Advancing Access to Healthcare

Advancing Access to Healthcare MEDTRONIC FOUNDATION 2012 PHILANTHROPY REPORT Innovating for life.

May 2, 2011 April 27, 2012 A year dedicated to tackling the world s greatest health threat noncommunicable diseases (NCDs) The Medtronic Foundation is committed to strategic philanthropy, with the majority of grant programs thoughtfully aligning with the company s commitment to improve access to quality healthcare. Noncommunicable diseases, such as heart disease and diabetes, account for more than 60 percent of all deaths worldwide. Since 2010, the Medtronic Foundation has committed more than $7.5 million in NCD-related grants, and will continue to ramp up efforts to support this global effort. Here s a glimpse of what we are doing: Dr. Jacob Gayle joined the Medtronic Foundation in 2011 to lead continued expansion of global corporate citizenship programs, with an emphasis on addressing healthcare access. He brings nearly 30 years of global health experience, including working through CDC, USAID, and the UN World Health Bank. 75% of healthcare costs in both advanced and developing economies result from NCDs 135+ UN member states committed to addressing NCDs 2 The September 2011 United Nations High Level Meeting on NCDs spurred greater awareness of the health and economic impact of NCDs globally, with more than 135 member states committing to address this global health challenge. The Medtronic Foundation supported the NCD Alliance s work leading civil society in developing data-driven plans and recommendations for the High Level Meeting.

52 million projected number of annual NCD deaths by 2030 As part of an ongoing commitment to train and support frontline healthcare workers, Medtronic Foundation joined One Million Health Workers Challenge, an initiative led by The Frontline Health Workers Coalition and the U.S. Government s Global Health Initiative. Nearly 80% of NCD deaths in 2008 29 million occurred in low- and middle-income countries Medtronic Foundation joined the UN Global Strategy for Women and Children commitment by supporting program efforts focused on rheumatic heart disease. The Foundation also actively partners with UNICEF and the NCD Child Project. In fiscal year 2012, the Medtronic Foundation awarded $32.8 million in grants. More than 45 percent of these grants were dedicated to health nearly 20 percent (and growing) for strengthening health systems. Visit www.medtronicfoundation.org to learn more about specific grant programs and our most current news. Medtronic Foundation 2012 Philanthropy Report 3

Looking Ahead: Building Models of Global Collaboration The Medtronic Foundation will continue to shift more of its focus toward expanding access to quality healthcare, especially for underserved patient populations around the world. More than ever, programming will address access through collaboration building partnerships of technical experts, policy leaders, funders, other private sector leaders, and non-profits. Take the HeartRescue Project. In 2011, the Medtronic Foundation launched the HeartRescue Project, a collaborative effort to improve how sudden cardiac arrest (SCA) is recognized, treated, and measured throughout the United States. By gathering leading resuscitation experts from communities that have proven success, the partners hope to improve SCA survival rates that have remained essentially stagnant at the national level for more than 30 years. The challenge is to capture localized success, and implement the best practices that will bring success on a larger scale. And it s working (see Joe s survival story on the following page). That s one example. But the same principle of collaboration will be applied in future programming, regardless of geography or disease state. The Medtronic Foundation and partners will take a high-level view of existing care systems and the barriers that interrupt the continuum of care, thus identifying important steps to improve the ability of patients to access appropriate care. By mapping the needs, barriers, and opportunities related to successfully navigating chronic disease care and management, the Medtronic Foundation has identified how it can best improve healthcare systems, in partnership with others committed to the same goal. 4

