– 

– 

21 

– 

623 

(231)

– 

– 

– 

– 

– 

– 

(239) 

(239) 

28  

28  

(18) 

3  

–  

48  

(623) 

–  

–  

(231) 

3,911 
167 

(186)

34 

6 

77 

–

– 

Capital 
reserves 
$ million

2,266 
– 

– 

– 

– 

– 

– 

– 

At 31 December 

184  

535  

10  

2,266 

(322)

(52)

1,195  

3,816  

4,009 

Further information on the share capital of the Company can be found in Note 19.1 of the Notes to the Group accounts. 

The total distributable reserves of the Company are $821m (2012 – $1,062m). In accordance with the exemption permitted by Section 408 of 
the Companies Act 2006, the Company has not presented its own profit and loss account. The attributable profit for the year dealt with in 
the accounts of the Company is $198m (2012 – $167m). 

Fees paid to Ernst & Young LLP for audit and non-audit services to the Company itself are not disclosed in the individual accounts because 
Group financial statements are prepared which are required to disclose such fees on a consolidated basis. The fees for the consolidated 
Group are disclosed in Note 3.2 of the Notes to the Group accounts. 

8 Share-based payments 
The Company operates a number of equity-settled executive and employee share plans. For all grants of share options and awards, the fair 
value as at the date of grant is calculated using an appropriate option pricing model and the corresponding expense is recognised over the 
vesting period. Subsidiary companies are recharged for the fair value of share options that relate to their employees. 

The disclosure relating to the Company is detailed in Note 23.1 of the Notes to the Group accounts. 

9 Contingencies 

Guarantees in respect of subsidiary undertakings 

2013  
$ million 

25  

2012 
$ million

37 

The Company has given guarantees to banks to support liabilities under foreign exchange and other contracts and cross guarantees to 
support overdrafts. Such guarantees are not considered to be liabilities as all subsidiary undertakings are trading as going concerns. 

The Company operated defined benefit pension plans in 2004 but at the end of 2005 its pension plan obligations were transferred to 
Smith & Nephew UK Limited. The Company has provided guarantees to the trustees of the pension plans to support future amounts due 
from participating employers (see Note 18 of the Notes to the Group accounts). 

The Parent Company financial statements of Smith & Nephew plc on pages 151 to 154 do not form part of the Smith & Nephew’s Annual 
Report on Form 20-F as filed with the SEC. 

Smith & Nephew ANNuAl report 2013FiNANCiAl StAtemeNtS 
 
 
 
 
 
 
Group information 

155

Business overview and Group history 
Smith & Nephew’s operations are organised into two primary divisions that operate globally: Advanced Surgical Devices and Advanced 
Wound Management. 

The Group has a history dating back over 150 years to the family enterprise of Thomas James Smith who opened a small pharmacy in Hull, 
UK in 1856. Following his death in 1896, his nephew Horatio Nelson Smith took over the management of the business. 

By the late 1990s, Smith & Nephew had expanded into being a diverse healthcare conglomerate with operations across the globe, producing 
various medical devices, personal care products and traditional and advanced wound care treatments. In 1998, Smith & Nephew announced 
a major restructuring to focus management attention and investment on three global business units – Advanced Wound Management, 
Endoscopy and Orthopaedics – which offered high growth and margin opportunities. In 2011, the Endoscopy and Orthopaedics businesses 
were brought together to create an Advanced Surgical Devices division. 

Smith & Nephew was incorporated and listed on the London Stock Exchange in 1937 and in 1999 the Group was also listed on the New York 
Stock Exchange. In 2001, Smith & Nephew became a constituent member of the FTSE-100 index in the UK. This means that Smith & Nephew 
is included in the top 100 companies traded on the London Stock Exchange measured in terms of market capitalisation. 

Today, Smith & Nephew is a public limited company incorporated and headquartered in the UK and carries out business around the world. 

Property, plant and equipment 
The table below summarises the main properties which the Group uses and their approximate areas. 

Approximate area
(square feet 000’s) 

Group head office in London, UK 
Group research facility in York, UK 
Advanced Surgical Devices headquarters in Andover, Massachusetts, US 
Advanced Wound Management headquarters and manufacturing facility in Hull, UK 
Advanced Surgical Devices manufacturing facilities in Memphis, Tennessee, US 
Advanced Surgical Devices distribution facility in Memphis, Tennessee, US 
Advanced Surgical Devices manufacturing facility in Aarau, Switzerland 
Advanced Surgical Devices manufacturing facility in Beijing, China 
Advanced Surgical Devices manufacturing and warehouse facility in Warwick, UK 
Advanced Surgical Devices manufacturing and warehouse facility in Tuttlingen, Germany 
Advanced Surgical Devices distribution facility and European headquarters in Baar, Switzerland 
Advanced Surgical Devices manufacturing facility in Mansfield, Massachusetts, US 
Advanced Surgical Devices manufacturing facility in Oklahoma City, Oklahoma, US 
Advanced Surgical Devices manufacturing facility in Calgary, Canada 
Advanced Surgical Devices manufacturing facility in Sangameshwar, India 
Advanced Wound Management manufacturing facility in Gilberdyke, UK 
Advanced Wound Management manufacturing facility in Suzhou, China 
Advanced Wound Management manufacturing facility in Fort Saskatchewan, Canada 
Advanced Wound Management US headquarters in St. Petersburg, Florida, US 
Advanced Wound Bioactives headquarters and laboratory space in Texas, US 
Advanced Wound Bioactives manufacturing facility in Curaçao, Dutch Caribbean 

20
84
144
473
971
210
121
192
90
64
67
98
155
17
39
51
288
76
44
105
16

The Group Global Operations strategy includes ongoing assessment of the optimal facility footprint. The Advanced Surgical Devices 
manufacturing facilities in Memphis, Tennessee are largely freehold, a portion of Tuttlingen and the Advanced Wound Management facilities 
in Hull and Gilberdyke are freehold while other principal locations are leasehold. The Group has freehold and leasehold interests in real 
estate in other countries throughout the world, but no other is individually significant to the Group. Where required, the appropriate 
governmental authorities have approved the facilities. 

Off-balance sheet arrangements 
Management believes that the Group does not have any off-balance sheet arrangements, as defined by the SEC in item 5E of Form 20-F, that 
have or are reasonably likely to have a current or future effect on the Group’s financial condition, changes in financial condition, revenues or 
expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors. 

Related party transactions 
Except for transactions with associates (see Note 23.2 of Notes to the Group accounts), no other related party had material transactions 
or loans with Smith & Nephew over the last three financial years. 

Smith & Nephew ANNuAl report 2013Group iNFormAtioNGroup StrAteGic reportcorporAte GoverNANceFiNANciAl StAtemeNtS AND other iNFormAtioN 
 
 
156

Group information continued 

Risk factors 
There are known and unknown risks and uncertainties relating to 
Smith & Nephew’s business. The factors listed below could cause 
the Group’s business, financial position and results of operations to 
differ materially and adversely from expected and historical levels. In 
addition, other factors not listed here that Smith & Nephew cannot 
presently identify or does not believe to be equally significant could 
also materially adversely affect Smith & Nephew’s business, financial 
position or results of operations. 

Highly competitive markets 
The Group’s business segments compete across a diverse range of 
geographic and product markets. Each market in which the business 
segments operate contains a number of different competitors, 
including specialised and international corporations. Significant 
product innovations, technical advances or the intensification of 
price competition by competitors could adversely affect the Group’s 
operating results. 

Some of these competitors may have greater financial, marketing 
and other resources than Smith & Nephew. These competitors 
may be able to initiate technological advances in the field, deliver 
products on more attractive terms, more aggressively market their 
products or invest larger amounts of capital and research and 
development (‘R&D’)into their businesses. 

There is a possibility of further consolidation of competitors, which 
could adversely affect the Group’s ability to compete with larger 
companies due to insufficient financial resources. If any of the 
Group’s businesses were to lose market share or achieve lower than 
expected revenue growth, there could be a disproportionate adverse 
impact on the Group’s share price and its strategic options. 

Competition exists among healthcare providers to gain patients 
on the basis of quality, service and price. There has been some 
consolidation in the Group’s customer base and this trend is 
expected to continue. Increased competition and unanticipated 
actions by competitors or customers could lead to downward 
pressure on prices and/or a decline in market share in any of the 
Group’s business areas, which could adversely affect Smith & 
Nephew’s results of operations and hinder its growth potential. 

Continual development and introduction of 
new products  
The medical devices industry has a rapid rate of new product 
introduction. In order to remain competitive, each of the Group’s 
business segments must continue to develop innovative products 
that satisfy customer needs and preferences or provide cost or other 
advantages. Developing new products is a costly, lengthy and 
uncertain process. The Group may fail to innovate due to low R&D 
investment, a R&D skills gap or poor product development. A 
potential product may not be brought to market or not succeed in the 
market for any number of reasons, including failure to work 
optimally, failure to receive regulatory approval, failure to be cost-
competitive, infringement of patents or other intellectual property 
rights and changes in consumer demand. The Group’s products and 
technologies are also subject to marketing attack by competitors. 
Furthermore, new products that are developed and marketed by the 
Group’s competitors may affect price levels in the various markets in 
which the Group’s business segments operate. If the Group’s new 
products do not remain competitive with those of competitors, the 
Group’s revenue could decline. 

The Group maintains reserves for excess and obsolete inventory 
resulting from the potential inability to sell its products at prices in 
excess of current carrying costs. Marketplace changes resulting from 
the introduction of new products or surgical procedures may cause 
some of the Group’s products to become obsolete. The Group 
makes estimates regarding the future recoverability of the costs of 
these products and records a provision for excess and obsolete 
inventories based on historical experience, expiration of sterilisation 
dates and expected future trends. If actual product life cycles, 
product demand or acceptance of new product introductions are 
less favourable than projected by management, additional inventory 
write-downs may be required. 

Dependence on government and other funding 
In most Established Markets throughout the world, expenditure 
on medical devices is ultimately controlled to a large extent by 
governments. Funds may be made available or withdrawn from 
healthcare budgets depending on government policy. The Group 
is therefore largely dependent on future governments providing 
increased funds commensurate with the increased demand arising 
from demographic trends. 

Pricing of the Group’s products is largely governed in most 
Established Markets by governmental reimbursement authorities. 
Initiatives sponsored by government agencies, legislative bodies and 
the private sector to limit the growth of healthcare costs, including 
price regulation, excise taxes and competitive pricing, are ongoing 
in markets where the Group has operations. This control may be 
exercised by determining prices for an individual product or for an 
entire procedure. The Group is exposed to government policies 
favouring locally sourced products. The Group is also exposed to 
changes in reimbursement policy, tax policy and pricing which may 
have an adverse impact on revenue and operating profit. In 
particular, changes to the healthcare legislation in the US have 
imposed significant taxes on medical device manufacturers from 
2013. There may be an increased risk of adverse changes to 
government funding policies arising from the deterioration in macro-
economic conditions in some of the Group’s markets. 

The Group must adhere to the rules laid down by government 
agencies that fund or regulate healthcare, including extensive and 
complex rules in the US. Failure to do so could result in fines or loss 
of future funding. 

World economic conditions 
Demand for the Group’s products is driven by demographic trends, 
including the ageing population and the incidence of osteoporosis 
and obesity. Supply of, use of and payment for the Group’s products 
are also influenced by world economic conditions which could place 
increased pressure on demand and pricing, adversely impacting the 
Group’s ability to deliver revenue and margin growth. The conditions 
could favour larger, better capitalised groups, with higher market 
shares and margins. As a consequence, the Group’s prosperity is 
linked to general economic conditions and there is a risk of 
deterioration of the Group’s performance and finances during 
adverse macro-economic conditions. 

During 2013, economic conditions worldwide continued to create 
several challenges for the Group, including deferrals of joint 
replacement procedures, heightened pricing pressure, significant 
declines in capital equipment expenditures at hospitals and 
increased uncertainty over the collectability of European government 
debt, particularly those in certain parts of southern Europe. These 
factors tempered the overall growth of the Group’s global markets 
and could have an increased impact on growth in the future. 

Smith & Nephew ANNuAl report 2013Group iNFormAtioN 
157

Political uncertainties 
The Group operates on a worldwide basis and has distribution 
channels, purchasing agents and buying entities in over 90 
countries. Political upheaval in some of those countries or in 
surrounding regions may impact the Group’s results of operations. 
Political changes in a country could prevent the Group from receiving 
remittances of profit from a member of the Group located in that 
country or from selling its products or investments in that country. 
Furthermore, changes in government policy regarding import quotas, 
taxation or other matters could adversely affect the Group’s revenue 
and operating profit. War, terrorist activities or other conflict could 
also adversely impact the Group. 

Currency fluctuations 
Smith & Nephew’s results of operations are affected by transactional 
exchange rate movements in that they are subject to exposures 
arising from revenue in a currency different from the related costs 
and expenses. The Group’s manufacturing cost base is situated 
principally in the US, the UK, China and Switzerland, from which 
finished products are exported to the Group’s selling operations 
worldwide. Thus, the Group is exposed to fluctuations in exchange 
rates between the US Dollar, Sterling and Swiss Franc and the 
currency of the Group’s selling operations, particularly the Euro, 
Australian Dollar and Japanese Yen. If the US Dollar, Sterling or 
Swiss Franc should strengthen against the Euro, Australian Dollar 
and the Japanese Yen, the Group’s trading margin could be 
adversely affected. 

The Group manages the impact of exchange rate movements on 
revenue and cost of goods sold by a policy of transacting forward 
foreign currency commitments when firm purchase orders are 
placed. In addition, the Group’s policy is for forecast transactions 
to be covered between 50% and 90% for up to one year. 

The Group uses the US Dollar as its reporting currency and the US 
Dollar is the functional currency of Smith & Nephew plc. The Group’s 
revenues, profits and earnings are also affected by exchange rate 
movements on the translation of results of operations in foreign 
subsidiaries for financial reporting purposes. See ‘Liquidity and 
capital resources’ on page 99. 

Manufacturing and supply 
The Group’s manufacturing production is concentrated at 14 main 
facilities in Memphis, Mansfield and Oklahoma City in the US, Hull, 
Warwick and Gilberdyke in the UK, Aarau in Switzerland, Tuttlingen 
in Germany, Fort Saskatchewan and Calgary in Canada, 
Sangameshwar in India, Suzhou and Beijing in China and Curaçao. 
If major physical disruption took place at any of these sites, it could 
adversely affect the results of operations. Physical loss and 
consequential loss insurance is carried to cover such risks but is 
subject to limits and deductibles and may not be sufficient to cover 
catastrophic loss. Management of orthopaedic inventory is complex, 
particularly forecasting and production planning. There is a risk that 
failures in operational execution could lead to excess inventory or 
individual product shortages. 

