LogiMed 2015 The Medical Device Supply Chain Report A thought leadership report commissioned by FedEx Executive Summary As regulation threatens to erode the margins associated with the manufacture of medical devices, LogiMed’s 2015 benchmark data indicates that supply chains are being looked to as prime areas for creating savings. In the past, it has been common practice to overstock inventory to fill unexpected demand, lowering the average amount of inventory turns and taking up space in partially filled warehouses. These warehouses may also become removed from newly emerging centers of market activity over time. The new gold standard in the medical supply chain is a lean inventory model, with a focus on collecting data that can allow supply chain managers to proactively contend with market demand and shifting centers of consumption. TABLE OF CONTENTS Executive Summary.................................2 Additional Contributors.........................3 Key Findings..............................................4 Research Analysis • Savings targets for supply chain managers are the driving force behind a reexamination of how to provide the most effective market coverage with the leanest possible inventory and networks.........................................5 • Where are supply chain managers looking to create these savings? ........6 As the pressure to create savings increases, there is movement among manufacturers towards outsourcing non-essential business components. As the core competencies of medical device manufacturers do not necessarily overlap with distribution and fulfillment, this area in particular may be outsourced in the interest of meeting ambitious savings goals. • Some supply chain managers are outsourcing distribution and fulfillment as a path to cost reduction.................7 In addition to the challenges associated with controlling inventory and moving towards a lean inventory model, an increasing emphasis on emerging markets, as well as the aging population of the developed world, will put new challenges in front of supply chain managers. They must navigate global compliance, build new distribution networks, and create solutions that can remain reliable when the hospital is no longer the only significant site of care both at home and abroad. • Building a network that delivers on time, every time............................................ 11 Improved Enterprise Resource Planning (ERP) suites, business analytics, and logistics technologies are the tools that will assist supply chain managers in meeting these challenges. Data will drive strategic inventory decisions about the delivery of critical medical devices. • Transportation management and global compliance are other categories that may be seeing increased levels of outsourcing............................................8 • Improving fill rates and make to stock lead times............................................ 10 • Increasing inventory turns in an environment of increasing globalization .............................................................. 12 • The aging developed world and an increase in consumption from emerging markets is extending the bounds of where medical equipment must be delivered.............................................. 13 Key Recommendations....................... 14 Appendices............................................ 15 Appendix A: Methodology.................. 15 Appendix B: Who Responded to the Survey...................................................... 15 LogiMed.................................................. 16 FedEx.…….……………..…………………………16 WBR Digital............................................. 16 A thought leadership report commissioned by FedEx 2 Additional Contributors In addition to the benchmark data and analysis contained in this report, several executives and industry experts have contributed their insight via interviews. Selected quotations have been used to add context and color to the statistical information contained in this document. Interviews centered on benchmark findings as well as key trends identified by research. DON LYNCH Director, Supply Chain Welch Allyn Inc. “There are several industry drivers that will impact the medical device supply chain within the next few years. A partial list includes global labor cost equalization, lithium battery shipping regulations, energy prices, and medical device registration and labeling requirements. Each of these factors will impact the medical device supply chain in some manner. In some cases, the impact will be considerable. These issues can be managed, but each vendor within their respective supply chains has a responsibility to proactively understand how each of these factors will impact their own supply chain and the supply chains of their vendors so that appropriate mitigations can be implemented.” -Don Lynch ROB VARNER Senior Director, Americas Distribution Medtronic “In healthcare in general, the supply chain commands a very significant amount of spend, whether it’s around pharmaceuticals, medical devices, or another vertical. Any time you’ve got that big of a spending category, it’s always going to be targeted to reduce cost, control spend, or to analyze spend. The growing importance of supply chain is a trend that’s been building for a while now, and I think it’s accelerating.” -Rob Varner The Medical Device Supply Chain Report 3 Key Findings With pressure to reduce costs, supply chain executives are looking to streamline their distribution networks while increasing efficiency. Because of falling margins in the medical device space due to regulations and the Affordable Care Act, supply chain managers are facing pressure to create savings in their operations. The key word