Making a great save at the 18th hole Joe Andazola Cardiac Arrest Survivor, Phoenix, Arizona On the day of my sudden cardiac arrest, I have two recollections, says Joe Andazola, from Phoenix, Arizona. The first was declining breakfast from my wife before I went to play golf. The second was me watching someone being loaded into an ambulance. That someone turned out to be Joe, who suffered sudden cardiac arrest (SCA) while preparing to putt on the 18th hole. Typically, SCA is a death sentence, killing nearly 400,000 Americans each year without warning and with little chance of survival unless immediate action is taken. Luckily for Joe, his golfing buddies and some quick-thinking golf course employees took action. It started with a call from George Prinisk (pictured) to 911. The operator instructed them how to perform hands-only CPR, and they all took turns pressing on Joe s chest until an ambulance arrived. In Arizona, the number of survivors has dramatically improved from 155 in 2004 2005 to 571 in 2009 2010 in large part due to increased bystander action and the implementation of CPR instructions by 911 operators. Bystander action is key to SCA survival, and a primary component in the Medtronic Foundation s HeartRescue Project an unprecedented initiative assembling the country s leading resuscitation experts in a shared challenge to improve cardiac arrest survival rates. These partners are developing and expanding response systems by coordinating measurement, education, training, and the application of evidence-based best practices among the general public, first responders, EMS, and hospitals. Shortly after calling 911, responders from the local fire department delivered two defibrillation shocks, restarting Joe s heart. Then he was taken to a cardiac arrest receiving hospital in Phoenix where he stayed in a coma for five days, receiving therapeutic hypothermia that helped preserve his brain function. He also received an implantable cardioverter defibrillator (ICD) to protect against potential future SCA episodes. There are a lot of people I am so thankful for helping me live, says Joe. I still have questions; why me? My wife tells me it s to make people aware of how important it is to have 911 operators recognize cardiac arrest and instruct people how to perform CPR. Learn more at www.heartrescueproject.com. Medtronic Foundation 2012 Philanthropy Report 5

HEALTH Improving the health of people living with chronic, noncommunicable diseases At Medtronic, our commitment to ensuring that people receive quality healthcare is vital in a world where the human and economic impact of noncommunicable diseases (NCDs) such as diabetes and heart disease continues to mount. With expertise across a range of chronic illnesses, Medtronic has the ability to decrease the number of lives affected by these conditions. The Medtronic Foundation is aligned with these overall company efforts through global health-related grant programs. Global NCD Initiative Supports policy and advocacy efforts associated with Medtronic s global NCD initiative, as well as grants that strengthen health systems. Learn more at www.medtronic.com/ncd. Strengthening Health Systems Provides education and training opportunities in developing regions with critical health needs, with a focus on integrating NCD care into the primary care setting. Particular emphasis is placed on programs that address heart disease, diabetes, and rheumatic heart disease. HeartRescue Supports sudden cardiac arrest awareness, education, and treatment efforts, including the HeartRescue Project, a collaborative effort to increase survival rates. PatientLink Partners with patient organizations around the world that empower individuals through awareness, education, and advocacy to improve the lives of people at risk of and living with chronic diseases. Community Health Responds to specific local health needs identified by Medtronic Foundation staff or employee-led grantmaking committees with particular emphasis on programs for socioeconomically disadvantaged people. 6

Medtronic FOUNDATION HEALTH GRANTS (dollars IN MILLIONS, UNLESS OTHERWISE NOTED) FY2008 FY2009 FY2010 FY2011 FY2012 Strengthening Health Systems 1 $1.0 $1.8 $2.2 $3.6 $2.7 PatientLink $4.3 $4.4 $4.9 $5.2 $4.5 HeartRescue $1.1 $1.4 $1.8 $3.1 $3.3 Community Health $3.1 $2.6 $3.4 $2.4 $2.6 1 Includes NCD policy and advocacy grants 45% of total Medtronic Foundation giving supports health 22 number of countries receiving health grants 242 number of organizations receiving health grants For in-depth information on our health grants, visit www.medtronicfoundation.org. Medtronic Foundation 2012 Philanthropy Report 7

2012 Health Highlights Rheumatic Heart Disease (RHD) Continued our RHD efforts with leading organizations in Asia, Africa, and the South Pacific to address RHD, one of the more prevalent, deadly, and neglected chronic diseases in low- and middle-income countries. In addition to early diagnosis and surveillance, funding is also directed to awareness, training, advocacy, prevention, and treatment efforts. Efforts this year have also focused on the development of an open-access portfolio of training modules for frontline healthcare workers, and the convening of global partners (22 countries and the private sector). Special attention is given to integrating RHD initiatives into the primary care structure of a country or region, helping to not only ensure sustainability of the programs, but also to help strengthen the overall health system. Learn more about our RHD partners and work at www.medtronicfoundation.org. PatientLink Granted more than $4.5 million to 72 patient-serving organizations around the world dedicated to improving the lives of people with a range of chronic diseases, including Parkinson s Disease. A two-year grant to the Parkinson s Action Network supports that organization s Washington D.C.- based Leadership Conference and Public Policy Forum, which brings leading researchers and grassroots advocates together with members of Congress to discuss strategies critical to finding a cure. Photo credit: Parkinson s Action Network 2 million (and counting) number of visitors who learned the basics in cardiac arrest response from HeartRescueNow.com 8

