An example of kickbacks that happened within NJ about a decade ago involved many of the top orthopedic device companies in the area. Zimmer, Biomet, Depuy, Smith & Nephew, and Stryker (although Stryker was not directly fined for kickbacks they were involved in a nonprosecution agreement). These companies dealt with a combined fine of 311 million dollars as a result of their kickback program that influence the surgeons decision in selecting knee and hip implants for patients.The kickbacks would be received by the surgeon’s through “consulting deals” which paid surgeons as consultants and included free trips and other benefits. This resulted in surgeon’s making the decisions based off what company offered them the most money rather than what product is best for the patients receiving it.