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THE LESSONS BACK HOME TO INDIANA In the spring of organizations to launch a new pilot program with the goal of using community outreach to combat type 2 diabetes in three of the city’s most at-risk neighborhoods.
The data-driven, $similar approaches used throughout the world, including initiatives that Lilly and its partners have supported in Mexico, India, and South Africa.
Life expectancy in these three communities can be years lower than in neighborhoods just 10 miles away.
The lower life expectancy rate is largely due to health disparities and is similar to rates seen in countries such as Iraq and Bangladesh.
The Indianapolis pilot will target both those with diabetes and those at high risk for developing the disease.
In the three target neighborhoods, an estimated live with diabetes, with prevalence rates as high as 17.5 percent.
The pilot is powered by newly-hired community healthcare workers to help identify people with diabetes and connect them with quality care.
In addition, community members will help identify and propose solutions for the cultural, social, environmental, economic, and policy barriers that increase the risk for diabetes, such as the lack of healthy food options and public spaces for exercise.
The pilot uses Lilly’s global health framework, which includes studying key research questions, reporting what works and what doesn’t, and then using the data to advocate for the scale-up of the most effective solutions.
The program will contribute to Lilly goal to create new access to quality health care for 30 million people in underserved communities on an annual basis by 2030.
It also directly supports the Indiana government drive to require the development of a statewide strategic action plan to significantly reduce the prevalence of diabetes.
Lilly and its partners are testing the hypothesis that the implementation of a multi-pronged community health model will reduce complications for those with diabetes and reduce risk factors for those considered at high risk for developing the disease.
From natural disasters to helping people with limited resources, Lilly donates medicines to vulnerable people and communities worldwide.
Life for a Child Since to the Life for a Child partnership.
The program currently provides access to care, education, and life-saving medicines and supplies to nearly diabetes in 42 developing countries.
In insulin donated through this program helped young people in more than 30 less-resourced countries.
The program has also established new evidence regarding the outcomes for children affected by type less-resourced countries and, in some countries, has helped catalyze national awareness and policy change that has helped make the disease a government priority.
One way we do this in the United States is by donating to the Lilly Cares Foundation Patient Assistance Program, also known as Lilly Cares.
This program is operated by the Lilly Cares Foundation, a separate nonprofit organization created to assist qualifying patients in obtaining certain Lilly medications at no cost.
In more than 120,000 people in the United States obtain the Lilly medications they needed in the areas of mental health, diabetes, cardiovascular disease, men’s health, osteoporosis, arthritis, cancer, psoriasis, migraine, and growth hormone disorders.
In China, Lilly offers patient assistance programs for oncology and osteoporosis patients.
DISASTER RELIEF When major disasters strike, Lilly responds with cash and product contributions to help people in desperate situations.
When responding, Lilly donates items that are specifically requested by relief agencies, and we partner with those agencies to maximize our donations and ensure contributions get to the people who need them most.
In Florence and Michael, that struck the Carolinas and Florida, as well as to the devastation caused by the wildfires in California.
Lilly also continued its partnership with Direct Relief’s Hurricane Preparedness Program (HPP) to help stock hospitals and clinics with essential supplies needed to meet the needs of patients immediately following a hurricane.
Since medicines so that they are prepositioned and ready-foruse in communities impacted by hurricanes and major storms.
Despite all our strengths and assets, Indiana ranks status.
Through this effort, we are applying what we’ve learned from our global health work in underserved communities around the world with the expertise of our local partners and the passion of the people living in these neighborhoods.
A G E Partnering with Project Hope in Puerto Rico In the wake of the devastation that followed Hurricane Maria in 2017, much of Puerto Rico—where Lilly has two manufacturing facilities—continued to struggle in 2018 with infrastructure challenges, such as spotty electricity and disrupted access to medical care and health support services.
In the face of these challenges, we maintained our commitment to helping Puerto Rico recover, sending two teams of medical professionals to the island—including nurses and diabetes educators—to volunteer.
The specialized skills-based volunteer program allowed Lilly physicians, scientists, and other healthcare professionals to apply their expertise and passion to directly impact people with, or at risk for, diabetes in communities outside of the San Juan and Ponce metropolitan areas, both heavily affected by the hurricane.
Outreach services are critical in the posthurricane context, as the storm significantly disrupted access to many healthcare services and referral networks.