Health Drs. Ajay Vamadevan and Nikhil Tandon New Delhi, India Bringing high-tech, high-touch solutions to the NCD Frontline When it comes to treating cardiovascular disease and diabetes in India, the magnitude of the issue can be overwhelming. Chronic diseases have reached epidemic proportions in India, says Dr. D. Prabhakaran, executive director of the Centre for Chronic Disease Control in Delhi. Though detection and management is relatively simple, less than half of the people are diagnosed and receiving treatment. The good news is that technology gives us a new opportunity to address these challenges. India is home to more than 50 million diabetics the most in the world with new patients diagnosed every day. In addition, cardiovascular disease (CVD) is currently the leading cause of death in urban and rural India, killing two million people each year. Within 15 years, it is projected that India will bear 40 to 60 percent of the world s CVD burden. In the beautiful Himalayan state of Himachal Pradesh, Dr. Prabhakaran and colleagues Drs. Nikhil Tandon and Ajay Vamadevan are leading a project that employs high-tech smartphones and netbooks as healthcare tools. The team will test, modify, and develop new training materials and approaches for integrating noncommunicable diseases into primary healthcare, using software that will help screen, diagnose, and manage patients. The data collected will be used to provide researchers insights into overall NCD trends. As part of the pilot program, CCDC will also train community healthcare workers in order to implement NCD care at the community level. The Medtronic Foundation supports the CCDC as it works to create a model for NCD management, in hopes that these efforts will then be recommended to the government to expand throughout India, and potentially in other parts of the world. NCDs are a challenge to many developing nations, says Dr. Nikhil Tandon, All India Institute of Medical Sciences. But much can be done. Both at the policy level, including efforts to reduce tobacco use and improve diets, and at the primary care level where we need to deliver quality, lower cost care. Medtronic Foundation 2012 Philanthropy Report 9

Education Creating a healthier world through education Continued progress in the global NCD effort requires the development of a new generation of healthcare innovators determined to explore new ideas and challenge old assumptions. In fiscal year 2012, grantmaking focused on: STEM Education (Science, Technology, Engineering, and Math) Ignites and sustains students natural curiosities in science and technology through hands-on K 12 programs, and helps further develop innovators through science and engineering scholarships and fellowships at select post-secondary institutions. Educational Reform Helps all students have access to a quality public education through innovative programs that improve educational systems, with an emphasis on improving administration and teacher quality in primary and secondary schools. Community Education Responds to local education needs identified by Foundation staff and employee grantmaking committees, with particular emphasis on science and math-related programs serving students from under-represented populations. 10

Medtronic FOUNDATION EDUCATION GRANTS (dollars IN MILLIONS, UNLESS OTHERWISE NOTED) FY2008 FY2009 FY2010 FY2011 FY2012 STEM Education $2.6 $3.5 $2.5 $2.6 $.9 Educational Reform $.1 $1.0 $.2 $1.6 $1.5 Community Education $1.8 $1.3 $2.8 $1.5 $1.9 Strategic Partnerships $1.9 $1.9 $2.2 $2.4 $.09 27% of total Medtronic Foundation giving supports education 129 number of organizations receiving education grants 719 number of organizations receiving Matching Gifts to Education For in-depth information on our education grants, visit www.medtronicfoundation.org. Medtronic Foundation 2012 Philanthropy Report 11

