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A Focus on Pharmaceutical Companies
A Ten Year View of Progress on Supply Chain Excellence
05/12/2016
Lora Cecere
Founder and CEO
Supply Chain Insights LLC
Heather Hart
Research Director
Supply Chain Insights LLC
Regina Denman
Client Services Director
Supply Chain Insights LLC
Helen King
Research Associate
Supply Chain Insights LLC
Supply Chain Metrics That Matter
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Contents
Research
Disclosure
Research Methodology
Understanding the Data
A Complex System with Nonlinear Relationships
Driving Profitability
Improving Cycles
Managing Complexity
A Closer Look at Value
Driving Improvement
Supply Chain Index: A Measurement of Supply Chain Improvement
Balance
Strength
Resiliency
Evaluating Supply Chain Excellence: Putting It All Together
Executive Overview
The Race for Growth
What Is Value?
Judging Supply Chain Performance
Managing Cycles
A Closer Look at Generic Pharma
Industry Focus
Recommendations
Conclusion
Prior Reports in This Series
Methodology: Understanding the Math and Ratios
Supply Chain Index Methodology: Formulas and Calculations
Balance
Strength
Resiliency
A Closer Look at Inventory Turns: An Important Measurement
Looking at Trends
Corporate Overview Data
About Supply Chain Insights LLC
About Lora Cecere
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Research
Supply Chain Metrics That Matter is a series of industry-specific reports published throughout the
year by Supply Chain Insights LLC. The series starts in May when full-year corporate reporting is
complete for the prior year. In this report series we provide a deep focus on progress over the past
decade on supply chain excellence for a specific industry. This report is a deep analysis of the
pharmaceutical industry.
This analysis is based on data collected from financial balance sheets and income statements over
the period of 2006-2015. In these reports we examine how companies made trade-offs over the
course of the last decade. Here we analyze which pharmaceutical company’s supply chain did the
best on the delivery of a portfolio of metrics during that period.
Within the world of Supply Chain Management (SCM), each industry is unique. The pattern for
pharmaceutical companies is distinctly different than consumer products or medical device
companies. It is for this reason we believe it is dangerous to list all companies across industries in a
spreadsheet and declare a supply chain leader. Instead, we think it is more prudent to evaluate
change over time, with a focus on business results within an industry peer group.
Disclosure
Your trust is important to us. As such, we are open and transparent about our financial relationships
and our research processes. This independent research is 100% funded by Supply Chain Insights.
These reports are intended for you to read, share and use to improve your supply chain decisions.
Please share this data freely within your company and across your industry. All we ask for in return is
attribution when you use the materials. We publish under the Creative Commons License Attribution-
Noncommercial-Share Alike 3.0 United States and you will find our citation policy here.
Research Methodology
Supply chain leaders are in a race to deliver supply chain excellence. The question is “What defines
excellence?” and “What defines value?” Here we answer these questions. To complete this analysis,
and understand the patterns, we analyze both performance and improvement of pharmaceutical
supply chains. We believe that the best supply chains out-perform their peer groups while driving
improvement.
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Performance is easier to measure than improvement. To build a method to measure improvement,
we partnered with a research team from the School of Computing, Informatics and Decision Systems
Engineering at Arizona State University (ASU) during the spring of 2014 to develop the Supply Chain
Index methodology to analyze supply chain improvement. Details on the math used in this
methodology are outlined in the Appendix of this report. We have refined this over time.
Understanding the Data
In this analysis we use supply chain financial ratios as opposed to absolute numbers. The use of
ratios allows us to compare large companies to small entities, and also to compare the progress of
companies operating in different countries using differing currencies. Additionally, it allows us to
easily track progress over time.
Our first step was to determine which metrics to use. In Table 1 we share the supply chain ratios we
considered.
Table 1. Financial Ratios Considered in the Development of the Supply Chain Index
We find that most supply chain leaders measure too many indicators. To select the metrics in the
analysis we mined trends and discussed them with supply chain leaders. After a year of research, we
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determined that the patterns and trade-offs between Year-Over-Year Revenue Growth, Operating
Margin, Inventory Turns and Return on Invested Capital (ROIC) were the most helpful in the
determination of performance and improvement. We term these as the Supply Chain Metrics That
Matter™.
While there are other measurements which we believe are important in the determination of supply
chain excellence—like forecast accuracy, case fill rate, carbon footprint, and inventory write-offs—we
cannot find a reliable and consistent source of data for these metrics that covers all industries and
years studied. In our research we find that the industry data sources are spotty and largely inaccurate
due to the self-reporting of data. Without a consistent data source across the industries we cannot
include these factors even though we believe they are important.
A Complex System with Nonlinear Relationships
The supply chain is a complex system with increasing complexity. We believe it is the supply chain
leader’s role to build and manage supply chain performance to drive year-over-year improvements
which are balanced, strong and resilient. In our research we see that it takes at least three years. On
the journey we often find companies throwing the system out balance. As a result, leaders are able to
only drive progress on a single metric, not the entire metrics portfolio. A balanced metrics portfolio
has a higher correlation to value-based metrics of either market capitalization or market-to-tangible
book.
Our goal was to select a portfolio that would be meaningful across all industries. It is important to note
that the maximization of market capitalization requires the management of a balanced portfolio on the
effective frontier of growth, cost, cycles and complexity. We believe that supply chain leaders improve
a balanced portfolio of metrics.
Figure 1. The Effective Frontier
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In our writing it is deliberately not termed the ‘Efficient Frontier’—a term used in economic theory.
Why? Quite simply it is because the term ‘efficiency’ in supply chain processes is usually linked to the
lowest cost or the best revenue per employee. The concepts of the Effective Frontier are based on
the balance of growth agendas with cost, cycle metrics (a focus on inventory), and complexity. We
use Return on Invested Capital (ROIC) as a proxy for complexity.
In this report we analyze the progress of the pharmaceutical industry on the Effective Frontier. Across
all industries we find that nine out of ten companies are stalled at the intersection of two important
metrics, i.e. inventory turns and operating margin. While some companies made no improvement
over time, most companies were able to either improve inventory turns, or cost, but not both together.
The reasons? One of the reasons is unchecked complexity. The second is the focus on functional
metrics to the detriment of corporate performance. In the last five years 25% more items were added
to the item master of the average pharmaceutical company. As will be seen in this report, unchecked
complexity throws the supply chain out of balance.
Driving Profitability
There is often an inverse relationship between margin and supply chain excellence. Industries with
the thinnest margins are more serious about delivering on the promise of supply chain leadership.
With the historically high margins in the pharmaceutical industry, driving supply chain leadership has
not been an important industry imperative. Today, with globalization, affordable healthcare, and the
drug patent cliff there is more focus on building a strong supply chain. In our analysis for this report,
we use operating margin as the measure of profitability. The methodology is equally applicable to
EBITDA.
Improving Cycles
When it comes to managing cash-to-cash cycles, a small number is better than a large one. The
question in the boardroom is “How small can supply chain working capital cycles be managed to
pump cash into the organization?” There is seldom the question of “How low can we go in working
capital cycles before we put the supply chain at risk?” Cash-to-cash is a composite metric of days of
receivables, days of inventory, and days of payables. As can be seen through the charts, the greatest
improvement in supply chains in the last decade has been made in payables—lengthening payment
terms to suppliers. Inventory levels and receivables have been more constant.
In our analysis we use inventory turns as our measure of supply chain cycles. While companies want
a smaller number for days of inventory, they want to turn inventory faster. The higher the inventory
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turn value, the stronger the results. There are two primary ways to calculate inventory turns. In this
report we measure inventory turns as:
Inventory Turns = Cost of Goods Sold/Inventory
Managing Complexity
By definition the pharmaceutical industry is an asset intensive industry. Manufacturing reliability is at
the core of supply chain excellence. Within the pharmaceutical company supply chain there are many
forms of complexity: increase in items, customer policies, geographic reach, changes in
manufacturing, serialization of items, cold chains, and new product launch. In the last decade
complexity abounds. As complexity rises it is hard to drive asset effectiveness.
There are many measurements of asset effectiveness: Return on Assets (ROA), Return on Net
Assets (RONA) and Return on Invested Capital (ROIC). Return on Invested Capital is a less well-
known metric compared to Return on Assets. In this report we use ROIC as a measure of asset
effectiveness.
The reasoning? Return on Assets has a narrower focus. Our research indicates that ROIC has a
better correlation with stock market capitalization, and provides a broad perspective on cash flow
generation and profitability based on shareholder equity. The formula used for ROIC is:
𝑅𝑒𝑡𝑢𝑟𝑛 𝑜𝑛 𝐼𝑛𝑣𝑒𝑠𝑡𝑒𝑑 𝐶𝑎𝑝𝑖𝑡𝑎𝑙 =
𝑂𝑝𝑒𝑟𝑎𝑡𝑖𝑛𝑔 𝐼𝑛𝑐𝑜𝑚𝑒 + 𝐼𝑛𝑐𝑜𝑚𝑒 𝑇𝑎𝑥 𝑇𝑜𝑡𝑎𝑙
𝑇𝑜𝑡𝑎𝑙 𝑆ℎ𝑎𝑟𝑒ℎ𝑜𝑙𝑑𝑒𝑟′ 𝑠𝐸𝑞𝑢𝑖𝑡𝑦
ROIC is a measurement of the company’s use of capital. The goal of the measurement is for the firm
to drive higher returns than the market rate of the cost of capital. As will be seen in this report, for
many companies this is a struggle.
A Closer Look at Value
Traditionally the supply chain team’s focus was a cost agenda. Increasingly the organization is asking
the supply chain team to focus on value. However, to guide this journey there has to be a clear
definition of value. There is no industry-standard definition of value.
To help, we started this undertaking with an analysis between supply chain performance and market
capitalization. In 2012 we calculated the correlation of seven years of financial ratios (based on
quarterly reporting) to market capitalization (the number of outstanding shares multiplied by the share
price) on a quarterly basis. The results of this initial study on the correlation to market capitalization
are presented in Table 2.
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Table 2. Correlation of Supply Chain Financial Ratios to Market Capitalization
Within the firm, 60-80% of total costs are controlled by the supply chain team. In parallel, most of the
physical assets are driven and/or defined by supply chain strategy. While market capitalization is
often driven by economic cycles we find Price to Tangible Book Value (PTBV) is a more disciplined
look at value.
Price to Tangible Book Value is calculated by dividing the share price of a public company by its
tangible book value per share. It is a ratio depicting what investors are paying for each dollar of
physical assets. For example, let's assume that Company XYZ has 10,000,000 shares outstanding
which are trading at $3 per share. Let’s assume that the same company’s tangible book value was
$15,000,000 last year. The calculation would be:
Price to Tangible Book Value = $3 / ($15,000,000/10,000,000) = 2.0
The PTBV ratio excludes intangibles: intellectual property, patents, goodwill and other intangible
assets. It is a representation of what debt holders or investors would receive if the company liquidated
all physical assets. We feel this is a measure which supply chain leaders can impact. In this report we
use the metrics that have the highest correlation to market capitalization and also evaluate which
companies have driven the greatest improvement on Price to Tangible Book Value.
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Driving Improvement
In the analysis of supply chain excellence, it is a mistake to look at singular metrics at a point in time
and declare a supply chain winner. Instead, it needs to be measured as a pattern over many years.
The best supply chain improvements take at least five to six years.
Sustaining competitive advantage is difficult. A bad project, a quality issue, or a merger, drives
gyrations. As a result, most companies go through ups and downs with distinct patterns. We believe
that the patterns matter. It is for this reason in this report we analyze companies’ progress during the
time periods of 2006-2015, 2006-2009, and 2010-2015. Why these time periods? Here we are
analyzing pre-recession and post-recession progress within specific industries as defined by NAICS
code designations.
To understand the differences by industry, let’s take a closer look at the healthcare value chain.
When we compare the 2006 to 2015 industry averages, we can see that the pharmaceutical industry
improved in all of the metrics covered in this report. The pharmaceutical industry is one of the few
industries with higher performance in 2015 when compared to 2006. The reason? Historically, the
pharmaceutical industry is a supply chain laggard. As product development slowed in clinical trials,
and global complexity increased, supply chain became a more valued core competency.
Table 3. Changes in Industry Average Values of the Supply Chain Metrics That Matter When the 2006 Averages
Are Compared to 2015
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Supply Chain Index: A Measurement of Supply Chain
Improvement
The Supply Chain Index is the measurement of improvement used in this report. The foundation of
the Supply Chain Index starts with understanding the resulting pattern when two supply chain metrics
(generally ratios) are plotted over time on an orbit chart. As shown in Figure 2, the orbit chart enables
the visualization of performance patterns. In this case the company is Amgen. The average values for
the two financial ratios of operating margin and inventory turns are shown in the box, and the annual
progress is shown as points on the chart. The best scenario is notated in the upper right-hand corner.
The pattern of Amgen’s performance, as shown in Figure 2, is very characteristic of most companies.
While there is improvement for 2013-2015, the company struggled to drive improvement in these two
critical metrics over the period of 2006-2013.
Figure 2. Example Orbit Chart of Amgen
This is not unusual. We seldom see a company making linear improvement at the intersection of
these two important metrics. As you will see in the case of pharmaceutical companies, many
companies are not even making improvement in one of the two metrics.
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Contrast the patterns of BMS and Merck in Figure 3. While BMS is operating at a higher level of
inventory turns (6.27), the company has a lower operating margin (.08). In contrast, Merck has a
higher operating margin (.15) and lower value for inventory turns (2.77). Both companies are at the
same performance level in 2015 as they were in 2006. This is despite many, many continuous
improvement and Lean projects. You might ask, “How can this be?” Answering this question is the
goal of this report.