Even prior to the hurricane, the burden of chronic diseases among adults in Puerto Rico was exceptionally high.
Approximately 40 percent of adults are hypertensive and nearly 16 percent have diabetes.
When it struck, Hurricane Maria exposed preexisting challenges in Puerto Rico—and created new ones—further limiting access to quality healthcare services, medications, healthy food, and clean drinking water in an already overburdened public sector.
For those on the island living with diabetes, or at risk for the disease, the effects of Hurricane Maria have complicated their ability to get access to adequate care and treatment, as well as vital self-management programs.
Patients who are able to acquire insulin—which requires refrigeration—face ongoing storage challenges due to a persistent lack of reliable power.
Although maintaining a healthy diet is a critical component of successfully managing diabetes, as well as hypertension, many in Puerto Rico are routinely without access to fresh fruits and vegetables.
In response, Lilly designed its program to address challenges at multiple levels, supporting those in need of immediate help, as well as working alongside local partners to strengthen the healthcare system overall.
Lilly volunteers conducted diabetes screenings and testing, health education, and treatment support.
They also helped train local healthcare providers and provided support for a community garden initiative to help ensure families have access to healthy food options.
R I C O EMPLOYEE VOLUNTEERS HOURS SERVED Programs Through Lilly 30x30, we are strengthening existing programs and developing new approaches that help people in resource-limited settings get greater access to Lilly products and services.
These efforts include exploring and expanding alternative business models that create shared value for society and Lilly, pricing strategies, patient support programs, and product donations.
PATIENT SUPPORT PROGRAMS Lilly provides more than across 51 countries that reach close to 2 million people annually.
Our patient support programs are primarily designed to support people who are taking Lilly medicines as well as their caregivers and loved ones.
\| P A G E training about proper use of our devices, and supporting patients through reimbursement and product access issues.
In an effort to expand access to our medicines, Lilly designs and supports programs that take into consideration a patient’s income level and ability to pay.
, Lilly is taking a multifaceted approach to find new medicines or new indications for existing medications to address diseases that disproportionately affect people living in resourcelimited settings.
Building on our legacy of more than reduce the burden of tuberculosis (TB), Lilly continues to support discovery efforts aimed at accelerating the next generation of TB medicines with the understanding that more effective medicines with fewer side effects are desperately needed.
To solve some of the toughest challenges in medicine, we need the most innovative ideas from the best talent in the world.
Our company’s values—integrity, excellence, and respect for people—shape our approach to attracting and developing a highly skilled and ethical workforce.
We are committed to fairness and nondiscrimination in our employment practices, and we value diverse backgrounds, skills, and global perspectives.
Lilly is a place where employees can enjoy meaningful work, build successful careers, and be part of a caring, inclusive team working with shared purpose to create medicines that make life better for people around the world.
In this section, we discuss our efforts to provide employees with a safe, supportive, and rewarding work environment, and to offer fair compensation, training, and career development.
We also underscore our efforts to promote diversity and inclusion within our company, as a reflection of our values and a key driver of business success and growth.
P A G E In 2018, Lilly took a number of actions to build an increasingly collaborative and inclusive workplace culture.
We unveiled a new framework to articulate and emphasize four key expectations—include, innovate, accelerate, and deliver—that will help us be the company we strive to be.
The framework describes what Lilly expects of its employees and leaders, and what they, in turn, can expect from the company: to be part of a team that cares about them and our shared purpose of making life better for people around the world.
To meet our business objectives, the company expects that employees work together, inclusive of colleagues from all perspectives, to speed discovery and development of life-changing medicines, grow revenue for shareholders, and create long-term value.
Not only do we want to inspire our employees and attract the best talent, we want those who do business with Lilly to find us trustworthy and easy to work with.
We strive to create an environment built on mutual respect, openness, and individual integrity.
Respect for people includes our concern for all people who touch or are touched by our company: patients, customers, employees, shareholders, partners, suppliers, and communities.
A key factor in creating a positive, dynamic environment for our employees—and in delivering results for our customers—is our focus on diversity and inclusion (D&I).
Lilly has taken a research-based approach to D&I in the past several years, clearly highlighting its importance and benefits in our new corporate framework—and we are seeing results.