Each of the business segments is reliant on certain key suppliers 
of raw materials, components, finished products and packaging 
materials or in some cases on a single supplier. These suppliers 
must provide the materials and perform the activities to the Group’s 
standard of quality requirements. If any of these suppliers is unable 
to meet the Group’s needs, compromises on standards of quality or 
substantially increases its prices, Smith & Nephew would need to 
seek alternative suppliers. There can be no assurance that 
alternative suppliers would provide the necessary raw materials 
on favourable or cost-effective terms at the desired quality.

Consequently, the Group may be forced to pay higher prices to 
obtain raw materials, which it may not be able to pass on to its 
customers in the form of increased prices for its finished products. In 
addition, some of the raw materials used may become unavailable, 
and there can be no assurance that the Group will be able to obtain 
suitable and cost-effective substitutes. Any interruption of supply 
caused by these or other factors could negatively impact Smith & 
Nephew’s revenue and operating profit. 

The Group will, from time to time, outsource the manufacture of 
components and finished products to third parties and will 
periodically relocate the manufacture of product and/or processes 
between existing facilities. While these are planned activities, with 
these transfers there is a risk of disruption to supply. 

Attracting and retaining key personnel 
The Group’s continued development depends on its ability to hire 
and retain highly-skilled personnel with particular expertise. This is 
critical, particularly in general management, research, new product 
development and in the sales forces. If Smith & Nephew is unable 
to retain key personnel in general management, research and new 
product development or if its largest sales forces suffer disruption 
or upheaval, its revenue and operating profit would be adversely 
affected. Additionally, if the Group is unable to recruit, hire, develop 
and retain a talented, competitive workforce, it may not be able to 
meet its strategic business objectives. 

Proprietary rights and patents 
Due to the technological nature of medical devices and the Group’s 
emphasis on serving its customers with innovative products, the 
Group has been subject to patent infringement claims and is subject 
to the potential for additional claims. 

Claims asserted by third parties regarding infringement of their 
intellectual property rights, if successful, could require the Group 
to expend time and significant resources to pay damages, develop 
non-infringing products or obtain licences to the products which are 
the subject of such litigation, thereby affecting the Group’s growth 
and profitability. Smith & Nephew attempts to protect its intellectual 
property and regularly opposes third party patents and trademarks 
where appropriate in those areas that might conflict with the Group’s 
business interests. If Smith & Nephew fails to protect and enforce its 
intellectual property rights successfully, its competitive position could 
suffer, which could harm its results of operations. 

Product liability claims and loss of reputation 
The development, manufacture and sale of medical devices entail 
risk of product liability claims or recalls. Design and manufacturing 
defects with respect to products sold by the Group or by companies 
it has acquired could damage, or impair the repair of, body 
functions. The Group may become subject to liability, which could be 
substantial, because of actual or alleged defects in its products. In 
addition, product defects could lead to the need to recall from the 
market existing products, which may be costly and harmful to the 
Group’s reputation. 

There can be no assurance that customers, particularly in the US, 
the Group’s largest geographical market, will not bring product 
liability or related claims that would have a material adverse effect 
on the Group’s financial position or results of operations in the 
future, or that the Group will be able to resolve such claims within 
insurance limits. 

Smith & Nephew ANNuAl report 2013Group iNFormAtioNGroup StrAteGic reportcorporAte GoverNANceFiNANciAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
158

Group information continued 

Regulatory standards and compliance in the 
healthcare industry 
Business practices in the healthcare industry are subject to 
regulation and review by various government authorities. In general, 
the trend in many countries in which the Group does business is 
towards higher expectations and increased enforcement activity by 
governmental authorities. While the Group is committed to doing 
business with integrity and welcomes the trend to higher standards 
in the healthcare industry, the Group and other companies in the 
industry have been subject to investigations and other enforcement 
activity that have incurred and may continue to incur significant 
expense. See Note 17 to the Group accounts. Under certain 
circumstances, if the Group were found to have violated the law, its 
ability to sell its products to certain customers could be restricted. 

International regulation 
The Group operates across the world and is subject to legislation, 
including anti-bribery and corruption and data protection, in each 
country in which we operate. Our international operations are 
governed by the UK Bribery Act and the US Foreign Corrupt Practices 
Act (FCPA) which prohibit us or our agents from making, or offering, 
improper payments to foreign governments and their officials for the 
purpose of obtaining or maintaining business or product approvals. 
Enforcement of such legislation has increased in recent years with 
significant fines and penalties being imposed on companies and 
individuals. Our international operations, particularly in the emerging 
markets, expose the Group to the risk that our employees or agents 
will engage in prohibited activities. 

Regulatory approval 
The international medical device industry is highly regulated. 
Regulatory requirements are a major factor in determining whether 
substances and materials can be developed into marketable 
products and the amount of time and expense that should be 
allotted to such development. 

National regulatory authorities administer and enforce a complex 
series of laws and regulations that govern the design, development, 
approval, manufacture, labelling, marketing and sale of healthcare 
products. They also review data supporting the safety and efficacy of 
such products. Of particular importance is the requirement in many 
countries that products be authorised or registered prior to 
manufacture, marketing or sale and that such authorisation or 
registration be subsequently maintained. The major regulatory 
agencies for Smith & Nephew’s products include the Food and Drug 
Administration (‘FDA’) in the US, the Medicines and Healthcare 
products Regulatory Agency in the UK, the Ministry of Health, Labour 
and Welfare in Japan and the China Food and Drug Administration. 
At any time, the Group is awaiting a number of regulatory approvals 
which, if not received, could adversely affect results of operations. 

The trend is towards more stringent regulation and higher standards 
of technical appraisal. Such controls have become increasingly 
demanding to comply with and management believes that this trend 
will continue.  

Regulatory requirements may also entail inspections for compliance 
with appropriate standards, including those relating to Quality 
Management Systems or Good Manufacturing Practices regulations. 
All manufacturing and other significant facilities within the Group 
are subject to regular internal and external audit for compliance with 
national and Group medical device regulation and policies. 

Payment for medical devices may be governed by reimbursement 
tariff agencies in a number of countries. Reimbursement rates may 
be set in response to perceived economic value of the devices, 
based on clinical and other data relating to cost, patient outcomes 
and comparative effectiveness. They may also be affected by overall 
government budgetary considerations. The Group believes that its 

emphasis on innovative products and services should contribute 
to success in this environment. 

Failure to comply with these regulatory requirements could have a 
number of adverse consequences, including withdrawal of approval 
to sell a product in a country, temporary closure of a manufacturing 
facility, fines and potential damage to company reputation. 

Failure to make successful acquisitions 
A key element of the Group’s strategy for continued growth is to 
make acquisitions or alliances to complement its existing business. 
Failure to identify appropriate acquisition targets or failure to conduct 
adequate due diligence or to integrate them successfully would have 
an adverse impact on the Group’s competitive position and 
profitability. This could result from the diversion of management 
resources towards the acquisition or integration process, challenges 
of integrating organisations of different geographic, cultural and 
ethical backgrounds, as well as the prospect of taking on 
unexpected or unknown liabilities. In addition, the availability of 
global capital may make financing less attainable or more expensive 
and could result in the Group failing in its strategic aim of growth by 
acquisition or alliance. 

Relationships with healthcare professionals 
The Group seeks to maintain effective and ethical working 
relationships with physicians and medical personnel who assist in 
the research and development of new products or improvements to 
our existing product range or in product training and medical 
education. If we are unable to maintain these relationships our ability 
to meet the demands of our customers could be diminished and our 
revenue and profit could be materially adversely affected. 

Reliance on sophisticated information technology 
The Group uses a wide variety of information systems, programmes 
and technology to manage our business. Our systems are 
vulnerable to a cyber-attack, malicious intrusion, loss of data privacy 
or any other significant disruption. Our systems have been and will 
continue to be the target of such threats. We have systems in place 
to minimise the risk and disruption of these intrusions and to monitor 
our systems on an ongoing basis for current or potential threats. 
There can be no assurance that these measures will prove effective 
in protecting Smith & Nephew from future interruptions and as a 
result the performance of the Group could be materially 
adversely affected. 

Other risk factors 
Smith & Nephew is subject to a number of other risks, which are 
common to most global medical technology groups and are 
reviewed as part of the Group’s risk management process. 

Factors affecting Smith & Nephew’s results of 
operations 
Government economic, fiscal, monetary and political policies are all 
factors that materially affect the Group’s operation or investments 
of shareholders. Other factors include sales trends, currency 
fluctuations and innovation. Each of these factors is discussed 
further in the ‘Our Marketplace’ on pages 16 to 18, ‘Segment 
performance’ on pages 24 to 33 and ‘Taxation information for 
shareholders’ on pages 175 and 176. 

Smith & Nephew ANNuAl report 2013Group iNFormAtioN 
Other financial information 

Selected financial data 

Income statement 
Revenue 
Cost of goods sold 

Gross Profit 
Selling, general and administrative expenses 
Research and development expenses 

Operating profit 
Net interest receivable/(payable) 
Other finance (costs)/income 
Share of results of associates 
Profit on disposal of net assets held for sale 

Profit before taxation 
Taxation 

Attributable profit for the year 

Earnings per ordinary share 
Basic 
Diluted 

Adjusted attributable profit 
Attributable profit for the year 
Acquisition-related costs 
Restructuring and rationalisation expenses 
Legal settlement 
Amortisation of acquisition intangibles and impairments 
Profit on disposal of net assets held for sale 
Taxation on excluded items 

Adjusted attributable profit 
Adjusted basic earnings per ordinary share (‘EPSA’) (ii) 
Adjusted diluted earnings per ordinary share (iii) 

159

2013
$ million

2012(i) 
Restated 
$ million

2011(i)  
Restated  
$ million 

2010(i) 
Restated
$ million

2009(i) 
Restated 
$ million

4,351 
(1,100)

3,251 
(2,210)
(231)

810 
4 
(11)
(1)
– 

802 
(246)

556 

61.7¢
61.4¢

556 
31 
58 
– 
88 
– 
(40)

693 
76.9¢
76.5¢

4,137 
(1,070)

3,067 
(2,050)
(171)

846 
2 
(11)
4 
251 

1,092 
(371)

721 

80.4¢
80.0¢

721 
11 
65 
– 
43 
(251)
82 

671 
74.8¢
74.5¢

4,270  
(1,140) 

3,130  
(2,101) 
(167) 

862  
(8) 
(13) 
–  
–  

841  
(266) 

575  

64.5¢ 
64.2¢ 

575  
–  
40  
23  
36  
–  
(17) 

657  
73.7¢ 
73.4¢ 

3,962 
(1,031)

2,931 
(1,860)
(151)

920 
(15)
(16)
– 
– 

889 
(280)

609 

68.6¢
68.5¢

609 
– 
15 
– 
34 
– 
(10)

648 
73.0¢
72.9¢

3,772 
(1,030)

2,742 
(1,864)
(155)

723 
(40)
(21)
2 
– 

664 
(198) 

466 

52.7¢
52.7¢

466 
26 
42 
– 
66 
– 
(26)

574 
64.9¢
64.9¢

(i) 

The prior periods have been restated following adoption of the revised IAS 19 Employee Benefits standard. 

(ii)  Adjusted basic earnings per ordinary share is calculated by dividing adjusted attributable profit by the average number of shares. 

(iii)  Adjusted diluted earnings per ordinary share is calculated by dividing adjusted attributable profit by the diluted number of shares 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
160

Other financial information continued 

Group balance sheet 
Non-current assets 
Current assets 
Assets held for sale 

Total assets 
Share capital 
Share premium 
Capital redemption reserve 
Treasury shares 
Retained earnings and other reserves 

Total equity 
Non-current liabilities 
Current liabilities 
Liabilities directly associated with assets held for sale 

Total liabilities 

Total equity and liabilities 

Group cash flow statement 
Cash generated from operations 
Net interest paid 
Income taxes paid 

Net cash inflow from operating activities 
Capital expenditure (including trade investments and net of disposals 
of property, plant and equipment) 
Acquisitions and disposals 
Proceeds on disposal of net assets held for sale 
Investment in associate 
Cash received from Plus settlement 
Proceeds from own shares 
Equity dividends paid 
Issue of ordinary capital and treasury shares purchased 

Exchange adjustments 
Opening (net debt)/net cash 

Closing net debt 

Selected financial ratios 
Gearing (closing net debt as a percentage of total equity) 
Dividends per ordinary share (i) 
Research and development costs to Revenue 
Capital expenditure (including intangibles but excluding goodwill) to 
revenue 

2013 
$ million

2012 
$ million

2011  
$ million 

2010  
$ million 

2009 
$ million

3,563 
2,256 
– 

5,819 

184 
535 
10 
(322)
3,640 

4,047 
699 
1,073 
– 

1,772 

5,819 

1,138 
(6)
(265)

867 

(340)
(67)
– 
– 
– 
3 
(239)
(183)

41 
(6)
(288)

(253)

3,498 
2,144 
– 

5,642 

193 
488 
– 
(735)
3,938 

3,884 
828 
930 
– 

1,758 

5,642 

1,184 
(4)
(278)

902 

(265)
(782)
103 
(10)
– 
6 
(186)
77 

(155)
5 
(138)

(288)

2,542  
2,080  
125  

4,747  

191  
413  
–  
(766) 
3,349  

3,187  
422  
1,119  
19  

1,560  

4,747  

1,135  
(8) 
(285) 

842  

(321) 
(33) 
–  
–  
–  
7  
(146) 
11  

360  
(6) 
(492) 

(138) 

2,579  
2,154  
–  

4,733  

191  
396  
–  
(778) 
2,964  

2,773  
1,046  
914  
–  

1,960  

4,733  

1,111  
(17) 
(235) 

859  

(307) 
–  
–  
–  
–  
8  
(132) 
10  

438  
13  
(943) 

(492) 

6%
27.40¢
5.3%

7%
26.10¢
4.1%

4% 
17.40¢  
3.9% 

18% 
15.82¢  
3.8% 

2,480 
2,071 
14 

4,565 

190 
382 
– 
(794)
2,401 

2,179 
1,523 
863 
– 

2,386 

4,565 

1,030 
(41)
(270)

719 

(318)
(25)
– 
– 
137 
10 
(120)
7 

410 
(21)
(1,332)

(943)

43%
14.39¢ 
4.1%

7.8%

6.4%

7.5% 

7.7% 

8.4%

(i) 

The Board has proposed a final dividend of 17.0 US cents per share which together with the first interim dividend of 10.4 US cents makes a total for 2013 of 27.4 US cents. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN 
 
 
 
 
 
 
 
 
161

The ‘acquisitions and disposals effect’ is the measure of the impact 
on revenue from newly acquired business combinations. This is 
calculated by comparing the current year, constant currency actual 
revenue (which include acquisitions and exclude disposals from the 
relevant date of completion) with prior year, constant currency actual 
revenue, adjusted to include the results of acquisitions and exclude 
disposals for the commensurate period in the prior year. These sales 
are separately tracked in the Group’s internal reporting systems and 
are readily identifiable. 