Figure 3. Example Orbit Chart of Inventory Turns versus Operating Margin for 2006-2015 of BMS vs. Merck
Also note BMS has a tight pattern while Merck’s results have greater variability. We call this
resiliency. A tighter pattern is more resilient. In this case BMS’ results were more resilient than those
of Merck.
Due to the complexity of the charts, our first challenge in the creation of a methodology was to define
‘Supply Chain Improvement’. This was our goal in building the Supply Chain Index. We wanted to
develop a means to analyze improvement across a variety of industries, with applicability to
companies with different levels of revenue, and at different levels of supply chain maturity. With each
chart we measure balance, strength and resilience in performance metrics within a peer group for the
Supply Chain Metrics That Matter.
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Balance
Balance in the supply chain is a constant struggle. Growth requires an increase
in inventory. Forecasting and managing a new product launch is difficult.
Excessively long Days of Payables leads to weakened supplier health. The
examples are endless. The two metrics which comprise our balance measure
are Revenue Growth and Return on Invested Capital.
The balance measure in the Supply Chain Index is a mathematical calculation
of the vector trajectory of the pattern between growth and ROIC for the periods of 2006-2015 and
2009-2015.To understand this measurement, imagine a four quadrant grid with growth and ROIC on
the two axes. In our calculation, the overall trajectory of this vector from Year 0 (2006) to Year 9
(2015) is simplified into a single value which represents the company’s ability to balance growth while
improving ROIC.
Companies that were able to drive improvement in both metrics scored the best, while companies
that deteriorated in both metrics scored the worst. The companies are then stack-ranked based on
factor ratings. In Figure 4 we profile Amgen at this intersection.
Figure 4. Orbit Chart of Growth vs. Return on Invested Capital (ROIC) for 2006-2015 for Amgen
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The balance factor comprises 1/3 of the total Supply Chain Index calculation. Sustained improvement
on both year-over-year growth and ROIC indicates a balanced supply chain and is reflected in a high
balance score.
Strength
A successful supply chain is strong and reliable. Supply chain leaders strive to
deliver year-over-year improvements in both cost and inventory management.
Our research on pattern recognition has uncovered a rich relationship between
operating margin and inventory turns. For most supply chain leaders, these are
some of the most important measures of their performance. Not only are they
important, they are more directly influenced by day-to-day supply chain
decisions than other, and more broadly used, corporate metrics. It is for this reason they are the two
components of our strength factor in the Supply Chain Index.
The strength measure in the Supply Chain Index is a mathematical calculation of the vector trajectory
of the pattern between inventory turns and operating margin for the periods of 2006-2015 and 2010-
2015. Like the balance factor calculation, the work starts with understanding the orbit chart pattern.
To understand the calculation, imagine a plot—an orbit chart—of inventory turns and operating
margin. In this report, performance is graphed on an annual basis from an origination point
representing performance on the two metrics at Year 0 (2006). The overall trajectory of this vector
from Year 0 (2006) to Year 9 (2015) is simplified into a single value which represents strength.
Improvement on both metrics simultaneously is graphically shown as movement to the upper-right
quadrant with increasing values for both inventory turns and operating margin over the period.
For example, let’s compare Eli Lilly and Novo Nordisk. These two companies compete in the diabetic
care sector. Note in Figure 5 that Novo Nordisk is driving a slow rate of improvement on the two
metrics, while Eli Lilly is struggling to drive improvement and going backwards during the period of
2011-2015.
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Figure 5. Orbit Chart: Operating Margin vs. Inventory Turn Comparison of Eli Lilly and Novo Nordisk A/S
As a result of this pattern, and driving higher and more sustainable results, Novo Nordisk’s ranking on
strength in the Supply Chain Index is higher. The companies are then stacked-ranked based on
performance and assigned a strength factor. The strength ranking is 1/3 of the Supply Chain Index.
Resiliency
Resiliency is an adjective easily tossed around as one of the important qualities
of a successful supply chain in today’s volatile world. However, the concept of
resiliency is difficult to define, and there is rarely clarity among stakeholders as
to what resiliency is or should be.
As we plotted orbit chart after orbit chart, we could see that some supply chains
had very tight patterns at the intersection of operating margin and inventory
turns, and that other companies had wild swings. We wanted to find a way to measure the variation.
So, we turned to the experts at ASU. After evaluating several methods to determine the pattern in the
orbit chart, we settled upon the Euclidean Mean Distance between the points.
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These results were published in our March 2014 report, Supply Chain Metrics That Matter: Improving
Supply Chain Resiliency, where we define resiliency as the tightness of the pattern at the intersection
of inventory turns and operating margin. (The calculation is outlined in the Appendix of this report.)
These metrics, both critical for any supply chain, are components of both the strength and resiliency
metrics in our Supply Chain Index model.
The tightness of the pattern (mathematically speaking, the Euclidean Mean Distance) indicates the
ability of a supply chain to maintain a tight, consistent pattern across these two metrics as the
business environment shifts and changes over a nine-year period (2006-2015). As shown in Table 4,
supply chain resiliency varies considerably by industry. The pharmaceutical industry is more resilient
than contract manufacturing and consumer electronics, but more volatile than consumer packaged
goods.
Table 4. Supply Chain Resiliency by Industry
The resiliency metric is similar to the cash-to-cash cycle in that a smaller number is better. A lower
number for resiliency is an indicator of a tighter pattern and greater reliability in results over the time
period.
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Judging Supply Chain Improvement
In the overall analysis each company is judged by their own potential to make progress. While the
average values of a company’s performance may be higher, in the Supply Chain Index we are
evaluating companies on their ability to drive year-over-year improvement and reliable progress on
the metrics that we believe matter.
The Supply Chain Index is a measurement of supply chain improvement. Each of the factors—
balance, strength and resiliency—as defined above, comprises 1/3 of the total score.
𝑆𝑢𝑝𝑝𝑙𝑦 𝐶ℎ𝑎𝑖𝑛 𝐼𝑛𝑑𝑒𝑥™ =
1
3
𝐵𝑎𝑙𝑎𝑛𝑐𝑒 𝐹𝑎𝑐𝑡𝑜𝑟 +
1
3
𝑆𝑡𝑟𝑒𝑛𝑔𝑡ℎ 𝐹𝑎𝑐𝑡𝑜𝑟 +
1
3
𝑅𝑒𝑠𝑖𝑙𝑖𝑒𝑛𝑐𝑦 𝐹𝑎𝑐𝑡𝑜𝑟
The Supply Chain Index results for Pharmaceutical companies are shown in Table 5.
Table 5. Supply Chain Index for Pharmaceutical Companies for the Years of 2006-2009, 2010-2015 and 2006-2015
The companies making the most improvement are Amgen, Bayer Group, Biogen Inc., Novo Nordisk
A/S, and Roche Holding AG. Three of these companies also outperform their peer group on Price to
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Tangible Book Value.
Companies that are underperforming their peer group can drive supply chain improvement faster than
higher-performing companies. As a result, when evaluating supply chain excellence, it is important to
look at improvement and performance together. We use this analysis to determine the best
performing supply chains through our Supply Chains to Admire methodology.
Evaluating Supply Chain Excellence:
Putting It All Together
In the overall analysis for the Supply Chains to Admire, each company is judged by their own
potential to make progress. While the average values of a
company’s performance may be higher, in the Supply Chain
Index we are evaluating companies on their ability to drive
year-over-year improvement and reliable progress on the
metrics that we believe matter.
The companies that are above the industry peer group on this balanced portfolio, and have driven
supply chain improvement, are given a “Supply Chains to Admire” award. This recognition award is
now in its third year. The 2016 winners are shown in Figure 6.
Figure 6. 2016 Supply Chains to Admire Award Winners
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To meet the criteria for The Supply Chains to Admire for 2016, companies needed to score better
than their peer group average for performance metrics, while driving a higher level of improvement
than 2/3 of their industry peer group. No company meets the qualification in the pharmaceutical
industry for 2016.
The calculation process is:
 Supply Chain Index. The Supply Chain Index is calculated for the peer group. A ranking in the top
2/3 of the peer group qualifies a company for further analysis. A company in the lower 1/3 for the
period is eliminated from consideration.
 Price to Tangible Book Value. This analysis determines which companies are driving the greatest
value. We first throw out the outliers in the (PTBV)i calculation. After the elimination of outliers, we
include companies that are at or above the PTBV value (allowing for no more than 5% below the
mean for the peer group to account for rounding errors).
Companies passing these two tests are then analyzed against the performance factors for 2009-
2015:
 Growth. Higher percentage growth than the industry average.
 Operating Margin. Greater margin performance than the industry average for the peer group for
the period studied.
 Inventory Turns. Better performance in inventory turns than the peer group average for the period
studied.
 Return on Invested Capital (ROIC). Higher performance on ROIC than the average for their peer
group for the period.
In the analysis of the performance factors, companies are divided into two classifications:
 Supply Chains to Admire Winners: In the analysis of the performance factors of growth, operating
margin, inventory turns, and Return on Invested Capital, companies scoring at or above the industry
peer group average for all four of the factors are listed as Supply Chains to Admire winners. (Must
be within 5% of the mean of the peer group to account for rounding.)
 Supply Chains to Admire Finalists. Companies meeting the Supply Chain Index and the PTBV
criteria, but falling below the peer group averages on the performance factors, are ranked as
finalists if they are no more than 10% below the industry average for three out of four of the
performance factors, and no more than 25% below on any single performance factor.
After doing this comparative analysis of the performance factors, we form a short list of companies.
The methodology is not limited to the best company in the peer group. Within a peer group, there can
be multiple winners.
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Executive Overview
Globalization. Serialization. Clinical trials. Cold chain operations. Custom drug protocols. Compliance.
Risk Management. Corporate Social Responsibility (CSR). First pass yield. Over the last decade, the
number and variety of supply chain initiatives exploded for the pharmaceutical leader. As a result, the
supply chain group, and the business imperatives, grew in importance.
Overall, the pharmaceutical supply chain fared better through the decade than that of consumer
products or food/beverage. The reason? The pharmaceutical supply chain entered the decade as a
supply chain laggard. They were able to focus and catch up to the level of other industries.
As shown in Table 6, when the industry averages of 2016 are compared to 2015, the pharmaceutical
supply chain grew revenue while driving improvements in operating margin, inventories, cash-to-cash
and Return on Invested Capital (ROIC).
Table 6. Industry Snapshot of Performance
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However, when we look at the balance sheets and income statements, and compare company
performance, there is not clear supply chain winner. While Biogen and Novo Nordisk are clearly
driving improvement, and Price to Tangible Book Value, neither company outperforms on inventory.
As a result, no pharmaceutical company will make the 2016 Supply Chains to Admire list. To make
the list, a company had to deliver performance (above average results for the period of 2009-2015
than their peer group on a portfolio of metrics including Price to Tangible Book Value, growth,
operating margin, inventory turns and Return on Invested Capital) and drive supply chain
improvement (based on the Supply Chain Index) faster than their peer group. We believe both
performance and improvement matter. We hope this report can be a guide to help companies
understand what is possible, and how supply chain metrics drive value.
In the pharmaceutical industry we find most companies to be stuck. They have either regressed in
supply chain performance or they are at the same point as they were a decade ago. For many supply
chain leaders that attend conferences, this may seem unfathomable. There is an industry belief that
companies have implemented new technologies and evolved processes and driven improved balance
sheet results. The goal of this report is to enable benchmarking and to spark a new conversation on
the definition of supply chain excellence.
The Race for Growth
Growth rates for the pharmaceutical companies were faster early in the decade than the last part of
the decade. The overall growth for the period of 2006-2015 is 6%. As shown in Table 7, note that two
companies in the peer group posted growth rates greater than the industry average and are in the top
half of the Supply Chain Index (measurement of supply chain improvement) for the periods of 2006-
2015 and 2010-2015. These companies are Amgen and Biogen. Conversely, Merck beat the growth
rates for the period of 2006-2015, but struggled to drive supply chain improvement. Companies with
the highest growth rates also did the best on driving supply chain improvement.
Many supply chain leaders don’t believe it is possible to grow and manage the Supply Chain Metrics
That Matter simultaneously. In the analysis, we see that as growth slowed in the Pharmaceutical
industry that it was harder to drive improvement on the Supply Chain Metrics That Matter.
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Table 7. Industry Growth Rates Over the Last Decade with a Comparison to the Supply Chain Index
What Is Value?
As noted in Table 8, companies outperforming in market capitalization may not outperform in Price to
Book, or Price to Tangible Book Value. Also note the trend between PTBV and the Supply Chain
Index. While a company like AstraZeneca PLC is outperforming on many metrics, the supply chain
performance is declining with a falling Price to Tangible Book valuation.
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Table 8. Comparison of Market Capitalization, Market-To-Book Value and Market-To-Tangible Book Value
Judging Supply Chain Performance
When it comes to overall supply chain performance, Biogen and Novo Nordisk are posting results
better than the peer group while still driving improvement. However, neither company is pushing
above the industry average on all of the metrics to meet the Supply Chains to Admire definition. As
shown in Table 9, both Biogen and Novo Nordisk are outperforming in growth, operating margin and
ROIC, but underperforming on inventory turns. Shire is showing improvement in the later part of the
decade, but is a late bloomer.
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Table 9. Comparison of Performance and Improvement for the Periods of 2006-2009, 2010-2005 and 2006-2015
Managing Cycles
When comes to managing cash-to-cash cycles, a small number is better. The question in the
boardroom is “How small can supply chain cycles be managed before we put the supply chain at
risk?” To understand the management of cycles in the pharmaceutical industry we evaluated them in
three time periods: pre-recession, during the recession and post-recession. We wanted to understand
how the components of cash-to-cash cycles had changed across competitors over time.
Cash-to-cash is a composite metric of receivables, inventory and payables. As can be seen through
the charts, the greatest improvement in supply chains in the last decade has been made in
payables—i.e. lengthening payment terms to supplies—while inventory levels and receivables have
been more constant. However, with the exception of AstraZeneca, the pharmaceutical companies
have not been as aggressive as other industries on the elongation of payables.
