Quarterlytics / Industrials / Waste Management / Stericycle

Stericycle

srcl · NASDAQ Industrials
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Ticker srcl
Exchange NASDAQ
Sector Industrials
Industry Waste Management
Employees 10,000+
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FY2006 Annual Report · Stericycle
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Dear Fellow Shareholders:
In 2006 Stericycle continued to set new financial records for the
Company, expand our service offerings and grow internationally.  

Revenues in 2006 grew to $789.6 million, a 29.6% increase over
2005. Gross margins were 44.3% versus 44.0% in 2005. Operating
income rose 21.2% to $201.8 million. Operating margins were
25.6% versus 27.3% in 2005. Operating income in 2006 was
reduced by $10.6 million in stock option compensation expense 
in accordance with Statement of Financial Accounting Standards
123R (“SFAS 123R”) adopted on January 1, 2006.

Under U.S. generally accepted accounting principles (“GAAP”),
net income for 2006 increased 56.7% from $67.2 million to $105.3
million and diluted earnings per share increased 57.5% from $1.48
to $2.33 per share. Our net income and diluted earnings per share
for 2006 include the effect of expensing stock options, in accor-
dance with SFAS 123R, reducing net income by $6.5 million or
$0.14 per diluted share. Our net income and diluted earnings per
share for 2005 include the effect of the charges for the settlement
and related legal expenses of the 3CI class action litigation, the
write-down of a note receivable with our former South African
joint venture, a licensing legal settlement and loan refinancing
expenses, which together reduced net income by $26.3 million 
or $0.58 per diluted share. Excluding the impact of these items 
on our respective 2006 and 2005 results, our non-GAAP net
income in 2006 increased 20% over 2005. 

Accomplishments In 2006

We continued to generate strong free cash flow from operations,
which we used to fund growth and improve our balance sheet.
During 2006, we invested $36.4 million of the $160.2 million in
cash generated from operations in our infrastructure. We expanded
our service offerings and processing network and supported the
growth of Bio Systems, our innovative sharps management solution
that reduces the risk of inadvertent needle sticks. In addition, we
used $164.0 million for acquisitions. Finally, we repurchased 
$42.8 million in stock on the open market.

Domestically: We continued to strengthen Stericycle’s leadership
position in regulated waste management and healthcare safety and
compliance services. We successfully increased the penetration of
Steri•SafeSM, our OSHA safety and compliance solution helping even
more small quantity generators healthcare providers throughout the
United States create a safer, more compliant workplace. We now
have approximately 105,000 Steri•SafeSM subscribers, up from
approximately 95,000 subscribers at the end of 2005. We continued
to achieve strong customer adoption of our integrated sharps man-
agement solution. We strengthened our service offerings and made
significant progress on the integration of the return management
services that we acquired in 2005. In 2006, we integrated seven
acquisitions of regulated waste businesses into our existing collec-
tion route, transfer station and processing plant infrastructure. 

Internationally: We completed the acquisition of Sterile
Technologies Group, Ltd. in February 2006, which significantly
enhanced our operations in the United Kingdom and marked our
entry into the Republic of Ireland. We also expanded our operations
in Argentina through an acquisition in 2006. We strengthened 
our businesses in Mexico and Canada both organically and by 
integrating acquisitions.

Priorities for 2007

By building on Stericycle’s industry leadership position in 2006,
we are confident that we have the operating platform needed to
drive future growth and explore opportunities to better serve our
customers. We have the following priorities for 2007:

Domestic Growth: Our focus will be on our Steri•SafeSM, Bio Systems
and return management service offerings. Our marketing efforts to
small quantity generators will concentrate on our Steri•SafeSM OSHA
safety and compliance services and regulated waste management
services. Our marketing focus to large quantity generators will be on
extending the momentum of the Bio Systems sharps management
solution and expanding the return management services. We will
focus overall on creating best-in-class customer service and meeting
customer needs with additional service offerings.

International Growth: We will remain focused integrating 
the acquisitions completed in 2006 and on pursuing attractive 
international market opportunities directed to providing value 
to our shareholders over the course of the next several years.

Profit Growth: We are committed to extending our track record 
of improving our operating margins. We will seek to make further
improvements to our collection route densities, reduce our long
haul transportation costs and improve efficiency in our processing
plants. Our culture of continuous improvement encourages the
sharing of best practices and productivity improvement ideas 
across our entire organization.

Service Innovation and Environmental Leadership: During
2007, we will maintain our twin commitments to being responsive
to our customers’ needs and an environmental leader by offering
services suited to the needs of our customers. Our innovative
Steri•SafeSM OSHA safety and compliance services will continue 
to help our customers to enjoy a safer, more compliant workplace
in a cost effective manner. Our regulated return management offer-
ings can help our customers reduce liability. Our other innovative
outsourcing programs, such as our Bio Systems sharps manage-
ment service featuring reusable containers, offers significant 
environmental benefits by reducing waste volume and conserving
valuable natural resources. 

• • •

We are excited and confident about our future. Through our many
service offerings, we help our customers protect the safety of their
workforce and reduce risk. We are a clear leader in providing regu-
lated waste management, safety compliance, sharps management
and regulated return management services. We will focus on the
many growth opportunities our leadership position affords us and
will continue to refine the efficiency of our operations and improve
our customers’ experience while maintaining our strong focus on
safety and regulatory compliance. We thank you for your support.

Jack W. Schuler

Chairman

Mark C. Miller

President and CEO

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

(MARK ONE)
È ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2006

OR

‘ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934
FOR THE TRANSITION PERIOD FROM

TO

Commission File Number 0-21229

Stericycle, Inc.

(Exact name of Registrant as Specified in its Charter)

Delaware
(State or Other Jurisdiction of
Incorporation or Organization)

36-3640402
(I.R.S. Employer
Identification Number)

28161 North Keith Drive
Lake Forest, Illinois 60045
(Address of Principal Executive Offices including Zip Code)
(847) 367-5910
(Registrant’s Telephone Number, Including Area Code)
Securities registered pursuant to Section 12(b) of the Act: None
Securities registered pursuant to Section 12(g) of the Act:
Common Stock, $0.01 par value
(title of class)

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities

Act. Yes È No ‘

If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports

pursuant to Section 13 or 15(d) of the Securities Act of 1934. Yes ‘ No È

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the

Securities Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such
reports), and (2) has been subject to such filing requirements for the past 90 days. Yes È No ‘

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein,

and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements incorporated
by reference in Part III of this Form 10-K, or any amendment to this Form 10-K. È

Indicate by check mark whether the Registrant is an accelerated filer (as defined in Exchange Act

Rule 12b-2). Yes È No ‘

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange

Act). Yes ‘ No È

The aggregate market value of voting and non-voting common equity held by non-affiliates computed by reference to

the price at which common equity was last sold as of the last business day of the registrant’s most recently completed second
fiscal quarter (June 30, 2006) was: $2,771,381,279.

On February 22, 2007, there were 44,316,672 shares of the Registrant’s Common Stock outstanding.

Information required by Items 10, 11, 12 and 13 of Part III of this Report is incorporated by reference from the

Registrant’s definitive Proxy Statement for the 2007 Annual Meeting of Stockholders to be held on May 16, 2007.

DOCUMENTS INCORPORATED BY REFERENCE

Stericycle, Inc.

2006 ANNUAL REPORT ON FORM 10-K

INDEX

Part I.

Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Submission of Matters to a Vote of Security Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part II.

Item 5.

Market Price of and Dividends on the Registrant’s Common Equity and Related

Item 6.
Item 7.

Item 7A.
Item 8.
Item 9.

Item 9A.
Item 9B.

Stockholder Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selected Consolidated Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Management’s Discussion and Analysis of Financial Condition and Results of

Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Quantitative and Qualitative Disclosures about Market Risk . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Financial Statements and Supplemental Data . . . . . . . . . . . . . . . . . . . . . . . .
Changes in and Disagreements with Accountants on Accounting and Financial

Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Controls and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part III.

Item 10.
Item 11.
Item 12.

Item 13.
Item 14.

Directors and Executive Officers of the Registrant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Security Ownership of Certain Beneficial Owners and Management and Related

Stockholder Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Certain Relationships and Related Transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Principal Accountant Fees and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part IV.

Item 15.

Exhibits and Financial Statement Schedules

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signatures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Item 1. Business

PART I

Unless the context requires otherwise, “we,” “us” or “our” refers to Stericycle, Inc. and its subsidiaries on a

consolidated basis.

Overview

We are in the business of managing regulated waste and providing an array of related services. We operate

in the United States, Canada, Mexico, the United Kingdom, Ireland and Argentina.

For large-quantity generators of regulated waste such as hospitals and for pharmaceutical companies and

distributors, we offer:

•

•

•

•

our institutional regulated waste management services

our Bio Systems® sharps management services to reduce the risk of needle sticks

a variety of products and services for infection control

our regulated returns management services for expired or recalled healthcare products

For small-quantity generators of regulated waste such as doctors’ offices and for retail pharmacies, we offer:

•

•

•

•

our regulated waste management services

our Steri-Safe® Occupational Safety and Health Act and Health Insurance Portability and
Accountability Act (HIPAA) compliance programs

a variety of products and services for infection control

our regulated returns management services for expired or recalled healthcare products

We operate integrated national regulated waste management networks in the United States, Canada, Mexico,

Argentina, the United Kingdom and Ireland. Our national networks include a total of 76 processing or combined
processing and collection sites and 104 additional transfer, collection or combined transfer and collection sites.

Our regulated waste processing technologies include autoclaving, our proprietary electro-thermal-

deactivation system (ETD), chemical treatment and incineration.

We serve approximately 351,700 customers worldwide, of which approximately 8,600 are large-quantity
generators, such as hospitals, blood banks and pharmaceutical manufacturers, and approximately 343,100 are
small-quantity generators, such as outpatient clinics, medical and dental offices, long-term and sub-acute care
facilities and retail pharmacies.

We benefit from significant customer diversification. No one customer accounts for more than 2% of our

total revenues, and our top 10 customers account for approximately 9% of total revenues.

Industry Overview

Governmental legislation and regulation increasingly requires the proper handling and disposal of regulated
waste. Regulated medical waste is generally any medical waste that can cause an infectious disease, and includes:
single-use disposable items, such as needles, syringes, gloves and other medical supplies; cultures and stocks of
infectious agents; and blood and blood products. Regulated pharmaceutical waste consists of expired or recalled
pharmaceuticals.

3

We believe that the United States market for regulated waste and compliance services of the type that we
provide is approximately $3.5 billion and that the market is in excess of $10.0 billion worldwide. Industry growth
is driven by a number of factors. These factors include:

• Aging of U.S. Population. The average age of the U.S. population is rising. As people age, they

typically require more medical attention and a wider variety of tests, procedures and medications,
leading to an increase in the quantity of regulated waste generated.

• Pressure To Reduce Healthcare Costs. The healthcare industry is under pressure to reduce costs. We
believe that our services can help healthcare providers to reduce their handling and compliance costs
and to reduce their potential liability for employee exposure to blood-borne pathogens and other
infectious agents.

• Environmental and Safety Regulation. We believe that many businesses that are not currently using
third party regulated waste services are unaware either of the need for proper training of employees or
of the requirements of the Occupational Safety and Health Administration (OSHA) regarding the
handling of regulated waste. These businesses include manufacturing facilities, schools, restaurants,
hotels and other businesses where employees may come into contact with blood-borne pathogens.
Similarly, the proper handling of expired or recalled pharmaceuticals requires an expertise that many
retail pharmacies lack or find inefficient to provide.

•

Shift to Off-Site Treatment. We believe that patient care is continuing to shift from institutional
higher-cost acute-care settings to less expensive, smaller, off-site treatment alternatives, with a
resulting increase in the number of regulated waste generators that cannot treat their own regulated
waste.

• Control of Drug Diversion. The U.S. Drug Enforcement Administration (DEA) has recently

emphasized improved control of the handling and shipment of controlled substances to prevent
diversion and counterfeiting, thus increasing the utility to pharmaceutical manufacturers and
distributors of a returns service for expired or recalled pharmaceuticals.

Competitive Strengths

We believe that we benefit from the following competitive strengths, among others:

• Broad Range of Services. We offer our customers a broad range of services to help them develop

systems and processes to manage their regulated waste safely and efficiently. For example, we have
developed programs to help our customers ensure and maintain compliance with OSHA and HIPAA
regulations.

• Established National Network. We believe that a network like ours would be very expensive and time-

consuming for a competitor to develop.

• Diverse Customer Base and Revenue Stability. We have a very diverse customer base in all the

markets in which we operate. We are also generally protected from the cost of regulatory changes and
increases in fuel, insurance and other operating costs because our regulated waste contracts typically
allow us to adjust our prices to reflect these cost increases.

•

Strong Sales Network and Proprietary Database. We use both telemarketing and direct sales efforts to
obtain new regulated waste customers. In addition, we have a large database of potential new small-
quantity customers, which we believe gives us a competitive advantage in identifying and reaching this
higher-margin sector.

• Experienced Senior Management Team. We have experienced leadership. Our six most senior

executives collectively have over 150 years of management experience in the health care, consumer
and waste management industries.

• Ability To Integrate Acquisitions. We have completed 116 acquisitions since 1993 and have

demonstrated a consistent ability to integrate our acquisitions into our operations successfully.

4

Business Strategy

Our goals are to strengthen our position as a leading provider of regulated waste and compliance services

and to continue to improve our profitability. Components of our strategy to achieve these goals include:

• Expand Range of Services and Products. We believe that we continue to have opportunities to expand
our business by increasing the range of products and services that we offer our existing regulated waste
customers. For example, through our Steri-Safe® program, we now offer OSHA compliance services to
small-quantity customers, and an acquisition in 2003 enabled us to market the Bio Systems® sharps
management program to large-quantity customers in new geographic areas. We have expanded our
regulated waste services to pharmaceutical companies and other large-quantity generators through a
series of acquisitions in 2005 and 2006 of five businesses engaged in regulated returns management
services.

•

•

Improve Margins. We intend to continue working to improve our margins by increasing our base of
small-quantity customers and focusing on service strategies that more efficiently meet the needs of our
large-quantity customers. We have succeeded in raising the percentage of our revenues from small-
quantity customers from 33% of domestic revenues in the fourth quarter of 1996 to 62% in the fourth
quarter of 2006.

Seek Complementary Acquisitions. We intend to continue to seek opportunities to acquire businesses
that expand our national networks in the United States and internationally and increase our customer
base. We believe that selective acquisitions can enable us to improve our operating efficiencies through
increased utilization of our service infrastructure.

Acquisitions

We have substantial experience in evaluating potential acquisitions and determining whether a particular
waste business can be integrated into our operations with minimal disruption. Once a business is acquired, we
implement programs and procedures to improve customer service, sales, marketing, routing, equipment
utilization, employee productivity, operating efficiency and overall profitability.

We completed 116 acquisitions from 1993 through 2006, with 89 in the United States and 27

internationally.

During 2006, we completed 16 acquisitions, with seven in the United States, one in Canada, six in Mexico,

one in Ireland, and one in Argentina.

Services and Operations

Collection and Transportation. In many respects, our regulated waste business is one of logistics.
Efficiency of collection and transportation of regulated waste is a critical element of our operations because it
represents the largest component of our operating costs.

For regulated waste, we supply specially designed reusable leak-and puncture-resistant plastic containers to

most of our large-quantity customers and many of our larger small-quantity customers. To assure regulatory
compliance, we will not accept regulated waste from customers unless it is properly packaged in containers that
we have either supplied or approved.

We collect containers or corrugated boxes of regulated waste from our customers at intervals depending

upon customer requirements, contract terms and volume of waste generated. The waste is then transported
directly to one of our processing facilities or to one of our transfer stations where it is combined with other
regulated waste and transported to a processing facility.

5

Transfer stations allow us to temporarily hold small loads of waste until they can be consolidated into full

truckloads and transported to a processing facility. Our use of transfer stations in a “hub and spoke”
configuration improves the efficiency of our collection and transportation operations by expanding the
geographic area that a particular processing facility can serve and thereby increasing utilization of the facility by
increasing the volume of waste that it processes.

We collect some expired or recalled pharmaceuticals from pharmacy shelves but more typically, pharmacies

ship them directly to our processing facilities.

Processing and Disposal. Upon arrival at a processing facility, containers or boxes of regulated waste are
typically scanned to verify that they do not contain any unacceptable substances like radioactive material. Any
container or box that is discovered to contain unacceptable waste is returned to the customer and the appropriate
regulatory authorities are informed.

The regulated waste is then processed using one of our various treatment technologies. Upon completion of

the particular process, the resulting waste or incinerator ash is transported for resource recovery, recycling or
disposal in a landfill operated by an unaffiliated third party. We do not own any landfills. After plastic containers
such as our Steri-Tub® or Bio Systems® containers have been emptied, they are washed, sanitized and returned to
customers for re-use.

Upon receipt at a processing facility, expired or recalled pharmaceuticals are counted and logged, and
controlled substances are stored securely. In accordance with the manufacturer’s instructions, expired or recalled
pharmaceuticals are then returned to the manufacturer or destroyed in compliance with applicable regulations.

Documentation. We provide complete documentation to our customers for all regulated waste that we

collect in accordance with applicable regulations and customer requirements.

Marketing and Sales

Marketing Strategy. We use both telemarketing and direct sales efforts to obtain new customers. In
addition, our drivers may also participate in our regulated waste marketing efforts by actively soliciting small-
quantity customers they service.

Small-Quantity Customers. We target small-quantity customers as a growth area of our regulated waste
business. We believe that small-quantity regulated waste customers view the potential risks of failing to comply
with applicable state and federal regulated waste regulations as disproportionate to the cost of the services that
we provide. We believe that this factor has been the basis for the significantly higher gross margins that we have
achieved with our small-quantity customers relative to our large-quantity customers. We believe that the same
potential exists in processing returns of expired pharmaceuticals for smaller retail pharmacies.

Steri-Safe®. Our Steri-Safe® OSHA compliance program provides an integrated regulated waste
management and compliance-assistance service for small-quantity customers who typically lack the internal
personnel and systems to comply with OSHA blood-borne regulations. Customers for our Steri-Safe® service pay
a predetermined subscription fee in advance for regulated waste collection and processing services and can also
choose from available packages of training and education services and products designed to help them to comply
with OSHA regulations. Approximately 105,000 small-quantity customers are enrolled in this program. We
believe that the implementation of our Steri-Safe® service provides us with an enhanced opportunity to leverage
our existing customer base through the program’s prepayment structure and diversified product and service
offerings.

Mail-Back Program. We also operate a “mail-back” program by which we can reach small-quantity
regulated waste customers located in outlying areas that would be inefficient to serve using our regular route
structure. Mail-back programs are also used in home care patient settings.

6

Large-Quantity Customers. Our marketing efforts to large-quantity customers are conducted by account
executives that are also able to provide consulting services to assist our large-quantity customers in training their
employees on safety issues and implementing programs to improve waste segregation.

Our Bio Systems® sharps management offering can enhance our revenue and margins per large-quantity

account. The Bio Systems® service can help our large-quantity customers eliminate plastic and cardboard from
their waste stream while providing a safe and cost-effective way for them to deal with the disposal of their sharp
objects (such as needles, syringes, etc.).

We offer hospital pharmacies an onsite collection service to assist them in accounting for and segregating

expired or recalled pharmaceuticals.

National Accounts. As a result of our extensive geographic coverage, we are capable of servicing national

account customers (i.e., customers requiring regulated waste services at various geographically dispersed
locations).

Contracts. We have multi-year contracts with a large majority of our customers. We negotiate individual
contracts with each large-quantity and small-quantity customer. Although we have a standard form of contract,
particularly for small-quantity customers, terms may vary depending upon the customer’s service requirements
and the volume of regulated waste generated and, in some jurisdictions, statutory and regulatory requirements.
Substantially all of our contracts with small-quantity customers contain automatic renewal provisions.

International

We conduct regulated waste operations in Canada, Mexico, Argentina, the United Kingdom and Ireland as
well as the United States. We began our operations in Canada and Mexico in 1998, in Argentina in 1999, in the
United Kingdom in 2004 and in Ireland in 2006.

Processing Technologies

We currently use both non-incineration technologies (autoclaving, chemical treatment and our proprietary

ETD technology) and incineration technologies for treating regulated waste.

Stericycle was founded on the belief that there was a need for safe, secure and environmentally responsible
management of regulated waste. From our beginning we have championed the use of non-incineration treatment
technologies such as our ETD process. While we recognize that some state regulations currently in force mandate
that some types of regulated waste must be incinerated, we also know from years of experience working with our
customers that there are ways to reduce the amount of regulated waste that is ultimately incinerated. The most
effective strategy that we have seen involves comprehensive education of our customers in waste minimization
and segregation. Working in cooperation with our customers, we have made tremendous strides in moving away
from incineration and towards alternate treatment technologies. At the end of 2006, incineration constituted less
than 8% of our treatment capacity in the United States, Canada and Mexico.

Autoclaving. Autoclaving treats regulated waste with steam at high temperature and pressure to kill
pathogens. Autoclaving alone does not change the appearance of waste, and some landfill operators may not
accept recognizable regulated waste, but autoclaving may be combined with a shredding or grinding process to
render the regulated waste unrecognizable.

ETD. Our ETD treatment process includes a system for grinding regulated waste. After grinding, ETD uses
an oscillating field of low-frequency radio waves to heat regulated waste to temperatures that destroy pathogens
such as viruses, bacteria, fungi and yeast without melting the plastic content of the waste. ETD does not produce
regulated air or water emissions.