Reported revenue growth, the most directly comparable financial 
measure calculated in accordance with IFRS, reconciles to underlying 
growth in revenue as follows: 

Reported revenue growth 
Constant currency 
exchange effect 
Acquisition/Disposals effect 
Underlying revenue 

2013 
% 

2012
%

2011
%

5 

1 
(2) 
4 

(3)

2 
3 

2 

8 

(4)
– 

4

A reconciliation of reported revenue growth to underlying revenue 
growth, by business segment, can be found on page 37. 

Trading profit 
Trading profit is a trend measure which presents the long-term 
profitability of the Group excluding the impact of specific transactions 
that management considers affects the Group’s short-term 
profitability. The Group presents this measure to assist investors in 
their understanding of trends. The Group has identified the following 
items, where material, as those to be excluded from operating profit 
when arriving at trading profit: acquisition and disposal related items 
including amortisation of acquisition intangible assets and 
impairments; significant restructuring events; acquisition costs; and 
gains and losses resulting from legal disputes and uninsured losses. 

Growth in ‘trading profit’ and ‘trading profit margin’ (trading profit 
expressed as a percentage of revenue) are measures which present 
the growth trend in the long-term profitability of the Group excluding 
the impact of specific transactions or events that management 
considers affect the Group’s short-term profitability. The Group 
presents these measures to assist investors in their understanding 
of the trends. The Group’s international financial reporting (budgets, 
monthly reporting, forecasts, long-term planning and incentive plans) 
focuses primarily on profit and earnings before these items. Trading 
profit and trading profit margin are not recognised measures under 
IFRS and are therefore non-GAAP financial measures. 

Non-GAAP Financial Information 

Revenue 
‘Underlying growth in revenue’ is used to compare the revenue in 
a given year to the previous year on a like-for-like basis. This is 
achieved by adjusting for the impact of sales of products acquired 
in material business combinations and for movements in exchange 
rates. Underlying growth in revenue is not presented in the accounts 
prepared in accordance with International Financial Reporting 
Standards (‘IFRS’) and is therefore a measure not in accordance with 
Generally Accepted Accounting Principles (a ‘non-GAAP’ measure). 

The Group believes that the tabular presentation and reconciliation 
of reported revenue growth to underlying revenue growth assists 
investors in their assessment of the Group’s performance in each 
business segment and for the Group as a whole. 

Underlying growth in revenue is considered by the Group to be 
an important measure of performance in terms of local functional 
currency since it excludes those items considered to be outside the 
influence of local management. The Group’s management uses this 
non-GAAP measure in its internal financial reporting, budgeting and 
planning to assess performance on both a business segment and 
a consolidated Group basis. Revenue growth at constant currency 
is important in measuring business performance compared to 
competitors and compared to the growth of the market itself. 

The Group considers that revenue from sales of products acquired 
in material business combinations results in a step-up in growth in 
revenue in the year of acquisition that cannot be wholly attributed to 
local management’s efforts with respect to the business in the year 
of acquisition. Depending on the timing of the acquisition, there will 
usually be a further step change in the following year. A measure of 
growth excluding the effects of business combinations also allows 
senior management to evaluate the performance and relative 
impact of growth from the existing business and growth from 
acquisitions. The process of making business acquisitions is 
directed, approved and funded from the Group corporate centre 
in line with strategic objectives. 

The material limitation of the underlying growth in revenue measure 
is that it excludes certain factors, described above, which ultimately 
have a significant impact on total revenues. The Group compensates 
for this limitation by taking into account relative movements in 
exchange rates in its investment, strategic planning and resource 
allocation. In addition, as the evaluation and assessment of business 
acquisitions is not within the control of local management, 
performance of acquisitions is monitored centrally until the business 
is integrated.  

The Group’s management considers that the non-GAAP measure 
of underlying growth in revenue and the GAAP measure of growth 
in revenue are complementary measures, neither of which 
management uses exclusively. 

‘Underlying growth in revenue’ reconciles to growth in revenue 
reported, the most directly comparable financial measure calculated 
in accordance with IFRS by making two adjustments, the ‘constant 
currency exchange effect’ and the ‘acquisitions and disposals effect’, 
described below. 

The ‘constant currency exchange effect’ is a measure of the 
increase/decrease in revenue resulting from currency movements 
on non-US Dollar sales. This is measured as the difference between 
the increase in revenue translated into US Dollars on a GAAP basis 
(i.e. current year revenue translated at the current year average rate, 
prior year revenue translated at the prior year average rate) and the 
increase measured by translating current and prior year revenue into 
US Dollars using the prior year closing rate. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
  
162

Other financial information continued 

Operating profit, the most directly comparable financial measure 
calculated in accordance with IFRS, reconciles to trading profit 
as follows: 

Operating profit 
Acquisition-related costs 
Restructuring and 
rationalisation costs 
Amortisation of acquisition 
intangibles and impairments 
Legal claim (see page 130) 

Trading profit 

2013 
$million 

2012 
$million 

2011
$million

810  
31 

58 

88 
– 

987 

846  
11  

65  

43  
– 

965  

862 
–

40 

36 
23 

961

A reconciliation of operating profit to trading profit, by business 
segment, can be found on page 38. 

Adjusted earnings per ordinary share 
Growth in ‘adjusted earnings per ordinary share (‘EPSA’)’ is another 
measure which presents the trend in the long-term profitability of 
the Group. EPSA is not a recognised measure under IFRS and is 
therefore a non-GAAP financial measure. The most directly 
comparable financial measure calculated in accordance with 
IFRS is earnings per ordinary share. 

EPSA excludes the same impact of specific transactions or events 
that management considers affect the Group’s short-term 
profitability, is used by the Group for similar purposes, and is subject 
to the same material limitations, as set out and discussed in the 
above section on trading profit.  

Adjusted attributable profit represents the numerator used in 
the EPSA calculation. Adjusted attributable profit is reconciled to 
attributable profit, the most directly comparable financial measure 
in accordance with IFRS, as follows: 

Attributable profit for the year 
Acquisition-related costs 
Restructuring and 
rationalisation expenses 
Amortisation of acquisition 
intangibles and impairments 
Profit on disposal of net assets 
held for sale 
Legal claim (see page 130) 
Taxation on excluded items 
(see page 109) 

Adjusted attributable profit 

2013 
$million 

556 
31 

58 

88 

– 
– 

(40) 

693 

2012 
 Restated 
$million 

2011
Restated
$million

721  
11  

65  

43  

(251) 
– 

82  

671  

575 
–

40 

36 

–
23 

(17)

657

The material limitation of these measures is that they exclude 
significant income and costs that have a direct impact on current 
and prior years’ profit attributable to shareholders. They do not, 
therefore, measure the overall performance of the Group presented 
by the GAAP financial measure of operating profit. The Group 
considers that no single measure enables it to assess overall 
performance and therefore it compensates for the limitation of the 
trading profit measure by considering it in conjunction with its GAAP 
equivalent. The gains or losses which are identified separately arise 
from irregular events or transactions. Such events or transactions 
are authorised centrally and require a strategic assessment which 
includes consideration of financial returns and generation of 
shareholder value. Amortisation of acquisition intangibles will occur 
each year, whilst other excluded items arise irregularly depending 
on the events that give rise to such items. 

Earnings per Ordinary Share 

Basic 
Diluted 
Adjusted: Basic 
Adjusted: Diluted 

2013 

61.7¢ 
61.4¢ 
76.9¢ 
76.5¢ 

2012
Restated

2011
Restated

80.4¢
80.0¢
74.8¢
74.5¢

64.5¢
64.2¢
73.7¢
73.4¢

Trading cash flow and trading profit to cash 
conversion ratio 
Growth in trading cash flow and improvement in the trading profit to 
cash conversion ratio are measures which present the trend growth 
in the long-term cash generation of the Group excluding the impact 
of specific transactions or events that management considers affect 
the Group’s short-term performance. 

Trading cash flow is defined as cash generated from operations less 
net capital expenditure but before acquisition-related cash flows, 
restructuring and rationalisation cash flows and cash flows arising 
from legal disputes and uninsured losses. Trading profit to cash 
conversion ratio is trading cash flow expressed as a percentage of 
trading profit. The nature and material limitations of these adjusted 
items are discussed above. 

The Group presents those measures to assist investors in their 
understanding of trends. The Group’s internal financial reporting 
(budgets, monthly reporting, forecasts, long-term planning and 
incentive plans) focuses on cash generation before these items. 
Trading cash flow and trading profit to cash conversion ratio are 
not recognised measures under IFRS and are therefore considered 
non-GAAP financial measures.  

The material limitation of this measure is that it could exclude 
significant cash flows that have had a direct impact on the current 
and prior years’ financial performance of the Group. It does not, 
therefore, measure the financial performance of the Group 
presented by the GAAP measure of cash generated from operations. 
The Group considers that no single measure enables it to assess 
financial performance and therefore it compensates for the limitation 
of the trading cash flow measure by considering it in conjunction 
with the GAAP equivalents. Cash flows excluded relate to irregular 
events or transaction costs and cash flows arising from legal 
disputes and uninsured losses. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN 
 
163

Trading cash flow reconciles to cash generated from operations, the 
most directly comparable financial measure calculated in accordance 
with IFRS, as follows: 

Contractual obligations 
Contractual obligations at 31 December 2013 were as follows: 

Cash generated from operations 
Less: Capital expenditure 
Add: Cash received on disposal 
of fixed assets 
Add: Acquisition-related costs 
Add: Restructuring and 
rationalisation related 
expenditure 
Add: Legal settlement 
Add: Macrotexture expenditure 

Trading cash flow 
Trading profit 

Trading profit to cash 
conversion ratio 

2013 
$million 

2012
$million

2011
$million

1,138  
(340) 

1,184 
(265)

1,135 
(321)

−  
25  

54  
−  
−  

877  
987  

−
3 

55 
22 
− 

999 
965 

− 
1 

20 
−
3 

838 
961 

89% 

104%

87%

Transactional and translational exchange 
The Group’s principal markets outside the US are, in order 
of significance, Continental Europe, UK, Australia and Japan. 
Revenues in these markets fluctuate when translated into US Dollars 
on consolidation. During the year, the average rates of exchange 
against the US Dollar used to translate revenues and profits arising 
in these markets changed compared to the previous year as 
follows: the Euro strengthened from $1.28 to $1.33 (+3%), Sterling 
weakened from $1.58 to $1.56 (-1%), the Swiss Franc strengthened 
from $1.07 to $1.08 (1%), the Australian Dollar weakened from $1.04 
to $0.96 (-7%) and the Japanese Yen weakened from ¥79.8 to 
¥97.6 (-22%). 

The Group’s principal manufacturing locations are in the US 
(Advanced Surgical Devices), Switzerland (Advanced Surgical 
Devices), UK (Advanced Wound Management and Advanced 
Surgical Devices) and China (Advanced Surgical Devices and 
Advanced Wound Management). The majority of the Group’s selling 
and distribution subsidiaries around the world purchase finished 
products from these locations. As a result of currency movements 
compared with the previous year, sales from the US became 
relatively more profitable to all of these countries. The Group’s policy 
of purchasing forward a proportion of its currency requirements and 
the existence of an inventory pipeline reduce the short-term impact 
of currency movements. 

Payments due by period

Total 
$ million

Less than  
1 year  
$ million 

1–3 years 
$ million 

3–5 years
$ million

More than 
5 years 
$ million

Debt obligations 
Finance lease 
obligations 
Operating lease 
obligations 
Retirement 
benefit obligation
Purchase 
obligations 
Capital 
expenditure 
Other 

377

14

123

72

–

41
41

42 

335 

2 

45 

72 

– 

41 
34 

4 

51 

– 

– 

– 
7 

–

5

22

–

–

–
–

668

236 

397 

27

–

3

5

–

–

–
–

8

Other contractual obligations represent $20m of foreign exchange 
contracts and $21m of acquisition consideration. Provisions that do 
not relate to contractual obligations are not included in the 
above table. 

The agreed contributions for 2014 in respect of the Group’s defined 
benefits plans are: $39m for the UK (including $31m of 
supplementary payments), $26m for the US Plan and $7m for other 
funded defined benefit plans. The table above does not include 
amounts payable in respect of 2015 and beyond as these are 
subject to future agreement and amounts cannot be reasonably 
estimated. 

There are a number of agreements that take effect, alter or terminate 
upon a change in control of the Company or the Group following a 
takeover, such as bank loan agreements and Company share plans. 
None of these are deemed to be significant in terms of their potential 
impact on the business of the Group as a whole. In addition, there 
are service contracts between the Company and its Executive 
Directors which provide for the automatic payment of a bonus 
following loss of office or employment occurring because of a 
successful takeover bid. Further details are set out on page 70. 

The Company does not have contracts or other arrangements which 
individually are essential to the business. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
 
 
164

Other financial information continued 

2012 Financial highlights 

Revenue 
Group revenue decreased by $133m (-3%) from $4,270m in 
2011 to $4,137m in 2012. Underlying revenue growth was 2% 
of which -2% growth was attributable to unfavourable currency 
translation and -3% was attributable to the effect of disposing of 
the Clinical Therapies business. Advanced Surgical Devices 
revenues decreased by $143m (-4%), underlying growth of 2% was 
offset by -2% unfavourable currency movements and -4% due to the 
disposal of the Clinical Therapies business. Advanced Wound 
Management revenues increased by $10m (1%), underlying growth 
was 4% with –3% due to unfavourable currency translation. 

Cost of goods sold 
Cost of goods sold decreased by $70m to $1,070m from $1,140m 
in 2011, which represents a 6% decrease. Of this movement, 1% is 
due to favourable currency translation movements. The remaining 
movement is largely attributable to the continued focus on costs, 
and partly attributable to the sale of the Clinical Therapies business 
in May 2012 which impacted both revenue and cost of sales. 

Marketing, selling and distribution expenses  
Marketing, selling and distribution expenses decreased by $86m  
(-6%) to $1,440m from $1,526m in 2011. The underlying movement 
of -4% is after adjusting for favourable currency movement of -2%. 
Increased cost savings in Established Markets were partly offset by 
investment in Emerging & International Markets and promotion of 
new products particularly in Advanced Wound Management. 

Administrative expenses 
Administrative expenses increased by $35m (6%) to $610m from 
$575m in 2011. Favourable currency movements offset 2% of this 
increase. The main factors contributing to the underlying movement 
of 8% were an increase of $16m in amortisation on acquisition costs. 

Research and development expenses 
Expenditure as a percentage of revenue increased by 0.2% to 4.1% 
in 2012 (2011 – 3.9%). Actual expenditure was $171m in 2012 
compared to $167m in 2011. The Group continues to invest in 
innovative technologies and products to differentiate it from 
competitors. 

Operating profit 
Operating profit decreased by $16m to $846m from $862m in 2011. 
This comprised an increase of $2m in Advanced Surgical Devices 
and a decrease of $18m in Advanced Wound Management. 
Advanced Surgical Devices started to see the benefits of its focus 
on costs (more than offsetting the additional restructuring expense) 
whilst Advanced Wound Management has continued to invest in 
new products throughout the year and also acquired Healthpoint 
Biotherapeutics in December 2012, both increasing costs. 