surrounding their efforts is efficiency; a stronger approach to flexibility and demand management combined with more efficient shipping practices is what will allow them to meet their savings targets. A significant share of participating medical device manufacturers are predicting that expansion into emerging markets will play a role in their growth over the next year. In addition, the aging population of the developed world will have its own significant impact. Medical device manufacturers will be facing new logistics challenges related to serving both the increasing levels of demand coming from the developing world, as well as the demands of an aging developed world population. While global compliance and the extension of logistics networks into new markets pose their own challenges, the aging populations which device manufacturers serve at home will place a new emphasis on flexibility and the ability to deliver efficiently to non-hospital sites of care. Managing demand forecasting and creating more flexible distribution networks are allowing manufacturers to boost their on time delivery (OTD) rates and inventory turns. For some, this is thanks to a strategic movement towards outsourcing. “ Many medical device manufacturers have opportunities to increase sales in emerging markets by either winning market share from competitors or by creating new demand with existing technologies that may be new to a region or market segment. The challenges that can accompany these opportunities include new logistical or regulatory requirements that come along with doing business in a market that you may not have experience in. The challenges can be met with appropriate project planning as well as effective product, regulatory, and logistics management.” Don Lynch Director, Supply Chain Welch Allyn Inc. Accurately predicting demand is at the heart of cost reductions around device distribution. Since there is such slim margin for error around the delivery of vital medical equipment, in the past medical device manufacturers have had to keep an excess of inventory on hand to satisfy emergency demand. As technology advances around demand forecasting, inventory turns are increasing, without negatively impacting OTD rates. For some device manufacturers, realizing this goal has come hand in hand with outsourced distribution networks that allow for more seamless shifts in warehousing locations in response to the market. A thought leadership report commissioned by FedEx 4 Research Analysis Savings targets for supply chain managers are the driving force behind a re-examination of how to provide the most effective market coverage with the leanest possible inventory and networks. Cost pressures created by regulation are cutting into medical device margins, and are forcing manufacturers to consider ways to create new savings. Distribution is one of the areas where they see the most saving potential, as historically distribution has been a more difficult area to optimize, with excess inventory the only real safeguard against unpredictable demand. The savings percentages set as targets for participating supply chain managers vary, however the majority, nearly 60%, are aiming to reduce costs by 6% or less. Out of this number, 29% are tasked with reducing costs between 4-6%. Another 29% of manufacturers are pursuing goals within a 3% margin. The remaining share of the response is tasked with savings targets of over 7%. To hit savings targets within this range, in particular for the 12% of executives looking to save over 16% in annual costs, medical device manufacturers will need to rethink every aspect of their supply chains from an efficiency standpoint. “Various aspects of supply chain costs are becoming a larger percentage of the cost profile for medical device manufacturers. Costs such as transportation, material storage, brokerage, duties, and supply chain overhead can become as important as direct labor costs for some companies. With that shift Chart 3: What supply chain savings targets are you currently charged with? What supply chain savings targets are you currently charged with? 29% 29% 0-3% 4-6% 14% 16% 7-9% 10-12% 0% 13-15% 5 chain management can become a bigger part of how manufacturers maintain or improve profitability.” Don Lynch Director, Supply Chain Welch Allyn Inc. 12% 16+% 0 in cost structure, supply 10 15 20 25 30 The Medical Device Supply Chain Report 5 Where are supply chain managers looking to create these savings? Chart 4: How are you approaching those savings? 72% 71% Streamlining the supply chain Reduced transportation costs or increased efficiency 46% 41% Reducing material purchase costs Reduced warehousing costs or increased efficiency Headcount reductions Other (please specify) 11% 9% “There’s a lot of integration related to acquisition and consolidation going on right now in the industry. For any company that is part of a consolidation or merger acquisition effort - and there have been several in the healthcare space - that’s going to dominate the next 12 months and the next 24 When it comes to how the supply chain managers studied are actually planning on 0 10 20 30 40 50 60 70 80 creating the savings they need to hit their goals, the relatively even weight they give to their primary and secondary priorities is reflective of the large scale evaluation and analysis of supply chain efforts required to create major savings. Streamlining supply chains and reducing transportation costs while increasing efficiency were placed as top priorities by 72% and 71% of respondents, respectively. Reducing material purchase costs and reducing warehousing expenses while increasing efficiency both occupied the second tier of priority, with 46% and 41% of supply chain managers indicating they considered these important components of their strategies. Only 11% of managers reported that they would be reducing their headcounts. Downsizing, while not a preferred method of creating savings, seems to still be on the table in the event that quotas cannot be fully hit through revisiting inefficient practices. page 6 chart (was pie) Where do you currently have the most significant business issues? 