7

Incineration. Incineration burns regulated waste at elevated temperatures and reduces it to ash. Incineration

reduces the volume of waste, and it is the recommended treatment and disposal option for some types of
regulated waste such as anatomical waste or residues from chemotherapy procedures. Air emissions from
incinerators can contain certain byproducts that are subject to federal, state and, in some cases, local regulation.
In some circumstances, the ash byproduct of incineration may be regulated.

Chem-Clav. Chemclaving treats regulated waste using high heat, pressure, and a steam auger to kill
pathogens. The waste is treated in a sealed container while the auger shreds the waste, making it unrecognizable
while exposing more surface area of the waste to the steam. After shredding and treatment, the waste residue is
sterile and safe for landfill.

Competition

The regulated waste industry is highly competitive, and barriers to entry into the regulated waste collection

and disposal business and the pharmaceutical returns business are very low. Our competitors consist of many
different types of service providers, including a large number of regional and local companies. In the regulated
waste industry, another major source of competition is the on-site treatment of regulated waste by some large-
quantity generators, particularly hospitals.

In addition, in the regulated waste industry we face potential competition from businesses that are
attempting to commercialize alternate treatment technologies or products designed to reduce or eliminate the
generation of regulated waste, such as reusable or degradable medical products.

Governmental Regulation

The regulated waste industry is subject to extensive and frequently changing federal, state and local laws

and regulations. This statutory and regulatory framework imposes a variety of compliance requirements,
including requirements to obtain and maintain government permits. These permits grant us the authority, among
other things:

•

•

•

to construct and operate collection, transfer and processing facilities,

to transport regulated waste within and between relevant jurisdictions, and

to handle particular regulated substances.

Our permits must be periodically renewed and are subject to modification or revocation by the issuing

authority.

We are also subject to regulations that govern the definition, generation, segregation, handling, packaging,

transportation, treatment, storage and disposal of regulated waste. We are also subject to extensive regulations
designed to minimize employee exposure to regulated waste.

Domestic Federal Regulation. Five federal agencies have authority over regulated waste. These agencies

are the U.S. Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA),
U.S. Department of Transportation (DOT), the U.S. Postal Service (USPS) and the U.S. Drug Enforcement
Administration (DEA). These agencies supervise regulated waste under a variety of statutes and regulations. The
principal statutes and regulations are:

• Medical Waste Tracking Act of 1988. In the late 1980s, the EPA outlined a two-year demonstration
program pursuant to the Medical Waste Tracking Act (MWTA), which was added to the Resource
Conservation and Recovery Act of 1976. In regulations implementing the MWTA, the EPA defined
medical waste and established guidelines for its segregation, handling, containment, labeling and
transport. The MWTA demonstration program expired in 1991, but the MWTA established a model
followed by many states in developing their specific medical waste regulatory framework.

8

• Occupational Safety and Health Act of 1970. The Occupational Safety and Health Act of 1970

authorizes OSHA to issue occupational safety and health standards. Various standards apply to certain
aspects of our operations and govern such matters as exposure to blood borne pathogens and other
potentially infectious materials.

• Resource Conservation and Recovery Act of 1976. The Resource Conservation and Recovery Act of
1976 (RCRA) created standards for the generation, transportation, treatment, storage and disposal of
solid and hazardous wastes. Medical wastes are currently considered non-hazardous solid wastes under
RCRA. However, some substances collected by us from some of our customers, including
photographic fixer developer solutions, lead foils and dental amalgam, are considered hazardous
wastes.

• Clean Air Act Regulations. In August 1997, the EPA adopted regulations under the Clean Air Act

Amendments of 1990 that limit the discharge into the atmosphere of pollutants released by regulated
waste incineration. These regulations required every state to submit to the EPA for approval a plan to
meet minimum emission standards for these pollutants. We currently operate seven incinerators in the
United States. We believe these incinerators are in compliance with applicable state requirements.

• DOT Regulations. DOT has adopted regulations under the Hazardous Materials Transportation

Authorization Act of 1994 that require us to package and label regulated waste in compliance with
designated standards, and which incorporate blood borne pathogens standards issued by OSHA. Under
these standards, we must, among other things, identify our packaging with a “biohazard” marking on
the outer packaging, and our regulated waste container must be sufficiently rigid and strong to prevent
tearing or bursting. It must also be puncture-resistant, leak-resistant, properly sealed and impervious to
moisture.

Expired or recalled pharmaceuticals are subject to the substantially same DOT regulations as medical
waste. We identify these products by their National Drug Code number and classify them by their
handling, transportation and disposal requirements.

• Comprehensive Environmental Response, Compensation and Liability Act of 1980. The Comprehensive

Environmental Response, Compensation and Liability Act of 1980, or CERCLA, established a
regulatory and remedial program to provide for the investigation and cleanup of facilities that have
released or threaten to release hazardous substances into the environment. CERCLA and state laws
similar to it may impose strict, joint and several liability on the current and former owners and
operators of facilities from which releases of hazardous substances have occurred and on the generators
and transporters of the hazardous substances that come to be located at these facilities.

• USPS Regulations. We have obtained permits from the USPS to conduct our “mail-back” program,

pursuant to which customers mail approved containers of “sharps” (needles, knives, broken glass and
the like) directly to our treatment facilities.

• Controlled Substances Act. Our returns service for expired and recalled pharmaceuticals is required to

comply with DEA regulations relating to the approval and permitting of processing facilities,
management of employees engaged in the collection, processing and disposal of controlled substances,
proper documentation and reporting to the DEA.

We use landfills owned and operated by unrelated third parties for the disposal of waste from our processing

facilities.

Domestic State and Local Regulation. We conduct business in 49 states and Puerto Rico. Each state has its

own regulations related to the handling, treatment and storage of regulated waste. Although there are many
differences among the various state laws and regulations, for regulated waste many states have followed the
model under the MWTA and have implemented programs under RCRA. In each state where we operate a
processing facility or a transfer station, we are required to comply with numerous state and local laws and

9

regulations as well as our operating plan for each site. In addition, many local governments have ordinances and
regulations, such as zoning and health regulations that affect our operations.

We maintain numerous governmental permits and licenses to conduct our business. Our permits vary from

state to state based upon our activities within that state and on the applicable state and local laws and regulations.

Foreign Regulation. We are subject to substantial regulation by the governments of the foreign jurisdictions

in which we conduct regulated waste operations. The statutory and regulatory requirements vary from
jurisdiction to jurisdiction.

Patents and Proprietary Rights

We consider the protection of our technology to be important to our business. Our policy is to protect our

technology by a variety of means, including applying for patents in the United States and in other foreign
countries.

We hold 14 United States patents relating to the ETD treatment process and other aspects of processing
regulated waste. We have filed or have been assigned patent applications in several foreign countries and we
have received patents in Australia, Canada, France, Mexico, Japan, South Korea, Brazil, Denmark, Italy, South
Africa, Spain, Sweden and the United Kingdom.

The term of the first-to-end of our existing United States patents relating to our ETD treatment process will

currently end in May 2009 and the term of the last-to-end will currently end in January 2019.

We own federal registrations of the trademarks “Steri-Fuel®”, “Steri-Plastic®”, “Steri-Tub®”, “Direct
Return®”, “Steri-Safe®”, the service mark Stericycle® and a service mark consisting of a nine-circle design.

Potential Liability and Insurance

The regulated waste industry involves potentially significant risks of statutory, contractual, tort and common

law liability claims. Potential liability claims could involve, for example:

•

•

•

•

•

•

cleanup costs;

personal injury;

damage to the environment;

employee matters;

property damage; or

alleged negligence or professional errors or omissions in the planning or performance of work.

We could also be subject to fines or penalties in connection with violations of regulatory requirements.

We carry $35 million of liability insurance (including umbrella coverage), and under a separate policy, $10
million of aggregate pollution and legal liability insurance ($5 million per incident), which we consider sufficient
to meet regulatory and customer requirements and to protect our employees, assets and operations

Employees

As of December 31, 2006, we had 5,035 full-time and 219 part-time employees, of which 3,747 were
employed in the United States and 1,507 internationally. Approximately 324 of our U.S. drivers, transportation
helpers and plant workers are covered by a total of eight collective bargaining agreements with local unions of
the International Brotherhood of Teamsters. These agreements expire at various dates from April 2007 to
November 2010. We consider our employee relations to be satisfactory.

10

Website Access

We maintain an Internet website, www.stericycle.com, providing a variety of information about us. Our
annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to
those reports, that we file with the Securities and Exchange Commission are available, as soon as reasonably
practicable after filing, at the investors’ page on our website, www.stericycle.com/investor.htm, or by a direct link
to our filings on the SEC’s free website, www.sec.gov.

Item 1A. Risk Factors

We are subject to extensive governmental regulation, which is frequently difficult, expensive and time-
consuming to comply with.

The regulated waste management industry is subject to extensive federal, state and local laws and
regulations relating to the collection, transportation, packaging, labeling, handling, documentation, reporting,
treatment and disposal of regulated waste. Our business requires us to obtain many permits, authorizations,
approvals, certificates or other types of governmental permission from every jurisdiction where we operate. We
believe that we currently comply in all material respects with all applicable permitting requirements. State and
local regulations change often, however, and new regulations are frequently adopted. Changes in the regulations
could require us to obtain new permits or to change the way in which we operate under existing permits. We
might be unable to obtain the new permits that we require, and the cost of compliance with new or changed
regulations could be significant.

Many of the permits that we require, especially those to build and operate processing plants and transfer

facilities, are difficult and time-consuming to obtain. They may also contain conditions or restrictions that limit
our ability to operate efficiently, and they may not be issued as quickly as we need them (or at all). If we cannot
obtain the permits that we need when we need them, or if they contain unfavorable conditions, it could
substantially impair our operations and reduce our revenues.

The handling and treatment of regulated waste carries with it the risk of personal injury to employees and
others.

Our business requires us to handle materials that may be infectious or hazardous to life and property in other

ways. While we try to handle such materials with care and in accordance with accepted and safe methods, the
possibility of accidents, leaks, spills, and acts of God always exists. Examples of possible exposure to such
materials include:

•

•

•

•

truck accidents;

damaged or leaking containers;

improper storage of regulated waste by customers;

improper placement by customers of materials into the waste stream that we are not authorized or able
to process, such as certain body parts and tissues; or

• malfunctioning treatment plant equipment.

Human beings, animals or property could be injured, sickened or damaged by exposure to regulated waste.

This in turn could result in lawsuits in which we are found liable for such injuries, and substantial damages could
be awarded against us.

While we carry liability insurance intended to cover these contingencies, particular instances may occur that

are not insured against or that are inadequately insured against. An uninsured or underinsured loss could be
substantial and could impair our profitability and reduce our liquidity.

11

The handling of regulated waste exposes us to the risk of environmental liabilities, which may not be covered
by insurance.

As a company engaged in regulated waste management, we face risks of liability for environmental
contamination. The federal Comprehensive Environmental Response, Compensation and Liability Act of 1980,
or CERCLA, and similar state laws impose strict liability on current or former owners and operators of facilities
that release hazardous substances into the environment as well as on the businesses that generate those
substances and the businesses that transport them to the facilities. Responsible parties may be liable for
substantial investigation and clean-up costs even if they operated their businesses properly and complied with
applicable federal and state laws and regulations. Liability under CERCLA may be joint and several, which
means that if we were found to be a business with responsibility for a particular CERCLA site, we could be
required to pay the entire cost of the investigation and clean-up even though we were not the party responsible
for the release of the hazardous substance and even though other companies might also be liable.

Our pollution liability insurance excludes liabilities under CERCLA. Thus, if we were to incur liability
under CERCLA and if we could not identify other parties responsible under the law whom we are able to compel
to contribute to our expenses, the cost to us could be substantial and could impair our profitability and reduce our
liquidity. Our customer service agreements make clear that the customer is responsible for making sure that only
appropriate materials are disposed of. If there were a claim against us that a customer might be legally liable for,
we might not be successful in recovering our damages from the customer.

The level of governmental enforcement of environmental regulations has an uncertain effect on our business
and could reduce the demand for our services.

We believe that the government’s strict enforcement of laws and regulations relating to regulated waste
collection and treatment has been good for our business. These laws and regulations increase the demand for our
services. A relaxation of standards or other changes in governmental regulation of regulated waste could increase
the number of competitors or reduce the need for our services.

If we are unable to acquire other regulated waste businesses, our revenue and profit growth may be slowed.

Historically our growth strategy has been based in substantial part on our ability to acquire other regulated

waste businesses. We do not know whether in the future we will be able to:

•

•

•

•

identify suitable businesses to buy;

complete the purchase of those businesses on terms acceptable to us;

improve the operations of the businesses that we do buy and successfully integrate their operations into
our own; or

avoid or overcome any concerns expressed by regulators.

We compete with other potential buyers for the acquisition of other regulated waste companies. This

competition may result in fewer opportunities to purchase companies that are for sale. It may also result in higher
purchase prices for the businesses that we want to purchase.

We also do not know whether our growth strategy will continue to be effective. Our business is significantly

larger than before, and new acquisitions may not have the desired benefits that we have obtained in the past.

The implementation of our acquisition strategy could be affected in certain instances by the concerns of state
regulators, which could result in our not being able to realize the full synergies or profitability of particular
acquisitions.

We may become subject to inquiries and investigations by state antitrust regulators from time to time in the
course of completing acquisitions of other regulated waste businesses. In order to obtain regulatory clearance for

12

a particular acquisition, we could be required to modify certain operating practices of the acquired business or to
divest ourselves of one or more assets of the acquired business. Changes in the terms of our acquisitions required
by regulators or agreed to by us in order to settle regulatory investigations could impede our acquisition strategy
or reduce the anticipated synergies or profitability of our acquisitions. The likelihood and outcome of inquiries
and investigations from state regulators in the course of completing acquisitions cannot be predicted.

Aggressive pricing by existing competitors and the entrance of new competitors could drive down our profits
and slow our growth.

The regulated waste industry is very competitive because of low barriers to entry, among other reasons. This

competition has required us in the past to reduce our prices, especially to large account customers, and may
require us to reduce our prices in the future. Substantial price reductions could significantly reduce our earnings.

We face direct competition from a large number of small, local competitors. Because it requires very little
money or technical know-how to compete with us in the collection and transportation of regulated waste, there
are many regional and local companies in the industry. We face competition from these businesses, and
competition from them is likely to exist in the new locations to which we may expand in the future. In addition,
large national companies with substantial resources may decide to enter the regulated waste industry. For
example, Waste Management, Inc., a major solid waste treatment company, announced in February 2005 that it
intended to begin offering regulated waste management services to hospitals and possibly other large quantity
generators of regulated waste.

Our competitors could take actions that would hurt our growth strategy, including the support of regulations

that could delay or prevent us from obtaining or keeping permits. They might also give financial support to
citizens’ groups that oppose our plans to locate a treatment or transfer facility at a particular location.

Restrictions in our senior unsecured credit facility may limit our ability to pay dividends, incur additional debt,
make acquisitions and make other investments.

Our senior unsecured credit facility contains covenants that restrict our ability to make distributions to
stockholders or other payments unless we satisfy certain financial tests and comply with various financial ratios.

It also contains covenants that limit our ability to incur additional indebtedness, acquire other businesses and

make capital expenditures, and imposes various other restrictions. These covenants could affect our ability to
operate our business and may limit our ability to take advantage of potential business opportunities as they arise.

The loss of our senior executives could affect our ability to manage our business profitably.

We depend on a small number of senior executives. Our future success will depend upon, among other
things, our ability to keep these executives and to hire other highly qualified employees at all levels. We compete
with other potential employers for employees, and we may not be successful in hiring and keeping the executives
and other employees that we need. We do not have written employment agreements with any of our executive
officers, and officers and other key employees could leave us with little or no prior notice, either individually or
as part of a group. Our loss of or inability to hire key employees could impair our ability to manage our business
and direct its growth.

Our expansion into foreign countries exposes us to unfamiliar regulations and may expose us to new obstacles
to growth.

We plan to grow both in the United States and in foreign countries. We have established operations in
Argentina, Canada, Mexico, Ireland and the United Kingdom. Foreign operations carry special risks. Although

13

our business in foreign countries has not yet been affected, our business in the countries in which we currently
operate and those in which we may operate in the future could be limited or disrupted by:

•

•

•

•

•

•

•

•

•

government controls;

import and export license requirements;

political or economic instability;

trade restrictions;

changes in tariffs and taxes;

exchange rate fluctuations;

our unfamiliarity with local laws, regulations, practices and customs;

restrictions on repatriating foreign profits back to the United States;

difficulties in staffing and managing international operations.

Foreign governments and agencies often establish permit and regulatory standards different from those in

the United States. If we cannot obtain foreign regulatory approvals, or if we cannot obtain them when we expect,
our growth and profitability from international operations could be limited. Fluctuations in currency exchange
could have similar effects.

Our earnings could decline if we write-off intangible assets, such as goodwill.

As a result of purchase accounting for our various acquisitions, our balance sheet at December 31, 2006
contains goodwill of $814.0 million and other intangible assets, net of accumulated amortization, of $115.91
million (including indefinite lived intangibles of $32.2 million). In accordance with Statement of Financial
Accounting Standards No. 142 “Goodwill and Other Intangible Assets” (“SFAS No. 142”), we evaluate on an
ongoing basis, using the fair value of reporting units, whether facts and circumstances indicate any impairment of
the value of indefinite-lived intangible assets such as goodwill. As circumstances after an acquisition can change,
we may not realize the value of these intangible assets. If we were to determine that a significant impairment has
occurred, we would be required to incur non-cash write-offs of the impaired portion of goodwill and other
unamortized intangible assets, which could have a material adverse effect on our results of operations in the
period in which the write-off occurs.

Item 1B. Unresolved Staff Comments

None.

Item 2. Properties

We lease office space for our corporate offices in Lake Forest, Illinois. In North America we own or lease
three ETD treatment facilities, 11 incineration processing facilities, 34 autoclave processing facilities and five
other processing facilities. All of our processing facilities also serve as collection sites. We own or lease 100
additional transfer and collection sites and nine additional sales/administrative sites. In Europe we own or lease
13 incineration processing facilities and 9 autoclave processing facilities. We also lease four additional transfer
and collection sites and three administrative sites. In Argentina we own one processing facility, which uses a
combination of both incineration and autoclave treatments. We consider that these processing facilities are
adequate for our present and anticipated needs.

We do not own or operate any landfills or any other type of disposal site. After processing, all remaining

waste materials are transported to unaffiliated third parties for permanent disposal.

14

Item 3. Legal Proceedings

We operate in a highly regulated industry and must deal with regulatory inquiries or investigations from
time to time that may be instituted for a variety of reasons. We are also involved in a variety of civil litigation
from time to time.

In June 2006, the United Kingdom Office of Fair Trading (“OFT”) referred to the United Kingdom
Competition Commission (the “Competition Commission”) the acquisition by our subsidiary, Stericycle
International, LLC, in February 2006 of all of the stock of The Sterile Technologies Group Limited (“STG”), an
Irish company providing regulated waste management services in Ireland and the United Kingdom. Under the
terms of the OFT’s referral, the Competition Commission was to decide whether, as a result of the STG
acquisition, there has been or is expected to be a substantial lessening of competition in one or more markets in
the United Kingdom for healthcare risk waste services, and if so, what remedial or other actions, if any, should be
taken or recommended by the Competition Commission.

On October 19, 2006, the Competition Commission issued provisional findings that the STG acquisition has

resulted, or may be expected to result, in a substantial lessening of competition in the market for healthcare risk
waste services requiring incineration in five geographical areas. The Competition Commission also issued a
notice of possible remedies, including (i) a complete divestiture of STG’s operations in England and Wales, (ii) a
complete divestiture of STG’s incinerators in England and Wales or (iii) a divestiture of STG’s incinerators
serving customers in the affected geographical areas.

On December 12, 2006, the Competition Commission published its final report on the STG acquisition. The
Competition Commission confirmed its provisional findings and concluded that the STG acquisition has resulted,
and may be expected to continue to result, in a substantial lessening of competition in the market for healthcare
risk waste services requiring incineration in five geographical areas of England and Wales: northern England, the
north Midlands, north Wales, the West Midlands and southeast Wales.

The Competition Commission accepted as a remedy our proposal to be allowed an initial period in which to

sell three STG incinerators serving the affected geographical areas together with the associated customer
contracts, subject to the Competition Commission’s approval of the terms of sale and suitability of the purchaser.
We completed the sale of the three incinerators in February 2007, within the period allowed by the Competition
Commission.

Item 4. Submission of Matters to a Vote of Security Holders

No matter was submitted to a vote of our stockholders during the fourth quarter of 2006.

Supplemental Information

Executive Officers of the Registrant

The following table contains certain information regarding our five current executive officers:

Name

Position

Mark C. Miller . . . . . . . . . . . . . . . . . President, Chief Executive Officer and a Director
Richard T. Kogler . . . . . . . . . . . . . . . Executive Vice President and Chief Operating Officer
Frank J.M. ten Brink . . . . . . . . . . . . . Executive Vice President and Chief Financial Officer
Richard L. Foss . . . . . . . . . . . . . . . . . Executive Vice President, Corporate Development
Shan S. Sacranie . . . . . . . . . . . . . . . . Executive Vice President, International
Michael J. Collins . . . . . . . . . . . . . . . President, Stericycle Return Management Services

Age

51
47
50
52
54
50

Mark C. Miller has served as our President and Chief Executive Officer and a director since joining us in
May 1992. From May 1989 until he joined us, Mr. Miller served as vice president for the Pacific, Asia and Africa

15

in the International Division of Abbott Laboratories, which he joined in 1976 and where he held a number of
management and marketing positions. He is a director of Ventana Medical Systems, Inc. Mr. Miller received a
B.S. degree in computer science from Purdue University, where he graduated Phi Beta Kappa.