Net interest receivable/(payable) 
Net interest payable reduced by $10m from $8m payable in 2011 to 
a receivable of $2m in 2012. This is a consequence of the overall 
reduction of borrowings within the Group, a reduction in the 
applicable interest rates and the $7m interest receivable on the 
Bioventus loan note issued following the disposal of the Clinical 
Therapies business. 

Other finance cost 
Other finance costs, restated for the revised IAS 19 Employee 
Benefits accounting standard, in 2012 were $11m compared to $13m 
in 2011. This decrease is attributable to an increase in the expected 
return on pension plan assets. 

Taxation 
The taxation charge increased by $105m to $371m from $266m 
in 2011. The rate of tax was 33.7%, compared with 31.4% in 2011. 

The tax charge increased by $82m in 2012 (2011 – $17m reduction) 
as result of the profit on disposal of the Clinical Therapies business 
partially offset by an increase in restructuring and rationalisation 
expenses, amortisation of acquisition intangibles and acquisition- 
related costs. The tax rate was 29.9% (2011 – 29.9%) after adjusting 
for these items and the tax thereon. 

Group balance sheet 
The following table sets out certain balance sheet data as at 
31 December of the years indicated: 

Non-current assets 
Current assets 
Assets held for sale 

Total assets 
Non-current liabilities 
Current liabilities 
Liabilities directly associated with assets 
held for sale 

Total liabilities 
Total equity 

Total equity and liabilities 

2012
$million

2011
$million

3,498
2,144
–

5,642
828
930

–

1,758
3,884

5,642

2,542
2,080
125

4,747
422
1,119

19

1,560
3,187

4,747

Non-current assets 
Non-current assets increased by $956m to $3,498m in 2012 from 
$2,542m in 2011. This is principally attributable to the following: 

−  Goodwill increased by $90m from $1,096m in 2011 to $1,186m 
in 2012. Of this movement $73m arose on the acquisition of 
Healthpoint. The balance relates to favourable currency 
movements totalling $17m 

−  Intangible assets increased by $641m from $423m in 2011 to 

$1,064m in 2012. Intangible assets totalling $662m arose on the 
Healthpoint acquisition. Amortisation of $94m was charged during 
the year and assets with a net book value of $3m were written-off. 
A total of $68m relates to the cost of intellectual property and 
software acquired. The balance relates to favourable currency 
movements totalling $8m 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN 
 
 
 
165

Total equity 
Total equity increased by $697m from $3,187m in 2011 to $3,884m 
in 2012. The principal movements were: 

1 January 2012 
Attributable profit 
Currency translation gains 
Hedging reserves 
Actuarial loss on retirement benefit obligations 
Dividends paid during the year 
Taxation benefits on Other Comprehensive Income 
and equity items 
Net share-based transactions 

31 December 2012 

Total equity
$million

3,187 
729 
37 
(7)
(13)
(186)

20 
117 

3,884

2012 Financial performance by business segment 

Advanced Surgical Devices 
Advanced Surgical Devices revenue decreased by -4% to $3,108m 
from $3,251m in 2011. Of this decrease, underlying growth of 2% is 
offset by -2% unfavourable currency movements and -4% due to the 
disposal of the Clinical Therapies business. 

The underlying increase in ASD revenue reconciles to reported 
growth, the most directly comparable financial measure calculated 
in accordance with IFRS, as follows: 

Reported growth 
Constant currency exchange effect 
Disposal effect 

Underlying growth 

2012
%

2011
%

(4)
2 
4 

2 

8 
(4)
–

4

In the Established Markets, revenue decreased by $163m to 
$2,747m (-6%). 

In the US revenue decreased by $118m to $1,449m (-8%). This 
movement is attributable to underlying growth of 1% and -9% due to 
the effect of the disposal of the Clinical Therapies business. In the 
Established Markets outside of the US revenue decreased by $45m 
to $1,298m (-3%). Underlying growth was 1% with -4% due to 
unfavourable currency movements. 

In Emerging & International Markets, revenue increased by $20m to 
$361m (6%). Underlying growth was 10% with -4% due 
to unfavourable currency. 

−  Property, plant and equipment increased by $10m from $783m in 

2011 to $793m in 2012. Depreciation of $212m was charged during 
2012 and assets with a net book value of $9m were written-off. 
These movements were largely offset by $197m of additions 
relating primarily to instruments and other plant and machinery 
and $27m of additions arising on the Healthpoint acquisition. The 
balance relates to favourable currency movements totalling $7m 

−  Deferred tax assets decreased by $59m in the year 
−  The total investment in associates has increased from $13m in 

2011 to $283m in 2012. This movement predominately relates to 
the acquisition of Bioventus during the year totalling $114m plus 
$160m in the form of a loan note to Bioventus. 

Current assets 
Current assets increased by $64m to $2,144m from $2,080m in 
2011. The movement relates to the following: 

−  Inventories rose by $42m to $901m in 2012 from $859m in 2011. 

Of this movement, $46m arose on the Healthpoint acquisition and 
it includes $9m relating to favourable currency movements 
−  The level of trade and other receivables increased by $28m to 

$1,065m in 2012 from $1,037m in 2011. This movement includes 
$31m arising on the Healthpoint acquisition and $8m related to 
favourable currency movements 

−  Cash and cash equivalents have fallen by $6m to $178m from 

$184m in 2011. 

Non-current liabilities 
Non-current liabilities increased by $406m from $422m in 2011 
to $828m in 2012. This movement relates to the following items: 

−  Long-term borrowings have risen from $16m in 2011 to $430m 

in 2012. This increase of $414m is attributable to the acquisition 
of Healthpoint for $728m cash in December 2012 

−  The net retirement benefit obligation decreased by $21m to 

$266m in 2012 from $287m in 2011. This was largely due to the 
Group’s additional pension contributions which were partially 
offset by net actuarial losses for the year 

−  Deferred acquisition consideration remains at $8m at the end of 
2012. This relates to the acquisition of Tenet Medical Engineering 
during 2011 

−  Provisions increased from $45m in 2011 to $63m in 2012. 
The principal component of this movement is $13m arising 
on the Healthpoint acquisition 

−  Deferred tax liabilities decreased by $5m in the year. 

Current liabilities 
Current liabilities decreased by $189m from $1,119m in 2011 to 
$930m in 2012. This movement is attributable to: 

−  Bank overdrafts and current borrowings have decreased by 

$268m from $306m in 2011 to $38m in 2012 

−  Trade and other payables have increased by $92m to $656m in 
2012 from $564m in 2011. The primary cause of this increase is 
the acquisition of Healthpoint which increased trade and other 
payables by $49m 

−  Provisions have decreased by $19m from $78m in 2011 to $59m 
in 2012. The most significant item contributing to this decrease 
is the payment of $22m to settle the legal provision (see Note 3 
of the Notes to the Group accounts) 

−  Current tax payable is $177m at the end of 2012 compared to 

$171m in 2011. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
Trading and operating profit 
Trading profit increased by $14m (2%) to $728m from $714m in 2011. 
Trading profit margin increased from 21.9% to 23.4%. These 
increases reflect the early benefits of implementing the Strategic 
Priorities, in particular, restructuring the Group to provide the right 
commercial models and cost structure. 

Operating profit increased by $2m from $630m in 2011 to $632m 
in 2012. This comprises the increase in trading profit of $14m 
discussed above and the recognition of a legal claim of $23m 
in 2011, offset by an increase of $10m in the amortisation of 
acquisition intangibles and a $25m increase in restructuring 
and rationalisation costs.  

Operating profit, the most directly comparable financial measure 
in accordance with IFRS, reconciles to trading profit as follows: 

Operating profit 
Restructuring and rationalisation costs 
Amortisation of acquisition intangibles 
and impairments 
Legal settlement 

Trading profit 

2012
$million

2011
$million

632
57

39
–

728

630
32

29
23

714

Advanced Surgical Devices trading profit and operating profit 
as a percentage of Group trading profit and operating profit was 
as follows: 

Trading profit 
Operating profit 

2012
%

75
75

2011
%

74
73

166

Other financial information continued 

Franchises 
Underlying revenue growth for key product lines are: 

Reconstruction 

– Knee implants 
– Hip implants 

Sports Medicine 
Arthroscopic Enabling Technologies 
Trauma 

2012 
% 

2011
%

3  
(3) 
8  
(2) 
3  

5 
(1)
11 
–
3

Both the knee and hip implant markets continue to experience 
economic pressure. Knee implant franchise revenue increased by 
1% to $874m in 2012, which represented an underlying revenue 
growth of 3% and unfavourable foreign currency translation of -2%. 
This compared to a market growth rate of 3%. Growth slowed in the 
second half of 2012 as a result of a weakening of the overall knee 
market in Europe and the division’s knee product cycle. Between 
2009 and 2011, when the division materially outperformed the knee 
market, it benefited from the launch of VERILAST Technology and 
VISIONAIRE Patient Matched Instrumentation. This benefit has now 
been annualised. 

In the global Hip implant franchise revenue decreased by $39m 
to $666m (-6%) in 2012, representing a -3% underlying revenue 
decline in the face of the continuing metal-on-metal headwinds 
and -2% due to unfavourable foreign currency translation. The Hip 
implant franchise, led by the ANTHOLOGY Hip with VERILAST 
Technology, has also continued to perform well in its focus 
product areas. 

Sales of our BIRMINGHAM Hip Resurfacing system continued 
to decline during the year. The BIRMINGHAM Hip Resurfacing 
System is a clinically proven system for hip resurfacing which 
preserves bone and is particularly suited for younger, more 
active male patients. 

Global Trauma revenue increased by $5m to $462m (1%), 
representing underlying revenue growth of 3% and -2% 
unfavourable foreign currency translation. 

Global revenue from Sports Medicine Joint Repair increased by 
$30m to $521m (6%), of which 8% was underlying growth and -2% 
unfavourable foreign currency translation. 

AET revenue decreased by $16m to $409m (-4%) in 2012, which 
represented an underlying revenue decline of -2% and -2% of 
unfavourable foreign currency translation. 

The revenue in this Other franchise (excluding Clinical Therapies) 
increased by $2m to $69m (5%), which represented an underlying 
revenue growth of 7% and -2% of unfavourable foreign 
currency translation. 

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167

Advanced Wound Management 
Advanced Wound Management continues to outperform the market, 
with revenue growing at 4% in 2012 on an underlying basis 
(excluding a -3% unfavourable currency impact) to $1,029m. 
Management estimates the market grew at 1%. 

Trading and operating profit 
Trading profit reduced by $10m to $237m from $247m and trading 
profit margin decreased 24.3% to 23.1%. The decrease in the year is 
primarily attributable to the additional costs arising from investment 
in new products throughout the year. 

Underlying growth in Advanced Wound Management revenue 
reconciles to reported growth, the most directly comparable 
financial measure calculated in accordance with IFRS, as follows: 

Reported growth 
Constant currency exchange effect 

Underlying growth 

2012
%

1 
3 

4 

2011
%

12 
(5)

7

Operating profit decreased by $18m to $214m in 2012. This 
comprises the decrease in trading profit of $10m discussed 
above and an increase of $11m in connection with the acquisition- 
related costs on the purchase of Healthpoint. These costs were 
partially offset by a reduction of $3m in the amortisation of 
acquisition intangibles.  

Operating profit, the most directly comparable financial measure 
in accordance with IFRS, reconciles to trading profit as follows: 

In Established Markets, revenue increased from $906m to $907m 
in 2012. This represents an underlying growth of 4% which was 
offset by unfavourable currency movements of -3%. 

In the US, revenue increased by 7% from $189m to $202m. In the 
Established Markets outside of the US, revenues decreased –
2% from $717m in 2011 to $705m in 2012. This represents an 
underlying growth of 2% after adjusting for -4% of unfavourable 
currency movements. 

Operating profit 
Acquisition-related costs 
Restructuring and rationalisation costs 
Amortisation of acquisition intangibles 
and impairments 

Trading profit 

2012
$million

2011
$million

214
11
8

4

237

232
–
8

7

247

Franchises 
Underlying revenue growth for key product lines are: 

Advanced Wound Management trading profit and operating profit 
as a percentage of Group trading profit and operating profit was 
as follows: 

Exudate management 
Infection management 
Other AWM 

2012
%

1 
(2)
7 

2011
%

2 
4 
10

Trading profit 
Operating profit 

2012
%

25
25

2011
%

26
27

Revenue in the Emerging & International Markets increased from 
$113m in 2011 to $122m in 2012 (8%). The underlying movement was 
11% offset by -3% of unfavourable currency movements. 

Exudate management revenues decreased by -2% from $275m 
in 2011 to $269m in 2012. This represents an underlying growth 
of 1% offset by -3% in unfavourable currency exchange. 

Infection management revenues have fallen from $133m in 2011 
to $127m in 2012 (-5%). This also represents an underlying decline 
of -2% along with 3% of unfavourable currency exchange. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
 
 
 
 
168

Information for shareholders  

Financial calendar 
Annual General Meeting 

Quarter One results 

Payment of 2013 final dividend 

10 April 2014 

1 May 2014 

7 May 2014 

Half year results announced 

1 August 2014 (i) 

Quarter Three results announced 

30 October 2014 

Payment of 2014 first interim dividend  November 2014 

Full year results announced 

February 2015 (i) 

Annual Report available 

Annual General Meeting 

(i)  Dividend declaration dates. 

February/March 2015 

April 2015 

Ordinary Shareholders 
Registrar 
All general enquiries concerning shareholdings, dividends, 
changes to Shareholders’ personal details and the AGM should 
be addressed to: 

Equiniti, Aspect House, Spencer Road, Lancing, West Sussex 
BN99 6DA 

Tel: 0871 384 2081 * 
Tel: +44 (0) 121 415 7072 from outside the UK 
Website: www.shareview.co.uk 

* 

Calls to this number are charged at 8p per minute (excluding VAT) plus network 
extras. Lines are open from 8.30am to 5.30pm Monday to Friday, excluding UK 
public holidays.  

Shareholder facilities 
Shareview 
Equiniti’s on-line enquiry and portfolio management service for 
Shareholders. To view information about your shareholdings 
on-line, register at www.shareview.co.uk. Once registered 
for Shareview, you will also be able to elect to receive future 
Shareholder communications via the Company’s website 
(www.smith-nephew.com), update your address details or dividend 
payment instructions and register your proxy instructions on-line. 

E-communications 
We encourage Shareholders to elect to receive communications 
via e-mail as this has significant environmental and cost benefits. 
Shareholders may register for this service through Equiniti, at 
www.shareview.co.uk. Shareholders will receive a confirmation 
letter from Equiniti at their registered address, containing an 
Activation Code for future use. 

Payment of dividends direct to your bank or building 
society account 
Shareholders who wish to avoid the risk of their dividend payments 
getting lost or mislaid can arrange to have their cash dividends 
paid directly to a bank or building society account. This facility 
is available to UK resident Shareholders who receive Sterling 
dividends. If you do not live in the UK you may be able to register 
for the overseas payment service. Further information is available 
at www.shareview.co.uk or by contacting Equiniti (UK and overseas 
helpline numbers as above). 