A G E Freedom of Association and Right to Collective Bargaining Lilly recognizes the importance of freedom of association in the workplace and respects the right of our employees to join associations of their own choosing.
In standards and procedures to include specific language about human rights, including our expectation that vendors to Lilly abide by Lilly’s human rights standards as one piece of our Supplier Code of Conduct.
The UN Global Compact’s principles state, in part, that both adults and children should be free from compulsory or coerced labor, and that people should have the right to associate freely and bargain collectively.
, we support a culture of well-being by providing competitive pay, comprehensive employee benefit programs, training and development resources, and opportunities for employees to serve in their communities and around the world.
Lilly is committed to ensuring pay equity for all of our employees.
We comply with local legislative analyses and reporting requirements globally; for many years, we have regularly conducted pay-equity studies in the United States.
In broadened these efforts to include Lilly employees in Brazil, China, Ireland, Italy, Spain, and the United Kingdom.
The results were favorable, with a small percentage of employees receiving an adjustment.
These may include flexible work arrangements; on-site conveniences, such as cafes, fitness centers, and child care; competitive timeoff programs; retirement benefits; and health and disability programs that are available to eligible employees when they need support.
Read more in our Employee Well-Being at Lilly section.
Keeping our people safe and healthy—whether at home or at work—is one of our highest priorities and aligns directly with our company values.
At Lilly, employee safety and well-being are managed by our Health, Safety, and Environment (HSE) team.
I T Y Another way Lilly invests in its employees is through learning and development.
Continued learning and growth is essential for individuals to stay engaged in their work, to develop their careers, and to be the best contributors they can be for Lilly.
This further helps our company fulfill its purpose.
We offer the training our employees need to do their jobs in the highly regulated pharmaceutical industry.
We also provide training about corporate policies, such as those contained in our code of conduct.
And we work to cultivate a culture of lifelong learning by encouraging employees to seek ongoing education and growth experiences, helping them to build careers that are rewarding both personally and professionally.
Because Lilly’s work extends through business areas and functions across the entire breadth of our industry’s value cycle— medicine discovery, development, manufacturing, and marketing—a single career might include opportunities in several areas of interest, or several different geographies.
To help individuals navigate these opportunities, we offer access to learning and development programs that can assist individuals looking to acquire the new skills needed to achieve career aspirations.
Strong leadership is an important part of a thriving company.
To invest in leaders at Lilly, we offer continuous learning and development opportunities for supervisors at all levels of the company to develop skills and apply strategies to become more inclusive, and to help their teams become more collaborative and effective.
Percentage of those who supervise others or hold high-level strategic roles.
\| P A G E At Lilly, we care about our people.
Embracing diversity at Lilly means understanding, respecting, and valuing differences, including race, religion, sexual orientation, gender identity, disability status, work style, national origin, and age.
Our commitment to diversity spans not only our workplace, but also shapes our understanding of the marketplace, and our relationships with our suppliers.
We’re inspired to make a difference in people’s lives every day—through the discovery of life-changing medicines, better understanding of disease management, and support for people living with illness.
We do this with a commitment to diversity and inclusion because we recognize that every individual is unique.
This perspective helps us to attract and retain the best talent from around the world—people from all backgrounds, who can understand the perspectives of our diverse customers.
Our efforts to build a more diverse and inclusive workforce at Lilly have gained momentum since we began a research initiative to better understand the lived experiences of women and minorities at Lilly.
In recognition of this work, we recently won the recruitment, development, and advancement initiatives with a focus on proven, measurable results that benefit women across a range of dimensions—including race/ethnicity, sexual orientation, gender identity, religion, age, nationality, and disability.
Beginning in to understand patients and turned it inward to better understand the lived experiences, or journeys, of our employees: the enablers and barriers they experience in their careers.
This research revealed that cultural and gender differences were affecting the way some employees reported being seen and heard—or not.
Many women, for example, reported experiencing something called “imposter syndrome”—secretly feeling as though their qualifications weren’t enough.
Issues of authenticity were raised—where some minorities and women reported feeling pressure to act in ways that don’t reflect their own unique perspectives.
Women of color, especially, said they sometimes felt invisible.

