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Kevin McPherson 
Owens & Minor Healthcare Logistics 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.1
Agenda 
 Objectives 
 Owens & Minor Overview 
 The Market 
 The Problem 
 The Solution 
 Summary & Q & A 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.2
Overview Owens & Minor Overview 
3 
3 
• Fortune 500 Company – $9B in sales 
• Founded in 1882 in Richmond VA 
• 2012 Acquired Movianto – 3PL in Europe 
• 6,500 Employees 
• Core – Med-Surgical Distribution (40% shr) 
– >200,000 SKUs 
– 1,400 suppliers 
– 4,600 US healthcare provider customers 
– 825 3PL Contracts 
• 2013 – Rebranded as Supply Chain 
Services Company 
Connecting Manufacturers to the Point of Care 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.3
Owens & Minor Network 
• 37 Local Distribution Centers 
• 5 Regional DC’s 
• 450 Power Units in Private Fleet 
• Connecting: 
• 1,400 Suppliers 
• 4,400 Manufacturers 
• Buy-Sell, Activity Based Fees 
• Agnostics to Title to Inventory 
•Custom Models for Mnftgs 
•Network Models for Large Health Systems 
•ERP - Ross, Oracle, OMNI 
•WMS – Cambar (Legacy), Red Prairie, 
  
 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.4 
4 
4 
2 Hour Delivery to 90% of US Hospital Beds 
 
 
 
 Local Dist Center 
Regional Dist Center 
 Home Office
U.S. Medical Device Market 
U.S. Medical Device Industry by Category, 2011 
U.S. Medical Device 
Industry by Category, 2011 
8% 
29% 
4% 
39% 
15% 
5% 
3% 
CA 
GR 
Consumables 
Diagnostic Imaging 
Dental Products 
Orthopedics & Prosthetic Devices 
Patient Aids 
Other 
• The $106 billion U.S. 
medical device market is 
the largest in the world 
• Implantable devices 
represent the largest dollar 
volume ($40B) 
• Implantable device recalls 
exceeded 100 million units 
Q2:2012 for the first time in 
nearly 2 years 
Implantable Medical Device (IMD) Demand 
U.S. Implantable Medical Devices, 2010 ($36B) 
Other, 
26.4% 
Johnson & 
Johnson, 
10.0% 
Others, 
26.4% 
Striker, 
7.8% 
Medtronic, 
20.7% 
Boston 
Scientific, 8.7% 
St. Jude 
Medical, 
6.6% 
Zimmer, 
6.2% 
Synthes, 
5.1% 
Abbott, 4.4% 
Biomet, 
4.1% 
2015, ($47B) 
52% 
17% 
31% 
2020, ($64B) 
18% 
28% 
Orthopedic Implants 
2010, 
50 
16 
% 
34 % 
% 
Source: The Freedonia Group, Inc. 
54% 
6.9% 
2010 – 
2020 
CAGR 
Market 
Source: Seeking Alpha 
Source: MDDI 
Orthopedic 
Trauma 
Cardiovascular 
Cosmetic 
Other 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.5
The Problem – Implant Manufacturers 
Implant Supply Chain Challenges 
• All Mnftgs have direct supply models-Redundant 
• Combination insourced & boutique distributors 
• Lack/limited visibility to Provider & Patient data 
• Highly Comp’d – 40% time spend on logistics 
• Physician / Rep relationship drives process 
• Need technology / visibility tools to exit logistics 
• Procedure to cash lag 
• Procedure to PO = 3 to 30 days 
• PO to payment 60 days 
DSO 55-85 
days 
• 2-4 Inventory turns – Heavy Working Capital 
• Antiquated demand planning tools – Disparate & Manual 