41% 37% months, and Medtronic is certainly one of those companies. We’re consumed by integrating our acquisition properly. There’s a lot of that type of activity going on and that’s going to really dominate a lot of the landscape in the next 12 months.” Rob Varner Senior Director, Americas Distribution Medtronic Other Manufacturing related 41% Distribution related In of where lie in managing actual business processes, there is 0 terms10 20 the difficulties 30 40 50 close to an even split between manufacturing and distribution related issues, with 37% and 41% of the responses stating that that was the largest challenge, respectively. A careful balancing act is required in order to keep costs down while preserving the overall functionality of the business. A thought leadership report commissioned by FedEx 6 Some supply chain managers are outsourcing distribution and fulfillment as a path to cost reduction. A significant share of supply chain managers currently outsource part of their distribution and order fulfillment, with 43% reporting that they are engaged in partially outsourced programs. Another 14% have fully outsourced their distribution and fulfillment. The benefits of outsourcing can include a more flexible network of warehouses, as well as reduction of wasted space through shared tenancy. Forty-three percent of managers reported that they do not outsource any of their distribution and fulfillment operations. The benefits of this approach include a higher degree of control on end-to-end processes, as well as potentially greater transparency in the shipping process. The drawback to this approach is that companies are forced to think more strategically about where they place their warehouses as they are more heavily invested in the management of each one. In the next 12 months, another third of supply chain managers who do not currently outsource are planning a transition to at least a partially outsourced setup. Do you outsource your distribution and order fulfillment? Chart 5: Do you outsource your distribution and order fulfillment? 14% 43% Yes, all of it No 43% Yes, partially In terms of the relative satisfaction of those who have outsourced, the majority of supply chain managers are either pleased with the performance of their programs, or very satisfied. A quarter reported that they were slightly unsatisfied with the results of their outsourced distribution programs, although none of the respondents qualified their programs as failures, pointing to a generalized trend towards outsourcing in situations where benefits to the bottom line can be attained without sacrificing core competencies within the organization. If you Chart do outsource, how successful has it been on a scale of 1 to 4? 6: If you do outsource, how successful has it been on a scale of 1 to4? (1 = not successful, 4 = very successful) 1 0% Rob Varner Senior Director, Americas Distribution Medtronic 25% 2 “We are huge advocates of outsourcing delivery and fulfillment with our key vendors. Historically, we developed core competency in fulfillment out of necessity over time, but Medtronic is not focused on being the best fulfillment company, and realistically that’s not where we want to spend our energy and our dollars. We do it out of necessity because we’ve historically been able to do it more cost-effectively and reduce some of our regulatory compliance risk by doing it ourselves. Now, we’re working with our key strategic allies to help them be in a position to meet all of our needs from a fulfillment perspective. Our philosophy is to outsource basically everything aside from the processes that have the highest regulatory and quality risks, those things we like to do ourselves to reduce that risk. I think that some solutions providers need to up their game in the healthcare space, and they’re all working towards that end, but, as they get more confident in healthcare fulfillment, we absolutely favor outsourcing.” 48% 3 27% 4 0 10 20 30 40 50 The Medical Device Supply Chain Report 7 If you do not currently outsource, do you plan to outsource distribution and order fulfillment in the next 12 months? Chart 7: If you do not currently outsource, do you plan to outsource distribu:on and order fulfillment in the next 12 months? 8% Yes, all of it “Decisions to outsource delivery, fulfillment, and transportation management should be based 25% 67% Yes, partially on value propositions and basic economics. To select an outsourced service provider, the provider has to be able to No create a value proposition that is better than what companies can manage internally. There are many aspects of logistics management that manufacturers are not able to Transportation management and global compliance are other categories that may be seeing increased levels of outsourcing. While a robust share of supply chain managers do not outsource their transportation management, more than half are currently outsourcing at least some of their processes, with a full 27% outsourcing the entirety of their transportation management operations. Satisfaction levels for these services seem to fall in line with those of outsourced distribution and fulfillment, with the exception being that 2% of managers reported that their outsourced programs were not successful. manage at a lower cost than a logistics service provider. In those cases, it makes sense to outsource.