THE LESSONS BACK HOME TO INDIANA In the spring of organizations to launch a new pilot program with the goal of using community outreach to combat type 2 diabetes in three of the city’s most at-risk neighborhoods.

The data-driven, $similar approaches used throughout the world, including initiatives that Lilly and its partners have supported in Mexico, India, and South Africa.

Life expectancy in these three communities can be years lower than in neighborhoods just 10 miles away.

The lower life expectancy rate is largely due to health disparities and is similar to rates seen in countries such as Iraq and Bangladesh.

The Indianapolis pilot will target both those with diabetes and those at high risk for developing the disease.

In the three target neighborhoods, an estimated live with diabetes, with prevalence rates as high as 17.5 percent.

The pilot is powered by newly-hired community healthcare workers to help identify people with diabetes and connect them with quality care.

In addition, community members will help identify and propose solutions for the cultural, social, environmental, economic, and policy barriers that increase the risk for diabetes, such as the lack of healthy food options and public spaces for exercise.

The pilot uses Lilly’s global health framework, which includes studying key research questions, reporting what works and what doesn’t, and then using the data to advocate for the scale-up of the most effective solutions.

The program will contribute to Lilly goal to create new access to quality health care for 30 million people in underserved communities on an annual basis by 2030.

It also directly supports the Indiana government drive to require the development of a statewide strategic action plan to significantly reduce the prevalence of diabetes.

Lilly and its partners are testing the hypothesis that the implementation of a multi-pronged community health model will reduce complications for those with diabetes and reduce risk factors for those considered at high risk for developing the disease.

From natural disasters to helping people with limited resources, Lilly donates medicines to vulnerable people and communities worldwide.

Life for a Child Since to the Life for a Child partnership.

The program currently provides access to care, education, and life-saving medicines and supplies to nearly diabetes in 42 developing countries.

In insulin donated through this program helped young people in more than 30 less-resourced countries.

The program has also established new evidence regarding the outcomes for children affected by type less-resourced countries and, in some countries, has helped catalyze national awareness and policy change that has helped make the disease a government priority.

One way we do this in the United States is by donating to the Lilly Cares Foundation Patient Assistance Program, also known as Lilly Cares.

This program is operated by the Lilly Cares Foundation, a separate nonprofit organization created to assist qualifying patients in obtaining certain Lilly medications at no cost.

In more than 120,000 people in the United States obtain the Lilly medications they needed in the areas of mental health, diabetes, cardiovascular disease, men’s health, osteoporosis, arthritis, cancer, psoriasis, migraine, and growth hormone disorders.

In China, Lilly offers patient assistance programs for oncology and osteoporosis patients.

DISASTER RELIEF When major disasters strike, Lilly responds with cash and product contributions to help people in desperate situations.

When responding, Lilly donates items that are specifically requested by relief agencies, and we partner with those agencies to maximize our donations and ensure contributions get to the people who need them most.

In Florence and Michael, that struck the Carolinas and Florida, as well as to the devastation caused by the wildfires in California.

Lilly also continued its partnership with Direct Relief’s Hurricane Preparedness Program (HPP) to help stock hospitals and clinics with essential supplies needed to meet the needs of patients immediately following a hurricane.

Since medicines so that they are prepositioned and ready-foruse in communities impacted by hurricanes and major storms.

Despite all our strengths and assets, Indiana ranks status.

Through this effort, we are applying what we’ve learned from our global health work in underserved communities around the world with the expertise of our local partners and the passion of the people living in these neighborhoods.

A G E Partnering with Project Hope in Puerto Rico In the wake of the devastation that followed Hurricane Maria in 2017, much of Puerto Rico—where Lilly has two manufacturing facilities—continued to struggle in 2018 with infrastructure challenges, such as spotty electricity and disrupted access to medical care and health support services.

In the face of these challenges, we maintained our commitment to helping Puerto Rico recover, sending two teams of medical professionals to the island—including nurses and diabetes educators—to volunteer.

The specialized skills-based volunteer program allowed Lilly physicians, scientists, and other healthcare professionals to apply their expertise and passion to directly impact people with, or at risk for, diabetes in communities outside of the San Juan and Ponce metropolitan areas, both heavily affected by the hurricane.