Page 24
Table 10. Comparison of Cash-to-Cash Components: Pharmaceutical Industry During 2006-2009 and 2010-2015
While it looks like AstraZeneca has made the most progress in managing cash-to-cash cycles, a
closer examination of the payables in Figures 6 and 7 tells a different story. The improvement is
primarily coming from lengthening payables. The movement from 300 to over 500 days by
AstraZeneca is dangerous. This is especially true in the Pharmaceutical industry where there is a
critical dependence on suppliers and contract manufacturers.
Figure 6. Cash-To-Cash Cycles for Major Pharmaceutical Companies for the Period 2006-2009
Page 25
Figure 7. Cash-To-Cash Cycles for Major Pharmaceutical Companies for the Period of 2010-20015
We find that the supply chain leaders who are making the most progress on the Effective Frontier,
and have the tightest resiliency on orbit charts (at the intersection of inventory turns and operating
margins), usually have lower payables in the 30- to 120-day range.
A Closer Look at Generic Pharma
While the first part of this report focuses on branded pharmaceuticals, a new industry for generic
drugs has evolved. These companies operate at a lower margin, where supply chain performance
should be paramount. However, note that the generic pharma leaders Teva and Mylan have not been
able to drive higher levels of supply chain performance or improvement. As shown in Figure 8, both
companies lack resiliency at the intersection of operating margin and inventory turns. There is an
opportunity in generic pharma to use supply chain as a competitive advantage which has not
happened yet.
Page 26
Figure 8. A Study of Teva and Mylan at the Intersection of Operating Margin and Inventory Turns
Industry Focus
To grow, the industry was rife with acquisitions. During 2010-2015 the supply chain focus was Lean
Six Sigma, the prevention of counterfeit products and protection of intellectual property, and
globalization. Pharmaceutical companies are more mature on Risk Management and Supplier
Development programs than consumer products or food/beverage. In this section we share significant
supply chain related quotes from the corporate reports for this period.
Abbot Laboratories 2010: in recent years. Just as our Guidant acquisition in 2006 capped a long-
term strategy that gave us critical mass in an attractive new business, our more recent strategic
actions have taken Abbott to a new level in emerging markets. In 2010, we:
 Acquired Solvay Pharmaceuticals, bringing us approximately $2 billion in stable, branded generic sales;
 Acquired Piramal’s Healthcare Solutions business, making Abbott the largest pharmaceutical company in
India, an $8 billion market expected to double in the next five years;
 Completed an agreement with Zydus Cadila for 24 branded generic pharmaceutical products in 15 emerging
markets;
Created a new Established Products Division (EPD) to maximize the strong commercial opportunities
for branded generics outside the United States. EPD launched at the beginning of 2011 with
approximately $5 billion in annual sales. All these actions give us the right commercial footprint to
Page 27
become one of the largest pharmaceutical companies in emerging markets.
We expect that roughly one-third of our global pharmaceutical sales will come from high-growth
emerging markets within five years.1
In the domestic pharmaceutical business, the most significant charges against gross sales are for
Medicaid and Medicare Rebates, Pharmacy Benefit Manager Rebates and Wholesaler Chargebacks.
In order to evaluate the adequacy of the ending accrual balances, management uses both internal
and external data to estimate the level of inventory in the distribution channel and the rebate claims
processing lag time. External data sources used to estimate the inventory in the distribution channel
include inventory levels periodically reported by wholesalers and third party market data purchased
by Abbott. Management estimates the processing lag time based on periodic sampling of claims data.
To estimate the price rebate percentage, systems and calculations are used to track sales by product
by customer and to estimate the contractual or statutory price. Abbott’s systems and calculations
have developed over time as rebates have become more significant, and Abbott believes they are
reliable.2
AstraZeneca 2010: We seek to maximize the efficiency of our supply chain through a culture of
continuous improvement. We focus on what adds value for our customers and patients, and what
eliminates waste. This program has delivered significant benefits in recent years, including reduced
manufacturing lead times and lower stock levels, both of which improve our ability to respond to
customer needs and reduce inventory costs. Changes have also been achieved without
compromising customer service and quality. We have been applying Lean business improvement
tools and ways of working to improve the efficiency of our manufacturing plants for a number of years,
and are now applying them to the whole of our supply chain. In 2010, we reinforced our commitment
to creating a Lean supply and manufacturing organization with a global campaign to recruit more
Lean experts into our manufacturing sites and supply chain functions. This has included the creation
of a new global centre of excellence comprising Lean experts from a broad range of industrial
backgrounds to provide support and co-ordination to the accelerated development of our Lean supply
system. This enables us to learn from other industries how to operate our supply chains at a much
higher performance level than is generally found in the pharmaceutical sector. The inauguration of a
new regional packing centre in Wuxi, China in 2010 was a key milestone. We operate this centre to
1
Abbot Laboratories, 2010 Annual Report, March 3, 2011, p.3, http://www.abbott-
laboratories.si/uploads/datoteke/Global%20citizenshi p%20report%202010.pdf, accessed April 1, 2016.
2 Abbot Laboratories, 2010 Annual Report, March 3, 2011, p.65, http://www.abbott-
laboratories.si/uploads/datoteke/Global%20citizenshi p%20report%202010.pdf, accessed April 1, 2016.
Page 28
our global standards and apply a broad range of Lean techniques and principles. We believe it will
improve our competitiveness in Asian markets.3
At the end of 2010, approximately 9,300 people at 23 sites in 16 countries were working on the
manufacturing and supply of our products. Approximately 8,350 people work in formulation and
packaging and 350 people work in active pharmaceutical ingredient (API) supply. Our principal small
molecule manufacturing facilities are in: the UK (Avlon and Macclesfield); Sweden (Snäckviken and
Gärtuna, Södertälje); the US (Newark, Delaware and Westborough, Massachusetts); France (Reims);
Japan (Maihara); Australia (North Ryde); China (Wuxi); Puerto Rico (Canovanas); Germany (Wedel);
Mexico (Lomas Verdes); Brazil (Cotia); and Argentina (Buenos
We continue to work to make sure that our purchasing is directed only to those organizations which
embrace ethical standards consistent with our own. This is particularly important given the strategic
changes to our geographic footprint and our increased outsourcing activity to support improved
efficiency and effectiveness across the organization. Our Global Responsible Procurement Standard
defines the process for integrating our ethical standards into our procurement activity and decision
making worldwide. The process is based on an escalating set of risk-based due diligence activities,
applied in a pragmatic way. The same initial assessment process is used for all suppliers and more
detailed, specific assessments are then made as required, proportionate to the level of risk a supplier
presents. The Standard includes detailed expectations of suppliers which suppliers sign up to as part
of the contracting process. We will work with suppliers to help them improve their standards, rather
than automatically excluding them from our supply chain but we will not use suppliers who are unable
or unwilling to meet our expectations in a timely way.
Implementing our approach across the many thousands of suppliers we work with around the world
will take time. We started with our largest suppliers, whose contracts with AstraZeneca are managed
centrally by our Procurement team. In 2009, we completed Responsible Procurement assessments of
over 800 suppliers accounting for around 65% of our third party spend. In 2010, we extended the
program to other companies in our supply chain, including smaller suppliers and those whose
contracts are managed locally. Since the program began, we have completed over 1,950
assessments which account for around 75% of our third party spend. The ongoing program will
continue throughout 2011 and beyond.
3 AstraZeneca, 2010 Annual Report, March 2011, p.34, https://www.astrazeneca.com/content/dam/az/our-
company/investor-relations/presentations-and-webcast/Annual-Reports/2010-Annual-Report.pdf, accused April
1, 2016.
Page 29
In late 2010, we introduced a requirement that our key suppliers provide independent audit
verification that their ethical standards are being applied in practice. Together with our suppliers, we
are partnering with experienced third party providers in this work and using an assessment program
that reflects best practice from other industry sectors, as well as the principles of the Pharmaceutical
Supply Chain Initiative (a group of major pharmaceutical companies working to support suppliers in
operating in line with industry expectations). We are in the early stages of engaging with suppliers on
the introduction of this requirement and it will take time to embed the practice. However, we believe
that this move significantly strengthens the framework for working together with our suppliers to drive
continuous improvement. We continued our Integrated Supplier Evaluation Protocol audit program
during the year and have now supplemented this with the introduction of focused Responsible
Procurement assessments. In 2010, the program covered 48 audits at 42 different suppliers (2009:
51 audits at 45 suppliers).4
Roches Holdings AG 2010: In the Pharmaceuticals Division the operating profit increased by $2.2
billion to $5.9 billion, driven primarily by synergies from the Genentech integration in all functions,
higher positive effects of cost-sharing agreements with related parties and resource prioritization,
notably in marketing and distribution, despite the initial costs for the
Operational Excellence program of $0.4 billion. Cost of sales decreased in comparison to 2009, as a
result of lower royalty expenses and lower expenses for collaboration and profit-sharing agreements
in 2010, further to an amended agreement with GlaxoSmithKline in the U.S. for Bonviva/Boniva. 2010
also includes the impacts of productivity improvements in technical operations, offset by unfavorable
product mix effects. The comparative period includes the one-time impact of the inventory write-off for
the voluntary withdrawal of Raptiva. Research and development costs, excluding intangible assets
impairments, decreased by 4% mainly due to the positive impact of cost sharing agreements with
related parties, resource prioritization and synergies. Research and development expenses also
included the immediate recognition of the remaining costs of $53 million necessary to cover the
termination of the ocrelizumab rheumatoid arthritis development program and the payment received
from Novartis for opting in the Lucentis study on the treatment of macular edema following retina/vein
occlusion. The majority of the costs that were recorded as part of the Operational Excellence program
4 AstraZeneca, 2010 Annual Report, March 2011, p.44, https://www.astrazeneca.com/content/dam/az/our-
company/investor-relations/presentations-and-webcast/Annual-Reports/2010-Annual-Report.pdf, accused April
1, 2016.
Page 30
relate to research and development.5
AstraZeneca 2011: In October, we launched an online Supply Chain Academy, providing ongoing
internal training to drive further improvements across our end-to-end supply chain. Alongside this we
ran an internal leadership program to reinforce the cultural aspects of more efficient supply chain
processes. In October, we announced an investment of $200 million to build a manufacturing facility
in China Medical City in Taizhou, Jiangsu province, China to meet growing local demand for our
products and expand availability of our products to people in urban and rural communities. This will
be our first manufacturing site to be built using Lean principles from the outset. These principles are
being applied from the planning stage to the whole facility, including operators, products, components
and equipment. We are designing equipment to meet varying demand, enabling fast, reliable
changeover. We also seek to identify where processes could fail, designing systems to minimize
these risks.6
Capital expenditure on supply and manufacturing facilities totaled approximately $388 million in 2011
(2010: $333 million; 2009: $360 million). As part of our overall risk management, we carefully
consider the timing of investment to ensure that secure supply chains are in place for our products.
We also have a program in place to provide appropriate supply capabilities for our new products. At
the end of 2011, approximately 9,600 people at 23 sites in 16 countries were working on the
manufacturing and supply of our products.
GlaxoSmithKline 2011: In 2011 the FDA approved the highest number of new molecular entities
since 2004, and nearly a third of these approvals were for therapies to treat rare diseases. This is in
line with the FDA’s priority to address the public health needs of special populations. Enforcement
and compliance activity increased in the manufacturing and global supply chain, as well as in drug
advertising and promotion. The FDA developed its goals for the renewal in 2012 of the Prescription
Drug User Fee Act (PDUFA) with a focus on enhancing the science of drug development, improving
the quality of evidence in applications, providing a more efficient and predictable review process, and
maintaining public confidence.7
Our record demonstrates the success of this approach. Although reported turnover fell 3% in 2011,
we have delivered underlying sales growth of 4% in each of the past two years. We anticipate that
5 Roche Holdings AG, 2010 Annual Report, March 2011, p. 3, http://www.roche.com/rhi_ar_2010.pdf,
accessed April 1, 2016.
6
AstraZeneca, 2011 Annual Report, March 2012, p.38, https://www.astrazeneca.com/content/dam/az/our-company/investor-
relations/presentations-and-webcast/Annual-Reports/2011-Annual-report.pdf, accessed April 4, 2016.
7
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.14, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
Page 31
underlying sales growth will translate into reported sales growth in 2012. (For details of underlying
growth see page 27). In addition, 38% of Group turnover is now generated outside the USA and
Europe.
The shift in sales away from a reliance on ‘white pills in Western markets’ to a broader base including
Emerging Markets, Vaccines and Consumer Healthcare is clear.8
Despite a 5% fall in reported sales, our US operating profit increased by 1% as our efforts to simplify
and standardize work processes produced efficiencies that helped control costs and offset the decline
in sales of certain products combined with higher asset disposal income. In our Pharmaceuticals
business, reported turnover declined by 6% and underlying turnover declined by 1%. Sales of our
largest product, Advair, declined 1%. This follows the drop in the US market for ICS/ LABA
combination products following the revised class labeling implemented by the Food and Drug
Administration (FDA) in 2010. Hycamtin sales declined 92% due to generic competition and Zovirax
sales declined 79% following the divestment of the brand in January 2011.9
The first implementation of GSK’s new global standard Enterprise Resource Planning system,
designed to standardize and improve financial and commercial processes, was completed
successfully in Germany, and the deployment of our new European supply chain continues.10
Reported turnover growth in the year was 6%, but underlying growth of 15% outpaced growth in the
market for the third consecutive year. The underlying growth was driven by relatively consistent
pharmaceuticals growth during the year, of 14%. Operating profit fell 3%, reflecting the loss of sales
of pandemic products, Avandia and Valtrex.11
In 2011, we announced our intention to build a new manufacturing facility in the UK for the supply of
biopharmaceutical products. Subject to the introduction of ‘patent box’ legislation by the UK
Government in 2012, this facility could be built at one of four existing GSK sites – Barnard Castle or
Ulverston in the north of England, or Irvine or Montrose in Scotland – representing an investment of
several hundred million pounds.