Richard T. Kogler joined us as Chief Operating Officer in December 1998. From May 1995 through
October 1998, Mr. Kogler was vice president and chief operating officer of American Disposal Services, Inc., a
solid waste management company. From October 1984 through May 1995, Mr. Kogler served in a variety of
management positions with Waste Management, Inc. Mr. Kogler received a B.A. degree in chemistry from
St. Louis University.

Frank J.M. ten Brink has served as our Executive Vice President, Finance and Chief Financial Officer since

June 1997. From 1991 until 1996 he served as chief financial officer of Hexacomb Corporation, and from 1996
until joining us, he served as chief financial officer of Telular Corporation. Prior to 1991, he held various
financial management positions with Interlake Corporation and Continental Bank of Illinois. Mr. ten Brink
received a B.B.A. degree in international business and a M.B.A. degree in finance from the University of
Oregon.

Richard L. Foss has served as our Executive Vice President for Corporate Development since February
2003. From 1999 to 2002, Mr. Foss was a vice president and director of worldwide product marketing in the
personal communication sector at Motorola Inc., and from 1977 until 1999, he held a number of management and
marketing positions at The Procter & Gamble Company, including serving as a vice president and general
manager in the health care segment. Mr. Foss received a B.S. degree in chemistry and an M.B.A degree from
Rensselear Polytechnic Institute.

Shan S. Sacranie joined us in May 2003 and became our Executive Vice President, International in

November 2003. From 2001 to 2002 he was chief executive for Appliance Controls Group, Inc. and from 1995 to
2001, he was president of Oak Industries Inc. From 1978 to 1995 he held a number of management positions for
Honeywell. Mr. Sacranie holds a BA degree (Hons) in economics from the University of Bombay, an M.B.A.
degree from Minnesota State University and a J.D. from the William Mitchell College of Law.

Michael J. Collins has served as President of our Return Management Services Division since June 2006.

Prior to joining us, he served at Abbott Laboratories, a diversified health care company, which he joined in 1982
and where he held a number of management and marketing positions, most recently as vice president, medical
products group health systems. Mr. Collins received a B.A. degree in business and education from the University
of New Haven and a M.B.A. degree in business administration from National University

16

PART II

Item 5. Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters

As of February 22, 2007, we had approximately 180 stockholders of record. The Company’s stock trades on

the NASDAQ National Market under the ticker symbol SRCL.

The following table provides the high and low sales prices of our Common Stock for each calendar quarter

during our two most recent fiscal years:

Quarter

First quarter 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Second quarter 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Third quarter 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fourth quarter 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

First quarter 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Second quarter 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Third quarter 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fourth quarter 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

High

51.60
53.82
59.47
63.52

67.62
69.00
69.79
75.62

Low

44.20
43.92
50.58
54.36

57.28
61.30
61.07
65.03

We did not pay any cash dividends during 2006 and have never paid any dividends on our capital stock. We
currently expect that we will retain future earnings for use in the operation and expansion of our business and do
not anticipate paying any cash dividends in the foreseeable future. See Item 7, “Management’s Discussion and
Analysis of Financial Condition and Results of Operations.”

In May 2002 our Board of Directors authorized the Company to repurchase up to 3,000,000 shares of our
common stock, in the open market or through privately negotiated transactions, at times and in amounts in the
Company’s discretion. In February 2005, at a time when we had purchased a cumulative total of 1,478,430
shares, the Board authorized the Company to purchase up to an additional 1,478,430 shares, thereby giving the
Company the authority to purchase up to a total of 3,000,000 additional shares. In February 2007, at a time when
we had purchased an additional 1,571,040 shares since the 2005 stock purchase authorization, the Board
authorized the Company to purchase up to an additional 1,571,040 shares, thereby giving the Company the
authority to purchase up to a total of 3,000,000 additional shares. The following table provides information about
our purchases during the year ended December 31, 2006 of shares of our common stock.

Issuer Purchases of Equity Securities

Period

January 1 - January 31, 2006 . . . . . . . . . . . . . . . . .
February 1 - February 28, 2006 . . . . . . . . . . . . . . .
March 1 - March 31, 2006 . . . . . . . . . . . . . . . . . . .
April 1 - April 30, 2006 . . . . . . . . . . . . . . . . . . . . .
May 1 - May 31, 2006 . . . . . . . . . . . . . . . . . . . . . .
June 1 - June 30, 2006 . . . . . . . . . . . . . . . . . . . . . .
July 1 - July 31, 2006 . . . . . . . . . . . . . . . . . . . . . . .
August 1 - August 31, 2006 . . . . . . . . . . . . . . . . . .
September 1 - September 30, 2006 . . . . . . . . . . . .
October 1 - October 31, 2006 . . . . . . . . . . . . . . . .
November 1 - November 30, 2006 . . . . . . . . . . . .
December 1 - December 31, 2006 . . . . . . . . . . . . .

Total
Number of Shares
(or Units)
Purchased

Average
Price
Paid per
Share
(or Unit)

Number of Shares
(or Units)
Purchased as Part
of Publicly
Announced Plans
or Programs

57.99
58.01
0
0
59.45
62.71
62.45
0
67.5
67.75
69.47
71.38

181,800
11,300
0
0
2,000
60,600
164,945
0
9,913
54,406
24,117
158,459

181,800
11,300
0
0
2,000
60,600
164,945
0
9,913
54,406
24,117
158,459

17

Maximum
Number (or
Approximate
Dollar Value)
of Units)
that May Yet Be
Purchased Under
the Plans or
Programs

1,914,700
1,903,400
1,903,400
1,903,400
1,901,400
1,840,800
1,675,855
1,675,855
1,665,942
1,611,536
1,587,419
1,428,960

Equity Compensation Plans

The following table summarizes information as of December 31, 2006 relating to our equity compensation

plans pursuant to which stock option grants, restricted stock awards or other rights to acquire shares of our
common stock may be made or issued:

Equity Compensation Plan Information

Plan Category

Number of Securities
To Be Issued Upon
Exercise Warrants
and Rights
(a)

Weighted-Average
Exercise Price of
Outstanding Options,
Warrants and Rights
(b)

Number of Securities
Remaining Available
for Future Issuance
Under Equity
Compensation Plans
(Excluding
Securities Reflected
in Column (a))
(c)

Equity compensation plans approved by our

security holders(1) . . . . . . . . . . . . . . . . . . . . . . . .

1,947,331

Equity compensation plans not approved by our

security holders(2) . . . . . . . . . . . . . . . . . . . . . . . .

1,571,324

$43.36

$40.14

1,953,893

191,894

(1) These plans consist of our 2005 Plan, 1997 Plan, 1995 Plan, Directors Plan and ESPP.
(2) The only plan in this category is our 2000 Plan.

In 2000, our Board of Directors approved the 2000 Nonstatutory Stock Option Plan (the “2000 Plan”),
which in total now provides for the granting of 3,500,000 shares of our common stock in the form of stock
options to employees, (but not to officers or directors).

18

Performance Graph

The following graph compares the cumulative total return (i.e., stock price appreciation plus dividends) on
our common stock over the five-year period ending December 31, 2006 with the cumulative total return for the
same period on the Nasdaq National Market Composite Index, the Russell 3000 Index and an index of a peer
group of companies that we selected consisting of Allied Waste Industries, Inc., SRI/Surgical Express, Inc.
(formerly Sterile Recoveries, Inc.), Steris Corporation and Waste Management, Inc. The graph assumes that $100
was invested on December 31, 2001 in our common stock and in the stock represented by each of the three
indexes, and that all dividends were reinvested.

The stock price performance of our common stock reflected in the following graph is not necessarily

indicative of future performance.

Stericycle, Inc.

Nasdaq NM Composite

Russell 3000 Index

Peer Group

$400.00

$350.00

$300.00

$250.00

$200.00

$150.00

$100.00

$50.00

$0.00

12/31/01

12/31/02

12/31/03

12/31/04

12/31/05

12/31/06

19

Item 6. Selected Consolidated Financial Data

Statements of Income Data(1)
Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income from operations . . . . . . . . . . . . . . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income applicable to common stock . . . . . . .
Diluted net income per share of common

stock(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation and amortization . . . . . . . . . . . . . . .
Other Data
Cash provided by operating activities . . . . . . . . . .
Cash used in investing activities . . . . . . . . . . . . . .
Cash provided by (used in) financing activities . .
Balance Sheet Data (at December 31)(1)
Cash, cash equivalents and short-term

investments . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term debt, net of current maturities . . . . . . .
Convertible redeemable preferred stock . . . . . . . .
Shareholders’ equity . . . . . . . . . . . . . . . . . . . . . . .

Year Ended December 31,

2006(3)

2005

2004

2003

2002

(Dollars in thousands, except per share amounts)

$ 789,637
201,762
105,270
105,270

$ 609,457
166,532
67,154
67,154

$ 516,228
145,655
78,178
78,178

$453,225
126,397
65,781
65,781

$401,519
100,832
45,724
45,037

2.33
27,036

1.48
21,431

1.69
21,803

1.43
17,255

1.01
14,981

$ 160,162
(201,425)
52,547

$

94,327
(156,001)
59,500

$ 114,611
(105,093)
(6,941)

$123,887
(57,635)
(66,820)

$ 98,731
(49,470)
(53,705)

$

16,040
1,327,906
443,115
—
$ 625,081

$

8,545
1,047,660
348,841
—
$ 521,634

$

7,949
834,141
190,431
—
$ 495,372

$

7,881
707,462
163,016
20,944
$407,820

$

8,887
667,095
224,124
28,049
$326,729

(1) See Note 4 to the Consolidated Financial Statements for information concerning our acquisitions during the

three years ended December 31, 2006.

(2) See Note 10 to the Consolidated Financial Statements for information concerning the computation of net
income per common share. In 2006, net income includes costs (net of tax) related to stock compensation
expense of $6.5 million, a fixed asset write-down of equipment of $0.2 million, write-down of an
investment in securities of $0.6 million, acquisition-related costs of $2.1 million, partially offset by income
recorded from insurance proceeds related to the 3CI settlement of $0.6 million that in total negatively
impacted EPS by $0.19 per share. Of the total of $8.8 million of such items, $7.3 million were non-cash
items. In 2005, net income includes costs (net of tax) related to the 3CI preliminary settlement of class
action litigation of $23.4 million, South Africa note receivable write-down of $1.5 million, fixed asset
impairments of $0.5 million, acquisition-related costs of $0.5 million, settlement of licensing litigation of
$1.1 million, and items related to debt restructuring of $0.3 million which negatively impacted EPS by
$0.60 per share. Of the total of $27.3 million of such items, $3.4 million were non-cash items. In 2004, net
income includes acquisition-related costs of $0.5 million, fixed asset write-offs of $0.7 million, and items
related to debt restructuring and redemption of senior subordinated debt of $2.8 million that negatively
impacted EPS by $0.09 per share. Of the total of $4.0 million of such items, $1.4 million were non-cash
items. In 2003, net income includes acquisition-related costs (net of tax) of $0.4 million and items related to
debt restructuring and subordinated debt repurchase of $2.0 million, which negatively impacted EPS by
$0.04 per share. Of the total of $2.4 million of such items, $0.5 million were non-cash items. In 2002, net
income includes acquisition-related costs (net of tax) of $0.2 million, fixed asset write-offs of $1.8 million
and items related to debt restructuring and subordinated debt repurchases of $1.4 million, which negatively
impacted EPS by $0.08 per share. Of the total of $3.4 million of such items, $2.0 million were non-cash
items.

(3) On January 1, 2006, we adopted the provisions of SFAS No. 123R, “Share-Based Payment” (“SFAS

No. 123R”) using the modified prospective method to account for stock compensation costs. SFAS
No. 123R requires the measurement and recognition of compensation expense for all stock-based payment
awards made to our employees and directors. During the year ended December 31, 2006, we recognized
stock compensation expense of $6.5 million, net of tax. See Note 11 to the Consolidated Financial
Statements for additional information related to stock compensation expense.

20

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operation

The following discussion of our financial condition and results of operations should be read in conjunction

with our consolidated financial statements and related notes in Item 8 of this Report.

Introduction

We are in the business of managing regulated waste and providing an array of related services. We operate

in the United States, the United Kingdom, Mexico, Canada, Ireland, and Argentina.

For large-quantity generators of regulated waste such as hospitals and for pharmaceutical companies and

distributors, we offer: our institutional medical waste management services; our Bio Systems® sharps
management services to reduce the risk of needle sticks; a variety of products and services for infection control;
and our regulated returns management services for expired or recalled health care products.

For small-quantity generators of regulated waste such as doctors’ offices and for retail pharmacies, we offer:

our medical waste management services; our Steri-Safe® Occupational Safety and Health Act and Health
Insurance Portability and Accountability Act (HIPAA) compliance programs; a variety of products and services
for infection control; and our pharmaceutical returns services for expired or recalled pharmaceuticals.

We operate integrated national medical waste management networks in the United States, Canada, Mexico,
Argentina, the United Kingdom and Ireland. Our national networks include a total of 76 processing or combined
processing and collection sites and 104 additional transfer, collection or combined transfer and collection sites.

Our medical waste processing technologies include autoclaving, our proprietary electro-thermal-

deactivation system (ETD), chemical treatment and incineration.

As of December 31, 2006, we served approximately 351,700 customers, of which approximately 343,100

were small quantity customers and approximately 8,600 were large quantity customers.

Critical Accounting Policies and Procedures

Our discussion and analysis of our financial condition and results of operations are based upon our

consolidated financial statements, which have been prepared in accordance with accounting principles generally
accepted in the United States. The preparation of these financial statements requires that we make estimates and
judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and the related disclosure
of contingent assets and liabilities. We believe that of our significant accounting policies (see Note 2 to our
consolidated financial statements), the following ones may involve a higher degree of judgment on our part and
greater complexity of reporting.

Revenue Recognition. We recognize revenue for our regulated waste services at the time of waste
collection. Revenues from regulated returns management services are recorded at the time services are
performed. Royalty revenues are calculated based on measurements specified in each contract or license and
revenues are recognized at the end of each reporting period when the activity being measured has been
completed. Revenues from product sales are recognized at the time the goods are shipped to the ordering
customer. Software licensing revenues are recognized on a prorated basis over the term of the license agreement.
Revenue and costs on contracts to supply our proprietary ETD treatment equipment are recognized based on
shipment of equipment and services provided for in the individual contract. We had no revenues related to ETD
sales in 2006 or 2005. We do not have any contracts in a loss position. Losses would be recorded when known
and estimable for any contracts that should go into a loss position. Payments received in advance are deferred
and recognized as services are provided.

Goodwill and Other Identifiable Intangible Assets. Goodwill associated with the excess purchase price
over the fair value of assets acquired is not amortized. We have determined that our permits have indefinite lives
and, accordingly are not amortized. This position is in accordance with Statement of Financial Accounting

21

Standards (“SFAS”) No. 142, which became effective for fiscal years beginning after December 15, 2001. See
Note 8 Goodwill and Other Intangible Assets for additional information.

Our balance sheet at December 31, 2006 contains goodwill of $814.0 million. In accordance with SFAS

No. 142, we evaluate on at least an annual basis, using the fair value of reporting units, whether goodwill is
impaired. If we were to determine that a significant impairment has occurred, we would be required to incur
non-cash write-offs of the impaired portion of goodwill that could have a material adverse effect on our results of
operations in the period in which the write-off occurs. We use the market value of our stock as a measure of fair
value and compare that to the ratio of earnings before income tax expense, depreciation expense, and
amortization expense, to book value of each of our reporting unit when testing for goodwill impairment, and any
unforeseen material drop in our stock price may be an indicator of a potential impairment of goodwill. The
results of the 2006 impairment test conducted in June 2006 did not show any impairment of goodwill, and no
events have occurred since that time that indicate that an impairment situation exists.

Our permits are currently tested for impairment annually at December 31, or more frequently if

circumstances indicate that they may be impaired. We use a discounted cash flow model as the current
measurement of the fair value of the permits. The estimate of cash flow is based upon, among other things,
certain assumptions about expected future operating performance and an appropriate discount rate determined by
management. Our estimates of discounted cash flow may differ from actual cash flow due to, among other things,
inaccuracies in economic estimates, and actual cash flow could materially affect the future financial value of the
permits. The results of the 2006 impairment test did not show any impairment of our permits and no events have
occurred since that time that would indicate an impairment situation exists.

Other identifiable intangible assets, such as customer lists, tradenames and covenants not-to-compete, are
currently amortized using the straight-line method over their estimated useful lives. We have determined that our
regulated waste customer lists have between 20-year and 40-year lives based on the specific type of relationship.
These assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying
amount of an asset may be less than the undiscounted cash flows. There have been no indicators of impairment of
these intangibles (see Note 8 to our consolidated financial statements).

Income Taxes. Deferred income tax liabilities and assets are determined based on the differences between
the financial statement and income tax basis of assets and liabilities using enacted tax rates in effect for the year
in which the differences are expected to reverse. To provide for certain potential tax exposures, we maintain a
reserve for specific tax contingencies, the balance of which management believes is adequate.

Accounts Receivable. Accounts receivable consist primarily of amounts due to us from our normal business

activities. Accounts receivable balances are determined to be delinquent when the amount is past due based on
the contractual terms with the customer. We maintain an allowance for doubtful accounts to reflect the expected
uncollectibility of accounts receivable based on past collection history and specific risks identified among
uncollected accounts. Accounts receivable are charged to the allowance for doubtful accounts when we have
determined that the receivable will not be collected and/or when the account has been referred to a third party
collection agency. No single customer accounts for more than 2% of our revenues.

Insurance. Our insurance for worker’s compensation, vehicle liability and physical damage, and employee-

related health care benefits is obtained using high deductible insurance polices. A third-party administrator is
used to process all such claims. We require all workers’ compensation, vehicle liability and physical damage
claims to be reported within 24 hours. As a result, we accrue our worker’s compensation, vehicle and physical
damage liability based upon the claim reserves established by the third-party administrator at the end of each
reporting period. Our employee health insurance benefit liability is based on our historical claims experience
rate. Our earnings would be impacted to the extent that actual claims vary from historical experience. We review
our accruals associated with the exposure to these liabilities for adequacy at the end of each reporting period.

Litigation. We operate in a highly regulated industry and deal with regulatory inquiries or investigations

from time to time that may be instituted for a variety of reasons. We are also involved in a variety of civil
litigation from time to time. Settlements from litigation would be recorded when known, probable and estimable.

22

Stock Option Plans. We have issued stock options to employees and directors as an integral part of our

compensation programs. On January 1, 2006, we adopted the provisions of SFAS No. 123R, “Share-Based
Payment” (“SFAS No. 123R”) using the modified prospective method to account for stock compensation costs.
SFAS No. 123R requires the measurement and recognition of compensation expense for all stock-based payment
awards made to our employees and directors. Under the fair value recognition provisions of SFAS No. 123R,
stock-based compensation cost is measured at the grant date based on the value of the award and is recognized as
expense over the vesting period. Determining the fair value of stock-based awards at the grant date requires
considerable judgment, including estimating expected volatility, expected term and risk-free rate. Our expected
volatility is based upon historical experience. The expected term of the stock options is based upon historical
experience. The risk-free interest rate assumption is based upon the average of the U.S. Treasury three and five-
year yield rates. If factors change and we employ different assumptions, stock-based compensation expense may
differ significantly from what we have recorded in the past.

Year Ended December 31, 2006 Compared to Year Ended December 31, 2005

The following summarizes (in thousands except per share amounts) our operations:

Year Ended December 31,

2006

2005

Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$789,637
419,689
20,081

100.0% $609,457
53.1% 324,988
16,432
2.5%

100.0%
53.3%
2.7%

Total cost of revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total selling, general and administrative expenses . . . . . . . . . . . . . . .

Licensing legal settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write off fixed assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Acquisition integration related expenses . . . . . . . . . . . . . . . . . . . . . .

Income from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-down of investment in securities . . . . . . . . . . . . . . . . . . . . . . .
Write-down of note receivable with former joint venture . . . . . . . . .
3CI legal settlement(2005)/proceeds from insurance(2006) . . . . . . . .
Net interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

439,770

349,867
137,411
3,989
2,966

144,366

—
300
3,439

201,762
1,000
—
(1,025)
27,061
67,304
$105,270

55.7% 341,420

44.3% 268,037
93,033
17.4%
3,403
0.5%
1,596
0.4%

18.3%

98,032

—
0.0%
0.4%

1,823
872
778

25.6% 166,532
—
0.2%
2,495
—
36,481
-0.1%
12,247
3.4%
8.5%
44,826
13.3% $ 67,154

Earnings per share—diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

2.33

$

1.48

56.0%

44.0%
15.3%
0.6%
0.3%

16.1%

0.3%
0.1%
0.1%

27.3%
—
0.4%
6.0%
2.0%
7.4%
11.0%

Revenues. Our revenues increased $180.2 million, or 29.6%, to $789.6 million in 2006 from $609.5 million

in 2005. Revenues primarily increased as a result of domestic and international acquisitions. During 2006,
acquisitions less than one year old contributed approximately $116.1 million to the increase in our revenues from
2005. In addition, strong revenue growth was exhibited in our Steri-SafeSM product offerings as a result of
increased market penetration in the small quantity generator markets, continued success in the rollout of our Bio
Systems sharps management program and growth in returns management services revenues. For the year, internal
growth for small account customers increased approximately 11% while revenues from large quantity customers
increased by approximately 9%.