Outreach services are critical in the posthurricane context, as the storm significantly disrupted access to many healthcare services and referral networks.

Even prior to the hurricane, the burden of chronic diseases among adults in Puerto Rico was exceptionally high.

Approximately 40 percent of adults are hypertensive and nearly 16 percent have diabetes.

When it struck, Hurricane Maria exposed preexisting challenges in Puerto Rico—and created new ones—further limiting access to quality healthcare services, medications, healthy food, and clean drinking water in an already overburdened public sector.

For those on the island living with diabetes, or at risk for the disease, the effects of Hurricane Maria have complicated their ability to get access to adequate care and treatment, as well as vital self-management programs.

Patients who are able to acquire insulin—which requires refrigeration—face ongoing storage challenges due to a persistent lack of reliable power.

Although maintaining a healthy diet is a critical component of successfully managing diabetes, as well as hypertension, many in Puerto Rico are routinely without access to fresh fruits and vegetables.

In response, Lilly designed its program to address challenges at multiple levels, supporting those in need of immediate help, as well as working alongside local partners to strengthen the healthcare system overall.

Lilly volunteers conducted diabetes screenings and testing, health education, and treatment support.

They also helped train local healthcare providers and provided support for a community garden initiative to help ensure families have access to healthy food options.

R I C O EMPLOYEE VOLUNTEERS HOURS SERVED Programs Through Lilly 30x30, we are strengthening existing programs and developing new approaches that help people in resource-limited settings get greater access to Lilly products and services.

These efforts include exploring and expanding alternative business models that create shared value for society and Lilly, pricing strategies, patient support programs, and product donations.

PATIENT SUPPORT PROGRAMS Lilly provides more than across 51 countries that reach close to 2 million people annually.

Our patient support programs are primarily designed to support people who are taking Lilly medicines as well as their caregivers and loved ones.

| P A G E training about proper use of our devices, and supporting patients through reimbursement and product access issues.

In an effort to expand access to our medicines, Lilly designs and supports programs that take into consideration a patient’s income level and ability to pay.

, Lilly is taking a multifaceted approach to find new medicines or new indications for existing medications to address diseases that disproportionately affect people living in resourcelimited settings.

Building on our legacy of more than reduce the burden of tuberculosis (TB), Lilly continues to support discovery efforts aimed at accelerating the next generation of TB medicines with the understanding that more effective medicines with fewer side effects are desperately needed.

To solve some of the toughest challenges in medicine, we need the most innovative ideas from the best talent in the world.

Our company’s values—integrity, excellence, and respect for people—shape our approach to attracting and developing a highly skilled and ethical workforce.

We are committed to fairness and nondiscrimination in our employment practices, and we value diverse backgrounds, skills, and global perspectives.

Lilly is a place where employees can enjoy meaningful work, build successful careers, and be part of a caring, inclusive team working with shared purpose to create medicines that make life better for people around the world.

In this section, we discuss our efforts to provide employees with a safe, supportive, and rewarding work environment, and to offer fair compensation, training, and career development.

We also underscore our efforts to promote diversity and inclusion within our company, as a reflection of our values and a key driver of business success and growth.

P A G E In 2018, Lilly took a number of actions to build an increasingly collaborative and inclusive workplace culture.

We unveiled a new framework to articulate and emphasize four key expectations—include, innovate, accelerate, and deliver—that will help us be the company we strive to be.

The framework describes what Lilly expects of its employees and leaders, and what they, in turn, can expect from the company: to be part of a team that cares about them and our shared purpose of making life better for people around the world.

To meet our business objectives, the company expects that employees work together, inclusive of colleagues from all perspectives, to speed discovery and development of life-changing medicines, grow revenue for shareholders, and create long-term value.

Not only do we want to inspire our employees and attract the best talent, we want those who do business with Lilly to find us trustworthy and easy to work with.

We strive to create an environment built on mutual respect, openness, and individual integrity.

Respect for people includes our concern for all people who touch or are touched by our company: patients, customers, employees, shareholders, partners, suppliers, and communities.

A key factor in creating a positive, dynamic environment for our employees—and in delivering results for our customers—is our focus on diversity and inclusion (D&I).