Duplicate accounts 
Shareholders who have more than one account due to inconsistency 
in account details may avoid duplicate mailings by contacting Equiniti 
and requesting an amalgamation of their share accounts.  

Keep your personal details up to date 
Please remember to tell Equiniti if you move house or change bank 
details or there is any other change in your account information. 
You can update your information on-line via the Shareview portfolio 
if you are a Smith & Nephew Shareview member. If you do not have 
a portfolio you will need to write to Equiniti or complete a change of 
address form which can be downloaded from Shareview. If you hold 
2,500 shares or fewer, you can also change your address or update 
your bank details quickly and easily over the phone using the 
contact details provided.  

Dividend reinvestment plan (‘DRIP’) 
The Company offers Shareholders (except those in North America) 
the opportunity to participate in a DRIP. This enables Shareholders 
to reinvest their cash dividends in further ordinary shares of Smith 
& Nephew plc. These are purchased in the market at competitive 
dealing costs. For further details plus an application form to reinvest 
future dividends, contact Equiniti. 

Individual savings account (‘ISA’) 
Shareholders who are UK resident may hold Smith & Nephew plc 
shares in an Individual Savings Account, which is administered by 
the Company’s registrar. For information about this service please 
contact Equiniti. 

Shareholder communications 
The Company makes quarterly financial announcements which are 
made available through Stock Exchange announcements and on 
the Group’s website (www.smith-nephew.com). Copies of recent 
Annual Reports, press releases, institutional presentations and 
audio webcasts are also available on the website. 

The Company sends paper copies of the Notice of Annual General 
Meeting and Annual Report only to those Shareholders and ADS 
holders that have elected to receive Shareholder documentation 
by post. Electronic copies of the Annual Report and Notice of 
Annual General Meeting are available on the Group’s website at 
www.smith-nephew.com. Both ordinary Shareholders and ADS 
holders can request paper copies of the Annual Report, which the 
Company provides free of charge. The Company will continue to 
send to ordinary Shareholders by post the Form of Proxy and an 
accompanying letter notifying them of the availability of the Annual 
Report and Notice of Annual General Meeting on the Group’s 
website. Shareholders who elect to receive the Annual Report 
and Notice of Annual General Meeting electronically are informed 
by e-mail of the documents’ availability on the Group’s website. 
ADS holders receive the Form of Proxy by post but will not receive 
a paper copy of the Notice of Annual General Meeting. 

Investor communications 
The Company maintains regular dialogue with individual institutional 
Shareholders, together with results presentations. To ensure that all 
members of the Board develop an understanding of the views of 
major investors, the Executive Directors review significant issues 
raised by investors with the Board. Non-executive Directors are sent 
copies of analysts’ and brokers’ briefings. There is an opportunity 
for individual Shareholders to question the Directors at the Annual 
General Meeting and the Company regularly responds to letters from 
Shareholders on a range of issues. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN 
 
169

UK capital gains tax 
For the purposes of UK capital gains tax the price of the Company’s 
ordinary shares on 31 March 1982 was 35.04p. 

Smith & Nephew share price 
The Company’s ordinary shares are quoted on the London Stock 
Exchange under the symbol SN. The Company’s share price is 
available on the Smith & Nephew website www.smith-nephew.com 
and at www.londonstockexchange.com where the live financial data 
is updated with a 15-minute delay. 

ShareGift 
Shareholders with only a small number of shares, which would cost 
more to sell than they are worth, may wish to consider donating 
them to the charity ShareGift (registered charity 1052686) which 
specialises in accepting such shares as donations. There may be no 
implications for Capital Gains Tax purposes (no gain or loss) and it 
may also be possible to obtain income tax relief. The relevant stock 
transfer form may be obtained from Equiniti at the address given on 
page 168. 

Further information about ShareGift is available at www.sharegift.org 
or by contacting ShareGift at: 

ShareGift, 17 Carlton House Terrace, London SW1Y 5AH 

Tel: (+44) (0) 20 7930 3737 

Unauthorised brokers (boiler room scams) 
Shareholders are advised to be very wary of any unsolicited advice, 
offers to buy shares at a discount or offers of free company reports. 
These are typically from overseas-based ‘brokers’ who target UK 
Shareholders offering to sell them what often turn out to be 
worthless or high-risk shares in US or UK investments. These 
operations are commonly known as ‘boiler rooms’. 

If you deal with an unauthorised firm, you will not be eligible to 
receive payment under the Financial Services Compensation 
Scheme if things go wrong. If you receive any unsolicited investment 
advice, obtain the correct name of the person and organisation and 
check that they are properly authorised by the FCA by visiting 
www.fca.org.uk/register/. 

If you think you have been approached by an unauthorised firm 
you should contact the FCA consumer helpline on 0800 111 6768 
or e-mail consumer.queries@fca.org.uk.  

More detailed information can be found on the FCA website at 
www.fca.org.uk/consumers/protect-yourself/unauthorised-firms. 

Social media  
Smith & Nephew has a presence across a range of social media 
channels, including Twitter, Facebook and LinkedIn, which are linked 
below. Information provided by Smith & Nephew through social 
media channels is not incorporated by reference herein and does 
not from part of our annual report on Form 20-F. 

 https://twitter.com/SmithNephewPLC  

 www.facebook.com/SmithNephewPlc  

http://www.linkedin.com/company/smith-&-nephew 

American Depositary Shares (ADSs) and American 
Depositary Receipts (ADRs) 
In the US, the Company’s ordinary shares are traded in the form 
of ADSs, evidenced by ADRs, on the New York Stock Exchange 
under the symbol SNN. Each American Depositary Share represents 
five ordinary shares. The Bank of New York Mellon is the authorised 
depositary bank for the Company’s ADR programme. 

ADS enquiries 
All enquiries regarding ADS holder accounts and payment of 
dividends should be addressed to: 

BNY Mellon Depositary Receipts, P.O. Box 43006, Providence, RI 
02940-3006, US 

Tel: +1-866-259-2287 inside the US (toll free) 
Tel: +1-201-680-6825 internationally 
E-mail: shrrelations@cpushareownerservices.com 

A Global Buy DIRECT plan is available for US residents, enabling 
investment directly in ADSs with reduced brokerage commissions 
and service costs. For further information on Global Buy DIRECT 
contact; The Bank of New York Mellon (as above) or visit 
www.bnymellon.com/shareowner. 

The Company provides The Bank of New York Mellon, as depositary, 
with copies of Annual Reports containing consolidated financial 
statements and the opinion expressed thereon by its independent 
auditors. Such financial statements are prepared under IFRS. 
The Bank of New York Mellon will send these reports to recorded 
ADS holders who have elected to receive paper copies. The 
Company also provides to The Bank of New York Mellon all notices 
of Shareholders’ meetings and other reports and communications 
that are made generally available to Shareholders of the Company. 
The Bank of New York Mellon makes such notices, reports and 
communications available for inspection by recorded holders of 
ADSs and sends voting instruction forms by post to all recorded 
holders of ADSs. 

Smith & Nephew ADS price 
The Company’s ADS price can be obtained from the official 
New York Stock Exchange website at www.nyse.com, the Smith & 
Nephew website www.smith-nephew.com and is quoted daily in 
the Wall Street Journal where the live financial data is updated with 
a 15-minute delay.  

ADS payment information 
The Company hereby discloses ADS payment information for the 
year ended 31 December 2013 in accordance with the Securities and 
Exchange Commission rules 12.D.3 and 12.D.4 relating to Form 20-F 
filings by foreign private issuers. The depositary collects its fees for 
delivery and surrender of ADSs directly from investors depositing 
shares or surrendering ADSs for the purpose of withdrawal or from 
intermediaries acting for them. The depositary collects fees for 
making distributions to investors, including payment of dividends by 
the Company by deducting those fees from the amounts distributed 
or by selling a portion of distributable property to pay the fees. The 
depositary may collect its annual fee for depository services by 
deductions from cash distributions or by directly billing investors or 
by charging the book-entry system accounts of participants acting 
for them. The depositary may generally refuse to provide fee-
attracting services until its fee for those services are paid. 

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170

Information for shareholders continued 

Persons depositing or withdrawing shares must pay: 

For: 

$5.00 (or less) per 100 ADSs (or portion of 100 ADSs) 

$0.02 (or less) per ADS 

A fee equivalent to the fee that would be payable if securities 
distributed to holders had been shares and the shares had been 
deposited for issuance of ADSs 

$0.02 (or less) per ADS per calendar year 

Registration or transfer fees 

Taxes and other governmental charges the depositary or the 
custodian have to pay on any ADS or share underlying an ADS, for 
example, stock transfer taxes, stamp duty or withholding taxes 

Distribution of securities distributed to holders of deposited securities 
which are distributed by the depositary to ADS registered holders 

Depositary services 
Transfer and registration of shares on our share register to or from the 
name of the depositary or its agent when shares are deposited or 
withdrawn 
As necessary 

Any charges incurred by the depositary or its agents for servicing the 
deposited securities 

As necessary 

A fee of two US cents per ADS was paid on the 2012 final dividend and a fee of one US cent per ADS was deducted from the 2013 first 
interim dividend paid in October. In the period 1 January 2013 to 24 February 2014 the total reimbursed by The Bank of New York Mellon 
was $134,298.50. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN  
171

Dividend history 

Smith & Nephew has paid dividends on its ordinary shares in every year since 1937. Following the capital restructuring and dividend 
reduction in 2000 the Group adopted a policy of increasing its dividend cover (the ratio of EPSA, as set out in the ‘Selected financial data’, 
to ordinary dividends declared for the year). This was intended to increase the financing capability of the Group for acquisitions and other 
investments. From 2000 to 2004 the dividend increased in line with inflation and, in 2004, dividend cover stood at 4.1 times. Having 
achieved this level of dividend cover the Board changed its policy, from that of increasing dividends in line with inflation, to that of increasing 
dividends for 2005 and after by 10%. Following the redenomination of the Company’s share capital into US Dollars the Board re-affirmed its 
policy of increasing the dividend by 10% a year in US Dollar terms. 

On 2 August 2012, the Board announced its intention to pursue a progressive dividend policy, with the aim of increasing the US Dollar value 
of ordinary dividends over time broadly based on the Group’s underlying growth in earnings, while taking into account capital requirements 
and cash flows.  

From 2013, the Board will review at the time of the full year results, the appropriate level of total annual dividend each year. The Board 
intends that the interim dividend will be set by a formula and will be equivalent to 40% of the total dividend for the previous year. Dividends 
will continue to be declared in US Dollars with an equivalent amount in Sterling payable to those Shareholders whose registered address is 
in the UK, or who have validly elected to receive Sterling dividends. 

An interim dividend in respect of each fiscal year is normally declared in August and paid in November. A final dividend will be 
recommended by the Board of Directors and paid subject to approval by Shareholders at the Company’s Annual General Meeting. 

Future dividends of Smith & Nephew will be dependent upon: future earnings; the future financial condition of the Group; the Board’s 
dividend policy; and the additional factors that might affect the business of the Group set out in ‘Special note regarding forward-looking 
statements’ and ‘Risk Factors’. 

Dividends per share 

The table below sets out the dividends per ordinary share in the last five years. 

Pence per share: 
Interim 
Final/Second interim (ii) 

Total 
US cents per share: 
Interim 
Final/Second interim (ii) 

Total 

2013 

2012

2011

2010 

2009

Years ended 31 December

7.211 
11.358 (i) 

18.569 

11.556 
18.889 

30.445 

6.811
11.778

18.589

11.000
18.000

29.000

4.639
7.444 

12.083 

7.333
12.000

19.333

4.233  
6.639  

10.872  

6.667  
10.911  

17.578  

3.650 
6.494 

10.144 

6.067 
9.922 

15.989

Translated at the Bank of England rate on 24 February 2014. 

(i) 
(ii)  2009 Second interim, 2010 to 2013 Final. 

Dividends above include the associated UK tax credit of 10%, but exclude the deduction of withholding taxes. All dividends, up to the second 
interim dividend for 2005, were declared in pence per ordinary share and translated into US cents per ordinary share at the Noon Buying 
Rate on the payment date. Since the second interim dividend for 2005 all dividends have been declared in US cents per Ordinary Share. 

The 2013 final dividend will be payable on 7 May 2014, subject to Shareholder approval. 

In respect of the proposed final dividend for the year ended 31 December 2013 of 17.0 US cents per ordinary share, the record date will be 
22 April 2014 and the payment date will be 7 May 2014. The Sterling equivalent per ordinary share will be set following the record date. 
Shareholders may elect to receive their dividend in either Sterling or US Dollars and the last day for election will be 22 April 2014. The 
ordinary shares will trade ex-dividend on both the London and New York Stock Exchanges from 16 April 2014. 

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Information for shareholders continued 

Share prices 

The table below sets out, for the periods indicated, the highest and lowest middle market quotations for the Company’s ordinary shares 
(as derived from the Daily Official List of the UK Listing Authority) and the highest and lowest sales prices of its ADSs (as reported on the 
New York Stock Exchange composite tape). 

Year ended 31 December: 
2009 
2010 
2011 
2012 
2013 

Quarters in the year ended 31 December: 
2012: 
1st Quarter 
2nd Quarter 
3rd Quarter 
4th Quarter 

2013: 
1st Quarter 
2nd Quarter 
3rd Quarter 
4th Quarter 

2014: 
1st Quarter (to 24 February 2014) 

Last six months: 
August 2013 
September 2013 
October 2013 
November 2013 
December 2013 
January 2014 
February 2014 (to 24 February 2014) 

Ordinary shares

Low
£

4.20
5.38
5.21
5.80
6.80

5.95
5.80
6.38
6.38

6.80
7.18
7.30
7.48

8.57

7.50
7.61
7.48
8.01
8.13
8.57
8.74

High
£

6.42
6.97
7.42
6.93
8.68

6.43
6.40
6.93
6.92

7.60
7.95
8.00
8.68

9.60

8.00
7.89
8.03
8.16
8.68
8.96
9.60

High 
US$ 

51.38 
53.94 
60.19 
56.13 
71.85 

51.13 
51.23 
56.13 
55.77 

58.00 
60.17 
63.06 
71.85 

80.18 

61.58 
63.06 
65.30 
66.88 
71.85 
74.81 
80.18 

ADSs

Low
US$

30.57
41.29
42.17
45.13
52.90

45.57
45.13
49.50
51.01

52.90
54.83
56.01
60.05

70.84

58.26
59.19
60.05
64.41
67.20
70.84
71.69

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Shareholdings 
As at 24 February 2014, 7,837,412 ADSs equivalent to 39,187,060 
ordinary shares or approximately 4.4% of the total ordinary shares 
in issue, were outstanding and were held by 88 registered holders. 