Standardization should increase productivity, as our businesses will have more time to focus on their
8
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.16, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
9
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.18, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
10
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.20, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
11
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.21, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
Page 32
operations and performance rather than coordinating internal processes. Standardization of data and
systems should provide better decision-making information. A key enabler for the delivery of benefits
from CBS will be the enterprise-wide Enterprise Resource Planning (ERP) system.
The significant investment we are making in the Global ERP program over the next five years will
enable CBS to
• create standard business processes, systems and data to support the growth and
• change agenda across multiple businesses. As part of the ERP program we are
• converting country-based commercial IT systems to a single SAP IT system and
• replacing numerous fragmented and non-standardized applications. In 2011 the system went
live in Germany, marking the start of ERP deployment across the whole of GSK.
In 2011, we implemented changes to our supply chain processes. To help supply chain efficiency we
have significantly simplified our product portfolio by reducing the number of packs or ‘SKUs’ by 25%
in Europe, 15% in Japan and up to 24% in Emerging Markets. We are now focused on standardizing
the remaining pack formats to improve packaging efficiency and costs. In addition, our manufacturing
organization is actively seeking to improve procurement processes and in particular our purchasing of
active ingredients, chemical intermediates, packaging components and part-finished and finished
products. This is releasing further cost efficiencies and allowing us to reduce working capital.
In our Consumer Healthcare business, we are redesigning our supply chain to form an integrated,
end-to-end process that is more aligned with our customers and the commercial operations of the
business. This process is also being configured to support the high-growth regions of emerging
markets. These changes are expected to reduce cost and free-up working capital. Our European
pharmaceuticals and vaccines supply chain has also been redesigned to simplify operations and
consolidate distribution locations to reduce inventory, increase service levels and cut operating
costs.12
Our long-term vision is for our entire value chain to be carbon neutral by 2050. Around 40% of our
carbon footprint results from our supply chain and a further 40% from propellants released from our
inhalers. Less than a fifth of our total impact comes directly from our operations, so while we continue
to increase energy efficiency and the use of renewable energy at our sites, we are also focusing on
our supply chain and the use of products, especially inhalers.
In 2011 we began foot-printing key products to identify the priorities, and have developed site-based
12
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.41, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
Page 33
events to analyze local carbon reduction potential and act on the opportunities. In 2011 we reduced
energy consumption from our operations by 5.2%. Greenhouse gas emissions from the use of
inhalers rose by 2.9%.13
Inventory of £3,873 million has increased by £36 million during the year. The increase reflects higher
Vaccine stocks, principally Cervarix for the national HPV program in Japan, partly offset by initiatives
to reduce manufacturing cycle times and reduce stockholding days through more efficient use of
inventory throughout the supply chain.14
Roches Holdings AG 2011: The manufacturing organization’s primary objectives in 2011 were to
support Roche’s growing R&D pipeline and improve our manufacturing network and processes, while
maintaining a strong focus on supply chain reliability and product quality. We continued to foster a
culture of continuous improvement and share best practices across sites. Improvements introduced in
2011 include additional common standards for producing small molecules, which will help make site
performance more transparent, and establishing best practices for materials flows and productive
maintenance. In biologics production, we improved scrap-handling practices, resulting in lower
manufacturing costs, Manufacturing sites higher yields and improved manufacturing processes for
products such as Pulmozyme and Nutropin.15
The agility and resilience of our global supply chain was tested in March, when the disastrous
earthquake in Japan interrupted Chugai’s Utsunomiya operations, and again in September, when a
fire damaged our site in Segrate. In response, Roche and Chugai immediately set up supply chain
taskforces that worked in close cooperation with health authorities to ensure continued product supply
and regulatory compliance. Both sites have fully recovered from these incidents and resumed
production.
As part of the Operational Excellence program, announced in late 2010, and the ongoing evaluation
of our manufacturing network, we divested technical development and small molecule manufacturing
operations located in Boulder, USA, to Corden Pharma. Corden will continue to supply us with
commercial-scale peptides and chemical active ingredients for important medicines. We also sold our
clinical plant in Oceanside, USA, to Gilead Sciences in our ongoing program to consolidate clinical
and process development operations. These divestments, along with other measures, lowered the
13
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.49, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
14
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.61, https://www.GlaxoSmithKline.com/media/325141/annual-report-
2011.pdf, accessed April 4, 2016.
15
Roche Holdings AG, 2011 Annual Report, March 2012, p.55, http://www.roche.com/gb11e.pdf, accessed April 4, 2016.
Page 34
number of people employed in pharmaceutical operations in the US by 15%.
We reorganized operations across the Diagnostics Division in 2010 to establish a single, integrated
function for driving excellence in manufacturing, supply chain management and procurement. Since
then, we have pursued an agenda of delivering cost savings while building capabilities for sustainable
high performance in quality, cost and supply reliability. In 2011 we again realized an aggressive cost-
saving target, which contributed to the division’s overall improvement in profitability. We also
advanced three performance initiatives:
Asset management: We invested in facilities to expand capacity, alleviate bottlenecks and mitigate
supply risks, and we transferred product manufacturing to consolidate capacity, increase utilization
and reduce costs. We also consolidated our supplier base to ensure optimal alignment between
external suppliers and internal capacities.
Right-first-time manufacturing: We introduced a system-wide program to improve performance by
systematically eliminating errors, driving improvements in right-first-time rates, quality and cost at all
sites. The program also served as a forum for sharing best practices across the network.
Design for quality and manufacturability: We developed tools and methodologies to ensure the
establishment of robust production processes and applied them to product development projects
across the division. We expect these changes to pay dividends in the form of improved quality and
manufacturability as new products are brought to market.16
Abbot Laboratories 2012: Geographically, we are now one of the most truly globalized of healthcare
companies, with only 30 percent of our revenue coming from the United States, a remarkable reversal
from just 10 years ago. Another 30 percent of our sales come from established international markets,
while 40 percent now come from the world’s fastest-growing international markets, including India, in
which we are the largest pharmaceutical company. We expect this to grow to 50 percent over the
next several years.17
AstraZeneca 2012: Since 2007, we have undertaken significant efforts to restructure and reshape
our business to improve long-term competitiveness. The first phase was completed in 2009. The
second phase, which featured a significant change program in R&D, began in 2010. The restructuring
actions for this phase of the program were completed in 2011, at a total program cost of $2.1 billion.
16
Roche Holdings AG, 2011 Annual Report, March 2012, p.57, http://www.roche.com/gb11e.pdf, accessed April 4, 2016.
17
Abbot Laboratories, Annual Report, March 2013, p.2, file:///Users/howardking/Downloads/2012%20Annual%20Report.pdf,
accessed April 5, 2016
Page 35
Headcount changes associated with this phase, involving an estimated 9,000 positions, were also
completed. Total annual benefits of $1.9 billion were to be delivered by the end of 2014 in connection
with this phase of the program, of which $1.5 billion had been achieved by the end of 2012.
We are committed to delivering product quality that underpins the safety and efficacy of our
medicines. We have a comprehensive quality management system in place designed to assure the
quality of our products in compliance with relevant regulations. Notwithstanding our efforts, during
2012 we experienced disruptions to our supply chain resulting from the implementation in February
2012 of an enterprise resource planning IT system in our facilities in Sweden (Södertälje and
Gärtuna). This change was necessary, due to the legacy systems reaching the end of their life-cycle.
At launch the implementation encountered some unexpected difficulties and we put in place a team
with representatives from different parts of the organization to manage the situation so that impact on
patients would be minimized and markets were kept informed. The underlying problems have now
been resolved and production levels returned to normal in September. We estimate that the negative
revenue impact for the year resulting from this disruption was approximately 1%. Supply from our site
in India (Bangalore) was also disrupted for a period of time following a voluntary recall of products
that we determined did not meet our global quality standards. Remediation actions have been
implemented.
Lessons learned from the supply chain disruptions in 2012 have been shared across the Group as
part of our continuous improvement program. This program allows us to improve our systems and
minimize the impact of our activities on the environment. We focus on what adds value to our
customers and patients, as well as waste elimination. The program has delivered significant benefits
in recent years, including reduced manufacturing lead times and lower average stock levels, both of
which improve our ability to respond to customer needs and reduce inventory costs. All improvements
are designed to ensure we maintain product quality, safety and customer service.18
We have applied Lean production business improvement tools and ways of working to improve the
efficiency of our manufacturing plants for a number of years and, in recent years, have applied them
to the whole of our supply chain. This has led to improvements in quality, lead times and overall
equipment effectiveness. In 2012, we continued to establish more efficient processes, with experts
from our global supply chain organization providing cross-functional support throughout the
18
AstraZeneca, 2012 Annual Report, March 2013, p.40, https://www.astrazeneca.com/content/dam/az/our-company/investor-
relations/presentations-and-webcast/Annual-Reports/2012-Annual-report.pdf, accessed April 5, 2016.
Page 36
business.19
We categorize suppliers as high, medium or low risk. We focus our auditing efforts on high and
medium risk rated suppliers but we also audit some suppliers that we consider to be lower risk, to
confirm our performance expectations across all suppliers we do business with. In 2012, we
continued our audit activity with 482 audits across 52 countries (751 audits in 2011) as set out in the
table on the previous page. Forty-three percent of suppliers audited demonstrated standards that met
our expectations, with a further 53% implementing improvements to address minor noncompliance.
We monitor progress across all corrective actions and 4% of suppliers audited this year will require
significant follow up to confirm they will make the improvements we require. We will not use suppliers
who are unable or unwilling to meet our expectations in a timely way. During 2012, we removed eight
suppliers from our supply chain.20
GlaxoSmithKline 2012: We continue to make changes to simplify our operating model. Our
Operational Excellence program has now delivered annual savings of £2.5 billion and remains on
track to hit the target we set of £2.8 billion of annual savings by 2014. In February 2013 we
announced a new major change program, which we expect to produce incremental annual cost
savings of at least £1 billion by 2016. This program will include a series of technological advances
and opportunities to eliminate complexity, which we believe can transform our long-term cost
competitiveness in both manufacturing and R&D. The program will help us simplify our supply chain
processes, shorten cycle times, lower inventory levels and reduce our carbon footprint.21
Despite reducing our carbon footprint from energy use by 15% since 2010, our total carbon footprint
(excluding that from raw materials) increased by 7% compared to 2010 driven by higher inhaler sales.
However, current carbon reduction projects should enable us to reach our interim target to cut our
value chain carbon footprint by 10% to 13.5 million tons of CO2 equivalent by 2015.22
The transformation of our operating model and processes has been a key business strategy, enabling
us to standardize and streamline important aspects of our business, including our supply chain. We
have been implementing a restructuring program to deliver significant savings to support investment
19
AstraZeneca, 2012 Annual Report, March 2013, p.41, https://www.astrazeneca.com/content/dam/az/our-company/investor-
relations/presentations-and-webcast/Annual-Reports/2012-Annual-report.pdf, accessed April 5, 2016.
20
AstraZeneca, 2012 Annual Report, March 2013, p.42, https://www.astrazeneca.com/content/dam/az/our-company/investor-
relations/presentations-and-webcast/Annual-Reports/2012-Annual-report.pdf, accessed April 5, 2016
21
GLAXOSMITHKLINE, 2012 Annual Report, March 2013, p.3, https://www.GlaxoSmithKline.com/media/279963/annual-report-
2012.pdf, accessed April 5, 2016.
22
GLAXOSMITHKLINE, 2012 Annual Report, March 2013, p.43, https://www.GlaxoSmithKline.com/media/279963/annual-report-
2012.pdf, accessed April 5, 2016.
Page 37
in our priority growth businesses as well as offset pressures on the Group’s margin resulting from
changes in the shape and mix of our business.
The existing Operational Excellence program is coming to a close and will be superseded by a new
major change program. This will focus on opportunities to simplify our supply chain processes, as
previously announced in 2012 and on building the Group’s capabilities in manufacturing and R&D, as
well as restructuring our European business. 2012 also saw £165 million of restructuring charges
relating to the acquisition of Human Genome Sciences (HGS). Total restructuring charges related to
HGS are expected to be approximately £204 million, of which most is expected to be a cash cost. The
majority of the remaining HGS restructuring charges will be booked in 2013.23
Roche Holdings AG 2012: Manufacturing, procurement and supply functions bring innovative
medicines and diagnostics from the R&D pipeline to patients and healthcare professionals worldwide.
At all stages of our global supply chain, from suppliers to manufacturers, warehousing and
transportation, we require and apply rigorous safety, quality, ethics, labor, health and environmental
standards. State-of-the-art processes and facilities ensure that these standards are fully met and that
products are made available reliably.24
Pharmaceutical manufacturing played a decisive role in the rapid launch in the US of breast cancer
medicine Perjeta — available to patients one day following FDA approval — and skin cancer
medicine Erivedge — in distribution three days after approval. In collaboration with R&D, we
supported 108 development projects for new medicines, including manufacturing investigational
products for approximately 600 global clinical trials that involved tens of thousands of patients. During
the year we took active steps to safeguard operational reliability. Throughout the organization, we
increased inventory ‘safety stock’ levels, to ensure continuity of product supply in response to
unforeseen increases in demand, especially for new product launches. This contributed to a total
inventory increase of 18% in the division. We also increased oversight across the supply chain
including suppliers and CMOs. To ensure an effective response in case of unexpected events, a new
business continuity process for our manufacturing operations was put into effect.25
Throughout 2012 we continued to pursue several long-term initiatives aimed at sustainable high
performance:
23
GLAXOSMITHKLINE, 2012 Annual Report, March 2013, p.44, https://www.GlaxoSmithKline.com/media/279963/annual-report-
2012.pdf, accessed April 5, 2016.