Lilly has taken a research-based approach to D&I in the past several years, clearly highlighting its importance and benefits in our new corporate framework—and we are seeing results.

A G E Freedom of Association and Right to Collective Bargaining Lilly recognizes the importance of freedom of association in the workplace and respects the right of our employees to join associations of their own choosing.

In standards and procedures to include specific language about human rights, including our expectation that vendors to Lilly abide by Lilly’s human rights standards as one piece of our Supplier Code of Conduct.

The UN Global Compact’s principles state, in part, that both adults and children should be free from compulsory or coerced labor, and that people should have the right to associate freely and bargain collectively.

, we support a culture of well-being by providing competitive pay, comprehensive employee benefit programs, training and development resources, and opportunities for employees to serve in their communities and around the world.

Lilly is committed to ensuring pay equity for all of our employees.

We comply with local legislative analyses and reporting requirements globally; for many years, we have regularly conducted pay-equity studies in the United States.

In broadened these efforts to include Lilly employees in Brazil, China, Ireland, Italy, Spain, and the United Kingdom.

The results were favorable, with a small percentage of employees receiving an adjustment.

These may include flexible work arrangements; on-site conveniences, such as cafes, fitness centers, and child care; competitive timeoff programs; retirement benefits; and health and disability programs that are available to eligible employees when they need support.

Read more in our Employee Well-Being at Lilly section.

Keeping our people safe and healthy—whether at home or at work—is one of our highest priorities and aligns directly with our company values.

At Lilly, employee safety and well-being are managed by our Health, Safety, and Environment (HSE) team.

I T Y Another way Lilly invests in its employees is through learning and development.

Continued learning and growth is essential for individuals to stay engaged in their work, to develop their careers, and to be the best contributors they can be for Lilly.

This further helps our company fulfill its purpose.

We offer the training our employees need to do their jobs in the highly regulated pharmaceutical industry.

We also provide training about corporate policies, such as those contained in our code of conduct.

And we work to cultivate a culture of lifelong learning by encouraging employees to seek ongoing education and growth experiences, helping them to build careers that are rewarding both personally and professionally.

Because Lilly’s work extends through business areas and functions across the entire breadth of our industry’s value cycle— medicine discovery, development, manufacturing, and marketing—a single career might include opportunities in several areas of interest, or several different geographies.

To help individuals navigate these opportunities, we offer access to learning and development programs that can assist individuals looking to acquire the new skills needed to achieve career aspirations.

Strong leadership is an important part of a thriving company.

To invest in leaders at Lilly, we offer continuous learning and development opportunities for supervisors at all levels of the company to develop skills and apply strategies to become more inclusive, and to help their teams become more collaborative and effective.

Percentage of those who supervise others or hold high-level strategic roles.

| P A G E At Lilly, we care about our people.

Embracing diversity at Lilly means understanding, respecting, and valuing differences, including race, religion, sexual orientation, gender identity, disability status, work style, national origin, and age.

Our commitment to diversity spans not only our workplace, but also shapes our understanding of the marketplace, and our relationships with our suppliers.

We’re inspired to make a difference in people’s lives every day—through the discovery of life-changing medicines, better understanding of disease management, and support for people living with illness.

We do this with a commitment to diversity and inclusion because we recognize that every individual is unique.

This perspective helps us to attract and retain the best talent from around the world—people from all backgrounds, who can understand the perspectives of our diverse customers.

Our efforts to build a more diverse and inclusive workforce at Lilly have gained momentum since we began a research initiative to better understand the lived experiences of women and minorities at Lilly.

In recognition of this work, we recently won the recruitment, development, and advancement initiatives with a focus on proven, measurable results that benefit women across a range of dimensions—including race/ethnicity, sexual orientation, gender identity, religion, age, nationality, and disability.

Beginning in to understand patients and turned it inward to better understand the lived experiences, or journeys, of our employees: the enablers and barriers they experience in their careers.

This research revealed that cultural and gender differences were affecting the way some employees reported being seen and heard—or not.

Many women, for example, reported experiencing something called “imposter syndrome”—secretly feeling as though their qualifications weren’t enough.

Issues of authenticity were raised—where some minorities and women reported feeling pressure to act in ways that don’t reflect their own unique perspectives.

Women of color, especially, said they sometimes felt invisible.