2012 Education Highlights Science Buddies Sponsored the Human Biology and Health pages of Science Buddies, the award-winning website dedicated to expanding access to hands-on activities and resources that promote careers in science and technology. The free site provides thousands of easy-to-access experiments from a variety of science categories, in addition to information on science jobs, teacher resources, and online project advice. www.sciencebuddies.org Science Matters Produced and distributed more than 100,000 copies of Science Matters, a free family science guide designed to spark exploration, discovery, and learning in STEM subjects. In this fourth edition, the focus is on the health-related fields of biology, chemistry, engineering, medicine, and zoology. The publication is a tool for parents, caregivers, and teachers to work directly with students at home, at school, or in the community. Free copies are available for order at www.medtronicfoundation.org. 50,000+ young researchers visit the Medtronic Cell Lab each year at the Science Museum of Minnesota 12

EDUCATION Sarah Lyons Clontuskert, Ireland The Building Blocks of Scientific Discovery Every day at Medtronic, more than 9,000 scientists, engineers, and doctors go to work developing technologies designed to improve the way the world treats some of the most challenging diseases, including heart disease, diabetes, chronic pain, and neurological conditions. They work together to advance new ideas, solve problems, and test their theories. That spirit is alive and well in Clontuskert, Ireland, where 9-year-old Sarah Lyons puts the scientific method to work with classmates participating in Junior First Lego League. I like working together as a team, she says. If I didn t have the answer, we would work together to find it. In five years, nearly 20,000 students have been involved in a myriad of projects, often helped by science mentors from Medtronic s Galway facility, a technical center that develops and manufactures technologies for cardiovascular and cardiac rhythm disease. Junior First Lego League is one key element of the Medtronic Scientist of the Future project, a comprehensive effort developed by the Galway Education Center to promote science and engineering to primary school children. The project links health and science education in the hopes of inspiring future innovators, like Sarah. Our team learned about food safety, and the role of pasteurization in milk production, she says. The challenge was to create a conveyer belt for the milk. We discovered how to use gears to slow down the belt in order to safely carry the milk. I joined the team because I really like computers. I was in charge of programming. I hope someday I can work with computers, just like my Auntie! Medtronic Foundation 2012 Philanthropy Report 13

COMMUNITY Supporting Medtronic employees and the vitality of the communities where they live and give Medtronic strives to enrich the overall health and vibrancy of the communities where our employees live and give. We also know that employee engagement fuels productivity and satisfaction. So we blend these objectives by empowering our 40,000 employees to address the unique needs of their local communities. Photo credit: Twin Cities in Motion Community Arts and Human Services Responds to local community needs identified by Foundation staff or employee-led grantmaking committees with particular emphasis on programs that support the arts and human services. Volunteer Grants Grants $500 on behalf of an employee to any non-profit organization where that employee has volunteered a minimum of 25 hours. Disaster Relief Provides relief and rebuilding grants for major global disasters, local disasters in Medtronic communities, and annual funding for the Disaster Relief Emergency Fund of the International Federation of Red Cross and Red Crescent Societies. Additionally, employees are able to receive five days of paid leave to volunteer for qualified disaster relief efforts. 14

Medtronic FOUNDATION COMMUNITY GRANTS FY2008 FY2009 FY2010 FY2011 FY2012 Volunteer Grants $511,000 $458,000 $541,000 $688,000 $581,229 Disaster Relief $285,000 $337,000 $757,000 $787,000 $1,300,000 Arts, Civic & Human Services $5,600,000 $5,900,000 $4,700,000 $5,200,000 $6,149,544 Strategic Partnerships $523,500 $652,500 $955,000 $1,100,000 $973,506 28% of total Medtronic Foundation giving that supports community 9number of countries receiving community and volunteer grants 153 number of organizations receiving community grants For in-depth information on our community grants, visit www.medtronicfoundation.org. Medtronic Foundation 2012 Philanthropy Report 15

2011 Community Highlights Rebuilding in Japan Awarded a grant to Project Hope to rebuild key portions of the health infrastructure in Japan s northern coastal town of Yamada. That town was submerged in the 2011 tsunami that destroyed the hospital and killed hundreds of people. The grant is the final part of a $1 million Medtronic commitment that includes product donations and grants supporting relief efforts, as well as the rebuilding of healthcare infrastructure. Medtronic Community Councils Employee-led Community Councils organized local volunteer and philanthropic efforts in 19 Medtronic locations worldwide. Collectively, the Councils awarded more than $2.7 million in grants in fiscal year 2012. Another $581,229 in volunteer grants were awarded to organizations where Medtronic employees donated more than 25 hours of time. More than 95 percent of Medtronic s 40,000 employees make charitable donations, and nearly 75 percent volunteer. 4,200 in 36 countries volunteered their time during Project 6, the company s month-long global celebration of community service Medtronic employees 16