24
Roche Holdings, 2012 Annual Report, March 2013, p.62, http://www.roche.com/gb12e.pdf, accessed April 5, 2016.
25
Roche Holdings, 2012 Annual Report, March 2013, p.64, http://www.roche.com/gb12e.pdf, accessed April 5, 2016.
Page 38
We established a continuous improvement culture and metrics in manufacturing quality performance
(‘right first time’) and put methodologies and tools in place to ensure more robust production
processes (‘design for quality and manufacturability’), with first positive trends.
We continued to optimize manufacturing capacity (‘asset management’), and initiated a major capital
investment project at our site in Penzberg, Germany.
We started two new initiatives that are expected to generate significant savings over the next years: a
supply chain excellence initiative to enhance the reliable and cost-effective supply of our products
and to optimize inventory levels, and a procurement excellence initiative to ensure more strategic
sourcing and improved supplier management, including a new supplier performance measurement
tool.26
Abbot Laboratories 2014: In a highly innovative move, we also agreed to co-develop a dairy-farm
hub in China, which will deepen our roots in the country and strengthen our supply chain. These
investments are a reflection of the strong underlying demand for high-quality adult and pediatric
nutrition products. Our intent is to design and manufacture products around the world to ensure that
they’re geared to local needs and preferences, that we can produce them efficiently, and that we build
our presence and strengthen our relationships with key stakeholders in every country in which we do
business.27
In Abbott’s worldwide diagnostics business, margin improvement continued to be a key focus in 2014.
Operating margins increased from 19.2 percent of sales in 2012 to 22.9 percent in 2014 as the
business continued to execute on efficiency initiatives in the manufacturing and supply chain
functions. In addition to continued margin improvement, unit growth across geographical regions
positively impacted worldwide diagnostic sales. Worldwide sales for this business increased 6.4
percent in 2014 and 8.3 percent in 2013, excluding foreign exchange. In the Established
Pharmaceutical Products segment, Abbott announced in July 2014 that it will sell its developed
markets branded generics pharmaceuticals business to Mylan Inc. As a result, the current and prior
year operating results of the developed markets branded generics business are reported as part of
discontinued operations. Following the close of this transaction, the Established Pharmaceuticals
business will operate entirely in emerging markets. On September 26, 2014, Abbott completed its
acquisition of a controlling interest in CFR Pharmaceuticals S.A. (CFR). The acquisition of CFR more
26
Roche Holdings, 2012 Annual Report, March 2013, p.66, http://www.roche.com/gb12e.pdf, accessed April 5, 2016.
27
Abbott Laboratories, 2014 Annual Report, March 2015, p. 2, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol-
proxy, accessed April 11, 2016.
Page 39
than doubles Abbott’s branded generics pharmaceutical presence in Latin America and further
expands its presence in emerging markets. On December 12, 2014, Abbott acquired control of
Veropharm, a leading Russian pharmaceutical company. Through this acquisition, Abbott establishes
a manufacturing footprint in Russia and obtains a portfolio of medicines that is well aligned with
Abbott’s current pharmaceutical therapeutic areas of focus.28
A supplier’s recall of product in August 2013 in certain international markets negatively impacted
International Pediatric Nutritional sales in the third and fourth quarters of 2013, as well as the first two
quarters of 2014. While there were no health issues associated with this supplier recall and the
supplier subsequently determined that the product had been safe for consumption, this event created
significant disruption in these markets. The decline in 2014 U.S. Pediatric Nutritional sales primarily
reflects lower infant formula revenue. U.S. Pediatric sales were flat in 2013 due to lower formula
share, partially offset by higher sales of toddler products.29
In 2014, Abbott management approved plans to streamline operations in order to reduce costs and
improve efficiencies in various Abbott businesses including nutritional and established
pharmaceuticals businesses. Abbott recorded employee related severance and other charges of
approximately $164 million in 2014. Approximately $20 million is recognized in Cost of products sold,
$53 million is recognized in Research and development and approximately $91 million is recognized
in Selling, general and administrative expense. Additional charges of approximately $39 million in
2014 were also recorded primarily for accelerated depreciation. In 2014 and 2013, Abbott
management approved plans to reduce costs and improve efficiencies across various functional
areas as well as a plan to streamline certain manufacturing operations in order to reduce costs and
improve efficiencies in Abbott’s established pharmaceuticals business.30
AstraZeneca 2012: We are committed to high product quality, which underpins the safety and
efficacy of our medicines. To help assure compliance and quality, we maintain a comprehensive
quality management system. Our continuous improvement program allows us to upgrade our systems
and minimize environmental impact. By focusing on increasing efficiency and cutting waste, we have
reduced manufacturing lead times, average stock levels and inventory costs. We have also improved
customer responsiveness. We apply Lean production business improvement tools and methods to
28
Abbott Laboratories, 2014 Annual Report, March 2015, p. 61, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol-
proxy, accessed April 11, 2016.
29
Abbott Laboratories, 2014 Annual Report, March 2015, p. 63, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol-
proxy, accessed April 11, 2016.
30
Abbott Laboratories, 2014 Annual Report, March 2015, p. 66, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol-
proxy, accessed April 11, 2016.
Page 40
our manufacturing plants and entire supply chain to improve efficiency, quality, lead times and overall
equipment compliance responsibility and supported by dedicated compliance teams. Our Internal
Audit Services (IA) function provides independent assurance.
Due to our strategy to outsource most API manufacturing, we need an uninterrupted supply of high
quality raw materials. As such, we place great importance on our global procurement policies and
integrated risk management processes. We purchase materials from a wide range of suppliers and
work to mitigate supply risks, such as disasters that disrupt supply chains or the unavailability of raw
materials. Contingency plans include using dual or multiple suppliers where appropriate, maintaining
adequate stock levels and working to mitigate the effect of pricing fluctuations in raw materials.
In 2014, we implemented a new process for third party risk management. This process, which
consists of four steps and applies to all our suppliers, downstream supply chain partners and local
business development partners, assesses risk based upon defined criteria, including that related to
anti-bribery and anti-corruption, data privacy, the environment and wages. Each step of the process
provides an additional level of assessment, and we conduct more detailed assessments on those
relationships identified as higher risk. Through this process we seek to better understand the
partner’s risk approach, ensure the partner understands and can meet our standards and mitigate
risk.
To help secure our future, we are identifying and recruiting emerging talent and investing in
internships and recruitment opportunities globally. For example, we conduct a global program to hire
recent graduates for our procurement, quality, engineering, IT and supply chain functions. We also
have a graduate program for IMED, which complements our established IMED Post Doctorate
Program for researcher recruitment.
GlaxoSmithKline 2012: Our end-to-end supply chain program, which began in 2013, is designed to
reform and simplify our supply chain. In 2014, we introduced processes to improve coordination
across each stage of production from sourcing and manufacturing to more efficient delivery of our
products to patients and consumers
In 2014, we introduced the GSK Production System (GPS) across our Pharmaceutical manufacturing
sites. The GPS is a standard way of working to identify and eliminate the root causes of accidents,
defects and waste. This standardized way of working will improve our processes and performance.
For example, at our site in Cairo, Egypt, deployment of the program has resulted in a 26% increase in
production with a decrease in manufacturing interruptions of more than 40%.
Page 41
Consolidation of our supply base also helps to simplify our Pharmaceutical manufacturing and supply
chain operations and during 2014 we reduced the number of third-party suppliers who manufacture
medicines on behalf of GSK, by a further 8%, compared with 2013. We have also continued to reduce
complexity in our supply base by standardizing specifications for goods and materials that we buy
and pursuing integrated sourcing processes.
We continued our initiative to reduce the complexity of our Pharmaceutical product portfolio, which
allows us to simplify both supply chain and commercial operations and reduce risk and complexity
while increasing service levels. In 2014, we achieved a 19% reduction (against our 2012 baseline)
which equates to more than 4,000 discontinued packs.31
We have faced challenges during the year with several of our Consumer Healthcare manufacturing
sites primarily in North America. However, affected supply lines are now fully operational and we
expect to see increasing benefit from resumption
in supply during 2015. We have undertaken a comprehensive operational review of our supply
network and are investing heavily in a multi-year program to ensure future sustainable supply
including improvements in systems and capacity, more training for our people and addition of new
roles, particularly in key areas such as quality and engineering. We are also working to reduce our
exposure to single source supply. In 2014, we continued to roll-out GSK’s commercial Enterprise
Resource Planning (ERP) system across the Consumer Healthcare business. This new platform
allows us to make better commercial decisions and drive financial efficiencies as we standardize and
consolidate data, forecast and plan on the same system, save time and money on system
maintenance and upgrades, and become more efficient in how we do business with our customers.
With 11 Consumer Healthcare markets added in 2014, 26% of global consumer healthcare revenue is
now on the system and we expect to fully complete the roll-out by 2020.32
In 2014, we introduced Fingerprint, an end-to-end supply chain serialization program that will apply
unique serial fingerprints on many of our products. The unique identifiers will be recorded in a
database so the product can then be scanned and verified against the database at any point in the
supply chain. By the end of 2014, 48 packaging lines at 14 of our sites had serialization capability.33
31
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.30, https://www.gsk.com/media/603031/annual-report-2014.pdf,
accessed April 11, 2016.
32
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.35, https://www.gsk.com/media/603031/annual-report-2014.pdf,
accessed April 11, 2016.
33
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.42, https://www.gsk.com/media/603031/annual-report-2014.pdf,
accessed April 11, 2016.
Page 42
We have been establishing Core Business Services (CBS) to bring together our support functions in
order to streamline and standardize functional support to the business. Six CBS regional business
centers already support 93 markets, representing 65% of GSK sales. Further, the enterprise resource
planning (ERP) platform that we are implementing is replacing a large number of separate outdated
IT systems across the company, giving us common databases and standard business processes that
will help us simplify our operations, drive efficiencies and give us detailed analytics to improve our
day-to-day operations and decision making.34
Inventory of £4,231 million increased by £331 million during the year. The increase primarily reflected
the impact of stock building for new product launches and remediation of the Consumer Healthcare
supply chain, partly offset by a favorable exchange impact.35
Roche Holdings AG 2014: In order to manage our supply chain more effectively on an end-to-end
basis, an enhanced technical product management approach was implemented and significant
progress was made in 2014. This includes clearer governance for sourcing decisions and better
defined strategic supply plans over the product lifecycle.
Roche has established a dedicated Supplier Relationship Centre (SRC) in order to work more closely
with key suppliers on innovation. In 2014, Roche increased the scope of the SRC to form an
Innovation Centre of Excellence to include more external partners and drive innovative strategies. We
introduced a new fast-track process to deliver more ideas and value in shorter time. To date, 45
innovative business cases have been approved and 32 are in progress or have been implemented.36
Through partnerships with governments and other stakeholders, we aim to build disease solutions
which support infrastructure development, support training and education and improve supply chain.
We also plan to work with private insurers to create policies that cover treatment for cancer and that
have regional, rather than a local risk pool. We also have plans to develop centers of excellence, as
well as create a pan-African platform for healthcare professional education to train specialists. There
is enormous scope to make a difference to patients in this part of the world.37
Counterfeiting of medical products is a serious and growing global problem. The World Health
Organization (WHO) defines a counterfeit medicine as ‘one which is deliberately and fraudulently
mislabeled with respect to identity and/or source.’ It estimates that counterfeiting, substandard
34
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.51, https://www.gsk.com/media/603031/annual-report-2014.pdf,
accessed April 11, 2016.
35
GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.66, https://www.gsk.com/media/603031/annual-report-2014.pdf,
accessed April 11, 2016.
36
Roche Holdings AG, 2014 Annual Report, March 2015, p. 69, http://www.roche.com/gb14e.pdf, accessed April 11, 2016.
37
Roche Holdings AG, 2014 Annual Report, March 2015, p. 86, http://www.roche.com/gb14e.pdf, accessed April 11, 2016.
Page 43
formulation, contamination, fakery, and active ingredient substitution constitute a 431 billion US dollar
market.1 Illegally imported medicines may also not have been stored or handled properly and could
be contaminated, damaged or degraded. Patients are the ultimate victims of this criminal activity. In
answer to increasing global supply chain challenges and international criminal activities, in 2010,
Roche initiated a ten-year program to increase security in our supply chain. We are implementing a
number of new technologies including overt and covert anti-counterfeiting features, 2D barcoding,
mass serialization techniques, tamper-evident packaging as well as tracking and tracing systems.
In 2014, we increased supply of serialized products significantly, particularly those for China and the
US. On completion of the program, which is anticipated by 2018, every Roche product, folding box,
case and pallet will have a unique identification. With the cooperation of health authorities and other
trading partners, this will ultimately enable tracking and tracing from our manufacturing facilities,
through all global distribution channels and, then, to the patient.
We are also working with international trade organizations in support of industry-wide efforts to
improve the safety and security of the pharmaceutical supply chain. In addition, we collaborate with
health authorities, law enforcement bodies and other government agencies in the countries where our
products are sold on traceability guidelines and regulations.
Roche is committed to conserving eco-system services and biodiversity. In order to provide us with
an overarching metric which assesses and compares our risks and opportunities across operations,
products and supply chains we are exploring the idea of natural capital evaluation. This is a means of
placing a monetary value on environmental impacts along the entire supply chain of our business.