“ Don Lynch Director, Supply Chain Welch Allyn Inc. Do you outsource transportation management? Chart 8:your Do you outsource your transporta:on management? 27% Yes, all of it 50% No 23% Yes, partially A thought leadership report commissioned by FedEx 8 If you do outsource transportation management, how successful has Chart 9: If you do outsource transportation management it been on a scale of 1 to 4? (1 = not successful, 4 = very successful) 1 2% 25% 2 48% 3 25% 4 0 10 20 30 40 50 Global trade compliance is an area where outsourcing rates are lower than in the areas previously discussed, with 80% of participating managers not outsourcing in this area. The larger share of those who do outsource only outsource partially, leaving just 8% of respondents who fully outsource in this area. This could be reflective of the fact that global compliance is a nuanced issue, subject to frequent changes, and therefore a valuable competency to build within organizations. In turn, those organizations that were actively involved in compliance outsourcing reported generally lower rates of satisfaction than were attributed to other outsourcing programs, with 11% of respondents calling these efforts unsuccessful. Do you outsource your global trade compliance? Chart 10 Do you outsource your global trade compliance? 8% Yes, all of it 12% Yes, partially 80% No If you do outsource global trade compliance, how successful has it If you do outsource global trade compliance beenChart on a11:scale of 1 to 4? (1 = not successful, 4 = very successful) 1 11% Rob Varner Senior Director, Americas Distribution Medtronic 21% 2 “The aging population will place more emphasis on serving alternative sites of care, depending on what’s space you’re serving. For Medtronic, as far as aging population goes, in the developed markets it really doesn’t change the model we have in place. We’ve been experiencing the aging population, and more people are getting spinal or orthopedic procedures, or cardiac devices as a couple of examples. We don’t really see a change in doing it out of a hospital setting per se, but if you go into markets like India where a lot of the hospital infrastructure either doesn’t exist or there’s a lot of people in more remote areas, there is opportunity around a scenario where people will have to come to clinics or other care sites where they will need to be evaluated and/ or actually have procedures occur in areas that are remote from hospitals. So for us, serving the aging population within less-developed markets is where that opportunity exists, but in the developed market, we still see the biggest impact in the hospital or outpatient surgery setting.” 47% 3 21% 4 0 10 20 30 40 50 The Medical Device Supply Chain Report 9 Improving fill rates and make to stock lead times. Chart 12: What are your fill rates? 50 What are your fill rates? 43% 40 28% 30 20 10 0 5% 4% 85% or less 11% 9% 86 – 88% 89 – 91% 92 – 94% 95 – 97% 98 – 100% In the medical device manufacturing industry, managing lean inventory is a delicate challenge, which has historically caused manufacturers to err on the side of overstocking to meet unexpected demand. Thanks to the advent of stronger demand planning software and big data, this problem is progressively being dealt with, as reflected by the 71% of supply chain managers who report fill rates above 95%, although there is still room for manufacturers to improve around this critical metric. Chart 14: What is your make -‐to-‐stock lead time What is your make-­to-­stock lead time? 1 Day 0% 9% 2 Days 3% 4% 3 Days 4 Days 5 Days 6 Days 0% 6% 15% 7–14 Days 47% More than 14 days 16% Not applicable 0 10 20 A make-to-stock inventory approach requires a careful attunement to customer demand, and in the case of medical devices which are used to save lives, even more so. Forty-seven percent of supply chain managers report a make-to-stock lead time of greater than fourteen days, although 9% have achieved a lead time of just two days. As ERP systems evolve to better capture vital business information, and siloes of data are united to create a more accurate picture of customer demands, more companies can take steps to bring down their lead time and improve their fill rates in order to protect their margins. A thought leadership report commissioned by FedEx 10 Building a network that delivers on time, every time. How on-time is your delivery? (i.e., number of items delivered on time divided by total number of items ordered.) Chart 13: How on time is your delivery? 31% 32% 35 30 25 19% 20 15 10 5 0 10% 5% 3% 85% or less 86 – 88% 89 – 91% 92 – 94% 95 – 97% 98 – 100% With on-time delivery standing as a critical metric for medical device logistics, minimizing error in the delivery process is a high priority. Thirty-two percent of managers report that they have brought their on-time delivery (OTD) rates up to the level of 98-100%, a robust share of the total response. A further 31% of managers fall into the 95-97% range, the second largest share of the responses. A smaller share, 19%, fall just below the 95% range, with significant drop-off occurring from that point, no doubt given the heavy importance OTD rates carry for manufacturers. What percentage of your inventory becomes obsolete or is lost/damaged? Chart 16: What percentage of your inventory becomes obsolete or is lost/damaged? 