COMMUNITY Sara Meslow Camp Odayin, Stillwater, Minnesota A Camp with Heart When I hear from campers that they are more independent and confident as a result of their experience, or see a mom send her kid to camp with peace of mind, I understand the strength and importance of the experience. Sara Meslow Founder and executive director of Camp Odayin Every year, tens of thousands of kids are born with congenital heart defects in the United States destined to live a life framed by their condition. With medical advances these kids are living longer than ever before. But surgeries, devices, drugs, and doctors are only part of the healing process. That s where Camp Odayin comes in. Specifically designed for kids with heart disease, Camp Odayin offers swimming, boating, horseback riding, nature walks, and sports all under the watchful eye of highly trained counselors, pediatric cardiologists, and cardiac nurses. It s an experience Sara understands very well. She was first diagnosed with an irregular heartbeat at 13. She received an implantable cardioverter defibrillator when she was 29. After getting my defibrillator, I volunteered at a camp for kids with heart disease, she says. My time there inspired me to create a place in the Midwest where kids like me could safely experience the magic of summer camp. In 11 years, the camp has grown from a single week of resident camp to four weeks, also adding a day camp, family camp, and winter camp. In all, more than 450 kids visit the camp each year. This growth certainly validates our mission, says Meslow. It is humbling to realize how Camp Odayin can change lives. Medtronic Foundation 2012 Philanthropy Report 17

Financials Medtronic TOTAL PHILANTHROPY * (dollars IN MILLIONS) FY2008 FY2009 FY2010 FY2011 FY2012 Total Contributions $55.3 $58.4 $75.6 $59.9 $63.0 Giving by Type (% of total) Medtronic Foundation Giving 47% $26.2 49% $29.1 39% $29.2 51% $30.6 52% $32.9 Medtronic Cash Contributions ** 44% $24.1 39% $22.5 37% $28.3 32% $19.2 36% $22.3 Medical Product Donations *** 9% $5.1 12% $6.8 24% $18.0 17% $10.1 12% $7.8 Foundation Giving by Focus Area (% of total) Health 45% $11.6 43% $12.6 46% $13.5 48% $14.7 45% $14.9 Education 26% $6.8 29% $8.4 27% $8.0 27% $8.1 27% $8.8 Community 29% $7.7 28% $8.2 26% $7.7 25% $7.8 28% $9.2 Total Foundation Grants and Expenses (% of total) U.S. 83.6% 80.8% 78% 76% 77% International 16.4% 19.2% 22% 24% 23% * Company and Foundation ** Medtronic cash giving includes support of medical conferences, charitable grants, and research and public education programs. *** Estimated fair market value Amounts may not add exactly due to rounding. 18

Medtronic has given $668,856,232 globally since the company was founded in 1949 Medtronic Foundation 2012 Philanthropy Report 19

About Medtronic, Inc. Medtronic is a global leader in medical technology, committed to innovation that drives clinical, economic, and societal value, creating meaningful solutions that advance the way the world treats chronic disease. This breadth of offerings, combined with years of experience, allows Medtronic to change the lives of more than 8 million people worldwide each year. www.medtronicfoundation.org View Medtronic s complete 2012 Corporate Citizenship Update at: www.medtronic.com/2012citizenshipupdate Medtronic, Inc. 710 Medtronic Parkway Minneapolis, Minnesota 55432 USA Credits Design Peggy Lauritsen Design Group (PLDG), Minneapolis WBE Nationally Certified by WBENC Photography Deirdre Brennan, Ireland David Ellis, USA Ben Truscello, Tanzania Daryl Visscher, India Printing GLS Companies, Minneapolis GLS Companies is certified as a Forest Stewardship Council (FSC) chain-of-custody company through Bureau Veritas. 20 UC201301960 EN 2012 Medtronic, Inc. All Rights Reserved Printed in USA