Roche is, however, faced with a number of challenges associated with natural capital evaluation such
as the lack of a harmonized framework and difficulties to gain access to data if the impact analysed
lies beyond the company premises. In general, putting the impacts into a regional context and to find
data with adequate quality are also great challenges. We are now investigating the best way
forward.38
One focus in 2014 was the launch of the Global Logistics Security Program in the Pharmaceuticals
Division. The goal is to improve, systematically, the protection of our products from theft or
manipulation during transportation or storage in own or third-party warehouses. A small team led by
Global Pharma Supply Chain and comprising security and logistics experts from different regions,
performed training sessions and delivered guidance on risk assessment and auditing for the local
38
Roche Holdings AG, 2014 Annual Report, March 2015, p. 126, http://www.roche.com/gb14e.pdf, accessed April 11, 2016.
Page 44
logistics security officers.39
Abbot Laboratories 2015: In recent years, we’ve built our presence in the region through targeted
investments in manufacturing, supply chain and research-and-development facilities. In 2015, we
opened a new research-and-development pilot plant in Singapore that will allow us to more rapidly
pair nutrition science innovation with local taste and texture preferences.40
In 2015 and 2014, Abbott management approved plans to stream‑line operations in order to reduce
costs and improve efficiencies in various Abbott businesses including the nutritional, established
pharmaceuticals and vascular businesses. Abbott recorded employee-related severance and other
charges of approximately $95 million in 2015 and $164 million in 2014. Approximately $18 million in
2015 and $20 million in 2014 are recorded in Cost of products sold, approximately $34 million in 2015
and $53 million in 2014 are recorded in Research and development and approximately $43 million in
2015 and $91 million in 2014 are recorded in Selling, general and administrative expense. Additional
charges of approximately $45 million in 2015 and $39 million in 2014 were recorded primarily for
accelerated depreciation. From 2013 to 2015, Abbott management approved various plans to reduce
costs and improve efficiencies across various functional areas. In 2013, Abbott management also
approved plans to stream‑ line certain manufacturing operations in order to reduce costs and improve
efficiencies in Abbott’s established pharmaceuticals business.41
AstraZeneca 2015: Following the successful introduction of our Taizhou facility in China at the end of
2014, regulatory validation work continues at our Vorsino facility in Russia, which opened in 2015.
This marks the largest foreign investment in the construction of a new pharmaceutical plant in Russia.
First commercial production is scheduled to commence in early 2016, improving our ability to supply
local markets. Also during 2015, we announced major investment plans to develop our capability in
biologics, including the acquisition of Amgen’s facility in Boulder, Colorado in the US, as well as a
$285 million investment in a new manufacturing facility in Södertälje, Sweden. These projects, in
addition to a previously announced expansion plan at Frederick, Maryland US, will increase
production capacity to support the growing demand for biologics, which represents half of our
development pipeline.42
39
Roche Holdings AG, 2014 Annual Report, March 2015, p. 132, http://www.roche.com/gb14e.pdf, accessed April 11, 2016.
40
Abbott Laboratories, 2015 Annual Report, March 2016, p.17, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol-
proxy, accessed April 11, 2016.
41
Abbott Laboratories, 2015 Annual Report, March 2016, p.67, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol-
proxy, accessed April 11, 2016.
42
AstraZeneca, 2015 Annual Report, March 2016, p. 46, https://www.astrazeneca.com/content/dam/az/our-company/investor-
relations/presentations-and-webcast/Annual-Reports/AZ_Annual_Report_2015.pdf, accessed April 11, 2016.
Page 45
Our continuous improvement program allows us to upgrade our systems and minimize environmental
impact. By applying Lean methodology to our manufacturing plants and supply chain, we have been
successful in reducing waste and inventory costs. We have also improved efficiency, quality, lead
times, equipment effectiveness and overall customer responsiveness.
We are continuing to establish more efficient processes, with global supply chain experts providing
support throughout the organization.
With most of our API manufacturing outsourced, we need an uninterrupted supply of high-quality raw
materials. We therefore place great importance on our global procurement policies and integrated risk
management processes. We purchase materials from a wide range of suppliers and work to mitigate
supply risks, such as natural or man-made disasters that disrupt supply chains or the unavailability of
raw materials. Contingency plans include using dual or multiple suppliers where appropriate,
maintaining adequate stock levels and working to mitigate the effect of pricing fluctuations in raw
materials.43
GlaxoSmithKline 2015: In 2015, we significantly reshaped our Pharmaceuticals business, and
continued to reduce supply chain complexity, while retaining our commitment to quality. We have
rescaled the commercial operations, global support functions, R&D and manufacturing that support
this business. Our supply chain improvement programme aims to deliver industry-leading levels of
performance. Since 2012, this programme has delivered significant savings through procurement
excellence (how and what we buy), logistics (distribution), portfolio optimization – reducing the
number of pharmaceutical pack variants by 27% (against the 2012 baseline), and streamlining our
external supply network by 35%. We have strengthened our logistics operations by establishing five
regional supply and demand hubs, enabling more efficient use of our warehouses and transport
reducing ‘cost to serve’ by £136 million. The ongoing roll-out of our Enterprise Resource Planning
(ERP) system across our commercial markets and manufacturing sites is a critical part of our
transformation. Coupled with new planning capabilities, this increases end-to-end visibility and
control, helping ensure supply and demand are robust and aligned. These changes will help improve
service to our patients and consumers. Cost savings generated from Pharmaceuticals restructuring
will support delivery of £3 billion annual savings for the Group by the end of 2017.44
43
AstraZeneca, 2015 Annual Report, March 2016, p. 47, https://www.astrazeneca.com/content/dam/az/our-company/investor-
relations/presentations-and-webcast/Annual-Reports/AZ_Annual_Report_2015.pdf, accessed April 11, 2016.
44
GlaxoSmithKline, 2015 Annual Report, March 2016, p.25, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf,
Page 46
We strive to minimize the risk of counterfeit medicines. In 2015, we extended our end-to-end supply
chain serialization program, Fingerprint, across 86 packaging lines in more than 18 manufacturing
sites. The program applies unique serial ‘fingerprints’ on products and logs them into a government-
managed database, which they can be verified against at any point in the supply chain.45
Cost of sales as a percentage of turnover was 31.4%, 3.0 percentage points higher than in 2014. On
a pro-forma basis, the cost of sales percentage increased 0.8 percentage points and 1.0 percentage
points on a CER basis. This reflected adverse price movements, particularly in US Pharmaceuticals,
and increased investments in Vaccines to improve the reliability and capacity of the supply chain.
This was partly offset by an improved product mix, particularly as a result of the growth in HIV sales,
and the benefits of our ongoing cost reduction programs.46
In addition, the Committee has continued to monitor the Group’s key ongoing transformation and
simplification programs including, in particular, those in our Global Support Functions where we are
continuing to simplify our operating model through programs such as Finance Transformation as well
as undertaking major upgrades to the Group’s systems and global processes, including core ERP,
HR and supply chain platforms. The Committee has also regularly reviewed the Group’s cyber
security and the progress of our Infoprotect program which is designed to address this risk
specifically.47
The Committee has continued to review regularly the multi-year programs underway to simplify our
support functions and standardize our operating model around new and upgraded platforms. These
programs are now well established but are at a peak of activity currently as the new platforms and
processes are rolled out across the Group, compounded by the additional requirements to integrate
the former Novartis businesses into the Group’s operating and reporting infrastructure. Significant
progress has been reported with the completion of new global HR and supply chain forecasting
systems and multiple cut overs of local operating companies onto the new ERP platform delivered
during the year with targeted control levels maintained throughout. The Committee has also paid
particular attention to the parallel transformation programs underway in a number of the support
functions, especially the Finance Transformation initiative, to ensure that controls and reporting
accessed April 11, 2016.
45
GlaxoSmithKline, 2015 Annual Report, March 2016, p.44, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf,
accessed April 11, 2016.
46
GlaxoSmithKline, 2015 Annual Report, March 2016, p.63, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf,
accessed April 11, 2016.
47
GlaxoSmithKline, 2015 Annual Report, March 2016, p.88, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf,
accessed April 11, 2016.
Page 47
requirements are not affected.48
Roche Holdings AG 2015: We also launched the VENTANA HE 600 system globally. A fully
automated hematoxylin and eosin (H&E) tissue staining system, it enhances patient safety by
avoiding cross-contamination, and produces exceptional staining quality. This system improves
workflow by eliminating the need to manually mix reagents. In a global test Doubling the already
market-leading throughput of our current instrument from 200 to 400 results per hour is a key feature
of the cobas c 513. This new instrument is used in laboratories for the analysis of HbA1c levels in
blood samples from people with diabetes. The cobas c 513 is an essential tool for healthcare
providers coping with the ever-increasing number of people with this condition. Another key milestone
in 2015, the FDA approved the cobas 6800 and cobas 8800 systems and the cobas HBV, cobas HCV
and cobas HIV viral load tests. The fully automated systems offer the fastest time to results, the
highest throughput and the longest walkaway time available among automated molecular platforms,
providing laboratories both improved operating efficiency and flexibility to adapt to changing testing
needs. The new tests are the next generation of our viral load tests, which clinicians use to manage
the treatment of people with hepatitis B or hepatitis C virus as well as HIV. The US approval follows
the 2014 launch of these systems and tests in countries accepting the CE mark.** conducted in 2015,
more than 4,000 slides from laboratories in 12 countries were stained on the VENTANA HE 600
system and reviewed by 67 pathologists, with excellent results.49
The African continent is developing quickly, with the GDP expected to increase by 5% in 2016.6
Significant strides have been made in improving health outcomes in many countries. However, major
challenges remain, particularly in sub-Saharan Africa. Poor outcomes persist in sub-Saharan Africa
for a multitude of reasons, including low disease awareness, late presentation of patients with
disease, limited quantity and poor quality of healthcare institutions, lack of medical specialists,
uncertain supply chain quality, low government priority, little to no local prevalence data and limited
funding.50
In 2010, we initiated a program at Roche to increase security in our supply chain. We are
implementing a number of new technologies, including overt and covert anti-counterfeiting features,
2D barcoding, mass serialization techniques and tamper-evident packaging. On completion of the
program, slated for 2018, every Roche product, folding box, case and pallet will have a unique
48
GlaxoSmithKline, 2015 Annual Report, March 2016, p.89, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf,
accessed April 11, 2016.
49
Roche Holdings AG, 2015 Annual Report, March 2016, p.35, http://www.roche.com/gb15e.pdf, accessed April 11, 2016.
50
Roche Holdings AG, 2015 Annual Report, March 2016, p.84, http://www.roche.com/gb15e.pdf, accessed April 11, 2016.
Page 48
identification.51
Another initiative to reduce GHG emissions is reducing our use of halogenated substances that are
used for refrigeration and/or fire suppression and can remain in the atmosphere for a long period of
time. We planned to reduce halogenated substances by 90% (from 2002 baseline) at all Roche
legacy sites by 2015. This excludes acquisitions (including Genentech and Ventana), which are
working towards their own timelines (2018/2022). With great efforts we managed to achieve an 89.8%
reduction and we have now set a new goal to further reduce halogenated substances by 20% at
Roche legacy sites over the next five years. We continue to examine alternatives and work with
refrigeration and fire suppression suppliers to achieve these reductions.52
51
Roche Holdings AG, 2015 Annual Report, March 2016, p.102, http://www.roche.com/gb15e.pdf, accessed April 11, 2016.
52
Roche Holdings AG, 2015 Annual Report, March 2016, p.127, http://www.roche.com/gb15e.pdf, accessed April 11, 2016.
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016
Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016

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Supply Chain Metrics That Matter: A Focus on Pharmaceutical Companies - 2016

  • 1. A Focus on Pharmaceutical Companies A Ten Year View of Progress on Supply Chain Excellence 05/12/2016 Lora Cecere Founder and CEO Supply Chain Insights LLC Heather Hart Research Director Supply Chain Insights LLC Regina Denman Client Services Director Supply Chain Insights LLC Helen King Research Associate Supply Chain Insights LLC Supply Chain Metrics That Matter
  • 2. Page 2 Contents Research Disclosure Research Methodology Understanding the Data A Complex System with Nonlinear Relationships Driving Profitability Improving Cycles Managing Complexity A Closer Look at Value Driving Improvement Supply Chain Index: A Measurement of Supply Chain Improvement Balance Strength Resiliency Evaluating Supply Chain Excellence: Putting It All Together Executive Overview The Race for Growth What Is Value? Judging Supply Chain Performance Managing Cycles A Closer Look at Generic Pharma Industry Focus Recommendations Conclusion Prior Reports in This Series Methodology: Understanding the Math and Ratios Supply Chain Index Methodology: Formulas and Calculations Balance Strength Resiliency A Closer Look at Inventory Turns: An Important Measurement Looking at Trends Corporate Overview Data About Supply Chain Insights LLC About Lora Cecere 3 3 3 4 5 6 6 7 7 9 10 12 13 14 17 19 20 21 22 23 25 26 49 50 51 53 54 54 54 55 56 58 61 62 62
  • 3. Page 3 Research Supply Chain Metrics That Matter is a series of industry-specific reports published throughout the year by Supply Chain Insights LLC. The series starts in May when full-year corporate reporting is complete for the prior year. In this report series we provide a deep focus on progress over the past decade on supply chain excellence for a specific industry. This report is a deep analysis of the pharmaceutical industry. This analysis is based on data collected from financial balance sheets and income statements over the period of 2006-2015. In these reports we examine how companies made trade-offs over the course of the last decade. Here we analyze which pharmaceutical company’s supply chain did the best on the delivery of a portfolio of metrics during that period. Within the world of Supply Chain Management (SCM), each industry is unique. The pattern for pharmaceutical companies is distinctly different than consumer products or medical device companies. It is for this reason we believe it is dangerous to list all companies across industries in a spreadsheet and declare a supply chain leader. Instead, we think it is more prudent to evaluate change over time, with a focus on business results within an industry peer group. Disclosure Your trust is important to us. As such, we are open and transparent about our financial relationships and our research processes. This independent research is 100% funded by Supply Chain Insights. These reports are intended for you to read, share and use to improve your supply chain decisions. Please share this data freely within your company and across your industry. All we ask for in return is attribution when you use the materials. We publish under the Creative Commons License Attribution- Noncommercial-Share Alike 3.0 United States and you will find our citation policy here. Research Methodology Supply chain leaders are in a race to deliver supply chain excellence. The question is “What defines excellence?” and “What defines value?” Here we answer these questions. To complete this analysis, and understand the patterns, we analyze both performance and improvement of pharmaceutical supply chains. We believe that the best supply chains out-perform their peer groups while driving improvement.