23

During 2006, the size of the regulated waste market in the United States for the services we provide
remained relatively stable. Through our acquisition of STG and Habitat Ecologico S.A. in February 2006, we
were able to expand our geographic presence outside of North America.

Cost of Revenues. Our cost of revenues increased $98.4 million or 28.8%, to $439.8 million during 2006,
from $341.4 million during 2005. This was primarily due to an increase in incremental expenses as a result of
business acquisitions completed during 2006 and 2005. Our gross margin percentage increased to 44.3% during
2006 from 44.0% during 2005 due to an increase in gross margins on our domestic business as we continued to
realize efficiencies from ongoing programs to improve the gross margins on our large and small quantity
business. Domestic energy and transportation costs increased in 2006, which were partially offset by higher
revenues related to fuel surcharges.

Selling, General and Administrative Expenses. Our selling, general and administrative expenses, less stock

compensation expense, increased $36.6 million or 37.2% to $144.4 million during 2006 from $98.0 million
during 2005. This increase was primarily the result of incremental overhead expenses as a result of our
acquisition of STG in 2006 and other acquisitions completed in the fourth quarter in 2005. Effective January 1,
2006 we adopted Statement of Financial Accounting Standards (“SFAS”) No. 123R, Share-Based Payments
(“SFAS No. 123R”) using the modified prospective basis, which resulted in a change in the way we recognize
share-based compensation expense, which increased selling, general and administrative expenses by $9.8 million
or 1.0% as a percentage of revenue. Bad debt expense increased during 2006 to $4.2 million from $2.7 million in
2005 due to higher sales. Amortization expense increased to $3.0 million during 2006, from $1.6 million during
2005 as a result of amortization of new intangibles during 2006 and 2005. Selling, general and administrative
expenses as a percentage of revenue increased to 18.3% during 2006 compared to 16.1% in 2005 as a result of
the factors described above.

Income from Operations. Income from operations increased $35.2 million or 21.2% to $201.8 million
during 2006 from $166.5 million during 2005. The increase was due to higher gross margin partially offset by
higher selling, general and administrative expenses. During the year ended December 31, 2006, we recorded
expenses of $3.4 million related to acquisition integration compared to $0.8 million in 2005. Of the $3.4 million
of 2006 expense, approximately $1.1 million related to facility closures; one in the United States and one in the
United Kingdom. During the year ended December 31, 2006 we recorded a $0.3 million non-cash write-down of
equipment acquired from 3CI. During the year ended December 31, 2005 we recorded a non-cash impairment
charge of $0.9 million related to our Springhill, Louisiana building and property. Income from operations as a
percentage of revenue decreased to 25.6% during 2006 from 27.3% during 2005 as a result of the factors
described above.

Interest Expense and Interest Income. Interest expense increased to $28.4 million during 2006, from $13.0
million during 2005, primarily due to higher debt levels and higher interest rates during the year. Interest income
was $1.4 million during 2006 and $0.8 million during 2005.

Write-down of investment. During 2006 we had a $1.0 million non-cash write-down of an investment in

securities.

Proceeds from Insurance. During 2006 we received $1.0 million for insurance proceeds related to the 3CI

litigation.

Income Tax Expense. Income tax expense for the years 2006 and 2005 reflects an effective tax rate of
approximately 39.0% and 40.0%, respectively, for federal and state income taxes. The legal settlement negatively
impacted our 2005 effective tax rate by 1.0%

24

Year Ended December 31, 2005 Compared to Year Ended December 31, 2004

The following summarizes (in thousands except per share amounts) our operations:

Year Ended December 31,

2005

2004

Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$609,457
324,988
16,432

100.0% $516,228
53.3% 271,189
16,833
2.7%

100.0%
52.5%
3.3%

Total cost of revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

341,420

268,037
93,033
3,403
1,596

56.0% 288,022

44.0% 228,206
75,653
15.3%
2,540
0.6%
2,430
0.3%

Total selling, general and administrative expenses . . . . . . . . . . . . . . .

98,032

16.1%

80,623

Licensing legal settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write off fixed assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Acquisition integration related expenses . . . . . . . . . . . . . . . . . . . . . .
Income from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Write-down of note receivable with former joint venture . . . . . . . . .
3CI legal settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,823
872
778
166,532

2,495
36,481
12,247
44,826
$ 67,154

—
0.3%
1,155
0.1%
0.1%
773
27.3% 145,655

—
0.4%
—
6.0%
10,628
2.0%
7.4%
50,386
11.0% $ 78,178

Earnings per share—diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

1.48

$

1.69

55.8%

44.2%
14.7%
0.5%
0.5%

15.6%

—
0.2%
0.1%
28.2%

—
—
2.1%
9.8%
15.1%

Revenues. Our revenues increased $93.2 million, or 18.1%, to $609.5 million in 2005 from $516.2 million
in 2004. Revenues generated from the sale of ETD equipment and licensing of technology internationally were
$1.0 million during 2005, compared to $8.2 million during 2004. This decrease is a result of the delivery of a
large portion of an order of ETD equipment to a customer in Japan in 2004. During 2005, acquisitions less than
one year old contributed approximately $63.6 million to the increase in our revenues from 2004. For the year,
internal growth for small account customers increased approximately 9% while revenues from large quantity
customers increased by approximately 5%.

During 2005, the size of the regulated waste market in the United States for the services we provide
remained relatively stable. Through our acquisition of White Rose Environmental Ltd. in June 2004 and
subsequent United Kingdom acquisitions in 2005, we were able to expand our geographic presence outside of
North America.

Cost of Revenues. Our cost of revenues increased $53.4 million or 18.5%, to $341.4 million during 2005,

from $288.0 million during 2004. The increase was primarily related to the increase in revenues during 2005
compared to 2004. Our gross margin percentage decreased to 44.0% during 2005 from 44.2% during 2004 as we
experienced higher energy related costs. Domestic energy costs increased in 2005, which were partially offset by
higher revenues related to fuel surcharges. Employee benefit costs as a percentage of compensation costs
decreased by 2.0 % in 2005. This was a result of the changes to our employee healthcare programs including
changes to our providers and program formats.

Selling, General and Administrative Expenses. Our selling, general and administrative expenses increased
to $98.0 million during 2005, from $80.6 million during 2004. This increase was primarily the result of increased
spending on marketing our Steri-SafeSM program and Bio Systems sharps management program and the
expansion into the pharmaceutical services programs. Bad debt expense increased during 2005 to $2.7 million

25

from $0.8 million in 2004 due to higher sales and increased write-offs in 2005. In addition, as noted in the cost of
revenues discussion above, employee benefit costs as a percentage of compensation costs decreased in 2005.
Amortization decreased to $1.6 million during 2005, from $2.4 million during 2004 as a result of some
intangibles becoming fully amortized at the end of 2004. Selling, general and administrative expenses as a
percentage of revenue increased to 16.2% during 2005 compared to 15.8% in 2004 as a result of the factors
described above.

Income from Operations. Income from operations increased to $166.5 million during 2005 from $145.7
million during 2004. The increase was due to higher revenues partially offset by higher costs of revenues and
selling, general and administrative expenses. During the year ended December 31, 2005, 3CI Complete
Compliance Corporation, of which we own a majority of the common stock, recorded a non-cash impairment
charge of $0.9 million on its Springhill, Louisiana building and property. In December 2005, we recorded a cash
charge of $0.4 million for damages and a non-cash charge of $1.4 million, representing the write-off of the
unamortized portion of a license fee that we previously paid, as a result of an arbitrator’s award in March 2006
and the license agreement being effectively terminated. During the year ended December 31, 2004 we recorded a
non-cash write-down of idled Stericycle incinerator equipment at our Baltimore, Maryland and Terrell, Texas
facility of $1.2 million. Income from operations as a percentage of revenue decreased to 27.3% during 2005 from
28.2% during 2004 as a result of the factors described above.

Interest Expense and Interest Income. Interest expense increased to $13.0 million during 2005, from $11.2
million during 2004, primarily due to higher debt levels during the year. Interest income was $0.8 million during
2005 and $0.6 million during 2004.

Write-down of note receivable. During 2005 we wrote-down a $2.5 million note receivable that we had
recorded from the sale of interest in our former South African joint venture when we had determined that the
amount was uncollectible.

Legal Settlements. During November 2005 we incurred $36.5 million in expenses related to the preliminary

settlement of the 3CI class action litigation and related legal expenses.

Debt Extinguishments and Refinancing Expenses. During 2005 we incurred $0.5 million in refinancing
expense for non-cash accelerated amortization of financing fees related to amendments to our bank credit facility
agreements. During 2004 we repurchased the remaining $50.9 million of our senior subordinated notes. As a
result, in 2004 we incurred $3.1 million in redemption premium expenses and $1.1 million in non-cash
accelerated amortization of financing fees associated with the repurchase of the notes.

Income Tax Expense. Income tax expense for the years 2005 and 2004 reflects an effective tax rate of
approximately 40.0% and 39.2%, respectively, for federal and state income taxes. The legal settlement negatively
impacted our 2005 effective tax rate by 1.0%

Liquidity and Capital Resources

On July 31, 2006, we, and certain of our subsidiaries entered into a new credit agreement (“Credit
Agreement”) with Bank of America, N.A., and other lenders party to the Credit Agreement. The new credit
agreement is in effect an amendment of our prior senior unsecured credit facility.

The new credit agreement (i) reduces our costs of borrowing by using a more favorable pricing grid;
(ii) increases our revolving credit facility from $550 million to $650 million; (iii) increases the “accordion” (the
amount for which we may request an increase in the size of our revolving credit facility) from $100 million to $200
million; (iv) increases the letter of credit sublimit from $150 million to $200 million; (v) increases the foreign
currency sublimit from $125 million to $200 million; (vi) increases the debt-to-EBITDA covenant from 3.00:1.00 to
3.75:1.00; and (vii) extends the maturity date of our borrowings from June 30, 2010 to July 31, 2011.

26

The new credit agreement reduces our costs of borrowing by reducing the applicable margin that is added to

the relevant interest rate that we are charged. Our borrowings bear interest at fluctuating interest rates
determined, at our election in advance for any quarterly or other applicable interest period, by reference to (i) a
“base rate” (the higher of the prime rate at Bank of America, N.A. or 0.5% above the rate on overnight federal
funds transactions) or (ii) the London Interbank Offered Rate, or LIBOR, plus, in either case, the applicable
margin within the relevant range of margins provided in our credit agreement. Under the new credit agreement,
the applicable margin is based on (i) our consolidated leverage ratio, or, if our long-term non-credit enhanced
debt has been rated by Standard & Poors, (ii) our S&P debt rating, whichever margin is more favorable to us. As
of December 31, 2006, the margin for interest rates on borrowings under our new credit facility was 0.0% on
base rate loans and 0.75% on LIBOR loans.

The new credit agreement contains customary events of default, including our failure to pay any principal,
interest or other amount when due, our violation of certain of our affirmative covenants or any of our negative
covenants, a breach of our representations and warranties, or a change of control. Upon the occurrence of an
event of default, payment of our indebtedness may be accelerated and the lending commitments under the credit
agreement may be terminated.

As of December 31, 2006, we had $387.3 million of borrowings outstanding under our senior unsecured
credit facility, which includes foreign currency borrowings of $9.3 million. In addition, we had $48.8 million
committed to outstanding letters of credit. The weighted average rate of interest on the unsecured revolving
credit facility was 6.08% for the year ended December 31, 2006. At December 31, 2006, we had $77.9 million in
other debt outstanding, which includes promissory notes issued in connection with acquisitions during 2003
through 2006 and foreign subsidiary bank debt.

Working Capital. At December 31, 2006, our working capital was $76.6 million compared to working
capital of $45.3 million at December 31, 2005. Of the change in working capital, $26.5 million is related to
“Asset group held for sale” as this amount is primarily comprised of fixed assets and intangible assets that will be
sold, presented as current assets, per accounting rules. As noted, we have available a $650.0 million revolving
line of credit under our senior unsecured credit facility and at December 31, 2006 had borrowed $387.3 million
under this line and had an additional $48.8 million committed in letters of credit.

Net Cash Provided or Used. Net cash provided by operating activities was $160.2 million during the year
ended December 31, 2006 compared to $94.3 million for 2005. This increase primarily reflects higher net income
and an emphasis on improved collections. 2005 net income included a $23.4 million, net of tax, settlement of the
3CI class action litigation. As a result of adopting SFAS No. 123R effective January 1, 2006, benefits of tax
deductions in excess of recognized compensation expense is reported as a financing cash flow, rather than as an
operating cash flow as prescribed under the prior accounting rules. This requirement reduces net operating cash
flow and increases net financing cash flows in periods after adoption. Total cash flows remain unchanged from what
would have been reported under prior accounting rules. As a result $8.4 million in tax benefits on stock options
exercised was reported as cash provided from financing activities for the year ended December 31, 2006 compared
to $7.4 million reported as cash provided by operating activities for the year ended December 31, 2005.

Net cash used in investing activities for 2006 was $201.4 million compared to $156.0 million for 2005. This

increase is primarily attributable to the increase in payments for acquisitions. Cash investments in acquisitions
and international joint ventures for 2006 were $164.0 million compared to $139.7 million in 2005. The increase
was primarily the result of our acquisition of STG. Capital expenditures were $36.4 million for 2006, for
investments in capital equipment to support the growth of the Bio Systems sharps management program and other
improvements in our infrastructure, compared to $26.3 million in 2005. As of December 31, 2006 we had less
than 8% of our treatment capacity in North America in incineration and approximately 92% in non-incineration
technologies such as our proprietary ETD technology and autoclaving. The implementation of our commitment
to move away from incineration in North America may result in a write-down of the incineration equipment as
and when we close incinerators that we are currently operating. Our commitment to move away from incineration
in North America is in the nature of a goal to be accomplished over an undetermined number of years. Because

27

of uncertainties relating, among other things, to customer education and acceptance and legal requirements to
incinerate portions of the regulated waste, we do not have a timetable for this transition or specific plans to close
any of our existing incinerators.

Net cash provided by financing activities was $52.5 million during 2006 compared to $59.5 million in 2005.

During 2006 we borrowed money to fund acquisitions and common stock repurchases. During 2006, we made
$42.8 million in common stock repurchases, $30.7 million in promissory notes payments $266.0 million in debt
repayments and $0.8 million for capital leases. In 2005, we borrowed money to fund acquisitions, stock
repurchases and the 3CI legal settlement while we made debt repayments of $198.9 million when we terminated
our 2001 senior credit facility, $12.8 million repayments on promissory notes and $0.8 million for capital leases.

Contractual Cash Commitments. The following table displays our future contractual cash commitments.

Payments due by period (in thousands)

Long term debt* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Capital lease obligations* . . . . . . . . . . . . . . . . . . . . . . . . .
Purchase obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other long-term liabilities* . . . . . . . . . . . . . . . . . . . . . . . .

Total

$558,407
689
1,307
135,946
2,515

Less than
1 year

$49,536
447
470
31,196
838

1-3 years

4 - 5 years

$101,159
214
837
66,298
1,248

$407,623
28
—
35,273
264

After 5
years

$

89
—
—
3,179
165

Total contractual cash obligations . . . . . . . . . . . . . . . . . . .

$698,864

$82,487

$169,756

$443,188

$3,433

* The long-term debt, capital lease and other long-term liabilities items include both the future principal

payment amount as well as an amount calculated for expected future interest payments. For long-term debt
with variable rates of interest, management used judgment to estimate the future rate of interest. Other long-
term liabilities include amounts related to non-compete agreements.

At December 31, 2006 we had $48.8 million in stand-by letters of credit issued.

We anticipate that our operating cash flow, together with borrowings under our senior secured credit

facility, will be sufficient to meet our anticipated future operating expenses, capital expenditures and debt service
obligations as they become due during the next 12 months and the foreseeable future.

Guarantees: We have guaranteed a loan to the Aozora Bank in Japan on behalf of Shiraishi-Sogyo Co. Ltd
(“Shiraishi”). Shiraishi is a customer in Japan that is expanding their regulated waste management business and
has a five-year loan with a current balance of $4.8 million with the Aozora Bank that expires in June 2009.
Management currently believes no amount will be paid under the guarantee.

Item 7A. Quantitative and Qualitative Disclosures about Market Risk

We are subject to market risks arising from changes in interest rates on our senior unsecured credit facility.

Our interest rate exposure results from changes in LIBOR or the base rate, which are used to determine the
applicable interest rates under our revolving credit facility. Our potential loss over one year that would result
from a hypothetical, instantaneous and unfavorable change of 100 basis points in the interest rate on all of our
variable rate obligations would be approximately $4.2 million.

We have exposure to commodity pricing for gas and diesel fuel for our trucks. We do not hedge these items

to manage the exposure. We have exposure to foreign exchange related to loans denominated in a foreign
currency. We have two loans denominated in GBP for which we have a cash flow hedge. Foreign exchange could
also negatively impact reported net income due to translation.

28

Item 8. Consolidated Financial Statements and Supplemental Data

Management’s Report on Internal Control Over Financial Reporting

The management of the Company is responsible for establishing and maintaining adequate internal control

over financial reporting. Internal control over financial reporting is defined in Rules 13a-15(f) under the
Securities Exchange Act of 1934 as a process designed by, or under the supervision of, a company’s principal
executive and principal financial officers and effected by the company’s board of directors, management and
other personnel, 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. The Company’s internal control over financial reporting includes those policies and procedures that:

(i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the

transactions and dispositions of the assets of the Company;

(ii) 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 authorizations of management and
directors of the Company; and

(iii) provide reasonable assurance regarding prevention or timely detection of unauthorized 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. 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.

The Company’s management assessed the effectiveness of the Company’s internal control over financial
reporting as of December 31, 2006. In making this assessment, management used the criteria set forth by the
Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control—Integrated
Framework.

The Company’s audited consolidated financial statements include the results of its consolidated operations
in Ireland and the United Kingdom related to Stericycle Ireland, Ltd. These operations began on March 1, 2006
when the Company acquired all of the stock of Sterile Technologies Group, a Republic of Ireland company, now
doing business as Stericycle Ireland, Ltd. Management’s assessment of and conclusion on the effectiveness of
internal control over financial reporting did not include the results of its consolidated operations in Ireland and
the United Kingdom related to Stericycle Ireland, Ltd. These operations began on March 1, 2006 when the
Company acquired all of the stock of Sterile Technologies Group, a Republic of Ireland company, now doing
business as Stericycle Ireland, Ltd. Management’s assessment of the effectiveness of the Company’s internal
control over financial reporting as of December 31, 2006 did not include an assessment of the internal control
over financial reporting of the Company’s consolidated operations of Stericycle Ireland, Ltd. As of December 31,
2006, the total assets and net assets of Stericycle Ireland, Ltd including intangibles and assets held for sale, were
$167.6 million and $134.7 million, respectively, and its revenues and net income for the ten months ended
December 31, 2006 were $54.2 million and $9.9 million, respectively.

Based on this assessment and those criteria, management concludes that the Company maintained effective

internal control over financial reporting as of December 31, 2006.

The Company’s independent auditors have issued an attestation report on management’s assessment of the

Company’s internal control over financial reporting. That report appears on page 30.

Lake Forest, IL
February 28, 2007

Stericycle, Inc.

29

Report of Independent Registered Public Accounting Firm
on Internal Control over Financial Reporting

The Board of Directors and Shareholders of Stericycle, Inc.

We have audited management’s assessment, included in the accompanying Management’s Report on
Internal Control Over Financial Reporting, that Stericycle, Inc. maintained effective internal control over
financial reporting as of December 31, 2006, based on criteria established in Internal Control—Integrated
Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO
criteria). Stericycle, Inc.’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. Our
responsibility is to express an opinion on management’s assessment and an opinion on the effectiveness of 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, evaluating management’s
assessment, testing and evaluating the design and operating effectiveness of internal control, 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 authorizations of management and directors of the company; and (3) provide reasonable
assurance regarding prevention or timely detection of unauthorized 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.

As indicated in the accompanying Management’s Report on Internal Control Over Financial Reporting,
management’s assessment of and conclusion on the effectiveness of internal control over financial reporting did
not include the results of its consolidated operations in Ireland and the United Kingdom related to Stericycle
Ireland, Ltd. These operations began on March 1, 2006 when the Company acquired all of the stock of Sterile
Technologies Group, a Republic of Ireland company, now doing business as Stericycle Ireland, Ltd. As of
December 31, 2006, the total assets and net assets of Stericycle Ireland, Ltd including intangibles and assets held
for sale, were $167.6 million and $134.7 million, respectively, and its revenues and net income for the ten
months ended December 31, 2006 were $54.2 million and $9.9 million, respectively. Our audit of internal control
over financial reporting of Stericycle, Inc. also did not include an evaluation of the internal control over financial
reporting of the Stericycle Ireland, Ltd subsidiary.