Major Shareholders 
As far as is known to Smith & Nephew, the Group is not directly 
or indirectly owned or controlled by another corporation or by any 
government and the Group has not entered into arrangements, the 
operation of which may at a subsequent date result in a change in 
control of the Group. 

As at 24 February 2014, no persons are known to Smith & Nephew 
to have any interest (as defined in the Disclosure and Transparency 
Rules of the FCA) in 3% or more of the ordinary shares, other than 
as shown below. The following tables show changes over the last 
three years in the percentage and numbers of the issued share 
capital owned by Shareholders holding 3% or more of ordinary 
shares, as notified to the Company under the Disclosure and 
Transparency Rules: 

Share capital 
The principal trading market for the ordinary shares is the London 
Stock Exchange. The ordinary shares were listed on the New York 
Stock Exchange on 16 November 1999, trading in the form of ADSs 
evidenced by ADRs. Each ADS represents five ordinary shares. The 
ADS facility is sponsored by The Bank of New York Mellon acting 
as depositary. 

All the ordinary shares, including those held by Directors and 
Executive Officers, rank pari passu with each other. On 23 January 
2006 the ordinary shares of 12 2/9 pence were redenominated as 
ordinary shares of US 20 cents (following approval by Shareholders 
at the extraordinary general meeting in December 2005). The new 
US dollar ordinary shares carry the same rights as the previous 
ordinary shares. The share price continues to be quoted in Sterling 
and the ADSs continue to represent five ordinary shares. In 2006 the 
Company issued £50,000 of shares in Sterling in order to comply 
with English law. These were issued as deferred shares, which are 
not listed on any stock exchange. They have extremely limited rights 
and therefore effectively have no value. These shares were allotted 
to the Chief Executive Officer, although the Board reserves the right 
to transfer them to another member of the Board should it so wish. 

As at 24 February 2014, to the knowledge of the Group, there were 
18,188 registered holders of ordinary shares, of whom 89 had 
registered addresses in the US and held a total of 172,541 ordinary 
shares (0.02% of the total issued). Because certain ordinary shares 
are registered in the names of nominees, the number of 
Shareholders with registered addresses in the US is not 
representative of the number of beneficial owners of ordinary shares 
resident in the US. 

Invesco 
BlackRock, Inc. 
Newton Investment Management Limited 
Legal & General Group plc 
Capital Group of Companies Inc. 

Invesco 
BlackRock, Inc. 
Newton Investment Management Limited 
Legal & General Group plc 
Capital Group of Companies Inc. 

24 February 2014
%

7.5
4.8
–
–
–

24 February 2014
‘000

66,740
42,621
–
–
–

2013
%

12.1
4.7
–
–
–

2013
‘000

107,823
41,870
–
–
–

2012 
% 

11.9  
5.0 
4.9 
3.0  
– 

2012 
’000 

107,823 
44,811 
8,432 
26,906 
–  

As at 31 December

2011
%

5.0
5.0 
5.0
4.0 
0.7

As at 31 December

2011
’000

44,901 
44,811 
44,337 
35,676 
6,138 

In addition to the above, the Company is aware that Walter Scott & Partners Limited held approximately 37.7 million ordinary shares (4.2%) at 
24 February 2014. 

The Company is not aware of any person who has a significant direct or indirect holding of securities in the Company, and is not aware of 
any persons holding securities which may control the Company. There are no securities in issue which have special rights as to the control 
of the Company.

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Information for shareholders continued 

Purchase of ordinary shares on behalf of the Company 
At the AGM, the Company will be seeking a renewal of its current permission from Shareholders to purchase up to 10% of its own shares. 
On 2 May 2013, the Company announced its intention to purchase up to $300m of its own ordinary shares. The Company has purchased 
18,210,000 ordinary shares at a cost of $226m for the year to 31 December 2013.

2 May 2013 
7-31 May 2013 
3-24 June 2013 
2-29 August 2013 
2-25 September 2013 
1-29 November 2013 
2-17 December 2013 

Total shares 
purchased 
(000s)

Average price 
paid per share 
(p)

Total number of 
shares purchased as 
part of publicly 
announced plans or 
programmes 

Approximate US$ 
value of shares that 
may yet be purchased 
under the plan

2,434,000
3,970,000
2,750,000
3,385,000
3,791,000
1,880,000

773.9220
750.9677
782.7249
773.9235
806.5939
836.7099

2,434,000 
6,404,000 
9,154,000 
12,539,000 
16,330,000 
18,210,000 

300,000,000
271,072,938
224,546,903
190,975,094
149,054,820
99,483,166
73,647,255

The shares were purchased in the open market by JP Morgan Cazenove Limited and UBS Limited on behalf of the Company. 

Exchange controls and other limitations affecting 
security holders 

There are no UK governmental laws, decrees or regulations that 
restrict the export or import of capital or that affect the payment of 
dividends, interest or other payments to non-resident holders of 
Smith & Nephew’s securities, except for certain restrictions imposed 
from time to time by Her Majesty’s Treasury of the United Kingdom 
pursuant to legislation, such as the United Nations Act 1946 and the 
Emergency Laws Act 1964, against the government or residents of 
certain countries. 

There are no limitations, either under the laws of the UK or under 
the Articles of Association of Smith & Nephew, restricting the right 
of non-UK residents to hold or to exercise voting rights in respect of 
ordinary shares, except that where any overseas Shareholder has 
not provided to the Company a UK address for the service of notices, 
the Company is under no obligation to send any notice or other 
document to an overseas address. It is, however, the current 
practice of the Company to send every notice or other document to 
all Shareholders regardless of the country recorded in the register of 
members, with the exception of details of the Company’s dividend 
reinvestment plan, which are not sent to Shareholders with recorded 
addresses in the US and Canada.

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Taxation information for Shareholders 
The comments below are of a general and summary nature and are 
based on the Group’s understanding of certain aspects of current 
UK and US federal income tax law and practice relevant to the ADSs 
and ordinary shares not in ADS form. The comments address the 
material US and UK tax consequences generally applicable to a 
person who is the beneficial owner of ADSs or ordinary shares and 
who, for US federal income tax purposes, is a citizen or resident of 
the US, a corporation (or other entity taxable as a corporation) 
created or organised in or under the laws of the US, or an estate or 
trust the income of which is included in gross income for US federal 
income tax purposes regardless of its source (each a ‘US Holder’). 
The comments set out below do not purport to address all tax 
consequences of the ownership of ADSs or ordinary shares which 
may be material to a particular holder and in particular do not deal 
with the position of Shareholders who directly or indirectly own 10% 
or more of the Company’s issued ordinary shares. This discussion 
does not apply to (i) persons whose holding of ADSs or ordinary 
shares is effectively connected with or pertains to either a 
permanent establishment in the UK through which a US Holder 
carries on a business in the UK or a fixed base from which a US 
Holder performs independent personal services in the UK, or (ii) 
persons whose registered address is inside the UK. This discussion 
does not apply to certain investors subject to special rules, such 
as certain financial institutions, tax-exempt entities, insurance 
companies, broker-dealers, traders in securities that elect to use 
the mark to market method of tax accounting, partnerships or other 
entities treated as partnerships for US federal income tax purposes, 
US Holders holding ADSs or ordinary shares as part of a hedging, 
conversion or other integrated transaction or whose functional 
currency for US federal income tax purposes is other than the US 
dollar and US Holders liable for alternative minimum tax. In addition, 
the comments below do not address the potential application of the 
provisions of the United States Internal Revenue Code, known as 
the Medicare contribution tax, or any US state, local or non-US 
(other than UK) taxes. The summary deals only with US Holders 
who hold ADSs or ordinary shares as capital assets. The summary 
is based on current UK and US law and practice which is subject 
to change, possibly with retroactive effect. US Holders are 
recommended to consult their own tax advisers as to the particular 
tax consequences to them of the ownership of ADSs or ordinary 
shares. The Company believes, and this discussion assumes, that 
the Company was not a passive foreign investment company for its 
taxable year ended 31 December 2013. 

This discussion is based in part on representations by the depositary 
and assumes that each obligation under the deposit agreement and 
any related agreement will be performed in accordance with its 
terms. For purposes of US federal income tax law, US Holders of 
ADSs will generally be treated as owners of the ordinary shares 
represented by the ADSs. However, the US Treasury has expressed 
concerns that parties to whom depositary shares are released 
before shares are delivered to the depositary (‘pre-released’) may be 
taking actions that are inconsistent with the claiming of foreign tax 
credits by owners of depositary shares. Such actions would also be 
inconsistent with the claiming of the reduced rate of tax, described 
below, applicable to dividends received by certain non-corporate 
US Holders. Accordingly, the availability of the reduced tax rate for 
dividends received by certain non-corporate US Holders of ADSs 
could be affected by actions that may be taken by parties to whom 
ADSs are pre-released. 

Taxation of dividends in the UK and the US 
The UK does not currently impose a withholding tax on dividends 
paid by a UK corporation, such as the Company. 

Distributions paid by the Company will be treated for US federal 
income tax purposes as foreign source ordinary dividend income 
to a US Holder to the extent paid out of the Company’s current or 
accumulated earnings and profits as determined for US federal 
income tax purposes. Such dividends will not be eligible for the 
dividends-received deduction generally allowed to corporate 
US Holders. 

Dividends paid to certain non-corporate US Holders of ordinary 
shares or ADSs may be subject to US federal income tax at lower 
rates than those applicable to other types of ordinary income if 
certain conditions are met. Non-corporate US Holders should 
consult their own tax advisers to determine whether they are subject 
to any special rules that limit their ability to be taxed at these 
favourable rates. 

Taxation of capital gains 
US Holders, who are not resident or ordinarily resident for tax 
purposes in the UK, will not generally be liable for UK capital gains 
tax on any capital gain realised upon the sale or other disposition of 
ADSs or ordinary shares unless the ADSs or ordinary shares are 
held in connection with a trade carried on in the UK through a 
permanent establishment (or in the case of individuals, through a 
branch or agency). Furthermore, UK resident individuals who acquire 
ADSs or ordinary shares before becoming temporarily non-UK 
residents may remain subject to UK taxation of capital gains on 
gains realised while non-resident. 

For US federal income tax purposes, gains or losses realised upon 
a taxable sale or other disposition of ADSs or ordinary shares by 
US Holders generally will be US source capital gains or losses and 
will be long-term capital gains or losses if the ADSs or ordinary 
shares were held for more than one year. The amount of a US 
Holder’s gain or loss will be equal to the difference between the 
amount realised on the sale or other disposition and such holder’s 
tax basis in the ADSs, or ordinary shares, determined in US dollars. 

Inheritance and estate taxes 
The HM Revenue & Customs imposes inheritance tax on capital 
transfers which occur on death, and in the seven years preceding 
death. The HM Revenue & Customs considers that the US/UK 
Double Taxation Convention on Estate and Gift Tax applies to 
inheritance tax. Consequently, a US citizen who is domiciled in the 
US and is not a UK national or domiciled in the UK will not be subject 
to UK inheritance tax in respect of ADSs and ordinary shares. A UK 
national who is domiciled in the US will be subject to both UK 
inheritance tax and US federal estate tax but will be entitled to a 
credit for US federal estate tax charged in respect of ADSs and 
ordinary shares in computing the liability to UK inheritance tax. 
Conversely, a US citizen who is domiciled or deemed domiciled in 
the UK will be entitled to a credit for UK inheritance tax charged in 
respect of ADSs and ordinary shares in computing the liability for US 
federal estate tax. Special rules apply where ADSs and ordinary 
shares are business property of a permanent establishment of an 
enterprise situated in the UK. 

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A charge of stamp duty or SDRT at the rate of 1½% of the 
consideration (or, in some circumstances, the value of the shares 
concerned) will arise on a transfer or issue of ordinary shares to 
the depositary or to certain persons providing a clearance service 
(or their nominees or agents) for the conversion into ADRs and 
will generally be payable by the depositary or person providing 
clearance service. In accordance with the terms of the Deposit 
Agreement, any tax or duty payable by the depositary on deposits 
of ordinary shares will be charged by the depositary to the party to 
whom ADRs are delivered against such deposits. 

No liability for stamp duty or SDRT will arise on any transfer of, or 
agreement to transfer, an ADS or beneficial ownership of an ADS, 
provided that the ADS and any instrument of transfer or written 
agreement to transfer remains at all times outside the UK, and 
provided further that any instrument of transfer or written agreement 
to transfer is not executed in the UK and the transfer does not relate 
to any matter or thing done or to be done in the UK (the location of 
the custodian as a holder of ordinary shares not being relevant in 
this context). In any other case, any transfer of, or agreement to 
transfer, an ADS or beneficial ownership of an ADS could, 
depending on all the circumstances of the transfer, give rise to a 
charge to stamp duty or SDRT. 

176

Information for shareholders continued 

US information reporting and backup withholding 
A US Holder may be subject to US information reporting and backup 
withholding on dividends paid on or the proceeds of sales of ADSs 
or ordinary shares made within the US or through certain US-related 
financial intermediaries, unless the US Holder is an exempt recipient 
or, in the case of backup withholding, provides a correct US taxpayer 
identification number and certain other conditions are met. 
US backup withholding may apply if there has been a notification 
from the US Internal Revenue Service of a failure to report all interest 
or dividends. 

Any backup withholding deducted may be credited against the 
US Holder’s US federal income tax liability, and, where the backup 
withholding exceeds the actual liability, the US Holder may obtain 
a refund by timely filing the appropriate refund claim with the 
US Internal Revenue Service. 

Certain US Holders who are individuals (and under proposed 
Treasury regulations, certain entities) may be required to report 
information relating to securities issued by a non-US person (or 
foreign accounts through which the securities are held), subject to 
certain exceptions (including an exception for securities held in 
accounts maintained by US financial institutions). US Holders should 
consult their tax advisers regarding their reporting obligations with 
respect to the ordinary shares or ADSs. 

UK stamp duty and stamp duty reserve tax 
UK stamp duty is charged on documents and in particular 
instruments for the transfer of registered ownership of ordinary 
shares. Transfers of ordinary shares in certificated form will generally 
be subject to UK stamp duty at the rate of ½% of the consideration 
given for the transfer with the duty rounded up to the nearest £5. 

UK stamp duty reserve tax (‘SDRT’) arises when there is an 
agreement to transfer shares in UK companies ‘for consideration in 
money or money’s worth’, and so an agreement to transfer ordinary 
shares for money or other consideration may give rise to a charge 
to SDRT at the rate of ½% (rounded up to the nearest penny). The 
charge of SDRT will be cancelled, and any SDRT already paid will 
be refunded, if within six years of the agreement an instrument of 
transfer is produced to HM Revenue & Customs and the appropriate 
stamp duty paid. 

Transfers of ordinary shares into CREST (an electronic transfer 
system) are exempt from stamp duty so long as the transferee is a 
member of CREST who will hold the ordinary shares as a nominee 
for the transferor and the transfer is in a form that will ensure that 
the securities become held in uncertificated form within CREST. 
Paperless transfers of ordinary shares within CREST for consideration 
in money or money’s worth are liable to SDRT rather than stamp 
duty. SDRT on relevant transactions will be collected by CREST at 
½%, and this will apply whether or not the transfer is effected in 
the UK and whether or not the parties to it are resident or situated 
in the UK. 