  • 4. Page 4 Performance is easier to measure than improvement. To build a method to measure improvement, we partnered with a research team from the School of Computing, Informatics and Decision Systems Engineering at Arizona State University (ASU) during the spring of 2014 to develop the Supply Chain Index methodology to analyze supply chain improvement. Details on the math used in this methodology are outlined in the Appendix of this report. We have refined this over time. Understanding the Data In this analysis we use supply chain financial ratios as opposed to absolute numbers. The use of ratios allows us to compare large companies to small entities, and also to compare the progress of companies operating in different countries using differing currencies. Additionally, it allows us to easily track progress over time. Our first step was to determine which metrics to use. In Table 1 we share the supply chain ratios we considered. Table 1. Financial Ratios Considered in the Development of the Supply Chain Index We find that most supply chain leaders measure too many indicators. To select the metrics in the analysis we mined trends and discussed them with supply chain leaders. After a year of research, we
  • 5. Page 5 determined that the patterns and trade-offs between Year-Over-Year Revenue Growth, Operating Margin, Inventory Turns and Return on Invested Capital (ROIC) were the most helpful in the determination of performance and improvement. We term these as the Supply Chain Metrics That Matter™. While there are other measurements which we believe are important in the determination of supply chain excellence—like forecast accuracy, case fill rate, carbon footprint, and inventory write-offs—we cannot find a reliable and consistent source of data for these metrics that covers all industries and years studied. In our research we find that the industry data sources are spotty and largely inaccurate due to the self-reporting of data. Without a consistent data source across the industries we cannot include these factors even though we believe they are important. A Complex System with Nonlinear Relationships The supply chain is a complex system with increasing complexity. We believe it is the supply chain leader’s role to build and manage supply chain performance to drive year-over-year improvements which are balanced, strong and resilient. In our research we see that it takes at least three years. On the journey we often find companies throwing the system out balance. As a result, leaders are able to only drive progress on a single metric, not the entire metrics portfolio. A balanced metrics portfolio has a higher correlation to value-based metrics of either market capitalization or market-to-tangible book. Our goal was to select a portfolio that would be meaningful across all industries. It is important to note that the maximization of market capitalization requires the management of a balanced portfolio on the effective frontier of growth, cost, cycles and complexity. We believe that supply chain leaders improve a balanced portfolio of metrics. Figure 1. The Effective Frontier
  • 6. Page 6 In our writing it is deliberately not termed the ‘Efficient Frontier’—a term used in economic theory. Why? Quite simply it is because the term ‘efficiency’ in supply chain processes is usually linked to the lowest cost or the best revenue per employee. The concepts of the Effective Frontier are based on the balance of growth agendas with cost, cycle metrics (a focus on inventory), and complexity. We use Return on Invested Capital (ROIC) as a proxy for complexity. In this report we analyze the progress of the pharmaceutical industry on the Effective Frontier. Across all industries we find that nine out of ten companies are stalled at the intersection of two important metrics, i.e. inventory turns and operating margin. While some companies made no improvement over time, most companies were able to either improve inventory turns, or cost, but not both together. The reasons? One of the reasons is unchecked complexity. The second is the focus on functional metrics to the detriment of corporate performance. In the last five years 25% more items were added to the item master of the average pharmaceutical company. As will be seen in this report, unchecked complexity throws the supply chain out of balance. Driving Profitability There is often an inverse relationship between margin and supply chain excellence. Industries with the thinnest margins are more serious about delivering on the promise of supply chain leadership. With the historically high margins in the pharmaceutical industry, driving supply chain leadership has not been an important industry imperative. Today, with globalization, affordable healthcare, and the drug patent cliff there is more focus on building a strong supply chain. In our analysis for this report, we use operating margin as the measure of profitability. The methodology is equally applicable to EBITDA. Improving Cycles When it comes to managing cash-to-cash cycles, a small number is better than a large one. The question in the boardroom is “How small can supply chain working capital cycles be managed to pump cash into the organization?” There is seldom the question of “How low can we go in working capital cycles before we put the supply chain at risk?” Cash-to-cash is a composite metric of days of receivables, days of inventory, and days of payables. As can be seen through the charts, the greatest improvement in supply chains in the last decade has been made in payables—lengthening payment terms to suppliers. Inventory levels and receivables have been more constant. In our analysis we use inventory turns as our measure of supply chain cycles. While companies want a smaller number for days of inventory, they want to turn inventory faster. The higher the inventory
  • 7. Page 7 turn value, the stronger the results. There are two primary ways to calculate inventory turns. In this report we measure inventory turns as: Inventory Turns = Cost of Goods Sold/Inventory Managing Complexity By definition the pharmaceutical industry is an asset intensive industry. Manufacturing reliability is at the core of supply chain excellence. Within the pharmaceutical company supply chain there are many forms of complexity: increase in items, customer policies, geographic reach, changes in manufacturing, serialization of items, cold chains, and new product launch. In the last decade complexity abounds. As complexity rises it is hard to drive asset effectiveness. There are many measurements of asset effectiveness: Return on Assets (ROA), Return on Net Assets (RONA) and Return on Invested Capital (ROIC). Return on Invested Capital is a less well- known metric compared to Return on Assets. In this report we use ROIC as a measure of asset effectiveness. The reasoning? Return on Assets has a narrower focus. Our research indicates that ROIC has a better correlation with stock market capitalization, and provides a broad perspective on cash flow generation and profitability based on shareholder equity. The formula used for ROIC is: 𝑅𝑒𝑡𝑢𝑟𝑛 𝑜𝑛 𝐼𝑛𝑣𝑒𝑠𝑡𝑒𝑑 𝐶𝑎𝑝𝑖𝑡𝑎𝑙 = 𝑂𝑝𝑒𝑟𝑎𝑡𝑖𝑛𝑔 𝐼𝑛𝑐𝑜𝑚𝑒 + 𝐼𝑛𝑐𝑜𝑚𝑒 𝑇𝑎𝑥 𝑇𝑜𝑡𝑎𝑙 𝑇𝑜𝑡𝑎𝑙 𝑆ℎ𝑎𝑟𝑒ℎ𝑜𝑙𝑑𝑒𝑟′ 𝑠𝐸𝑞𝑢𝑖𝑡𝑦 ROIC is a measurement of the company’s use of capital. The goal of the measurement is for the firm to drive higher returns than the market rate of the cost of capital. As will be seen in this report, for many companies this is a struggle. A Closer Look at Value Traditionally the supply chain team’s focus was a cost agenda. Increasingly the organization is asking the supply chain team to focus on value. However, to guide this journey there has to be a clear definition of value. There is no industry-standard definition of value. To help, we started this undertaking with an analysis between supply chain performance and market capitalization. In 2012 we calculated the correlation of seven years of financial ratios (based on quarterly reporting) to market capitalization (the number of outstanding shares multiplied by the share price) on a quarterly basis. The results of this initial study on the correlation to market capitalization are presented in Table 2.
  • 8. Page 8 Table 2. Correlation of Supply Chain Financial Ratios to Market Capitalization Within the firm, 60-80% of total costs are controlled by the supply chain team. In parallel, most of the physical assets are driven and/or defined by supply chain strategy. While market capitalization is often driven by economic cycles we find Price to Tangible Book Value (PTBV) is a more disciplined look at value. Price to Tangible Book Value is calculated by dividing the share price of a public company by its tangible book value per share. It is a ratio depicting what investors are paying for each dollar of physical assets. For example, let's assume that Company XYZ has 10,000,000 shares outstanding which are trading at $3 per share. Let’s assume that the same company’s tangible book value was $15,000,000 last year. The calculation would be: Price to Tangible Book Value = $3 / ($15,000,000/10,000,000) = 2.0 The PTBV ratio excludes intangibles: intellectual property, patents, goodwill and other intangible assets. It is a representation of what debt holders or investors would receive if the company liquidated all physical assets. We feel this is a measure which supply chain leaders can impact. In this report we use the metrics that have the highest correlation to market capitalization and also evaluate which companies have driven the greatest improvement on Price to Tangible Book Value.
  • 9. Page 9 Driving Improvement In the analysis of supply chain excellence, it is a mistake to look at singular metrics at a point in time and declare a supply chain winner. Instead, it needs to be measured as a pattern over many years. The best supply chain improvements take at least five to six years. Sustaining competitive advantage is difficult. A bad project, a quality issue, or a merger, drives gyrations. As a result, most companies go through ups and downs with distinct patterns. We believe that the patterns matter. It is for this reason in this report we analyze companies’ progress during the time periods of 2006-2015, 2006-2009, and 2010-2015. Why these time periods? Here we are analyzing pre-recession and post-recession progress within specific industries as defined by NAICS code designations. To understand the differences by industry, let’s take a closer look at the healthcare value chain. When we compare the 2006 to 2015 industry averages, we can see that the pharmaceutical industry improved in all of the metrics covered in this report. The pharmaceutical industry is one of the few industries with higher performance in 2015 when compared to 2006. The reason? Historically, the pharmaceutical industry is a supply chain laggard. As product development slowed in clinical trials, and global complexity increased, supply chain became a more valued core competency. Table 3. Changes in Industry Average Values of the Supply Chain Metrics That Matter When the 2006 Averages Are Compared to 2015
  • 10. Page 10 Supply Chain Index: A Measurement of Supply Chain Improvement The Supply Chain Index is the measurement of improvement used in this report. The foundation of the Supply Chain Index starts with understanding the resulting pattern when two supply chain metrics (generally ratios) are plotted over time on an orbit chart. As shown in Figure 2, the orbit chart enables the visualization of performance patterns. In this case the company is Amgen. The average values for the two financial ratios of operating margin and inventory turns are shown in the box, and the annual progress is shown as points on the chart. The best scenario is notated in the upper right-hand corner. The pattern of Amgen’s performance, as shown in Figure 2, is very characteristic of most companies. While there is improvement for 2013-2015, the company struggled to drive improvement in these two critical metrics over the period of 2006-2013. Figure 2. Example Orbit Chart of Amgen This is not unusual. We seldom see a company making linear improvement at the intersection of these two important metrics. As you will see in the case of pharmaceutical companies, many companies are not even making improvement in one of the two metrics.
  • 11. Page 11 Contrast the patterns of BMS and Merck in Figure 3. While BMS is operating at a higher level of inventory turns (6.27), the company has a lower operating margin (.08). In contrast, Merck has a higher operating margin (.15) and lower value for inventory turns (2.77). Both companies are at the same performance level in 2015 as they were in 2006. This is despite many, many continuous improvement and Lean projects. You might ask, “How can this be?” Answering this question is the goal of this report. Figure 3. Example Orbit Chart of Inventory Turns versus Operating Margin for 2006-2015 of BMS vs. Merck Also note BMS has a tight pattern while Merck’s results have greater variability. We call this resiliency. A tighter pattern is more resilient. In this case BMS’ results were more resilient than those of Merck. Due to the complexity of the charts, our first challenge in the creation of a methodology was to define ‘Supply Chain Improvement’. This was our goal in building the Supply Chain Index. We wanted to develop a means to analyze improvement across a variety of industries, with applicability to companies with different levels of revenue, and at different levels of supply chain maturity. With each chart we measure balance, strength and resilience in performance metrics within a peer group for the Supply Chain Metrics That Matter.
  • 12. Page 12 Balance Balance in the supply chain is a constant struggle. Growth requires an increase in inventory. Forecasting and managing a new product launch is difficult. Excessively long Days of Payables leads to weakened supplier health. The examples are endless. The two metrics which comprise our balance measure are Revenue Growth and Return on Invested Capital. The balance measure in the Supply Chain Index is a mathematical calculation of the vector trajectory of the pattern between growth and ROIC for the periods of 2006-2015 and 2009-2015.To understand this measurement, imagine a four quadrant grid with growth and ROIC on the two axes. In our calculation, the overall trajectory of this vector from Year 0 (2006) to Year 9 (2015) is simplified into a single value which represents the company’s ability to balance growth while improving ROIC. Companies that were able to drive improvement in both metrics scored the best, while companies that deteriorated in both metrics scored the worst. The companies are then stack-ranked based on factor ratings. In Figure 4 we profile Amgen at this intersection. Figure 4. Orbit Chart of Growth vs. Return on Invested Capital (ROIC) for 2006-2015 for Amgen
  • 13. Page 13 The balance factor comprises 1/3 of the total Supply Chain Index calculation. Sustained improvement on both year-over-year growth and ROIC indicates a balanced supply chain and is reflected in a high balance score. Strength A successful supply chain is strong and reliable. Supply chain leaders strive to deliver year-over-year improvements in both cost and inventory management. Our research on pattern recognition has uncovered a rich relationship between operating margin and inventory turns. For most supply chain leaders, these are some of the most important measures of their performance. Not only are they important, they are more directly influenced by day-to-day supply chain decisions than other, and more broadly used, corporate metrics. It is for this reason they are the two components of our strength factor in the Supply Chain Index. The strength measure in the Supply Chain Index is a mathematical calculation of the vector trajectory of the pattern between inventory turns and operating margin for the periods of 2006-2015 and 2010- 2015. Like the balance factor calculation, the work starts with understanding the orbit chart pattern. To understand the calculation, imagine a plot—an orbit chart—of inventory turns and operating margin. In this report, performance is graphed on an annual basis from an origination point representing performance on the two metrics at Year 0 (2006). The overall trajectory of this vector from Year 0 (2006) to Year 9 (2015) is simplified into a single value which represents strength. Improvement on both metrics simultaneously is graphically shown as movement to the upper-right quadrant with increasing values for both inventory turns and operating margin over the period. For example, let’s compare Eli Lilly and Novo Nordisk. These two companies compete in the diabetic care sector. Note in Figure 5 that Novo Nordisk is driving a slow rate of improvement on the two metrics, while Eli Lilly is struggling to drive improvement and going backwards during the period of 2011-2015.