0-­5 6-10 11-15 16-20 21-25 26-30 31+ 8% 5% 0% 1% 3% 30% 53% “We are working on how to better get our arms around all the inventory we have in circulation. The whole med device space has way too much inventory, and this problem places emphasis on more sophisticated field inventory management models, as well as 3PLs providing healthcare compliant services and facilities to help the device industry better manage their field based inventories. You’re going to continue to see a lot more with that, and I think you’re certainly going to see a lot more strategic alliances and more multi-party cooperation. Historically, manufacturers have been working on projects, integrators have been working on their own projects, and hospitals may or may not been a part of that picture, but now you’re seeing a lot more collaborative efforts between all the parties involved to put together and develop solutions.” Rob Varner Senior Director, Americas Distribution Medtronic 0 10 20 30 40 50 60 In terms of preserving inventory from loss and damage, as well as obsolescence, 53% of supply chain managers studied report that they are operating with a margin under 5%. As inventory tracking is further enabled through stronger management tools, businesses become better equipped to avoid accidental loss. Demand forecasting is a tool that will better enable device manufacturers to avoid having their equipment become outmoded, a major concern should inventory no longer be able to be sold due to insufficient demand. The Medical Device Supply Chain Report 11 Increasing inventory turns in an environment of increasing globalization. What is your total inventory turns level? 20% Chart 15: What is your total inventory turns level? 20 16% 16% 15 10 18% 12% 9% 9% 5 0 “I believe the single biggest opportunity to improve inventory management within medical device supply chains is seamless demand signaling. Creating end-to-end demand signals throughout the entire supply chain coupled with value streams designed to minimize all forms of waste will allow manufacturers and distributors to monitor and respond to consumption by patients. This type of visibility and integration can make the industry more effective at managing individual segments of the supply chain.” Don Lynch Director, Supply Chain Welch Allyn Inc. N/A 0-1 1.1-1.5 1.6-2 2.1-2.5 2.6-3 >3.1 Inventory turns serve as an indicator of demand and how quickly a company is able to sell out their stock of products, therefore, increasing the number of average turns plays a part in building the effectiveness of an organization in profit generation. Out of all the metrics included in this report, average inventory turns was the most spread out in terms of response distribution. While 18% reported an average of over 3.1, this was not a significantly larger or smaller share than that boasted by any other range, with each of the seven options holding at least 9% of the response. While the rate of inventory turns can vary depending on the nature of the equipment being produced, in general it seems that medical device manufacturers are spread out in their ability to predict and serve demand. With a greater ability to make-to-stock, inventory can be sold and replenished fully on a much more frequent basis. This is part of a bigger picture that includes data driven demand planning and better inventory management. A thought leadership report commissioned by FedEx 12 The aging developed world and an increase in consumption from emerging markets is extending the bounds of where medical equipment must be delivered. With a shift away from the hospital to alternative points of care comes an increased level of complexity in fulfillment. Do you expect your business to expand more into Emerging Markets in the next 12 months? 9% Chart 17: Do you expect your business to expand Not sure 11% No 36% Yes, by a lot 44% Yes, by a little There is no denying the importance of the developing world’s impact on healthcare consumption, and medical device manufacturers are aware that these markets, along with an increasingly elderly developed world population, will place great emphasis on meeting demand in areas far removed from a typical hospital setting. Thirty-six percent of medical device manufacturers are planning on large-scale expansion into emerging markets within the next 12 months, with an additional 44% expanding on a smaller scale. Nine percent were unsure, and just 11% of manufacturers were definitely not planning to expand into these markets in the coming year. Do you think the aging developed world population will impact your business over the next 12 months? Chart 19: Do you think the aging developed world population 29% Yes, by a lot 43% Yes, by a little 15% 13% No Not Sure 0 10 20 30 40 50 The aging population of the developed world means that medical device manufacturers will have to adapt to changing sites of care as home based healthcare becomes more common, and anticipate the needs of a more elderly patient base. Twenty-nine percent of survey respondents indicated that this demographic shift would greatly affect their business, with a further 43% reporting it would somewhat impact them. This will also play out in foreign markets, where non-hospital sites may be even more prevalent due to a lack of infrastructure and more widely distributed populations. “Some of the greatest opportunities offered in emerging markets are based on the fact that there’s such a large growing middle class in a lot of those countries. Some companies define emerging markets differently, but for Medtronic, we think of India and China, but also Brazil, all of Latin America, and the Middle East. There are more people that are getting more access to health care, so that’s where the growth opportunity is. A lot of the population has been penetrated in the developed market, so as the developing world creates new markets, that provides some exciting new opportunities.