• 3-5% Inventory loss, outdate, & obsolescense 
• High transportation costs – direct air ship 100% - No mins 
6 
Logistics 
Sales 
Financial 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.6
The Problem – Healthcare Providers 
Total Hospital Supply Spend (Non-Pharma) 
Distributed 
Disposables 
25% 
Direct Purchase 
Devices, 
Implants, 
Disposables 
75% 
Challenges 
• Surgeon Preference Driving SKU 
Proliferation 
• Sales Reps in Hospital & OR’s 
• Supply Chain Issues 
• SKU Redundancy – Seek Formulary 
• Whse Labor Costs 
• Contract Pricing Mngts 
• Erratic Supply – Alt Sourcing Difficult 
• Disaster Planning 
• Seeking Innovative Solutions 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.7
What the Implant Market needs 
Logistics 
The Solution 
• Significant 
inventory 
reduction 
• Reduced freight 
• 100% visibility 
• Standard 
processes 
• Improved recall 
management 
capability 
Financial 
• PO on Day of 
Procedure 
• 5-20 day reduction 
in cycle time 
• Able to cover more 
cases with less 
inventory & fewer 
reps 
Sales Force 
• Increased sales 
rep productivity 
• Reps spend 100% 
of time selling, not 
on supply chain 
• 24 x 7 visibility to 
set inventory 
8 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.8
The Solution 
1 
PPI 
Manufacturers 
PPI orders placed by 
the Provider are 
delivered to O&M 
warehouse 
3 
OM aggregates the 
various manufacturer 
goods and delivers 
them as needed in 
convenient totes that 
are prepped for PAR 
locations. 
4 
OM delivers to 
Hospitals and Clinics 
2 
Distribution 
Center 
Provider-owned 
inventory is 
segregated in the 
distribution center by 
customer 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.9
The Solution 
Acute Care Hosp 
Detroit MI 
O&M Captures POU Data 
O&M manages metrics 
O&M sets PARs 
O&M cycles inventory 
Text/Email Key Order Status 
& Alerts – Eliminates Current 
Logistics Tasks 
Sales Rep/DOE to Mnftgs 
Web Based Order System 
Par Driven PO & Weekly 
Replen / Return ASN 
Inventory Synch 
LENS Visibility Tool 
Hosp & DC Level Data 
Ops KPI & A/R Recon Support 
EDI Payment 
Leverage Existing 
Daily Deliver 
Reverse 
Logistics & 
Recall Support 
Reportable communications, clinical 
calls, etc 
Par Replen 
Demand Capture & 
EDI Invoice 
Inventory Synch 
Capture Surgery Demand 
at point of determination 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.10
The Summary 
11 
Providers 
• Product to Floor ½ 
Day Earlier 
• Reduce receiving & 
IC labor 
• Eliminate Parcel 
Receipts 
• Pathway to 
Procedural Kitting 
• Scalable in move to 
Product Formulary 
Device Mnftg 
• 20-day DSO Redux 
• Total SC Visibility 
• Divest of IC Risk 
(IC control to O&M) 
• Increased working 
capital (IC & DSO) 
• ▲ROI of Reps 
• PR – Value add to 
Providers 
Value Creation 
O&M 
• Expands Total 
Order Offering 
• Leverages Private 
Fleet 
• Leverages current 
IC Team 
• Aggregates for the 
Industry 
• Pathway for 
reduced cost of 
care 
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.11