30

In our opinion, management’s assessment that Stericycle, Inc. maintained effective internal control over
financial reporting as of December 31, 2006 is fairly stated, in all material respects, based on the COSO criteria.
Also, in our opinion, Stericycle, Inc. maintained, in all material respects, effective internal control over financial
reporting as of December 31, 2006 based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board
(United States), the consolidated balance sheets of Stericycle, Inc. and Subsidiaries as of December 31, 2006 and
2005, and the related consolidated statements of income, cash flows and changes in shareholders’ equity for each
of the three years in the period ended December 31, 2006 and our report dated February 28, 2007, expressed an
unqualified opinion thereon.

Ernst & Young LLP

Chicago, Illinois
February 28, 2007

31

Report of Independent Registered Public Accounting Firm

The Board of Directors and Shareholders of Stericycle, Inc.

We have audited the accompanying consolidated balance sheets of Stericycle, Inc. and Subsidiaries as of

December 31, 2006 and 2005, and the related consolidated statements of income, cash flows and changes in
shareholders’ equity for each of the three years in the period ended December 31, 2006. Our audits also included
the financial statement schedule listed in the Index at Item 15(a). These financial statements and schedule are the
responsibility of the Company’s management. Our responsibility is to express an opinion on these financial
statements and schedule 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 Stericycle, Inc. and Subsidiaries at December 31, 2006 and 2005, and the
consolidated results of their operations and their cash flows for each of the three years in the period ended
December 31, 2006, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the
related financial statement schedule, when considered in relation to the basic financial statements taken as a
whole, presents fairly in all material respects the information set forth therein.

As disclosed in Note 2 to the consolidated financial statements, the Company changed its method of
accounting for stock-based compensation in accordance with the guidelines provided in Statement of Financial
Accounting Standards No. 123(R) “Share-Based Payment” on January 1, 2006.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board
(United States), the effectiveness of Stericycle, Inc.’s internal control over financial reporting as of December 31,
2006, based on criteria established in Internal Control—Integrated Framework issued by the Committee of
Sponsoring Organizations of the Treadway Commission and our report dated February 28, 2007 expressed an
unqualified opinion thereon.

/s/ Ernst & Young LLP

Chicago, Illinois
February 28, 2007

32

STERICYCLE, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS
(in thousands, except for share and per share data)

ASSETS
Current assets:

Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Short-term investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts receivable, less allowance for doubtful accounts of $5,411 in 2006 and $4,810 in

2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Parts and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Notes receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Asset group held for sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Property, plant and equipment:

Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Buildings and improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Machinery and equipment
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Office equipment and furniture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Internally developed software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Construction in progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Less accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Property, plant and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other assets:

Goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Intangible assets, less accumulated amortization of $11,454 in 2006 and $8,965 in 2005 . . . .
Notes receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

December 31,

2006

2005

$

13,492
2,548

$

7,825
720

130,354
6,366
9,152
2,773
16,072
33,674
4,171
218,602

10,582
52,384
173,769
27,342
2,567
11,116
277,760
(120,807)
156,953

813,973
115,879
14,546
7,953
952,351

103,703
5,263
6,523
3,164
13,452
—
3,392
144,042

8,190
48,149
144,795
21,581
1,101
11,220
235,036
(98,816)
136,220

685,169
61,641
10,672
9,916
767,398

Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$1,327,906

$1,047,660

LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:

Current portion of long term debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Liability group held for sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

Long-term debt, net of current portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Common shareholders’ equity:

Common stock (par value $.01 per share, 80,000,000 shares authorized, 44,251,965 issued

and outstanding in 2006, 44,149,722 issued and outstanding in 2005) . . . . . . . . . . . . . . . . .
Additional paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated other comprehensive income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total shareholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22,681
25,033
75,434
11,662
7,221
142,031

443,115
105,521
12,158

443
252,568
5,229
366,841
625,081

$

12,044
27,872
48,450
10,394
—
98,760

348,841
71,549
6,876

442
259,075
546
261,571
521,634

Total liabilities and shareholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$1,327,906

$1,047,660

The accompanying notes are an integral part of these financial statements.

33

STERICYCLE, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME
(in thousands, except for share and per share data)

Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Costs and expenses:

Cost of revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative expenses . . . . . . . . . . . . . . .
Licensing legal settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write off of fixed assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Acquisition integration related expenses . . . . . . . . . . . . . . . . . .

Total costs and expenses . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other income (expense):

Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-down of investment in securities . . . . . . . . . . . . . . . . . . .
Debt extinguishments and refinancing . . . . . . . . . . . . . . . . . . . .
Write-down of note receivable with former joint venture . . . . .
3CI legal settlement(2005)/proceeds from insurance (2006) . . .

Total other expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Earnings per share—Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Earnings per share—Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

$

$

Year Ended December 31,
2005

2004

2006

$

789,637

$

609,457

$

516,228

439,770
144,366
—
300
3,439

587,875

201,762

1,358
(28,419)
(2,152)
(1,000)
—
—
1,025

(29,188)

172,574
67,304

105,270

2.39

2.33

$

$

$

341,420
98,032
1,823
872
778

442,925

166,532

764
(13,011)
(2,882)
—
(447)
(2,495)
(36,481)

(54,552)

111,980
44,826

67,154

1.52

1.48

$

$

$

288,022
80,623
—
1,155
773

370,573

145,655

558
(11,186)
(1,889)
—
(4,574)
—
—

(17,091)

128,564
50,386

78,178

1.77

1.69

Weighted average number of common shares outstanding—Basic . .

44,075,036

44,284,580

44,250,913

Weighted average number of common shares

outstanding—Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45,106,540

45,310,509

46,195,897

The accompanying notes are an integral part of these financial statements.

34

STERICYCLE, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)

OPERATING ACTIVITIES:
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 105,270 $ 67,154 $ 78,178
Adjustments to reconcile net income to net cash provided by operating activities:

Year Ended December 31,

2006

2005

2004

Stock compensation expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-down of investment in securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-off of deferred financing costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-down of note receivable with former joint venture . . . . . . . . . . . . . . . . . . . . . . .
Fees paid for extinguishment of senior subordinated debt . . . . . . . . . . . . . . . . . . . . . . .
Write-off of licensing intangible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss on sale and impairment of fixed assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Excess tax benefit of disqualifying dispositions of stock options and exercise of

non-qualified stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Change in operating assets and liabilities, net of effects of acquisitions:

Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Parts and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses and other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash provided by operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INVESTING ACTIVITIES:

Payments for acquisitions and international investments, net of cash acquired . . . . . . .
Proceeds from maturity/(purchases) of short-term investments . . . . . . . . . . . . . . . . . . .
Net proceeds from sale of assets from acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proceeds from sale of property and equipment
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Capital expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash used in investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FINANCING ACTIVITIES:

Proceeds from issuance of notes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repayments of senior subordinated debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repayment of notes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net borrowings from 2001 senior credit facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repayment of 2001 senior credit facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Borrowings on 2005 senior credit facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repayments on 2005 senior credit facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payments of deferred financing costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Principal payments on capital lease obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purchase/cancellation of treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proceeds from other issuances of common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Excess tax benefit of stock options exercised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net cash provided by (used in) financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10,610
1,000
—
—
—
—
300

(8,427)
24,070
2,966
12,937

(14,742)
(744)
4,538
(6,003)
28,107
280
160,162

27
—
447
2,495
—
1,431
872

7,432
19,835
1,596
13,514

(19,679)
(962)
(1,909)
7,393
(8,056)
2,737
94,327

21
—
1,094
—
3,147
—
1,515

7,719
19,373
2,430
13,849

(4,986)
(494)
6,301
(5,123)
(5,926)
(2,487)
114,611

(164,015)
(1,828)
—
832
(36,414)
(201,425)

(139,696)
(621)
10,328
302
(26,314)
(156,001)

(72,408)
542
—
85
(33,312)
(105,093)

735
5,953
—
—
(12,845)
(30,735)
—
27,500
— (198,853)
371,522
(79,853)
(1,484)
(795)
(60,657)
14,230
—
59,500

362,452
(265,988)
(453)
(816)
(42,757)
16,464
8,427
52,547

12,435
(54,012)
(4,402)
61,695
—
—
—
—
(996)
(34,847)
13,186
—
(6,941)

(1,967)
610
7,240
7,850

Effect of exchange rate changes on cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net increase (decrease) in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash and cash equivalents at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash and cash equivalents at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,492 $

(5,617)
5,667
7,825

2,149
(25)
7,850
7,825 $

Non-cash activities:

Net issuances of notes payable for certain acquisitions . . . . . . . . . . . . . . . . . . . . . . . . . $ 30,157 $ 49,736 $ 17,795

Net issuances of common stock and warrants for certain acquisitions . . . . . . . . . . . . . $

750 $

— $

441

The accompanying notes are an integral part of these financial statements.

35

STERICYCLE, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
Years Ended December 31, 2006, 2005 and 2004
(in thousands)

Issued and
Outstanding
Shares

Amount

Additional
Paid-In
Capital

Retained
Earnings

Accumulated
Other
Comprehensive
Income (Loss)

Total
Shareholders’
Equity

Balances at December 31, 2003 . . . . . . . . . . . . .

41,868

$420

$290,631 $116,239

$

530

$407,820

Issuance of common stock for exercise of

options and warrants and employee stock
purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conversion of Preferred Stock . . . . . . . . . . . . . .
Purchase/Cancellation of treasury stock . . . . . .
Common stock and warrants issued for

acquisitions . . . . . . . . . . . . . . . . . . . . . . . . . . .
Excess tax benefit of disqualifying dispositions
of stock options and exercise of non-qualified
stock options . . . . . . . . . . . . . . . . . . . . . . . . . .

Currency translation adjustment . . . . . . . . . . . . .
Change in fair value of cashflow hedge . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Comprehensive income . . . . . . . . . . . . . . . . . . .

808
2,836
(789)

9

—

—
—
—

—

8
28
(8)

13,178
20,916
(34,839)

—

—

—
—
—

—

441

7,719

—
—
—

—

—
—
—

—

—

—
—
—

—

—

—
—
78,178

—

1,934
(3)

—

—

13,186
20,944
(34,847)

441

7,719

1,934
(3)
78,178

80,109

Balances at December 31, 2004 . . . . . . . . . . . . .

44,732

$448

$298,046 $194,417

$ 2,461

$495,372

Issuance of common stock for exercise of

options and warrants and employee stock
purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purchase/Cancellation of treasury stock . . . . . .
Excess tax benefit of disqualifying dispositions
of stock options and exercise of non-qualified
stock options . . . . . . . . . . . . . . . . . . . . . . . . . .

Currency translation adjustment . . . . . . . . . . . . .
Change in fair value of cashflow hedge . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Comprehensive income . . . . . . . . . . . . . . . . . . .

668
(1,250)

7
(13)

14,241
(60,644)

—

—
—
—

—

—

—
—
—

—

7,432

—
—
—

—

—
—

—

—
—
67,154

—

—
—

—

(1,817)
(98)
—

—

14,248
(60,657)

7,432

(1,817)
(98)
67,154

65,239

Balances at December 31, 2005 . . . . . . . . . . . . .

44,150

$442

$259,075 $261,571

$

546

$521,634

Issuance of common stock for exercise of

options and warrants and employee stock
purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purchase/Cancellation of treasury stock . . . . . .
Stock compensation expense . . . . . . . . . . . . . . .
Excess tax benefit of disqualifying dispositions
of stock options and exercise of non-qualified
stock options . . . . . . . . . . . . . . . . . . . . . . . . . .

Currency translation adjustment . . . . . . . . . . . . .
Change in fair value of cashflow hedge . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Comprehensive income . . . . . . . . . . . . . . . . . . .

770
(668)
—

—

—
—
—

8
(7)

—

—

—
—
—

17,206
(42,750)
10,610

8,427

—
—
—

—

—
—
— 105,270

—
—

—
—
—

—

4,350
333
—

17,214
(42,757)
10,610

8,427

4,350
333
105,270

109,953

Balances at December 31, 2006 . . . . . . . . . . . . .

44,252

$443

$252,568 $366,841

$ 5,229

$625,081

The accompanying notes are an integral part of these financial statements

36

STERICYCLE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2006

Unless the context requires otherwise, “we,” “us” or “our” refers to Stericycle, Inc. and its subsidiaries on a

consolidated basis.

Note 1—Description of Business

We were incorporated in 1989 and presently serve approximately 351,700 customers throughout the United
States, United Kingdom, Mexico, Canada, Ireland, Argentina, and Puerto Rico. In North America we have a fully
integrated, national network. Our network includes 53 processing centers and 100 additional transfer and
collection sites. We use this network to provide a broad range of services to our customers including regulated
medical waste management services and regulated return management services. Regulated medical waste
management services include servicing a variety of customers to remove and process waste while regulated
return management services are physical services provided to companies and individual businesses that assist
with the handling of products that are being removed from the supply chain due to recalls and expiration. These
services also included advanced notification technology that is used to communicate specific instructions to the
users of the product. Our waste treatment technologies include autoclaving, incineration, chemical treatment and
our proprietary electro-thermal-deactivation system. In the United Kingdom we have a fully integrated network,
which includes 22 processing/collection centers and four additional transfer/collection sites. In Argentina we own
one processing facility, which uses a combination of both incineration and autoclave treatments. In addition, we
have technology licensing agreements with companies located in Japan, Brazil, and Australia.

Note 2—Summary of Significant Accounting Policies

Principles of Consolidation:

The consolidated financial statements include the accounts of Stericycle, Inc. and its wholly owned
subsidiaries as well as our 64.5% ownership in Medam S.A. de C.V. (“Medam”) (a Mexican company). All
significant intercompany accounts and transactions have been eliminated. In addition, we have a 37.5%
ownership in Medam B.A. Srl (an Argentine company), which is accounted for using the equity method.
Minority interest expense related to our majority owned subsidiary and our equity interest in the income or loss
of our unconsolidated subsidiary are included in the other income (expense).

Revenue Recognition:

We recognize revenue for our regulated waste services at the time of waste collection. Revenues from

regulated returns management services are recorded at the time services are performed. Royalty revenues are
calculated based on measurements specified in each contract or license and revenues are recognized at the end of
each reporting period when the activity being measured has been completed. Revenues from product sales are
recognized at the time the goods are shipped to the ordering customer. Software licensing revenues are
recognized on a prorated basis over the term of the license agreement. Revenue and costs on contracts to supply
our proprietary ETD treatment equipment are recognized based on shipment of equipment and services provided
for in the individual contract. We had no revenues related to ETD sales in 2006 or 2005. We do not have any
contracts in a loss position. Losses would be recorded when known and estimable for any contracts that should
go into a loss position

Cash Equivalents and Short-Term Investments:

We consider all highly liquid investments with a maturity of less than three months when purchased to be
cash equivalents. Short-term investments consist of certificates of deposit, which mature in less than one year.

37

Property, Plant and Equipment:

Property, plant and equipment are stated at cost. Depreciation and amortization, which include the

depreciation of assets recorded under capital leases, are computed using the straight-line method over the
estimated useful lives of the assets as follows:

Buildings and Improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Machinery and Equipment
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Containers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transportation Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Office Equipment and Furniture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 to 30 years
5 to 10 years
2 to 20 years
3 to 7 years
3 to 10 years
3 to 7 years

Our containers have a weighted average useful life of 8.8 years.

During the year ended December 31, 2005 we recorded a non-cash impairment charge of $0.9 million

related to our Springhill, Louisiana building and property.

During the year ended December 31, 2004 we changed the useful lives of some our containers. The impact

of the change was immaterial to our results.

Goodwill and Intangibles:

Goodwill and other indefinite lived intangibles are not amortized but are subject to an annual impairment
test. According to Statement of Financial Accounting Standards (“SFAS”) No. 142, other intangible assets will
continue to be amortized over their useful lives. We have determined that our customer relationships have useful
lives from 20 to 40 years based upon the type of customer, with a weighted average useful life of 38.9 years. We
have non-compete intangibles with useful lives from one to five years, with a weighted average useful life of 4.8
years. We have tradename intangibles with useful lives from 20 to 40 years, with a weighted average useful life
of 39.4 years. We have software technology intangibles with useful lives from three to five years, with a
weighted average useful life of 4.4 years. We have determined that our permits have indefinite lives and thus
they are not amortized.

Income Taxes:

Deferred income tax liabilities and assets are determined based on the differences between the financial
statement and income tax basis of assets and liabilities using enacted tax rates in effect for the year in which the
differences are expected to reverse.

Accounts Receivable:

Accounts receivable consist primarily of amounts due to us from our normal business activities. Accounts

receivable balances are determined to be past due when the amount is overdue based on the contractual terms
with the customer. We maintain an allowance for doubtful accounts to reflect the expected uncollectibility of
accounts receivable based on past collection history and specific risks identified among uncollected accounts.
Accounts receivable are written off against the allowance for doubtful accounts when we have determined that
the receivable will not be collected and/or when the account has been referred to a third party collection agency.
Bad debt expense was $4.2 million , $2.7 million, and $0.8 million for the years ended December 31, 2006, 2005,
and 2004, respectively.

Financial Instruments:

Our financial instruments consist of cash and cash equivalents, short-term investments, derivatives, accounts

receivable and payable and long-term debt. The fair values of these financial instruments were not materially
different from their carrying values. Financial instruments, which potentially subject us to concentrations of

38

credit risk, consist principally of accounts receivable. Credit risk on trade receivables is minimized as a result of
the large size of our customer base. No single customer represents greater than 2% of total accounts receivable.
We perform ongoing credit evaluation of our customers and maintain allowances for potential credit losses. For
any contracts in loss positions, losses are recorded when known and estimable. These losses, when incurred, have
been within the range of our expectations.

Use of Estimates:

The preparation of financial statements in conformity with generally accepted accounting principles requires us

to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying
notes. Some areas where we make estimates include allowance for doubtful accounts, credit memo reserve, accrued
employee health and welfare benefits, income tax liabilities and accrued auto and workers’ compensation insurance
claims. Such estimates are based on historical trends and on various other assumptions that are believed to be
reasonable under the circumstances. Actual results could differ from our estimates.

Derivative Instruments:

We have two forward contracts for the purchase of Sterling (GBP) as hedging instruments for an

intercompany loan from the parent company to our subsidiary in the United Kingdom, Stericycle International
Ltd, which are described more fully in Note 7. The subsidiary borrowed the funds for the purchase of all the
common stock of White Rose Environmental, Ltd. The forward contracts align with the anticipated repayment
schedule of the loan and the last contract expires in July 2009.

Stock-Based Compensation:

In December 2004, the Financial Accounting Standards Board issued Statement of Financial Accounting

Standards (“SFAS”) No. 123R, Share-Based Payment (“SFAS No. 123R”). SFAS No. 123R is a revision of
SFAS No. 123, Accounting for Stock-Based Compensation (“SFAS No. 123”), and supersedes Accounting
Principles Board Opinion No. 25, Accounting for Stock Issued to Employees (“APB No. 25”), and its related
implementation guidance. No stock based compensation expense was recognized in 2005 for stock options issued
in connection with our stock option plans and through our employee stock purchase plan (“ESPP”) under the
“intrinsic value” rules in APB No. 25. On January 1, 2006, we adopted the provisions of SFAS No. 123R using
the modified prospective method to account for stock compensation costs. SFAS No. 123R requires the
measurement and recognition of compensation expense for all stock-based payment awards made to our
employees and directors. Under the fair value recognition provisions of SFAS No. 123R, stock-based
compensation cost is measured at the grant date based on the value of the award and is recognized as expense
over the vesting period. Determining the fair value of stock-based awards at the grant date requires considerable
judgment, including estimating expected volatility, expected term and risk-free rate. Our expected volatility is
based upon historical experience. The expected term of the stock options is based upon historical experience. The
risk-free interest rate assumption is based upon the average of the U.S. Treasury three and five-year yield rates. If
factors change and we employ different assumptions, stock-based compensation expense may differ significantly
from what we have recorded in the past.

Foreign Currency Translation:

Assets and liabilities of foreign affiliates that use the local currency as their functional currency are translated

at current exchange rates, and income statement accounts are translated at the average rates during the period.
Related translation adjustments are reported as a component of comprehensive income in shareholders’ equity.

Environmental Matters:

We record a liability for environmental remediation or damages when a cleanup program becomes probable and
the costs or damages can be reasonably estimated. We do not have environmental liabilities recorded at December 31,
2006 nor are we aware of any issues at our facilities that could initiate the need for environmental remediation.

39

Reclassifications:

Certain amounts in the 2004 and 2005 financial statements have been reclassified to conform to the 2006

presentation.

New Accounting Standards:

In September 2006, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 157, “Fair Value
Measurements (“SFAS No. 157”).” SFAS No. 157 defines fair value, establishes a framework for measuring fair
value and requires enhanced disclosures about fair value measurements. SFAS No. 157 requires companies to
disclose the fair value of their financial instruments according to a fair value hierarchy as defined in the standard.
Additionally, companies are required to provide enhanced disclosure regarding financial instruments, including a
reconciliation of the beginning and ending balances separately for each major category of assets and liabilities.
SFAS No. 157 is effective for financial statements issued for fiscal years beginning after November 15, 2007,
and interim periods within those fiscal years. We are currently evaluating the impact of the adoption of SFAS
No. 157, however we do not expect that it will have a material impact on our consolidated financial statements.