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177

Rights attaching to ordinary shares 
Under English law, dividends are payable on the Company’s ordinary 
shares only out of profits available for distribution, as determined 
in accordance with accounting principles generally accepted in the 
UK and by the Companies Act 2006. Holders of the Company’s 
ordinary shares are entitled to receive final dividends as may be 
declared by the Directors and approved by the Shareholders in 
general meeting, rateable according to the amounts paid up on 
such shares, provided that the dividend cannot exceed the amount 
recommended by the Directors. 

The Company’s Board of Directors may declare such interim 
dividends as appear to them to be justified by the Company’s 
financial position. If authorised by an ordinary resolution of the 
Shareholders, the Board may also direct payment of a dividend 
in whole or in part by the distribution of specific assets (and in 
particular of paid up shares or debentures of the Company). 

Any dividend unclaimed after 12 years from the date the dividend 
was declared, or became due for payment, will be forfeited and 
will revert to the Company. 

There were no material modifications to the rights of Shareholders 
under the Articles during 2012. 

Voting rights of ordinary shares 
Voting at any general meeting of Shareholders is by a show of hands 
unless a poll, which is a written vote, is duly demanded and held. 
On a show of hands, every Shareholder who is present in person at 
a general meeting has one vote regardless of the number of shares 
held. On a poll, every Shareholder who is present in person or by 
proxy has one vote for each ordinary share held by that Shareholder. 
A poll may be demanded by any of the following: 

−  the chairman of the meeting; 
−  at least five Shareholders present or by proxy entitled to vote on 

the resolution; 

−  any Shareholder or Shareholders representing in the aggregate 

not less than one-tenth of the total voting rights of all Shareholders 
entitled to vote on the resolution; or 

−  any Shareholder or Shareholders holding shares conferring a right 
to vote on the resolution on which there have been paid-up sums 
in aggregate equal to not less than one-tenth of the total sum paid 
up on all the shares conferring that right. 

A form of proxy will be treated as giving the proxy the authority to 
demand a poll, or to join others in demanding one, as above. 

The necessary quorum for a general meeting is two Shareholders 
present in person or by proxy carrying the right to vote upon the 
business to be transacted. 

Articles of Association 
The following summarises certain material rights of holders of the 
Company’s ordinary shares under the material provisions of the 
Company’s Articles of Association and English law. This summary 
is qualified in its entirety by reference to the Companies Act and 
the Company’s Articles of Association. In the following description, 
a ‘Shareholder’ is the person registered in the Company’s register 
of members as the holder of an ordinary share. 

The Company is incorporated under the name Smith & Nephew plc 
and is registered in England and Wales with registered 
number 324357. 

The Company’s ordinary shares may be held in certificated or 
uncertificated form. No holder of the Company’s shares will be 
required to make additional contributions of capital in respect of 
the Company’s shares in the future. In accordance with English 
law the Company’s ordinary shares rank equally. 

Directors 
Under the Company’s Articles of Association, a Director may 
not vote in respect of any contract, arrangement, transaction or 
proposal in which he, or any person connected with him, has any 
material interest other than by virtue of his interests in securities 
of, or otherwise in or through, the Company. This is subject to certain 
exceptions relating to proposals (a) indemnifying him in respect 
of obligations incurred on behalf of the Company, (b) indemnifying 
a third party in respect of obligations of the Company for which 
the Director has assumed responsibility under an indemnity or 
guarantee, (c) relating to an offer of securities in which he will be 
interested as an underwriter, (d) concerning another body corporate 
in which the Director is beneficially interested in less than 1% of 
the issued shares of any class of shares of such a body corporate, 
(e) relating to an employee benefit in which the Director will share 
equally with other employees and (f) relating to any insurance that 
the Company is empowered to purchase for the benefit of Directors 
of the Company in respect of actions undertaken as Directors 
(and/or officers) of the Company. 

A Director shall not vote or be counted in any quorum present at a 
meeting in relation to a resolution on which he is not entitled to vote. 

The Directors are empowered to exercise all the powers of the 
Company to borrow money, subject to the limitation that the 
aggregate amount of all monies borrowed after deducting cash 
and current asset investments by the Company and its subsidiaries 
shall not exceed the sum of $6,500,000,000. 

Any Director who has been appointed by the Directors since the 
previous Annual General Meeting of Shareholders, either to fill a 
casual vacancy or as an additional Director holds office only until 
the conclusion of the next Annual General Meeting and then shall 
be eligible for re-election by the Shareholders. The other Directors 
retire and are eligible for re-appointment at the third Annual General 
Meeting after the meeting at which they were last re-appointed. 
If not re-appointed a Director retiring at a meeting shall retain office 
until the meeting appoints someone in his place, or if it does not do 
so, until the conclusion of the meeting. The Directors are subject 
to removal with or without cause by the Board or the Shareholders. 
Directors are not required to hold any shares of the Company by 
way of qualification. 

Under the Company’s Articles of Association and English law, a 
Director may be indemnified out of the assets of the Company 
against liabilities he may sustain or incur in the execution of 
his duties. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
 
178

Information for shareholders continued 

Matters are transacted at general meetings of the Company by the 
processing and passing of resolutions of which there are two kinds; 
ordinary or special resolutions: 

−  Ordinary resolutions include resolutions for the re-election of 

Directors, the approval of financial statements, the declaration 
of dividends (other than interim dividends), the appointment and 
re-appointment of auditors or the grant of authority to allot shares. 
An ordinary resolution requires the affirmative vote of a majority 
of the votes of those persons voting at the meetings at which 
there is a quorum 

−  Special resolutions include resolutions amending the Company’s 
Articles of Association, dis-applying statutory pre-emption rights 
or changing the Company’s name; modifying the rights of any 
class of the Company’s shares at a meeting of the holders of such 
class or relating to certain matters concerning the Company’s 
winding up. A special resolution requires the affirmative vote of 
not less than three-quarters of the votes of the persons voting 
at the meeting at which there is a quorum. 

Annual General Meetings must be convened upon advance written 
notice of 21 days. Other general meetings must be convened upon 
advance written notice of at least 14 clear days. The days of delivery 
or receipt of notice are not included. The notice must specify the 
nature of the business to be transacted. Meetings are convened 
by the Board of Directors. Members with 5% of the ordinary share 
capital of the Company may requisition the Board to convene 
a meeting. 

Variation of rights 
If, at any time, the Company’s share capital is divided into different 
classes of shares, the rights attached to any class may be varied, 
subject to the provisions of the Companies Act, with the consent in 
writing of holders of three-quarters in nominal value of the issued 
shares of that class or upon the adoption of a special resolution 
passed at a separate meeting of the holders of the shares of that 
class. At every such separate meeting, all the provisions of the 
articles of association relating to proceedings at a general meeting 
apply, except that the quorum is to be the number of persons 
(which must be two or more) who hold or represent by proxy not 
less than one-third in nominal value of the issued shares of the 
class and at any such meeting a poll may be demanded in writing 
by any person or their proxy who hold shares of that class. Where a 
person is present by proxy or proxies, he is treated as holding only 
the shares in respect of which the proxies are authorised to exercise 
voting rights. 

Rights in a winding up 
Except as the Company’s Shareholders have agreed or may 
otherwise agree, upon the Company’s winding up, the balance 
of assets available for distribution: 

−  after the payment of all creditors including certain preferential 
creditors, whether statutorily preferred creditors or normal 
creditors; and 

−  subject to any special rights attaching to any other class of shares; 
−  is to be distributed among the holders of ordinary shares 

according to the amounts paid-up on the shares held by them. 
This distribution is generally to be made in US dollars. A liquidator 
may, however, upon the adoption of any extraordinary resolution 
of the Shareholders and any other sanction required by law, divide 
among the Shareholders the whole or any part of the Company’s 
assets in kind. 

Limitations on voting and shareholding 
There are no limitations imposed by English law or the Company’s 
Articles of Association on the right of non-residents or foreign 
persons to hold or vote the Company’s ordinary shares or ADSs, 
other than the limitations that would generally apply to all of the 
Company’s Shareholders. 

Transfers of shares 
The Board may refuse to register the transfer of shares held in 
certificated form which: 

−  are not fully paid (provided that it shall not exercise this discretion 
in such a way as to prevent stock market dealings in the shares 
of that class from taking place on an open and proper basis); 
−  are not duly stamped or duly certified or otherwise shown to the 
satisfaction of the Board to be exempt from stamp duty, lodged 
at the Transfer Office or at such other place as the Board may 
appoint and (save in the case of a transfer by a person to whom 
no certificate was issued in respect of the shares in question) 
accompanied by the certificate for the shares to which it relates, 
and such other evidence as the Board may reasonably require to 
show the right of the transferor to make the transfer and, if the 
instrument of transfer is executed by some other person on his 
behalf, the authority of that person so to do; 

−  are in respect of more than one class of shares; or 
−  are in favour of more than four transferees. 

Deferred shares 
Following the re-denomination of share capital on 23 January 2006 
the ordinary shares’ nominal value became 20 US cents each. There 
were no changes to the rights or obligations of the ordinary shares. 
In order to comply with the Companies Act 2006, a new class of 
sterling shares was created, deferred shares, of which £50,000 
were issued and allotted in 2006 as fully paid to the Chief Executive 
Officer though the Board reserves the right to transfer them to 
another member of the Board should it so wish. These deferred 
shares have no voting or dividend rights and on winding up only 
are entitled to repayment at nominal value only if all ordinary 
Shareholders have received the nominal value of their shares 
plus an additional $1,000 each. 

Amendments 
The Company does not have any special rules about amendments 
to its Articles of Association beyond those imposed by law.

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN 
 
Cross Reference to Form 20-F  

This table provides a cross reference from the information included in this Annual Report to the requirements of Form 20-F.  

Part I 
Item 1 

Item 2 

Item 3 

Identity of Directors, Senior Management and Advisers 

Offer Statistics and Expected Timetable 

Key Information 

A – Selected Financial Data 

B – Capitalisation and Indebtedness 

C – Reason for the Offer and Use of Proceeds 

D – Risk Factors 

Item 4 

Information on the Company 

179

Page

n/a

n/a

159–160

n/a

n/a

156–158

Item 4A 

Item 5 

A – History and Development of the Company 
B – Business Overview 

C – Organisational Structure 

D – Property, Plant and equipment 

Unresolved Staff Comments 

Operating and Financial Review and Prospects 
A – Operating results 

B – Liquidity and Capital Resources 

C – Research and Development, patents and licences, etc. 

D – Trend information 

E – Off Balance Sheet Arrangements 

F – Tabular Disclosure of Contractual Obligations 

G – Safe Harbor 

Item 6 

Directors, Senior Management and Employees 

A – Directors and Senior Management 

B – Compensation 
C – Board Practices 

D – Employees 

E – Share Ownership 

Item 7 

Major Shareholders and Related Party Transactions 

A – Major Shareholders 

– Host Country Shareholders 

B – Related Party Transactions 

C – Interests of experts and counsel 

Item 8 

Financial information 

A – Consolidated Statements and Other Financial Information 

Item 9 

– Legal Proceedings 

– Dividends 

B – Significant Changes 
The Offer and Listing 

A – Offer and Listing Details 

B – Plan and Distribution 

C – Markets 

D – Selling Shareholders 

E – Dilution 

F – Expenses of the Issue 

155
1, 6-13, 16-33, 102-105, 
156-158, 164-167

8-9, 117-118, 148-149

155

None

7-13, 24–33, 36–41, 95, 97, 
99, 164-167

99, 121-126, 139

13, 19-20

16-18, 90

155

163

184

44-47, 49

62-85
44-61

9, 22-23, 105

82, 143-147

173

173

147, 155

n/a

87–149

129–131

171

None

172-173

n/a

173

n/a

n/a

n/a

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180

Cross Reference to Form 20-F continued 

Item 10 

Additional Information 

A – Share capital 

B – Memorandum and Articles of Association 

C – Material Contracts 

D – Exchange Controls 

E – Taxation 

F – Dividends and Paying Agents 

G – Statement by Experts 

H – Documents on Display 

I – Subsidiary Information 

Quantitative and Qualitative Disclosure about Market Risk 

Description of Securities Other than Equity Securities 

American Depository shares 

Defaults, Dividend Arrearages and Delinquencies 

Material Modifications to the Rights of Security Holders and Use of Proceeds 

Controls and Procedures 

(Reserved) 

Audit Committee Financial Expert 

Code of Ethics 

Principal Accountant Fees and Services 

Exemptions from the Listing Standards for Audit Committee 

Purchase of Equity Securities by the Issuer and Affiliated Purchase 

Change in Registrant’s Certifying Accountant 

Corporate Governance 

Mine Safety Disclosure 

Financial Statements 

Financial Statements 

Exhibits 

Item 11 

Item 12 

Item 12D 

Part II 
Item 13 

Item 14 

Item 15 

Item 16 

Item 16A 

Item 16B 

Item 16C 

Item 16D 

Item 16E 

Item 16F 

Item 16G 

Item 16H 

Part III 
Item 17 

Item 18 

Item 19 

Page

n/a

177-178

11, 99, 121

174

175-176

n/a

n/a

184

148-149

121-128, 156-158

n/a

169-170

None

None

53, 58-61, 91

n/a

58

52

54, 60-61, 107

n/a

138, 174

None

49

n/a

n/a

87–149

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Glossary of terms  

181

Unless the context indicates otherwise, the following terms have the meanings shown below:  

Term 

ADR 

ADS 

Advanced Surgical Devices 

Advanced Wound Management 

AET 

AGM 

Arthroscopy 

ASD 

AWM 

Basis Point 

Chronic wounds  

COGS 

Company 

Companies Act 
DOJ 

EBITA 

EBITDA 

Meaning 

In the US, the Company’s Ordinary Shares are traded in the form of ADSs evidenced by American 
Depository Receipts (‘ADRs’). 

In the US, the Company’s Ordinary Shares are traded in the form of American Depositary Shares 
(‘ADSs’). 

A product group comprising products for orthopaedic replacement and reconstruction, endoscopy 
devices and trauma devices. Products for orthopaedic replacement include systems for knees, hips, 
and shoulders. Endoscopy devices comprise of support products for orthopaedic surgery such as 
computer assisted surgery and minimally invasive surgery techniques using specialised viewing and 
access devices, surgical instruments and powered equipment. Orthopaedics trauma devices are used 
in the treatment of bone fractures including rods, pins, screws, plates and external frames.  

A product group comprising products associated with the treatment of skin wounds, ranging from 
products that provide moist wound healing using breathable films and polymers to products providing 
active wound healing by biochemical or cellular action. 

Arthroscopic Enabling Technologies. Franchise offering healthcare providers a variety of technologies 
such as fluid management equipment for surgical access, high definition cameras, digital image 
capture, scope, light sources and monitors, radio frequency probes, electromechanical and mechanical 
blades and hand instruments for removing damaged tissue. 