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Owens & Minor Healthcare Supply Chain Insights Summit

  • 1. Kevin McPherson Owens & Minor Healthcare Logistics Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.1
  • 2. Agenda  Objectives  Owens & Minor Overview  The Market  The Problem  The Solution  Summary & Q & A Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.2
  • 3. Overview Owens & Minor Overview 3 3 • Fortune 500 Company – $9B in sales • Founded in 1882 in Richmond VA • 2012 Acquired Movianto – 3PL in Europe • 6,500 Employees • Core – Med-Surgical Distribution (40% shr) – >200,000 SKUs – 1,400 suppliers – 4,600 US healthcare provider customers – 825 3PL Contracts • 2013 – Rebranded as Supply Chain Services Company Connecting Manufacturers to the Point of Care Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.3
  • 4. Owens & Minor Network • 37 Local Distribution Centers • 5 Regional DC’s • 450 Power Units in Private Fleet • Connecting: • 1,400 Suppliers • 4,400 Manufacturers • Buy-Sell, Activity Based Fees • Agnostics to Title to Inventory •Custom Models for Mnftgs •Network Models for Large Health Systems •ERP - Ross, Oracle, OMNI •WMS – Cambar (Legacy), Red Prairie,    Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.4 4 4 2 Hour Delivery to 90% of US Hospital Beds     Local Dist Center Regional Dist Center  Home Office
  • 5. U.S. Medical Device Market U.S. Medical Device Industry by Category, 2011 U.S. Medical Device Industry by Category, 2011 8% 29% 4% 39% 15% 5% 3% CA GR Consumables Diagnostic Imaging Dental Products Orthopedics & Prosthetic Devices Patient Aids Other • The $106 billion U.S. medical device market is the largest in the world • Implantable devices represent the largest dollar volume ($40B) • Implantable device recalls exceeded 100 million units Q2:2012 for the first time in nearly 2 years Implantable Medical Device (IMD) Demand U.S. Implantable Medical Devices, 2010 ($36B) Other, 26.4% Johnson & Johnson, 10.0% Others, 26.4% Striker, 7.8% Medtronic, 20.7% Boston Scientific, 8.7% St. Jude Medical, 6.6% Zimmer, 6.2% Synthes, 5.1% Abbott, 4.4% Biomet, 4.1% 2015, ($47B) 52% 17% 31% 2020, ($64B) 18% 28% Orthopedic Implants 2010, 50 16 % 34 % % Source: The Freedonia Group, Inc. 54% 6.9% 2010 – 2020 CAGR Market Source: Seeking Alpha Source: MDDI Orthopedic Trauma Cardiovascular Cosmetic Other Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.5
  • 6. The Problem – Implant Manufacturers Implant Supply Chain Challenges • All Mnftgs have direct supply models-Redundant • Combination insourced & boutique distributors • Lack/limited visibility to Provider & Patient data • Highly Comp’d – 40% time spend on logistics • Physician / Rep relationship drives process • Need technology / visibility tools to exit logistics • Procedure to cash lag • Procedure to PO = 3 to 30 days • PO to payment 60 days DSO 55-85 days • 2-4 Inventory turns – Heavy Working Capital • Antiquated demand planning tools – Disparate & Manual • 3-5% Inventory loss, outdate, & obsolescense • High transportation costs – direct air ship 100% - No mins 6 Logistics Sales Financial Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.6
  • 7. The Problem – Healthcare Providers Total Hospital Supply Spend (Non-Pharma) Distributed Disposables 25% Direct Purchase Devices, Implants, Disposables 75% Challenges • Surgeon Preference Driving SKU Proliferation • Sales Reps in Hospital & OR’s • Supply Chain Issues • SKU Redundancy – Seek Formulary • Whse Labor Costs • Contract Pricing Mngts • Erratic Supply – Alt Sourcing Difficult • Disaster Planning • Seeking Innovative Solutions Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.7
  • 8. What the Implant Market needs Logistics The Solution • Significant inventory reduction • Reduced freight • 100% visibility • Standard processes • Improved recall management capability Financial • PO on Day of Procedure • 5-20 day reduction in cycle time • Able to cover more cases with less inventory & fewer reps Sales Force • Increased sales rep productivity • Reps spend 100% of time selling, not on supply chain • 24 x 7 visibility to set inventory 8 Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.8
  • 9. The Solution 1 PPI Manufacturers PPI orders placed by the Provider are delivered to O&M warehouse 3 OM aggregates the various manufacturer goods and delivers them as needed in convenient totes that are prepped for PAR locations. 4 OM delivers to Hospitals and Clinics 2 Distribution Center Provider-owned inventory is segregated in the distribution center by customer Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.9
  • 10. The Solution Acute Care Hosp Detroit MI O&M Captures POU Data O&M manages metrics O&M sets PARs O&M cycles inventory Text/Email Key Order Status & Alerts – Eliminates Current Logistics Tasks Sales Rep/DOE to Mnftgs Web Based Order System Par Driven PO & Weekly Replen / Return ASN Inventory Synch LENS Visibility Tool Hosp & DC Level Data Ops KPI & A/R Recon Support EDI Payment Leverage Existing Daily Deliver Reverse Logistics & Recall Support Reportable communications, clinical calls, etc Par Replen Demand Capture & EDI Invoice Inventory Synch Capture Surgery Demand at point of determination Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.10
  • 11. The Summary 11 Providers • Product to Floor ½ Day Earlier • Reduce receiving & IC labor • Eliminate Parcel Receipts • Pathway to Procedural Kitting • Scalable in move to Product Formulary Device Mnftg • 20-day DSO Redux • Total SC Visibility • Divest of IC Risk (IC control to O&M) • Increased working capital (IC & DSO) • ▲ROI of Reps • PR – Value add to Providers Value Creation O&M • Expands Total Order Offering • Leverages Private Fleet • Leverages current IC Team • Aggregates for the Industry • Pathway for reduced cost of care Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.11

Hinweis der Redaktion

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  3. So how does all this work? Of course the Devil is in the details but the big picture is pretty simple… You continue to order products from your manufacturers but you change the “ship to” to be Owens & Minor’s distribution center. For Preferred Access SKUs you will place larger, less frequent orders. (Click) Preferred Access items that you own in our DC are segregated in storage but (Click) We can combine the Preferred Access items with routine StockPoint orders for (Click) More effective delivery – offering you all the benefits of wholesale distribution One daily delivery, combined orders, few POs, few small packages, etc.
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