In June 2006, the FASB issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes—an

interpretation of FASB Statement No. 109” (“FIN 48”). This interpretation clarifies the accounting for
uncertainty in income taxes recognized in an enterprise’s financial statements in accordance with SFAS No. 109,
“Accounting for Income Taxes.” This Interpretation prescribes a recognition threshold and measurement attribute
for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax
return. This Interpretation also provides guidance on derecognition, classification, interest and penalties,
accounting in interim periods, disclosure, and transition. FIN 48 is effective for fiscal years beginning after
December 15, 2006. We are currently evaluating the impact of the adoption of FIN 48; however we do not expect
that it will have a material impact on our consolidated financial statements.

Note 3—Income Taxes

Significant components of our income tax expense for the years ended December 31, are as follows (in

thousands):

Current

2006

2005

2004

U.S. federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
U.S. state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$40,764
7,857
5,235

$23,530
4,561
2,819

$30,027
6,423
(313)

Deferred

U.S. federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
U.S. state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

53,856

30,910

36,137

9,131
2,534
1,783

13,448

10,720
2,730
466

13,916

10,587
1,941
1,721

14,249

Total Provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$67,304

$44,826

$50,386

A reconciliation of the income tax provision computed at the federal statutory rate to the effective tax rate

for the years ended December 31, are as follows:

Federal statutory income tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of:

State taxes, net of federal tax effect

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2006

2005

2004

35.0% 35.0% 35.0%

3.9%
0.1%

4.1%
0.9% —

4.2%

Effective tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

39.0% 40.0% 39.2%

40

Cash payments for income taxes were $30.1 million, $28.1 million and $25.9 million for the years ended

December 31, 2006, 2005 and 2004, respectively.

Our deferred tax liabilities and assets as of December 31 are as follows (in thousands):

2006

2005

Deferred tax liabilities:

Property, plant, and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill and other intangibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ (12,963) $(12,732)
(58,817)
—

(91,641)
(917)

Total deferred tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(105,521)

(71,549)

Deferred tax assets:

Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net operating tax loss carryforward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9,545
2,077
4,450

8,389
1,394
3,669

Total deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16,072

13,452

Net deferred tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ (89,449) $(58,097)

At December 31, 2006, net operating loss carry forwards for U.S. federal income tax purposes have been

fully utilized, excluding net operating loss carry forwards related to 3CI. Stericycle acquired 3CI’s net operating
loss carry forwards during 2006 and as a result has a remaining net operating loss carry forward for federal and
state purposes of $11.1 million, which began to expire in 2006.

We have a foreign tax credit of approximately $0.3 million, which will begin to expire beginning in 2010.

Undistributed earnings of foreign subsidiaries are considered permanently invested, and therefore no U.S.
deferred taxes are recorded thereon. The cumulative amounts of such earnings are $41.0 million at December 31,
2006, and it was not practicable to estimate the U.S. withholding tax thereon assuming repatriation.

In accordance with SFAS No. 109 “Accounting for Income Taxes” our deferred tax liabilities have been

increased to reflect differences in the tax and book basis of certain intangible assets, primarily related to the
acquisition of The Sterile Technologies Group, Ltd., (“STG”). We have net operating loss carry forwards for
state income tax purposes of $3.9 million, which expire through 2018.

We are currently evaluating the impact of the adoption of FIN 48; however we do not expect that it will

have a material impact on our consolidated financial statements.

Note 4—Acquisitions and Divestiture

During the year ended December 31, 2006, we completed 16 acquisitions, of which seven were domestic

and nine were international. We completed one acquisition in Canada, six in Mexico, one Ireland and one in
Argentina. The largest of our acquisitions during the year was The Sterile Technologies Group Limited in
Ireland (“STG”). We acquired all of the stock of STG for approximately $131.0 million, of which $114.0
million was paid in cash and $17.0 million was paid by the assumption of debt. None of our 16 acquisitions
during 2006 was significant to our operations individually or in the aggregate. We intend to continue to seek
opportunities to acquire businesses that expand our national networks in the United States and internationally
and increase our customer base. We believe that our acquisitions will enable us to improve our operating
efficiencies through increased utilization of our service infrastructure.

The aggregate net purchase price of these acquisitions was approximately $194.9 million, of which

approximately $164.0 million was paid in cash, $30.1 million was paid by the issuance of notes payable and $0.8
million was paid by the issuance of shares of our common stock.

41

As of December 31, 2006 the valuation of certain goodwill and intangible assets associated with the

acquisitions are preliminary and have not been finalized.

During the year ended December 31, 2005 we completed 22 acquisitions, of which 13 were domestic and

nine were international. We completed seven acquisitions in Mexico and two in the United Kingdom. NNC
Group, LLC in Indiana and Universal Solution International, Inc. (“USI”) in North Carolina were our two largest
acquisitions during the year. In connection with the USI acquisition, we sold selected assets of USI’s consumer
products division to Carolina Supply Chain Services LLC for $12.3 million, of which $10.3 million was the net
amount received in cash with $2.0 million being held in escrow. None of our 22 acquisitions during 2005 was
significant to our operations individually or in the aggregate.

The aggregate net purchase price of these acquisitions was approximately $189.4 million, of which
approximately $139.7 million was paid in cash and $49.7 million was paid by the issuance of notes payable.

During the year ended December 31, 2004 we completed six acquisitions, of which two were domestic and
four were international. We completed one acquisition in the United Kingdom and three in Mexico. The largest
of our acquisitions during the year was White Rose Environmental Ltd in the United Kingdom. None of our six
acquisitions during 2004 was significant to our operations individually or in the aggregate.

The aggregate net purchase price of these acquisitions was approximately $90.6 million, of which
approximately $72.4 million was paid in cash, $17.8 million was paid by the issuance of notes payable and
$0.4 million was paid by the issuance of unregistered shares of our common stock.

For financial reporting purposes these acquisition transactions were accounted for using the purchase method

of accounting. The total purchase price for 2006, 2005 and 2004 of $194.9 million, $189.4 million and $90.6
million, respectively, net of cash acquired, was allocated to the assets acquired and liabilities assumed based on the
estimated fair market value at the date of acquisition. In certain cases, the purchase price is or was subject to
downwards adjustment if revenues from customer contracts acquired failed to reach certain specified levels. The
excess of the purchase price over the fair market value of the net assets acquired is reflected in the accompanying
consolidated balance sheets as goodwill. Goodwill was recorded in the amounts of $119.3 million and $170.0
million during the years of 2006 and 2005, respectively. The results of operations of these acquired businesses have
been included in the consolidated statements of income from the date of the acquisition.

Note 5—Long Term Debt

Long-term debt consists of the following at December 31:

2006

2005

Obligations under capital leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Senior Credit Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Notes Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

(in thousands)
617
387,265
77,914

1,209
291,669
68,007

$

Less: Current Portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

465,796
22,681

360,885
12,044

Total

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$443,115

$348,841

42

Payments due on long-term debt excluding capital lease obligations, during each of the five years

subsequent to December 31, 2006 are as follows:

2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(in thousands)

$ 22,306
13,422
10,222
12,408
400,286
6,535

$465,179

We paid interest of $27.6 million, $13.5 million and $11.5 million for the years ended December 31, 2006,

2005 and 2004, respectively.

Property under capital leases included with property, plant and equipment in the accompanying

Consolidated Balance Sheets is as follows at December 31:

2006

2005

Machinery and Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vehicles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Less: Accumulated depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . .

$

(in thousands)
142
6,123
(5,853)

401
5,936
(5,831)

$

$

412

$

506

Amortization related to these capital leases is included with depreciation expense.

Minimum future lease payments under capital leases are as follows (in thousands):

2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total minimum lease payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Less amounts representing interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Present value of net minimum lease payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Less: Current portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$447
102
68
44
28

689
(72)

617
375

Long-term obligations under capital leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$242

Senior Credit Facility

In July 2006 we, and certain of our subsidiaries, entered into a new credit agreement with Bank of America,
N.A., and other lenders party to the credit agreement. The new credit agreement is in effect an amendment of our
prior senior unsecured credit facility.

The new credit agreement (i) reduces our costs of borrowing by using a more favorable pricing grid;
(ii) increases our revolving credit facility from $550 million to $650 million; (iii) increases the “accordion” (the
amount for which we may request an increase in the size of our revolving credit facility) from $100 million to
$200 million; (iv) increases the letter of credit sublimit from $150 million to $200 million; (v) increases the

43

foreign currency sublimit from $125 million to $200 million; (vi) increases the debt-to-EBITDA covenant from
3.00:1.00 to 3.75:1.00; and (vii) extends the maturity date of our borrowings from June 30, 2010 to July 31,
2011.

The new credit agreement reduces our costs of borrowing by reducing the applicable margin that is added to

the relevant interest rate that we are charged. Our borrowings bear interest at fluctuating interest rates
determined, at our election in advance for any quarterly or other applicable interest period, by reference to (i) a
“base rate” (the higher of the prime rate at Bank of America, N.A. or 0.5% above the rate on overnight federal
funds transactions) or (ii) the London Interbank Offered Rate, or LIBOR, plus, in either case, the applicable
margin within the relevant range of margins provided in our credit agreement. Under the new credit agreement,
the applicable margin is based on (i) our consolidated leverage ratio, or, if our long-term non-credit enhanced
debt has been rated by Standard & Poors, (ii) our S&P debt rating, whichever margin is more favorable to us. As
of December 31, 2006, the margin for interest rates on borrowings under our new credit facility was 0.0% on
base rate loans and 0.75% on LIBOR loans.

The new credit agreement contains customary events of default, including our failure to pay any principal,
interest or other amount when due, our violation of certain of our affirmative covenants or any of our negative
covenants, a breach of our representations and warranties, or a change of control. Upon the occurrence of an
event of default, payment of our indebtedness may be accelerated and the lending commitments under the credit
agreement may be terminated.

As of December 31, 2006, we had $387.3 million of borrowings outstanding under our senior unsecured
credit facility, which includes foreign currency borrowings of $9.3 million. In addition, we had $48.8 million
committed to outstanding letters of credit. As of December 31, 2006 the weighted average rate of interest on the
unsecured revolving credit facility was 6.08% per annum.

In June 2005, we obtained a $400.0 million senior unsecured revolving credit facility maturing in June 2010

in place of our then existing senior secured credit facility. The new credit facility reduced the interest rates that
we are charged by reducing the applicable margin that is added to the relevant interest rate. The new credit
facility also allowed us to borrow in pre-approved currencies other than United States dollars. Our borrowings
bear interest at fluctuating interest rates determined, at our election in advance for any quarterly or other
applicable interest period, by reference to (i) a “base rate” (the higher of the prime rate at Bank of America, N.A.
or 0.5% above the rate on overnight federal funds transactions) or (ii) the London Interbank Offered Rate, or
LIBOR, plus, in either case, the applicable margin within the relevant range of margins provided in our credit
agreement. The applicable margin is based upon our consolidated leverage ratio. As of December 31, 2005, the
margin for interest rates on borrowings under our new credit facility was 0.0% on base rate loans and 0.75% on
LIBOR loans. This unsecured credit facility was replaced in July 2006 with the new unsecured credit facility
discussed above.

As of December 31, 2005, we had $291.7 million of borrowings outstanding under our senior unsecured
credit facility, which includes foreign currency borrowings of $5.2 million. In addition, we had $65.9 million
committed to outstanding letters of credit. At December 31, 2005, the weighted average rate of interest on the
unsecured revolving credit facility was 4.99% per annum.

Notes Payable

At December 31, 2006 we had promissory notes and foreign subsidiary bank debt, primarily issued as a

result of acquisitions, totaling $77.9 million. We had $49.1 million of notes with a fixed interest rate and $28.8
million with a floating interest rate. The weighted average interest rate on these notes was 6.21%. The weighted
average maturity was approximately 4.4 years.

At December 31, 2005 we had promissory notes and foreign subsidiary bank debt, primarily issued as a
result of acquisitions, totaling $68.0 million. We had $53.3 million of notes at a fixed rate and $14.7 million at a

44

variable rate. The weighted average interest rate on these notes was 5.30%. The weighted average maturity was
approximately 4.2 years.

Guarantees

We have guaranteed a loan to the Aozora Bank in Japan on behalf of Shiraishi-Sogyo Co. Ltd. (“Shiraishi”).
Shiraishi is a customer in Japan that is expanding their waste management business and has a five-year loan with
a current balance of $4.8 million with the Aozora Bank that expires in June 2009. Management currently believes
no amount will be paid under the guarantee.

Note 6—Accrued Liabilities

Accrued liabilities at December 31 consist of the following items (in thousands):

2006

2005

Accrued compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued vacation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued professional liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued liabilities-other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$13,507
5,038
15,214
18,328
1,840
2,503
19,004

$ 7,394
5,596
12,075
3,950
2,684
3,105
13,646

Total accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$75,434

$48,450

Note 7—Derivative Instruments

In July 2004, we entered into four forward contracts, of which two have settled, to hedge a GBP Sterling-

based intercompany loan between our US-based subsidiary, Stericycle International L.L.C. and our subsidiary in
the United Kingdom, Stericycle International Ltd. The subsidiary borrowed the funds for the purchase of White
Rose. The forward contracts align with the anticipated repayment schedule of the loan and the last contract
expires in July 2009. Initially, we did not elect hedge accounting on the forward contracts and had been
recognizing the change in value of the hedges through other income (expense). This amount was generally offset
by the currency adjustment to the intercompany receivable. During 2004 the cost of the forward contract was
immaterial to our net income.

On October 1, 2005, we prospectively designated these existing forward contracts as cash flow hedges and are

using hedge accounting. The objective of our cash flow hedges is to offset the foreign exchange risk to the U.S.
dollar equivalent cash inflows on the settlement of the GBP denominated intercompany loan. We expect the income
related to this hedge accounting election will be $0.1 million, recognized over the remaining life of the contracts
through interest income. During 2006 and 2005 the cost of the forward contracts recognized was immaterial to our
net income. At December 31, 2006, the fair market value of the hedge was recorded as a liability of $2.3 million in
other long term liabilities. As of December 31, 2006, the total notional amount of hedges outstanding is GBP 11.0
million. At December 31, 2006 the hedges were determined to be 100% effective.

Note 8—Goodwill and Other Intangible Assets

In June 2001, the FASB issued SFAS No. 141, “Business Combinations”, and SFAS No. 142, “Goodwill

and Other Intangible Assets”. Under SFAS 142, goodwill and other indefinite lived intangibles are no longer
amortized and are subject to an annual impairment test, or to more frequent testing if circumstances indicate that
they may be impaired. In 2006 and 2005 we performed our annual impairment evaluations and determined that
there was no impairment. At December 31, 2006 and 2005, we had $32.2 million and $18.5 million, respectively,

45

of indefinite lived intangibles that consist of environmental permits for which we performed an annual
impairment test, and determined there was no impairment.

We have two geographical reporting segments, United States and Foreign Countries, both of which have
goodwill. The changes in the carrying amount of goodwill for the years ended December 31, 2006 and 2005 was
as follows (in thousands):

United
States

Foreign
Countries

Total

Balance as of January 1, 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill acquired during year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of currency fluctuation on carrying value . . . . . . . . . . . . . . . . . . . . . . . .

$475,581
145,915
—

$ 41,227
24,035
(1,589)

$516,808
169,950
(1,589)

Balance as of December 31, 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill acquired during year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of currency fluctuation on carrying value . . . . . . . . . . . . . . . . . . . . . . . .

621,496
26,028
—

63,673
93,311
9,465

685,169
119,339
9,465

Balance as of December 31, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$647,524

$166,449

$813,973

According to SFAS 142, other intangible assets will continue to be amortized over their useful lives.

During the year ended December 31, 2006 we recorded at fair value the intangibles acquired in connection

with our acquisitions of Universal Solutions International Inc., NNC Group LLC, One Source, Mr. Shredding
Waste Management LTD., STG, and Nicklin Associates Inc., and assigned an estimate for the intangible
valuation of customer relationships with respect to acquisitions completed during the fourth quarter of 2006.

In 2006, we assigned $41.2 million to customer relationships with amortization periods of 20 to 40 years,
$13.6 million to facility environmental permits with indefinite lives, $0.3 million to non-compete agreements
with amortization periods of one to five years and $0.2 million to proprietary technology with an amortization
period of three years.

During the year ended December 31, 2005 we recorded at fair value the intangibles acquired in connection

with our acquisitions of Sanford Motors, Iowa Regulated waste Reduction Center, Automated Health
Technologies, L.L. Horizons, Bio-Med Tech, Envirotech, Bio Clean, Medical Systems, Med Trac, and the
acquisitions completed by our United Kingdom and Mexican subsidiaries. We assigned $13.3 million to
customer relationships with amortization periods of 20 to 40 years, $1.7 million to facility environmental permits
with indefinite lives and $0.4 million to non-compete agreements with amortization periods of one to five years.
We also had a $1.8 million write-off and a corresponding reduction in the accumulated amortization of $0.4
million related to the unamortized portion of a license agreement that was effectively terminated.

During the year ended December 31, 2004 we recorded at fair value the intangibles acquired in connection
with our acquisitions of PSSI, American Waste Industries, Inc. Texas Environmental Services, Inc., White Rose
Environmental Ltd., and Sterimed S.A.de C.V. We assigned $11.7 million to customer relationships with
amortization periods of 20 to 40 years, $2.2 million to tradenames with an amortization period of 20 to 40 years,
$6.4 million to facility environmental permits with indefinite lives, $0.5 million to a software license with an
amortization period of 5 years and $0.2 million to non-compete agreements with amortization periods of one to
five years.

46

As of December 31, the value of the amortizing intangible assets were as follows (in thousands):

Gross
Carrying Amount

Accumulated
Amortization

Net
Carrying Amounts

2006

2005

2006

2005

2006

2005

Non-compete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Customer relationships . . . . . . . . . . . . . . . . . . . . . .
Tradenames . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
License agreement . . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 7,184
83,330
3,754
500
341

$ 6,881
40,978
3,575
500
141

$ 6,357
4,355
297
308
137

$6,046
2,385
274
208
52

$

827
78,975
3,457
192
204

$

835
38,593
3,301
292
89

Total

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$95,109

$52,075

$11,454

$8,965

$83,655

$43,110

During the year ended December 31, 2006, 2005 and 2004 the aggregate amortization expense was $3.0
million, $1.6 million, and $2.4 million respectively. The estimated amortization expense, in thousands, for each
of the next five years is as follows for the years ended December 31:

2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$3,021
2,767
2,615
2,609
2,588

Note 9—Lease Commitments

We lease various plant equipment, office furniture and equipment, motor vehicles and office and warehouse
space under operating lease agreements, which expire at various dates over the next twelve years. The leases for
most of the properties contain renewal provisions.

Rent expense for 2006, 2005, and 2004 was $28.7 million, $25.8 million and $21.2 million, respectively.

Minimum future rental payments under non-cancelable operating leases that have initial or remaining terms
in excess of one year as of December 31, 2006 for each of the next five years and in the aggregate are as follows:

2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thereafter

(In thousands)

$ 31,196
26,243
22,615
17,439
11,740
26,713

$135,946

47

Note 10—Net Income per Common Share

The following table sets forth the computation of basic and diluted net income per share:

2006

Year Ended December 31,

2005
(in thousands, except
share and per share data)

2004

Numerator:

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

105,270

$

67,154

$

78,178

Denominator:

Denominator for basic earnings per share-weighted-average

shares . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

44,075,036

44,284,580

44,250,913

Effect of dilutive securities:

Employee stock options . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warrants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Convertible preferred stock . . . . . . . . . . . . . . . . . . . . . . . . .

1,031,222
282
—

1,025,822
107
—

1,142,564
8,613
793,807

Dilutive potential common shares . . . . . . . . . . . . . . . . . . . . . . . .

1,031,504

1,025,929

1,944,984

Denominator for diluted earnings per share-adjusted

weighted-average shares and assumed conversions . . . . . . . . . . . .

45,106,540

45,310,509

46,195,897

Basic net income per share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diluted net income per share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

$

2.39

2.33

$

$

1.52

1.48

$

$

1.77

1.69

For additional information regarding outstanding employee stock options and outstanding warrants, see

Note 11.

In 2006, 2005, and 2004, options and warrants to purchase 782,932 shares, 33,208 shares and 55,719 shares,

respectively, at exercise prices of $35.05-$72.52, $44.22-$62.21 and $46.95-$51.14, respectively, were not
included in the computation of diluted earnings per share because the effect would be antidilutive.

Note 11—Stock Based Compensation

Stock Plans

We have adopted five stock option plans: (i) the 2005 Incentive Stock Option Plan (the “2005 Plan”), which
our stockholders approved in April 2005; (ii) the 2000 Nonstatutory Stock Option Plan (the “2000 Plan”), which
our Board of Directors adopted in February 2000; (iii) the 1997 Stock Option Plan (the “1997 Plan”), which our
stockholders approved in April 1997; (iv) the Directors Stock Option Plan (the “Directors Plan”), which our
shareholders approved in July 1996 (prior to our initial public offering in August 1996); and (v) the 1995
Incentive Compensation Plan (the “1995 Plan”), which our stockholders approved in September 1995. The 1995
Plan expired in July 2005, the Directors Plan expired in May 2006, and the 1997 Plan will expire in January
2007; and no additional options may be granted under any of these three plans.

The 2005 Plan authorizes awards of stock options and stock appreciation rights for a total of 2,400,000

shares; as amended, the 2000 Plan authorizes stock option grants for a total of 3,500,000 shares; the 1997 and
1995 Plans each authorized stock option grants for a total of 3,000,000 shares; and as amended, the Directors
Plan authorized stock option grants for a total of 1,170,000 shares.