Annual General Meeting of the Company. 

Endoscopy of the joints is termed ‘arthroscopy’, with the principal applications being the knee 
and shoulder. 

Advanced Surgical Devices division. 

Advanced Wound Management division. 

One hundredth of one percentage point. 

Chronic wounds are those with long or unknown healing times including leg ulcers, pressure sores and 
diabetic foot ulcers. 

Cost of Goods Sold 

Smith & Nephew plc or, where appropriate, the Company’s Board of Directors, unless the context 
otherwise requires. 
Companies Act 2006, as amended, of England and Wales. 
US Department of Justice 

Earnings before interest, tax and amortisation. 

Earnings before interest, tax, depreciation and amortisation. 

Emerging markets 

Emerging markets include Greater China, India, Brazil and Russia. 

EPSA 

Endoscopy 

Established Markets 

Euro or € 

FCA 

FDA 

Adjusted Earnings Per Share is a trend measure which presents the long-term profitability of the Group 
excluding the impact of specific transactions that management considers affects the Group’s short-term 
profitability. The Group presents this measure to assist investors in their understanding of trends. 
Adjusted attributable profit is the numerator used for this measure. 

Through a small incision, surgeons are able to see inside the body using a monitor and identify and 
repair defects. 

Established Markets include United States of America, Europe, Australia, New Zealand, Canada 
and Japan. 

References to the common currency used in the majority of the countries of the European Union. 

Financial Conduct Authority 

US Food and Drug Administration. 

Financial statements 

Refers to the consolidated Group Accounts of Smith & Nephew plc. 

FTSE 100 

GMP 

Group or Smith & Nephew 

Index of the largest 100 listed companies on the London Stock Exchange by market capitalisation. 

Good manufacturing practice or ‘GMP’ is the guidance that outlines the aspects of production and 
testing that can impact the quality of a product. 
Used for convenience to refer to the Company and its consolidated subsidiaries, unless the context 
otherwise requires. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioNGroup StrAteGiC reportCorporAte GoverNANCeFiNANCiAl StAtemeNtS AND other iNFormAtioN 
 
182

Glossary of terms continued  

Term 

IFRS 

International markets 

LIBOR 

LSE 

Metal-on-metal hip resurfacing 

Negative Pressure Wound Therapy 

NYSE 

Orthopaedic products 

OSHA 

OXINIUM 

Meaning 

International Financial Reporting Standards as adopted by the EU and as issued by the 
International Accounting Standards Board. 

International Markets include Middle East, North Africa, Southern Africa, Latin America, 
ASEAN, South Korea and Eastern Europe. 

London Interbank Offered Rate 

London Stock Exchange. 

A less invasive surgical approach to treating arthritis in certain patients whereby only the 
surfaces of the hip joint are replaced leaving the hip head substantially preserved. 
A technology used to treat chronic wounds such as diabetic ulcers, pressure sores and 
post-operative wounds through the application of sub-atmospheric pressure to an open 
wound. 

New York Stock Exchange. 

Orthopaedic reconstruction products include joint replacement systems for knees, hips 
and shoulders and support products such as computer-assisted surgery and minimally 
invasive surgery techniques. Orthopaedic trauma devices are used in the treatment of 
bone fractures including rods, pins, screws, plates and external frames. Clinical therapies 
products include joint fluid therapy for pain reduction of the knee and an ultrasound 
treatment to accelerate the healing of bone fractures. 

US Occupational Safety and Health Administration 

OXINIUM material is an advanced load bearing technology. It is created through a 
proprietary manufacturing process that enables zirconium to absorb oxygen and 
transform to a ceramic on the surface, resulting in a material that incorporates the 
features of ceramic and metal. Management believes that OXINIUM material used in 
the production of components of knee and hip implants exhibits unique performance 
characteristics due to its hardness, low-friction and resistance to roughening and 
abrasion. 

Parent Company 

Smith & Nephew plc. 

Pound Sterling, Sterling, £, pence or p 

References to UK currency. 1p is equivalent to one hundredth of £1. 

Repair 

Resection 

SEC 

SKUs 

Trading profit 

UK 

UK GAAP 

US 

A product group within ASD comprising specialised devices, fixation systems and 
bio-absorbable materials to repair joints and associated tissue. 

Products that cut or ablate tissue within ASD comprising mechanical blades, radio 
frequency wands, electromechanical and hand instruments for resecting tissue. 
US Securities and Exchange Commission 

Stock Keeping Units 

Trading profit is a trend which presents the long-term profitability of the Group excluding 
the impact of specific transactions that management considers affects the Group’s short-
term profitability. The Group presents this measure to assist investors in their 
understanding of trends. The Group has identified the following items, where material, as 
those to be excluded from operating profit when arriving at trading profit: acquisition and 
disposal related items including amortisation of acquisition intangible assets and 
impairments; significant restructuring events; acquisition costs; and gains and losses 
resulting from legal disputes and uninsured losses. 

United Kingdom of Great Britain and Northern Ireland. 

Accounting principles generally accepted in the United Kingdom. 

United States of America. 

US Dollars, US $ or cents 

References to US currency. 1 cent is equivalent to one hundredth of US$1. 

US GAAP 

Visualisation 

Accounting principles generally accepted in the United States of America. 

Products within ASD comprising digital cameras, light sources, monitors, scopes, image 
capture, central control and multimedia broadcasting systems for use in endoscopic 
surgery with visualisation. 

Wound bed 

An area of healthy dermal and epidermal tissue of a wound. 

Smith & Nephew ANNuAl report 2013other FiNANCiAl iNFormAtioN 
  
 
Index 

2012 Financial highlights 

2013 Financial highlights 

Accounting Policies 

Accounts Presentation 

Acquisitions and disposals 

Acquisition related costs 

Advanced Surgical Devices – segment performance 

Advanced Wound Management – segment performance

American Depository Shares 

Articles of Association 

Audit fees 

Board of Directors 

Business overview 

Business segment information 

Cash and borrowings 

Chairman’s statement 

Chief Executive Officer’s review of strategy 

Company auditor’s report 

Company balance sheet 

Contingencies 

Contractual obligations 

Corporate Governance Statement 

Critical accounting policies 

Cross Reference to Form 20-F 

Currency fluctuations 

Currency translation 

Deferred taxation 

Directors’ remuneration report 

Directors’ responsibilities for the accounts 

Directors’ responsibility statement 

Dividends 

Earnings per share 

Employees/People 

Employees’ Share Trust 

Executive Officers 
Financial instruments 

Glossary of terms 

Goodwill 

Governance and policy 

Group balance sheet 

Group cash flow statement 

Group history 

Group income statement 

Group overview 

Group statement of changes in equity 
Group statement of comprehensive income 

Independent auditor’s reports 

Information for Shareholders 

Intangible assets 

Intellectual property 

Interest  

164

4

101

184

140

107

24

29

169

Internal control framework 

Inventories 

Investments 

Investment in associates 

Investor information 

Key Performance Indicators  

Leases  

Legal proceedings  

Liquidity and capital resources 

177, 178

Manufacturing, supply and distribution  

107

44

19

102

121

5

10

150

151

129

163

48

90

179

157

101

109

62

88

89

138

111

Marketplace 

New accounting standards 

Notes to the Company accounts 

Notes to the Group Accounts 

Off-balance sheet arrangements 

Operating profit  

Other finance (costs)/income 

Outlook and trend information 

Parent Company accounts 

Payables  

People/Employees  

Principal subsidiary undertakings 

Provisions  

Property, plant and equipment  

Receivables  

Regulation  
Related party transactions  

Research and development  

Restructuring and rationalisation expenses 

Retirement benefit obligation  

9, 22, 105

Risk factors 

Risk management  
Sales and marketing 

Selected financial data  

Share based payments  

Share buy-back 

Share capital  

Shareholder return  

Strategy  
Sustainability 

Taxation 

Taxation information for Shareholders  
Treasury shares  

138

46
124

181

114

43

96

98

155

94

8

100
94

91, 92, 93

168

115

 20

95, 108

183

53

59, 90, 118

117

 117, 118

168

12

124, 142

130

99

21, 157

16

101

152

101

155
38, 95, 
103, 106

108

15, 16

151

120

9, 22, 105

148

129

112, 155

60, 119 

17, 20, 41, 
158
147, 155

19, 95, 
106, 164

107

59, 90, 131

156

38, 61, 124
22

159

143

15, 138, 174
52, 137, 
154, 173

83

10
34

60, 95, 108

175
138, 154

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About Smith & Nephew
the Smith & Nephew Group (the ‘Group’) is a global medical devices 
business operating in the markets for advanced surgical devices 
comprising orthopaedic reconstruction, trauma and sports medicine and 
advanced wound management, with revenue of approximately $4 billion 
in 2013. Smith & Nephew plc (the ‘company’) is the parent company of 
the Group. it is an english public limited company with its shares listed 
on the premium list of the UK Listing Authority and traded on the London 
Stock exchange. Shares are also traded on the New York Stock exchange 
in the form of American Depositary Shares (‘ADSs’).

this is the Annual report of Smith & Nephew plc for the year ended 
31 December 2013. it comprises, in a single document, the Annual report 
and Accounts of the Company in accordance with UK requirements and 
the Annual report on form 20-f in accordance with the regulations of 
the United States Securities and Exchange Commission (‘SEC’).

Smith & Nephew operates on a worldwide basis and has distribution 
channels in over 90 countries. in the more established countries by 
revenue, the Group’s business operations are organised by divisions. 
In the majority of the remaining markets, operations are managed by 
country managers who are responsible for sales and distribution of the 
Group’s entire product range. these comprise the emerging markets & 
international markets.

Smith & Nephew’s corporate website, www.smith-nephew.com, gives 
additional information on the Group, including an electronic version of 
this Annual report. information made available on this website, or other 
websites mentioned in this Annual report, are not, and should not be 
regarded as being, part of or incorporated into this Annual report.

For the convenience of the reader, a Glossary of technical and financial 
terms used in this document is included on pages 181 to 182. the product 
names referred to in this document are identified by use of capital letters 
and the ◊ symbol (on first occurence) and are trademarks owned by or 
licensed to members of the Group.

presentation
The Group’s fiscal year end is 31 December. References in this Annual 
Report to a particular year are to the fiscal year unless otherwise 
indicated. Except as the context otherwise requires, ‘Ordinary Share’ 
or ‘share’ refer to the Ordinary Shares of Smith & Nephew plc of 20 US 
cents each.

the Group Accounts of Smith & Nephew in this Annual report are 
presented in uS Dollars. Solely for the convenience of the reader, certain 
parts of this Annual report contain translations of amounts in uS Dollars 
into Sterling at specified rates. These translations should not be 
construed as representations that the uS Dollar amounts actually 
represent such Sterling amounts or could be converted into Sterling 
at the rate indicated.

unless stated otherwise, the translation of uS Dollars and cents to 
Sterling and pence in this Annual report has been made at the Bank of 
england exchange rate on the date indicated. on 24 february 2014, the 
Bank of england rate was uS$1.6631 per £1.

the results of the Group, as reported in uS Dollars, are affected by 
movements in exchange rates between uS Dollars and other currencies. 
the Group applied the average exchange rates prevailing during the year 
to translate the results of companies with functional currency other than 
US Dollars. The currencies which most influenced these translations in 
the years covered by this report were Sterling, Swiss franc and the euro.

the Accounts of the Group in this Annual report are presented in millions 
(‘m’) unless otherwise indicated.

Special note regarding forward-looking statements
The Group’s reports filed with, or furnished to, the US Securities and 
exchange commission (‘Sec’), including this document and written 
information released, or oral statements made, to the public in the future 
by or on behalf of the Group, contain ‘forward-looking statements’ within 
the meaning of the uS private Securities litigation reform Act of 1995, that 
may or may not prove accurate. for example, statements regarding 
expected revenue growth and trading profit margins discussed under 
‘outlook’, ‘Global outlook’ and Strategic performance’, market trends and 
our product pipeline are forward-looking statements. phrases such as 
‘aim’, ‘plan’, ‘intend’, ‘anticipate’, ‘well-placed’, ‘believe’, ‘estimate’, ‘expect’, 
‘target’, ‘consider’ and similar expressions are generally intended to 
identify forward-looking statements. forward-looking statements involve 
known and unknown risks, uncertainties and other important factors that 
could cause actual results, to differ materially from what is expressed or 
implied by the statements.

For Smith & Nephew, these factors include: economic and financial 
conditions in the markets we serve, especially those affecting health 
care providers, payers and customers; price levels for established and 
innovative medical devices; developments in medical technology; 
regulatory approvals, reimbursement decisions or other government 
actions; product defects or recalls; litigation relating to patent or other 
claims; legal compliance risks and related investigative, remedial or 
enforcement actions; strategic actions, including acquisitions and 
dispositions and our success in performing due diligence, valuing 
and integrating acquired businesses; disruption that may result from 
transactions or other changes we make in our business plans or 
organisation to adapt to market developments and numerous other 
matters that affect us or our markets, including those of a political, 
economic, business,competitive or reputational nature; relationships 
with healthcare professionals; reliance on information technology. 
Specific risks faced by the Group are described under ‘Risk factors’ on 
pages 156 to 158 of this Annual report. Any forward-looking statement is 
based on information available to Smith & Nephew as of the date of the 
statement. All written or oral forward-looking statements attributable to 
Smith & Nephew are qualified by this caution. Smith & Nephew does 
not undertake any obligation to update or revise any forward-looking 
statement to reflect any change in circumstances or in Smith & 
Nephew’s expectations.

Division data
Division data and division share estimates throughout this report are 
derived from a variety of sources including publicly available competitors’ 
information, internal management information and independent market 
research reports.

Documents on display
it is possible to read and copy documents referred to in this Annual 
Report at the Registered Office of the Company. Documents referred to in 
this Annual Report that have been filed with the Securities and Exchange 
commission in the uS may be read and copied at the Sec’s public 
reference room located at 450 fifth Street, Nw, washington Dc 20549. 
please call the Sec at 1-800-Sec-0330 for further information on the 
public reference rooms and their copy charges. the Sec also maintains 
a web site at www.sec.gov that contains reports and other information 
regarding registrants that file electronically with the SEC. This Annual 
report and some of the other information submitted by the Group to the 
Sec may be accessed through the Sec website.

The inks used are renewable, biodegradable and emit fewer Volatile Organic Compounds (VOCs) than mineral-oil inks.
They are based on high levels of renewable raw materials such as vegetable oils and naturally occurring resin.
The inks do not contain any toxic heavy metals and therefore, do not pose a problem if placed in land(cid:178) ll.

Designed by Radley Yeldar.
Printed by RR Donnelley 472599.

Smith & Nephew plc
15 Adam Street
London WC2N 6LA
United Kingdom

T  +44 (0) 20 7401 7646
F  +44 (0) 20 7960 2356

www.smith-nephew.com