“ Rob Varner Senior Director, Americas Distribution Medtronic “The aging population has the potential to increase healthcare consumption, resulting in increased demand for existing products. The challenge of increased demand for existing products can be met by accurately predicting demand levels so that supply chains can be planned appropriately. The increased demand from an aging population may also put more pressure on existing healthcare delivery channels to reduce their costs. This could create the need to innovate and develop new products that can help healthcare providers lower their costs.” Don Lynch Director, Supply Chain Welch Allyn Inc. A thought leadership report commissioned by FedEx 13 Key Recommendations Become more strategic through better capturing and understanding data. As the importance of data-driven insight grows, companies should look to better capture data through stronger, fully integrated solutions designed to secure the level of data necessary to make decisions. These can bring information across business functions into a more unified, and therefore useful, picture. Anticipating demand in terms of volume as well as by location are critical to protecting margins. Consider outsourcing in areas that are preventing your company from achieving a proactive approach to meeting market demands, and to create cost savings. When flexibility is paramount, it can make sense to adopt solutions that allow for quicker changes in response to the market. As companies attempt to lean down, outsourcing distribution and fulfillment, as well as the processes that go along with them on a global scale, can become more attractive options. Anticipate what emerging markets and an aging developed world demographic will mean in terms of your supply chain. Entering developing markets, as well as navigating to alternative sites of care domestically, will put new challenges in front of medical device manufacturers. Maintaining the efficacy of distribution on a global scale requires an understanding of complicated compliance requirements, while serving a population in domestic and emerging markets that is outside of the hospital adds emphasis to the flexibility and transparency of networks. Consider what solutions will provide the farthest reach in both of theses areas, while making room for adaptability in response to shifting requirements. The Medical Device Supply Chain Report “The biggest challenge we have serving developing markets is from a supply chain standpoint. The supply chain networks, distribution networks, and infrastructure to serve these markets are currently lacking. There’s a lot of work that needs to be done to accommodate the future growth that’s coming. If Medtronic is going to expand our sales and presence in these emerging markets, we need a supply chain network that can support that. Another opportunity is that a lot of pharmaceutical and med device companies are selling to distributors, and over the next several years, most of them are working to go more and more direct into these emerging markets.” Rob Varner Senior Director, Americas Distribution Medtronic 14 Appendices Appendix A: Methodology The results analyzed in this report were gathered from responses to an on-site benchmarking survey delivered at LogiMed 2015, and prepared by event producer Sara Mueller. 81 executives responded to the survey. Interviews with sources were conducted after survey data was compiled, and centered on discussion of benchmark results. Appendix B: Who Responded to the Survey What is your annual revenue? Chart 1: What is your annual revenue? 7% $16+ Billion What product category best describes your company? Chart 2: What product category best describes your company? 7% Diagnostics 17% $6 – 15.9 Billion 31% Medical/Surgical Supply 26% $1 – 5.9 Billion 18% Implantables 9%$500 – $999 Million 32% $ 1 – $499 Million 5% $500K -­$999K 4% Less than $500K 14%Hardware, including orthopedics and instrumentation 2% Laboratory equipment/supplies 10% Services 3% Software 15% Other A thought leadership report commissioned by FedEx 15 LogiMed is a senior-level, peer-driven conference where medical device supply chain executives benchmark and optimize their global end-to-end supply chains in a highly collaborative environment. LogiMed launched in 2011 in Europe to high acclaim. Its first run in the USA in 2014 was a huge success: 160 supply chain executives gathered in San Diego to network, benchmark, and debate best practices. Over half of the attendees were from medical device manufacturers, making LogiMed USA the largest gathering of med device manufacturers in North America. FedEx Corp. (NYSE: FDX) provides customers and businesses worldwide with a broad portfolio of transportation, e-commerce and business services. With annual revenues of $47 billion, the company offers integrated business applications through operating companies competing collectively and managed collaboratively, under the respected FedEx brand. Consistently ranked among the world’s most admired and trusted employers, FedEx inspires its more than 325,000 team members to remain “absolutely, positively” focused on safety, the highest ethical and professional standards and the needs of their customers and communities. For more information, go to news.fedex.com. WBR Digital, connects solution providers to their target audiences with year-round online branding and engagement lead generation campaigns. We are a team of content specialists, marketers, and advisors with a passion for powerful marketing. We believe in demand generation with a creative twist. We believe in the power of content to engage audiences. And we believe in campaigns that deliver results. The Medical Device Supply Chain Report FedEx Contact John B. Jasper Global Supply Chain Solutions & Market Development FedEx Services 901-434-8337 Media Contact Andrew Greissman 646-200-7950 digital.wbresearch.com 16