The 2005 Plan provides for the grant of nonstatutory stock options (“NSOs”) and incentive stock options
intended to qualify under section 422 of the Internal Revenue Code (“ISOs”) as well as stock appreciation rights;
the 2000 Plan provides for the grant of NSOs; the 1997 and 1995 Plans each provided for the grant of NSOs and
ISOs; and the Directors Plan provided for the grant of NSOs.

48

The 2005 Plan authorizes awards to our officers, employees and consultants and, following the expiration of

the Directors Plan in May 2006, to our directors; the 2000 Plan authorizes stock option grants to our employees
and consultants but not to our officers and directors; the 1997 and 1995 Plans each authorized stock option grants
to our officers, directors, employees and consultants; and the Directors Plan authorized stock option grants to our
outside directors.

These shares, which include both shares available for option grants under the 2005 Plan, 2000 Plan, and

1997 Plan and shares granted as options under all five of our plans but not yet exercised, have been reserved as
follows at December 31, 2006:

1995 Plan options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1996 Directors Plan options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1997 Plan options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2000 Plan options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2005 Plan options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warrants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

338,320
278,122
690,361
1,763,218
2,398,144
11,000

Total shares reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5,479,165

Employee Stock Purchase Plan

In October 2000, our Board of Directors adopted the Stericycle, Inc. Employee Stock Purchase Plan (the
“ESPP”) effective as of July 1, 2001. Our stockholders approved the ESPP in May 2001. The ESPP authorizes
300,000 shares of our common stock to be purchased by employees at a 15% discount from the market price of
the stock through payroll deductions during two six-month offerings each year. An employee who elects to
participate in an offering is granted an option on the first day of the offering for a number of shares equal to the
employee’s payroll deductions under the ESPP during the offering period (which may not exceed $5,000)
divided by the option price per share. The option price per share is the lower of 85% of the closing price of a
share of our common stock on the first trading day of the offering period or 85% of the closing price on the last
trading day of the offering period. We recognized compensation expense for the ESPP, which is reflected in the
statement of income. Every employee who has completed one year’s employment as of the first day of an
offering and who is a full-time employee, or a part-time employee who customarily works at least 20 hours per
week, is eligible to participate in the offering. During 2006, 2005 and 2004, 20,498 shares, 18,572 shares and
20,363 shares, respectively, were issued through the ESPP.

Stock Based Compensation Expense

As a result of adopting SFAS No. 123R, our net income for 2006 was $6.5 million less than if we had

continued to account for stock-based compensation under Accounting Principles Board Opinion No. 25,
“Accounting for Stock Issued to Employees” (“APB 25”) and its related interpretations. Basic and diluted net
income per share during the year ended December 31, 2006 of $2.39 and $2.33, respectively, were negatively
impacted by $0.15 and $0.14, respectively, due to the adoption of SFAS No. 123R.

We have elected to use the modified prospective transition method as permitted by SFAS No. 123R and,
therefore, financial results for prior periods have not been restated. Under this transition method, stock-based
compensation expense for 2006 includes expense for all equity awards granted prior to, but not yet vested as of
January 1, 2006. This compensation expense was based on the grant-date fair value estimated in accordance with
the original provisions of SFAS No. 123, “Accounting for Stock-Based Compensation” (“SFAS 123”) as
amended by SFAS No. 148, “Accounting for Stock-Based Compensation-Transition and Disclosure.” Since the
adoption of SFAS No. 123R, there have been no changes to our stock compensation plans or modifications to
outstanding stock-based awards which would change the value of any awards outstanding. Compensation
expense for all stock-based compensation awards granted subsequent to January 1, 2006 was based on the grant-
date fair value determined in accordance with the provisions of SFAS 123R. SFAS No. 123R also requires the
benefits of tax deductions in excess of recognized compensation expense to be reported as a financing cash flow,
rather than as an operating cash flow as prescribed under the prior accounting rules. This requirement reduces net

49

operating cash flow and increases net financing cash flows in periods after adoption. Total cash flow remains
unchanged from what would have been reported under prior accounting rules. During the year ended
December 31, 2006, we recognized compensation expense of $10.3 million for stock options and $0.3 million for
the ESPP, which is reflected in the statement of income. There were no significant capitalized stock-based
compensation costs at December 31, 2006.

Prior to January 1, 2006, we accounted for stock-based compensation in accordance with APB No. 25 and
followed the disclosure requirements of SFAS No. 123. Under APB 25, we accounted for stock-based awards to
employees and directors using the intrinsic value method as allowed under SFAS No. 123. Under the intrinsic
value method, no stock-based compensation expense was recognized in our statement of income because the
exercise price of the stock options granted to employees and directors equaled the fair market value of the
underlying stock at the date of grant. Options granted were valued using the Black-Scholes option-pricing model
for SFAS No. 123 purposes as well as the following pro forma disclosure assuming the SFAS No. 123 fair value
method was used.

The following table sets forth the computation of basic and diluted loss per share and illustrates the effect on

net income and net income per share as if we had applied the fair value recognition provisions of SFAS No. 123
to our stock-based compensation plans:

Year Ended
December 31,

2005

2004

(in thousands, except
per share amounts)

Stock options expense included in net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

16

$

13

As reported net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pro forma impact of stock options, net of tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pro forma impact of employee stock plan, net of tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$67,154
(5,940)
(127)

$78,178
(5,540)
(111)

Pro forma net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$61,087

$72,527

Earnings per share

Basic—as reported . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Basic—pro forma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diluted—as reported . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diluted—pro forma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

$

$

$

1.52

1.38

1.48

1.36

$

$

$

$

1.77

1.64

1.69

1.58

The following table presents the total stock-based compensation expense resulting from stock option awards

and ESPP included in the consolidated statements of income:

Stock-based compensation expense

Year Ended
December 31, 2006

(in thousands)

Cost of revenues—stock option plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative—stock option plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative—employee stock purchase plan . . . . . . . . . . . . . . . . . . . . . .

$

784
9,521
305

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$10,610

As of December 31, 2006, there was $18.2 million of total unrecognized compensation expense, related to

non-vested option awards, which is expected to be recognized over a weighted-average period of 1.77 years.

Stock Options

Options granted to officers and employees generally vest over five years. During 2006 and 2005, options
granted to officers and employees generally vested at the rate of 20% of the option shares on each of the first five

50

anniversaries of the option grant date. During 2004, options granted to officers and employees generally vested at
the rate of 20% of the option shares on the first anniversary of the option grant date and then at the rate of 1/60 of
the option shares for each of the next 48 months. Expense related to the graded vesting options is recognized
using the straight-line method over the vesting period.

The exercise price per share of an option granted under any of our stock option plans may not be less than
the closing price of a share of our common stock on the date of grant. The maximum term of an option granted
under any plan may not exceed 10 years. An option may be exercised only when it is vested and, in the case of an
option granted to an employee (including an officer), only while he or she remains an employee and for a limited
period following the termination of his or her employment. New shares are issued upon exercise of stock options.
Option activity for the year ended December 31, 2006 is summarized as follows:

Outstanding at beginning of year . . . . . . .
Granted . . . . . . . . . . . . . . . . . . . . . . . . . . .
Exercised . . . . . . . . . . . . . . . . . . . . . . . . . .
Forfeited . . . . . . . . . . . . . . . . . . . . . . . . . .
Cancelled or expired . . . . . . . . . . . . . . . . .

2006

2005

2004

Weighted
average
exercise
price
per share

$33.24
60.92
20.95
49.13
18.47

Weighted
average
exercise
price
per share

$27.13
48.44
21.19
39.79
42.20

Number of
options

3,420,298
897,687
(646,035)
(77,318)
(1,783.00)

Number of
options

3,592,849
872,268
(756,608)
(185,050)
(4,804)

Weighted
average
exercise
price
per share

$21.02
44.74
16.13
29.26
—

Number of
options

$3,653,799
805,069
(797,946)
(240,624)

—

Outstanding at end of year

. . . . . . . . . . . .

3,518,655

$41.92

3,592,849

$33.24

$3,420,298

$27.13

Exercisable at end of year . . . . . . . . . . . . .

1,674,095

$30.78

1,840,013

$23.91

$1,770,681

$20.03

Available for future grant . . . . . . . . . . . . .

1,949,510

2,931,528

1,349,114

The aggregate intrinsic value represents the total pre-tax intrinsic value (the difference between our closing
stock price on the last day of trading for the year ended December 31, 2006 and the exercise price, multiplied by the
number of in-the-money options) that would have been received by the option holders assuming all option holders
had exercised their options on December 31, 2006. This amount changes based on the fair market value of our
stock. The total intrinsic value of options exercised for the year ended December 31, 2006 was $34.0 million.

Outstanding options at December 31, 2006 had a weighted average remaining contractual life of 7.0 years
with an aggregate intrinsic value of $118.1 million. Exercisable options at December 31, 2006 had a weighted
average remaining contractual life of 5.6 years with an aggregate intrinsic value of $74.9 million.

Options outstanding and exercisable as of December 31, 2006 by price range are presented below:

Options Outstanding

Options Exercisable

Range of Exercise Price

$ 6.375-$15.203 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$20.180-$27.370 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$30.699-$35.050 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$35.430-$41.000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$41.800-$44.220 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$44.800-$45.290 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$45.400-$45.800 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$45.850-$58.880 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$59.080-$59.080 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$59.180-$72.520 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shares

442,687
363,885
375,350
171,075
452,002
44,872
564,701
177,321
578,455
348,307

3,518,655

51

Outstanding
Average
Remaining
Life In
Years

Weighted
Average
Exercise
Price

$11.99
26.29
34.88
38.10
44.16
45.26
45.79
49.28
59.08
63.92

3.54
4.94
6.05
6.08
7.14
7.91
8.12
7.89
9.09
9.31

7.03

Weighted
Average
Exercise
Price

$11.99
26.21
34.83
38.16
44.18
45.27
45.77
48.18
59.08
60.35

Shares

442,687
338,353
261,123
139,138
228,415
11,892
97,026
122,163
8,925
24,373

$41.92

1,674,095

$30.78

The Black-Scholes option-pricing model was used in determining the fair value of each option grant. The
expected term of options granted is based on historical experience. Expected volatility is based upon volatility
experience. The expected dividend yield is zero. The risk-free interest rate is based on the average of the U.S.
Treasury three and five-year yield rates. Assumptions used in the Black-Scholes model are presented below:

Stock options granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weighted average grant date fair value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected term ( in years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected volatlity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected dividend yield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Risk free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

872,268
17.81
4.5
28.87%
0.00%
4.83%

$

897,687
14.52
4.3
32.00%
0.00%
4.05%

$

805,069
15.57
4.7
42.00%
0.00%
3.43%

Year Ended December 31,

2006

2005

2004

Note 12—Preferred Stock and Warrants

Preferred Stock

At December 31, 2006 and 2005 we had 1,000,000 authorized shares of preferred stock and no shares issued

or outstanding.

Warrants

In September 2003, in connection with an acquisition, we issued warrants to purchase 1,000 shares of our
common stock. The warrants will become exercisable in September 2008. The exercise price of the warrants is
$47.25 per share. At December 31, 2006 all of the warrants were outstanding.

In October 2006, in connection with an acquisition, we issued warrants to purchase 10,000 shares of our
common stock. The exercise price of the warrants is $70.66 per share. At December 31, 2006 all of the warrants
were outstanding.

Note 13—Employee Benefit Plan

We have a 401(k) defined contribution retirement savings plan covering substantially all employees. Each

participant may elect to defer a portion of his or her compensation subject to certain limitations. We may
contribute up to 50% of the first 5% of compensation contributed to the plan by each employee up to a maximum
of $1,500 per annum. Our contributions for the years ended December 31 2006, 2005 and 2004 were
approximately $1.5 million, $1.3 million and $1.3 million, respectively.

Note 14—Non-Consolidating Joint Ventures

We have an investment in a joint venture, Medam, B.A. Srl, an Argentine corporation, which was formed to
utilize our ETD technology to treat regulated waste primarily in the Buenos Aires market. Our investment in the
joint venture was $2.1 million and $2.6 million at December 31, 2006 and 2005 respectively, which is included
in other long-term assets. In addition we have an intercompany loan with a balance of $1.6 million and $1.1
million at December 31, 2006 and 2005 respectively, which is not eliminated in consolidation.

In 2006, 2005 and 2004, we recorded $0.5 million, $0.3 million and $0.2 million, respectively, of equity

losses related to the above joint venture, which was recorded in the other income (expense).

During January 2004 we sold our minority interest investment in Evertrade Regulated Waste (Pty) Ltd, a

South African company and the associated current receivables and loans due from the joint venture to Reno
Africa PTE Ltd for cash and an $8.1 million note receivable. During the fourth quarter of 2005 the remaining

52

unpaid note balance was $2.5 million. During December 2005 we determined that the issuer of the note would be
unable to generate the remaining cash to pay off the note receivable and therefore we wrote-off the remaining
$2.5 million balance as uncollectible at December 31, 2005.

Note 15—Legal Proceedings

We operate in a highly regulated industry and must deal with regulatory inquiries or investigations from
time to time that may be instituted for a variety of reasons. We are also involved in a variety of civil litigation
from time to time.

United Kingdom Competition Commission. In June 2006, the United Kingdom Office of Fair Trading

(“OFT”) referred to the United Kingdom Competition Commission (the “Competition Commission”) the
acquisition by our subsidiary, Stericycle International, LLC, in February 2006 of all of the stock of The Sterile
Technologies Group Limited (“STG”), an Irish company providing regulated waste management services in
Ireland and the United Kingdom. Under the terms of the OFT’s referral, the Competition Commission was to
decide whether, as a result of the STG acquisition, there has been or is expected to be a substantial lessening of
competition in one or more markets in the United Kingdom for healthcare risk waste services, and if so, what
remedial or other actions, if any, should be taken or recommended by the Competition Commission.

On October 19, 2006, the Competition Commission issued provisional findings that the STG acquisition has

resulted, or may be expected to result, in a substantial lessening of competition in the market for healthcare risk
waste services requiring incineration in five geographical areas. The Competition Commission also issued a
notice of possible remedies, including (i) a complete divestiture of STG’s operations in England and Wales, (ii) a
complete divestiture of STG’s incinerators in England and Wales or (iii) a divestiture of STG’s incinerators
serving customers in the affected geographical areas.

On December 12, 2006, the Competition Commission published its final report on the STG acquisition. The
Competition Commission confirmed its provisional findings and concluded that the STG acquisition has resulted,
and may be expected to continue to result, in a substantial lessening of competition in the market for healthcare
risk waste services requiring incineration in five geographical areas of England and Wales: northern England, the
north Midlands, north Wales, the West Midlands and southeast Wales.

The Competition Commission accepted as a remedy our proposal to be allowed an initial period in which to sell

three STG incinerators serving the affected geographical areas together with the associated customer contracts, subject
to the Competition Commission’s approval of the terms of sale and suitability of the purchaser. We completed the sale
of the three incinerators in February 2007, within the period allowed by the Competition Commission.

3CI Litigation. In November 2005, we entered into a preliminary settlement to resolve class action litigation
by the minority shareholders of our majority-owned subsidiary, 3CI Complete Compliance Corporation (“3CI”),
in which 3CI joined with the class as a plaintiff. This litigation is pending in state court in Louisiana (Robb, et al.
v. Stericycle, Inc., et al., First Judicial District Court, Caddo Parish, Louisiana (No. 467704-A)).

Under the terms of the preliminary settlement, we agreed to pay $32.5 million in cash to a trust fund to be

established by a claims administrator approved by the court for the purpose of (i) settling all claims in the
Louisiana litigation and in related litigation in state court in Texas (3CI Complete Compliance Corporation
v. Waste Systems, Inc., et al., 269th Judicial District, Harris County, Texas (No. 2003-46899)) (together, the
“3CI litigation”), (ii) canceling or otherwise acquiring all of the shares of 3CI common stock held by members of
the plaintiff class and (iii) paying court-approved administrative expenses and legal fees. In accordance with the
terms of the preliminary settlement, we made the required $32.5 million deposit with the claims administrator
following the court’s preliminary approval of the settlement in December 2005.

We recorded the settlement as a new line item, 3CI legal settlement, under “Other income (expense)” on our

consolidated statements of income for 2005. The amount recorded represented the $32.5 million settlement

53

payment plus our legal fees and expenses of $5.9 million, less $1.9 million that we allocated to the shares of 3CI
common stock to be transferred to us upon final approval of the settlement and recorded in goodwill. We
accounted for the acquisition of these shares under purchase accounting. We determined that the fair value of
these shares was $1.9 million on the basis of our determination that approximately 3,161,000 shares would be
transferred to us upon the court’s final approval of the settlement and that the value of each share was $0.60. A
value of $0.60 per share was consistent with the trading price of 3CI common stock during the months preceding
the preliminary settlement in November 2005 and is the value that was used by the court as “purchase
consideration” as described in the next paragraph.

In December 2005, the court preliminarily approved the settlement. The court preliminarily allocated the
$32.5 million of settlement proceeds principally to (i) payment of fees and expenses to counsel for the plaintiff
class of approximately $11.3 million and (ii) distribution to class members of settlement proceeds of
approximately $20.0 million. Of the distribution to class members, a “purchase consideration” component of
$0.60 per share would be distributed to class members who still owned their shares of 3CI stock when the
preliminary settlement received final approval, and a “damages consideration” component would be distributed
to class members in proportion to the time that they held shares of 3CI stock during the class period (September
30, 1998 through February 10, 2005).

The court gave final approval to the preliminary settlement in March 2006. In April 2006, following the

expiration of the period in which an appeal from the court’s order could be filed, we completed a “short-form”
merger of our subsidiary, Waste Systems, Inc., into 3CI, with 3CI as the surviving corporation. As a result, 3CI
became a direct, wholly-owned subsidiary of ours.

The 3CI litigation alleged that we, Waste Systems, Inc. and the four directors of 3CI who were or had been

serving as our designees (and who also were or had been officers or directors of ours) breached our fiduciary
duties, oppressed the minority stockholders and unjustly enriched Stericycle at the expense of 3CI and its other
shareholders. The plaintiffs alleged that we wrongfully diverted 3CI’s cash and assets, manipulated and increased
3CI’s debt to Waste Systems, Inc., wrongfully increased our direct and indirect ownership of 3CI, forced 3CI to
declare significant cash dividends on its preferred stock payable to Waste Systems, Inc., usurped 3CI’s corporate
opportunities, misappropriated 3CI’s customers, unfairly competed with 3CI, and operated 3CI with the goal of
maximizing our profitability and furthering a plan to integrate its operations with ours. The plaintiffs sought,
among other relief, actual and punitive damages and an order requiring the buyout of 3CI’s minority
shareholders.

Other Litigation. In Australia, we are in arbitration with SteriCorp Limited over the ETD equipment that we

sold to them. Discovery is concluding. We currently expect that the arbitration hearing will be held during the
second quarter of 2007.

During 2005, we were in arbitration regarding various disputes under an exclusive marketing and distribution

license agreement with a licensor of software. The licensor claimed, among other things, that our license had ceased
to be exclusive because of our failure to pay minimum royalties under the license agreement and we claimed,
among other things, that the licensor’s actions entitled us to rescind the license agreement and to be repaid the $1.8
million license fee that we had paid. On March 1, 2006, the arbitrator awarded the licensor $0.4 million in damages
for breach of the license agreement and denied all of the parties’ other claims, including our claim for rescission,
and the license agreement was effectively terminated. As a result of the arbitrator’s decision we wrote-off the
remaining $1.4 million unamortized portion of our license intangible asset as of December 31, 2005.

Note 16—Products and Services and Geographic Information

SFAS No. 131, “Disclosures about Segments of an Enterprise and Related Information,” requires segment

information to be reported based on information utilized by executive management to internally assess
performance and make operating decisions. We have determined that we have three operating segments based on

54

the organizational structure of our company and information reviewed. These operating segments are Foreign
Medical Waste Management Services (“Foreign Countries”), Domestic Medical Waste Management Services,
and Domestic Returns Management Services. We have aggregated Domestic Medical Waste Management
Services and Domestic Returns Management Services into one reportable segment “United States”, based on our
consideration of the following aggregation criteria:

•

•

•

•

•

the same services are provided,

the same types of customers are serviced,

the same types of collection, transportation and processing methods are utilized,

their regulatory environments are similar but vary based upon country specific regulations, and

they employ the same sales and marketing techniques and activities.

Our two reportable segments are United States and Foreign Countries.

Our foreign operations have material revenues and long lived assets in Europe, which consists of the United

Kingdom and Ireland. Summary information for our reportable segments is as follows:

Year Ended December 31,

2006

2005

2004

(in thousands)

Revenues:
United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Europe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other foreign countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total Foreign Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 616,436

$ 508,247

$449,501

128,743
44,458

173,201

69,098
32,112

101,210

34,970
31,757

66,727

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 789,637

$ 609,457

$516,228

Income before income taxes:

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 150,820
21,754

$ 102,286
9,694

$119,387
9,177

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 172,574

$ 111,980

$128,564

Total assets:

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$1,016,146
311,760

$ 978,027
69,633

$775,476
58,665

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$1,327,906

$1,047,660

$834,141

Long-lived assets:
United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Europe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other foreign countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total Foreign Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 895,299

$ 859,497

$689,178

168,007
45,998

214,005

23,617
20,504

44,121

10,291
19,180

29,471

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$1,109,304

$ 903,618

$718,649

Revenues are attributed to countries based on the location of customers. Intercompany revenues recorded by

the United States for work performed in Canada are eliminated prior to reporting United States revenues. The
same accounting principles and critical accounting policies are used in the preparation of the financial statements
for both reporting segments.

55

Detailed information for our United States reporting segment is as follows:

Regulated medical waste management services . . . . . . . . . . . . . . . . . . . . . . . .
Regulated returns management services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$557,927
58,509

(in thousands)
$495,469
12,778

$448,485
1,016

Total Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$616,436

$508,247

$449,501

Year Ended December 31,

2006

2005

2004

Net interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23,406

11,621

Write-down of investment in securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Debt extinguishment and refinancing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3CI settlement of class action litigation(2005) /proceeds from insurance

(2006) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Licensing legal settlement
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,000
—

—
197

9,340

—
4,574

(1,025)
—
150,820
63,524

36,481
1,823
102,286
41,298

—
—
119,387
50,136

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 87,296

$ 60,988

$ 69,251

Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Capital expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 19,893
$ 25,556

$ 16,317
$ 20,011

$ 17,029
$ 27,965

Detailed information for our Foreign Countries reporting segment is as follows:

Year Ended December 31,

2006

2005

2004

Regulated medical waste management services . . . . . . . . . . . . . . . . . . . . . . . . .
Proprietary equipment and technology license sales . . . . . . . . . . . . . . . . . . . . .

$172,653
548

(in thousands)
$100,147
1,063

Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Debt extinguishment and refinancing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$173,201
3,655
—
21,754
3,780

$101,210
626
250
9,694
3,528

$58,590
8,137

$66,727
1,288
—
9,177
250

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 17,974

Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Capital expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$
7,143
$ 10,858

$

$
$

6,166

$ 8,927

5,114
6,303

$ 4,774
$ 5,347

56

Note 17—Selected Quarterly Financial Data (Unaudited)

The following table summarizes our unaudited consolidated quarterly results of operations as reported for

2006 and 2005 (in thousands, except for per share amounts):

First
Quarter
2006

Second
Quarter
2006

Third
Quarter
2006

Fourth
Quarter
2006

Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-down of investment in securities . . . . . . . . . . . . . . . . . . . . .
*Basic earnings per common share . . . . . . . . . . . . . . . . . . . . . . . . .
*Diluted earnings per common share . . . . . . . . . . . . . . . . . . . . . . .

$179,249
78,753
44,746
—
0.53
0.52

$198,424
87,561
49,961
1,000
0.57
0.56

$203,267
90,523
53,035
—
0.62
0.61

$208,697
93,030
54,021
—
0.65
0.64

First
Quarter
2005

Second
Quarter
2005

Third
Quarter
2005

Fourth
Quarter
2005

Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3CI legal settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Licensing legal settlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Write-down of note receivable with former joint venture . . . . . . .
Net income (loss)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*Basic earnings per common share . . . . . . . . . . . . . . . . . . . . . . . . .
*Diluted earnings per common share . . . . . . . . . . . . . . . . . . . . . . .

$140,578
60,933
39,095
—
—
—
21,815
0.49
0.48

$149,148
65,279
41,983
—
—
—
22,982
0.52
0.51

$153,176
67,588
41,952
—
—
—
23,383
0.53
0.52

$166,555
74,237
45,325
36,481
1,823
2,495
(1,026)
(0.02)
(0.02)

• The fourth quarter of 2005 includes $36.5 million ($23.4 million after tax) in 3CI legal settlement

expenses, $1.8 million ($1.1 million after tax) in licensing legal settlement, $2.5 million ($1.5 million
after tax) in non-cash write-down of a note receivable with a former joint venture.

• Earnings per share are calculated on a quarterly basis, and, as such, the amounts may not total the

calculated full-year earnings per share.

Note 18—Accumulated Other Comprehensive Income

The components of accumulated other comprehensive income balances are as follows (in thousands):

Currency
translation
adjustments

Unrealized
gains (losses)
on cash flow
hedges (in
thousands)

Total
accumulated
other
comprehensive
income

Ending balance December 31, 2003 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fiscal 2004 change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

530
1,934

Ending balance December 31, 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fiscal 2005 change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ending balance December 31, 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fiscal 2006 change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,464
(1,817)

647
4,350

$

0
(3)

(3)
(98)

(101)
333

$

530
1,931

2,461
(1,915)

546
4,683

Ending balance December 31, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 4,997

$ 232

$ 5,229

57

Note 19—Subsequent Event

On February 17, 2007 we completed the sale of three incinerators that we acquired in our acquistion of STG

in February 2006. These assets, part of the Foreign Countries operating segments, are presented on our balance
sheet as “Asset group held for sale” and “Liability group held for sale” and include a preliminary allocation of
intangibles. The divestiture of these incinerators was required by the United Kingdom Competition Commission
(see Note 15-Legal Proceedings). The sale price was approximately $26.5 million in cash, and we do not
anticipate recording a material gain or loss during the quarter ending March 31, 2007.

58

STERICYCLE, INC. AND SUBSIDIARIES

SCHEDULE II—VALUATION AND ALLOWANCE ACCOUNTS
(in thousands)

Balance
12/31/03

Charges to
Expenses

Other
Charges(1)

Write-offs/
Payments

Balance
12/31/04

Allowance for doubtful accounts . . . . . . . . . . . . . . . . . . . .
Accrued severance and closure costs . . . . . . . . . . . . . . . . .
Deferred tax valuation allowance . . . . . . . . . . . . . . . . . . . .

$4,149
15
$ 922

$ 763
(15)

$ —

$ 175
—
$ —

$ (899) $4,188
—
$ — $ 922

—

Allowance for doubtful accounts . . . . . . . . . . . . . . . . . . . .
Deferred tax valuation allowance . . . . . . . . . . . . . . . . . . . .

$4,188
$ 922

$2,645
$ —

$1,215
$ —

$(3,238) $4,810
$ (922) $ —

Balance
12/31/04

Charges
to Expenses

Other
Charges(1)

Write-offs/
Payments

Balance
12/31/05

Allowance for doubtful accounts . . . . . . . . . . . . . . . . . . . .

$4,810

$4,194

$

48

$(3,641) $5,411

(1) Amounts consist primarily of costs assumed from acquired companies recorded prior to the date of

acquisition and currency translation adjustments.

Balance
12/31/05

Charges
to Expenses

Other
Charges(1)

Write-offs/
Payments

Balance
12/31/06

59

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Statement Disclosure.

None.

Item 9A. Controls and Procedures

(a) Evaluation of disclosure controls and procedures.

Our management, with the participation of our President and Chief Executive Officer and our Chief Financial
Officer, conducted an evaluation of the effectiveness of our disclosure controls and procedures as of the end of the
fiscal year covered by this Report. On the basis of this evaluation, our President and Chief Executive Officer and
our Chief Financial Officer each concluded that our disclosure controls and procedures were effective.

The term “disclosure controls and procedures” is defined in Rule 13a-14(e) of the Securities Exchange Act

of 1934 as “controls and other procedures designed to ensure that information required to be disclosed by the
issuer in the reports, files or submits under the Act is recorded, processed, summarized and reported, within the
time periods specified in the [Securities and Exchange] Commission’s rules and forms.” Our disclosure controls
and procedures are designed to ensure that material information relating to us and our consolidated subsidiaries is
accumulated and communicated to our management, including our President and Chief Executive Officer and our
Chief Financial Officer, as appropriate to allow timely decisions regarding our required disclosures.

(b) Internal control over financial reporting.

Management’s Report on Internal Control over Financial Reporting and our Independent Registered Public

Accounting Firm’s Attestation Report are included in Item 8.

(c) Changes in internal controls.

There were no significant changes in our internal controls or in other factors that could significantly affect

those controls during the quarter ended December 31, 2006.

Item 9B. Other Information

None.

60

Item 10. Directors and Executive Officers of the Registrant

PART III

The information required by this Item regarding our directors is incorporated by reference to the information

contained under the caption “Election of Directors” in our definitive proxy statement for our 2007 Annual
Meeting of Stockholders to be held on May 16, 2007, to be filed pursuant to Regulation 14A.

The information required by this Item regarding our executive officers is contained under the caption

“Executive Officers of the Registrant” in Part I of this Report.

The information required by this Item regarding compliance with Section 16(a) of the Securities Exchange

Act of 1934 is incorporated by reference to the information contained under the caption “Section 16(a) Beneficial
Ownership Reporting Compliance” in our definitive proxy statement for our 2007 Annual Meeting of
Stockholders to be held on May 16, 2007, to be filed pursuant to Regulation 14A.

We have adopted a code of business conduct that applies generally to all of our employees and, in addition,

we have a adopted a finance department code of ethics that applies specifically to our President and Chief
Executive Office, Chief Financial Officer, Vice President-Finance and the members of our finance department.
Both codes are available on our website, www.stericycle.com, under “About Us/Corporate Overview,” Any
amendment to or waiver of the finance department code of ethics will be posted on our website within five
business days after the date of the amendment or waiver.

Item 11. Executive Compensation

The information required by this Item is incorporated by reference to the information contained under the

caption “Executive Compensation” in our definitive proxy statement for our 2007 Annual Meeting of
Stockholders to be held on May 16, 2007, to be filed pursuant to Regulation 14A.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder

Matters

The information required by this Item is incorporated by reference to the information contained under the

captions “Stock Ownership” and “Executive Compensation” in our definitive proxy statement for our 2007
Annual Meeting of Stockholders to be held on May 16, 2007 to be filed pursuant to Regulation 14A.

Item 13. Certain Relationships and Related Transactions

No information is required by this Item.

Item 14. Principal Accountant Fees and Services

Audit Fees

The aggregate fees billed by our independent public accountants, Ernst & Young LLP, for professional
services rendered in connection with the audit of our annual financial statements and the audit of our internal
controls over financial reporting, and review of our interim financial statements included in our quarterly reports
on Form 10-Q for the fiscal year ended December 31, 2006 were approximately $1.1 million. This amount
includes approximately $34,000 for the statutory audit of the financial statements of our subsidiary operating in
Puerto Rico and approximately $197,000 for the specific scope audit and statutory audit of our subsidiary
operating in the United Kingdom.

The aggregate fees billed by our independent public accountants, Ernst & Young LLP, for professional

services rendered in connection with the audit of our annual financial statements and review of our interim

61

financial statements included in our quarterly reports on Form 10-Q for the fiscal year ended December 31, 2005
were approximately $1.0 million. This amount includes approximately $34,000 for the statutory audit of the
financial statements of our subsidiary operating in Puerto Rico and approximately $63,000 for the specific scope
audit and statutory audit of our subsidiary operating in the United Kingdom.

Audit Related Fees

In the years ended December 31, 2006 and 2005 Ernst & Young LLP did not bill us for any audit related
fees. Ernst & Young LLP did not perform any other assurance or related services during either of these two fiscal
years.

Tax Fees

Ernst & Young LLP did not provide any tax compliance, tax advice or tax planning services to us during the

fiscal years ended December 31, 2006 and 2005.

All Other Fees

In 2006 we subscribed to the Ernst & Young online research tool at a cost of $2000.

Ernst & Young LLP did not provide any other services to us during the fiscal years ended December 31,

2006 and 2005.

In accordance with policies adopted by the Audit Committee of our Board of Directors, all audit and
non-audit related services to be performed for us by our independent public accountants must be approved in
advance by the Committee.

62

Item 15. Exhibits and Financial Statement Schedules

(a) List of Financial Statements, Financial Statement Schedule and Exhibits

PART IV

We have filed the following financial statements and financial statement schedule as part of this report:

Report of Independent Registered Public Accounting Firm on Internal Control Over Financial

Reporting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Report of Independent Registered Public Accounting Firm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Financial Statements—Stericycle, Inc. and Subsidiaries

Consolidated Balance Sheets as December 31, 2006 and 2005.
Consolidated Statements of Income for Each of the Years in the Three-Year Period Ended

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Page

30
32

33

December 31, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34

Consolidated Statements of Cash Flows for Each of the Years in the Three-Year Period Ended

December 31, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Statements of Changes in Shareholders’ Equity for Each of the Years in the Three-Year
Period Ended December 31, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Notes to Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule II—Valuation and Allowance Accounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

35

36
37
59

All other financial statement schedules have been omitted because they are not applicable to us or the

required information is shown in the consolidated financial statements or notes thereto.

63

Filed with
Electronic
Submission

We have filed the following exhibits with this report:

Exhibit
Index

3.1*

3.2*

3.3*

3.4*

4.1*

10.1*

10.2*†

10.3*†

10.4*†

10.5*†

10.6*†

10.7*†

10.8*†

10.9*†

Description

Amended and restated certificate of incorporation (incorporated by reference to
Exhibit 3.1 to our 1996 Form S-1)

First certificate of amendment to amended and restated certificate of incorporation
(incorporated by reference to Exhibit 3.1 to our current report on Form 8-K filed
November 29, 1999)

Second certificate of amendment to amended and restated certificate of incorporation
(incorporated by reference to Exhibit 3.4 to our annual report on Form 10-K for 2002)

Amended and restated bylaws (incorporated by reference to Exhibit 3.4 to our annual
report on Form 10-K for 2006)

Specimen certificate for shares of our common stock, par value $.01 per share
(incorporated by reference to Exhibit 4.1 to our 1996 Form S-1)

Credit Agreement dated as of July 31, 2006 entered into by Stericycle, Inc. and certain of
its subsidiaries as borrowers, Bank of America, N.A., as administrative agent, swing line
lender, a lender and letter of credit issuer, other lenders party to the Credit Agreement,
JPMorgan Chase Bank, N.A., as syndication agent, and Citibank, N.A., Fortis Capital
Corp. and The Royal Bank of Scotland plc, as co-documentation agents, with Banc of
America Securities LLC, as sole lead arranger and sole book manager (incorporated by
reference to our current report on Form 8-K filed August 4, 2006)

Directors Stock Option Plan (Amended and Restated) (“Directors Plan”) (incorporated by
reference to Exhibit 4.1 to our registration statement on Form S-8 filed August 2, 2001
(Registration No. 333-66542))

First amendment to Directors Plan (incorporated by reference to Exhibit 10.9 to our
annual report on Form 10-K for 2001)

Form of stock option agreement for option grant under Directors Plan (incorporated by
reference to Exhibit 10.1 to our quarterly report on Form 10-Q for the quarter ended
September 30, 2004)

1997 Stock Option Plan (“1997 Plan”) (incorporated by reference to Exhibit 10.3 to our
annual report on Form 10-K for 1997)

First amendment to 1997 Plan (incorporated by reference to Exhibit 10.9 to our 1999
Form S-3)

Second amendment to 1997 Plan (incorporated by reference to Exhibit 10.12 to our
annual report on Form 10-K for 2001)

Third amendment to 1997 Plan (incorporated by reference to Exhibit 10.16 to our annual
report on Form 10-K for 2003)

2000 Nonstatutory Stock Option Plan (“2000 Plan”) (incorporated by reference to
Exhibit 10.13 to our annual report on Form 10-K for 2001)

10.10*†

First amendment to 2000 Plan (incorporated by reference to Exhibit 10.14 to our annual
report on Form 10-K for 2001)

10.11*†

Second amendment to 2000 Plan (incorporated by reference to Exhibit 10.15 to our
annual report on Form 10-K for 2001)

64

Exhibit
Index

10.12*†

10.13*†

10.14†

10.15†

10.16*†

10.17*†

10.18*†

Description

Third amendment to 2000 Plan (incorporated by reference to Exhibit 4.2 to our
registration statement on Form S-8 filed December 20, 2002 (Registration
No. 333-102097))

2005 Incentive Stock Plan (“2005 Plan”) (incorporated by reference to Exhibit 4.1 to our
registration statement on Form S-8 filed August 9, 2005 (Registration No. 333-127353)

Form of stock option agreement for option grant under 1997 Plan, 2000 Plan and 2005
Plan (incorporated by reference to Exhibit 10.5 to our annual report on Form 10-K for
2005)

Form of stock option agreement for bonus conversion option grant under 1997 Plan,
2000 Plan and 2005 Plan (incorporated by reference to Exhibit 10.5 to our annual report
on Form 10-K for 2005)

Employee Stock Purchase Plan (“ESPP”) (incorporated by reference to Exhibit 4.1 to our
registration statement on Form S-8 filed August 2, 2001 (Registration No. 333-66544)

First amendment to ESPP (incorporated by reference to Exhibit 10.21 to our annual
report on Form 10-K for 2002)

Plan of Compensation for Outside Directors (incorporated by reference to Exhibit 10.1 to
our current report on Form 8-K filed August 11, 2006)

10.19†

First amendment to Plan of Compensation for Outside Directors

14

21

23

31.1

31.2

32

Code of ethics (incorporated by reference to Exhibit 10.14 to our annual report on
Form 10-K for 2003)

Subsidiaries

Consent of Independent Registered Public Accounting Firm

Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer

Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer

Section 1350 Certification of Chief Executive Officer and Chief Financial Officer

Filed with
Electronic
Submission

x

x

x

x

x

x

Previously filed

*
† Management contract or compensatory plan required to be filed pursuant to Item 601 of Regulation S-K

References to our “1996 Form S-1” are to our registration statement on Form S-1 as declared effective on

August 22, 1996 (Registration No. 333-05665); and references to our “1999 Form S-3” are to our registration
statement on Form S-3 as declared effective on February 4, 1999 (Registration No. 333-60591).

65

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant

has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.

Date: March 1, 2007.

Stericycle, Inc.

By

/s/ MARK C. MILLER

Mark C. Miller
President and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed by the

following persons in the capacities and on the dates indicated.

Name

Title

Date

/s/

JACK W. SCHULER
Jack W. Schuler

/s/ MARK C. MILLER

Mark C. Miller

Chairman of the Board of Directors

March 1, 2007

President and Chief Executive

March 1, 2007

Officer and a Director (Principal
Executive Officer)

/s/ FRANK J.M. TEN BRINK

Executive Vice President and Chief

March 1, 2007

Frank J.M. ten Brink

Financial Officer (Principal
Financial and Accounting
Officer)

/s/ ROD F. DAMMEYER
Rod F. Dammeyer

/s/ WILLIAM K. HALL

William K. Hall

/s/

JONATHAN T. LORD, M.D.
Jonathan T. Lord, M.D.

/s/

JOHN PATIENCE
John Patience

Director

Director

Director

Director

March 1, 2007

March 1, 2007

March 1, 2007

March 1, 2007

/s/ THOMAS R. REUSCHÉ

Director

March 1, 2007

Thomas R. Reusché

/s/ L. JOHN WILKERSON, PH.D.

Director

March 1, 2007

L. John Wilkerson, Ph.D.

/s/ PETER VARDY

Peter Vardy

Director

66

March 1, 2007

n

o

i

t

r m a

I n f

o

e

2 0 0 6 C o r p o r a t

I n d e p e n d e n t   A u d i t o r s

Ernst & Young LLP
Sears Tower
233 S. Wacker Drive
Chicago, Illinois 60606

L e g a l   C o u n s e l

Johnson and Colmar
300 S. Wacker Drive, Suite 1000
Chicago, Illinois 60606

T r a n s f e r   A g e n t

LaSalle Bank N.A.
135 S. LaSalle Street, Suite 1946
Chicago, Illinois 60603

F o r m   1 0 - K

Additional copies of this Annual Report or Form 10-K filed
with the Securities and Exchange Commission are available,
without charge, upon request from the company,
Investor@stericycle.com or (800) 643-0240 ext. 2012.

A n n u a l   M e e t i n g

The annual meeting of stockholders will be held 
on Wednesday, May16, 2007 at 12:00 PM at 

Wyndham O’Hare
6810 N. Mannheim Road 
Rosemont, Illinois 60018

N a s d a q ® S y m b o l

SRCL

O f f i c e r s

Mark C. Miller

President, Chief Executive Officer and Director

Richard Kogler

Executive Vice President, Chief Operating Officer

Frank J.M. ten Brink

Executive Vice President, Chief Financial Officer

Richard L. Foss

Executive Vice President, Corporate Development

Shan S. Sacranie

Executive Vice President, International

Michael Collins

President, Recall & Return Management 
Services Division

B o a r d   o f   D i r e c t o r s

Jack W. Schuler • Chairman of the Board

Chairman, Nominating and Governance Committee
Member, Audit Committee

Mark C. Miller • President & Chief Executive Officer

William K. Hall

Co-Founder & Chairman • Procyon Technologies, Inc.
Member, Compensation Committee

John Patience

Co-Founder & Partner • Crabtree Partners
Member, Nominating and Governance Committee
Member, Audit Committee

Peter Vardy

Managing Partner • Peter Vardy & Associates (Ret.)
Member, Compensation Committee

L. John Wilkerson, Ph.D.

General Partner • Galen Partners, L.P.
Member, Compensation Committee

Rod F. Dammeyer

President • CAC, LLC
Chairman, Audit Committee
Member, Nominating and Governance Committee

Thomas R. Reusché

Retired Co-Founder • Madison Dearborn Partners, Inc.
Member, Audit Committee
Member, Compensation Committee

Jonathan T. Lord, M.D.

Senior Vice President and Chief Innovation Officer
Humana, Inc.
Chairman, Compensation Committee
Member, Nominating and Governance Committee

28161 N. Keith Drive
Lake Forest, IL 60045

(800) 643-0240

www.stericycle.com