  • 14. Page 14 Figure 5. Orbit Chart: Operating Margin vs. Inventory Turn Comparison of Eli Lilly and Novo Nordisk A/S As a result of this pattern, and driving higher and more sustainable results, Novo Nordisk’s ranking on strength in the Supply Chain Index is higher. The companies are then stacked-ranked based on performance and assigned a strength factor. The strength ranking is 1/3 of the Supply Chain Index. Resiliency Resiliency is an adjective easily tossed around as one of the important qualities of a successful supply chain in today’s volatile world. However, the concept of resiliency is difficult to define, and there is rarely clarity among stakeholders as to what resiliency is or should be. As we plotted orbit chart after orbit chart, we could see that some supply chains had very tight patterns at the intersection of operating margin and inventory turns, and that other companies had wild swings. We wanted to find a way to measure the variation. So, we turned to the experts at ASU. After evaluating several methods to determine the pattern in the orbit chart, we settled upon the Euclidean Mean Distance between the points.
  • 15. Page 15 These results were published in our March 2014 report, Supply Chain Metrics That Matter: Improving Supply Chain Resiliency, where we define resiliency as the tightness of the pattern at the intersection of inventory turns and operating margin. (The calculation is outlined in the Appendix of this report.) These metrics, both critical for any supply chain, are components of both the strength and resiliency metrics in our Supply Chain Index model. The tightness of the pattern (mathematically speaking, the Euclidean Mean Distance) indicates the ability of a supply chain to maintain a tight, consistent pattern across these two metrics as the business environment shifts and changes over a nine-year period (2006-2015). As shown in Table 4, supply chain resiliency varies considerably by industry. The pharmaceutical industry is more resilient than contract manufacturing and consumer electronics, but more volatile than consumer packaged goods. Table 4. Supply Chain Resiliency by Industry The resiliency metric is similar to the cash-to-cash cycle in that a smaller number is better. A lower number for resiliency is an indicator of a tighter pattern and greater reliability in results over the time period.
  • 16. Page 16 Judging Supply Chain Improvement In the overall analysis each company is judged by their own potential to make progress. While the average values of a company’s performance may be higher, in the Supply Chain Index we are evaluating companies on their ability to drive year-over-year improvement and reliable progress on the metrics that we believe matter. The Supply Chain Index is a measurement of supply chain improvement. Each of the factors— balance, strength and resiliency—as defined above, comprises 1/3 of the total score. 𝑆𝑢𝑝𝑝𝑙𝑦 𝐶ℎ𝑎𝑖𝑛 𝐼𝑛𝑑𝑒𝑥™ = 1 3 𝐵𝑎𝑙𝑎𝑛𝑐𝑒 𝐹𝑎𝑐𝑡𝑜𝑟 + 1 3 𝑆𝑡𝑟𝑒𝑛𝑔𝑡ℎ 𝐹𝑎𝑐𝑡𝑜𝑟 + 1 3 𝑅𝑒𝑠𝑖𝑙𝑖𝑒𝑛𝑐𝑦 𝐹𝑎𝑐𝑡𝑜𝑟 The Supply Chain Index results for Pharmaceutical companies are shown in Table 5. Table 5. Supply Chain Index for Pharmaceutical Companies for the Years of 2006-2009, 2010-2015 and 2006-2015 The companies making the most improvement are Amgen, Bayer Group, Biogen Inc., Novo Nordisk A/S, and Roche Holding AG. Three of these companies also outperform their peer group on Price to
  • 17. Page 17 Tangible Book Value. Companies that are underperforming their peer group can drive supply chain improvement faster than higher-performing companies. As a result, when evaluating supply chain excellence, it is important to look at improvement and performance together. We use this analysis to determine the best performing supply chains through our Supply Chains to Admire methodology. Evaluating Supply Chain Excellence: Putting It All Together In the overall analysis for the Supply Chains to Admire, each company is judged by their own potential to make progress. While the average values of a company’s performance may be higher, in the Supply Chain Index we are evaluating companies on their ability to drive year-over-year improvement and reliable progress on the metrics that we believe matter. The companies that are above the industry peer group on this balanced portfolio, and have driven supply chain improvement, are given a “Supply Chains to Admire” award. This recognition award is now in its third year. The 2016 winners are shown in Figure 6. Figure 6. 2016 Supply Chains to Admire Award Winners
  • 18. Page 18 To meet the criteria for The Supply Chains to Admire for 2016, companies needed to score better than their peer group average for performance metrics, while driving a higher level of improvement than 2/3 of their industry peer group. No company meets the qualification in the pharmaceutical industry for 2016. The calculation process is:  Supply Chain Index. The Supply Chain Index is calculated for the peer group. A ranking in the top 2/3 of the peer group qualifies a company for further analysis. A company in the lower 1/3 for the period is eliminated from consideration.  Price to Tangible Book Value. This analysis determines which companies are driving the greatest value. We first throw out the outliers in the (PTBV)i calculation. After the elimination of outliers, we include companies that are at or above the PTBV value (allowing for no more than 5% below the mean for the peer group to account for rounding errors). Companies passing these two tests are then analyzed against the performance factors for 2009- 2015:  Growth. Higher percentage growth than the industry average.  Operating Margin. Greater margin performance than the industry average for the peer group for the period studied.  Inventory Turns. Better performance in inventory turns than the peer group average for the period studied.  Return on Invested Capital (ROIC). Higher performance on ROIC than the average for their peer group for the period. In the analysis of the performance factors, companies are divided into two classifications:  Supply Chains to Admire Winners: In the analysis of the performance factors of growth, operating margin, inventory turns, and Return on Invested Capital, companies scoring at or above the industry peer group average for all four of the factors are listed as Supply Chains to Admire winners. (Must be within 5% of the mean of the peer group to account for rounding.)  Supply Chains to Admire Finalists. Companies meeting the Supply Chain Index and the PTBV criteria, but falling below the peer group averages on the performance factors, are ranked as finalists if they are no more than 10% below the industry average for three out of four of the performance factors, and no more than 25% below on any single performance factor. After doing this comparative analysis of the performance factors, we form a short list of companies. The methodology is not limited to the best company in the peer group. Within a peer group, there can be multiple winners.
  • 19. Page 19 Executive Overview Globalization. Serialization. Clinical trials. Cold chain operations. Custom drug protocols. Compliance. Risk Management. Corporate Social Responsibility (CSR). First pass yield. Over the last decade, the number and variety of supply chain initiatives exploded for the pharmaceutical leader. As a result, the supply chain group, and the business imperatives, grew in importance. Overall, the pharmaceutical supply chain fared better through the decade than that of consumer products or food/beverage. The reason? The pharmaceutical supply chain entered the decade as a supply chain laggard. They were able to focus and catch up to the level of other industries. As shown in Table 6, when the industry averages of 2016 are compared to 2015, the pharmaceutical supply chain grew revenue while driving improvements in operating margin, inventories, cash-to-cash and Return on Invested Capital (ROIC). Table 6. Industry Snapshot of Performance
  • 20. Page 20 However, when we look at the balance sheets and income statements, and compare company performance, there is not clear supply chain winner. While Biogen and Novo Nordisk are clearly driving improvement, and Price to Tangible Book Value, neither company outperforms on inventory. As a result, no pharmaceutical company will make the 2016 Supply Chains to Admire list. To make the list, a company had to deliver performance (above average results for the period of 2009-2015 than their peer group on a portfolio of metrics including Price to Tangible Book Value, growth, operating margin, inventory turns and Return on Invested Capital) and drive supply chain improvement (based on the Supply Chain Index) faster than their peer group. We believe both performance and improvement matter. We hope this report can be a guide to help companies understand what is possible, and how supply chain metrics drive value. In the pharmaceutical industry we find most companies to be stuck. They have either regressed in supply chain performance or they are at the same point as they were a decade ago. For many supply chain leaders that attend conferences, this may seem unfathomable. There is an industry belief that companies have implemented new technologies and evolved processes and driven improved balance sheet results. The goal of this report is to enable benchmarking and to spark a new conversation on the definition of supply chain excellence. The Race for Growth Growth rates for the pharmaceutical companies were faster early in the decade than the last part of the decade. The overall growth for the period of 2006-2015 is 6%. As shown in Table 7, note that two companies in the peer group posted growth rates greater than the industry average and are in the top half of the Supply Chain Index (measurement of supply chain improvement) for the periods of 2006- 2015 and 2010-2015. These companies are Amgen and Biogen. Conversely, Merck beat the growth rates for the period of 2006-2015, but struggled to drive supply chain improvement. Companies with the highest growth rates also did the best on driving supply chain improvement. Many supply chain leaders don’t believe it is possible to grow and manage the Supply Chain Metrics That Matter simultaneously. In the analysis, we see that as growth slowed in the Pharmaceutical industry that it was harder to drive improvement on the Supply Chain Metrics That Matter.
  • 21. Page 21 Table 7. Industry Growth Rates Over the Last Decade with a Comparison to the Supply Chain Index What Is Value? As noted in Table 8, companies outperforming in market capitalization may not outperform in Price to Book, or Price to Tangible Book Value. Also note the trend between PTBV and the Supply Chain Index. While a company like AstraZeneca PLC is outperforming on many metrics, the supply chain performance is declining with a falling Price to Tangible Book valuation.
  • 22. Page 22 Table 8. Comparison of Market Capitalization, Market-To-Book Value and Market-To-Tangible Book Value Judging Supply Chain Performance When it comes to overall supply chain performance, Biogen and Novo Nordisk are posting results better than the peer group while still driving improvement. However, neither company is pushing above the industry average on all of the metrics to meet the Supply Chains to Admire definition. As shown in Table 9, both Biogen and Novo Nordisk are outperforming in growth, operating margin and ROIC, but underperforming on inventory turns. Shire is showing improvement in the later part of the decade, but is a late bloomer.
  • 23. Page 23 Table 9. Comparison of Performance and Improvement for the Periods of 2006-2009, 2010-2005 and 2006-2015 Managing Cycles When comes to managing cash-to-cash cycles, a small number is better. The question in the boardroom is “How small can supply chain cycles be managed before we put the supply chain at risk?” To understand the management of cycles in the pharmaceutical industry we evaluated them in three time periods: pre-recession, during the recession and post-recession. We wanted to understand how the components of cash-to-cash cycles had changed across competitors over time. Cash-to-cash is a composite metric of receivables, inventory and payables. As can be seen through the charts, the greatest improvement in supply chains in the last decade has been made in payables—i.e. lengthening payment terms to supplies—while inventory levels and receivables have been more constant. However, with the exception of AstraZeneca, the pharmaceutical companies have not been as aggressive as other industries on the elongation of payables.
  • 24. Page 24 Table 10. Comparison of Cash-to-Cash Components: Pharmaceutical Industry During 2006-2009 and 2010-2015 While it looks like AstraZeneca has made the most progress in managing cash-to-cash cycles, a closer examination of the payables in Figures 6 and 7 tells a different story. The improvement is primarily coming from lengthening payables. The movement from 300 to over 500 days by AstraZeneca is dangerous. This is especially true in the Pharmaceutical industry where there is a critical dependence on suppliers and contract manufacturers. Figure 6. Cash-To-Cash Cycles for Major Pharmaceutical Companies for the Period 2006-2009
  • 25. Page 25 Figure 7. Cash-To-Cash Cycles for Major Pharmaceutical Companies for the Period of 2010-20015 We find that the supply chain leaders who are making the most progress on the Effective Frontier, and have the tightest resiliency on orbit charts (at the intersection of inventory turns and operating margins), usually have lower payables in the 30- to 120-day range. A Closer Look at Generic Pharma While the first part of this report focuses on branded pharmaceuticals, a new industry for generic drugs has evolved. These companies operate at a lower margin, where supply chain performance should be paramount. However, note that the generic pharma leaders Teva and Mylan have not been able to drive higher levels of supply chain performance or improvement. As shown in Figure 8, both companies lack resiliency at the intersection of operating margin and inventory turns. There is an opportunity in generic pharma to use supply chain as a competitive advantage which has not happened yet.
  • 26. Page 26 Figure 8. A Study of Teva and Mylan at the Intersection of Operating Margin and Inventory Turns Industry Focus To grow, the industry was rife with acquisitions. During 2010-2015 the supply chain focus was Lean Six Sigma, the prevention of counterfeit products and protection of intellectual property, and globalization. Pharmaceutical companies are more mature on Risk Management and Supplier Development programs than consumer products or food/beverage. In this section we share significant supply chain related quotes from the corporate reports for this period. Abbot Laboratories 2010: in recent years. Just as our Guidant acquisition in 2006 capped a long- term strategy that gave us critical mass in an attractive new business, our more recent strategic actions have taken Abbott to a new level in emerging markets. In 2010, we:  Acquired Solvay Pharmaceuticals, bringing us approximately $2 billion in stable, branded generic sales;  Acquired Piramal’s Healthcare Solutions business, making Abbott the largest pharmaceutical company in India, an $8 billion market expected to double in the next five years;  Completed an agreement with Zydus Cadila for 24 branded generic pharmaceutical products in 15 emerging markets; Created a new Established Products Division (EPD) to maximize the strong commercial opportunities for branded generics outside the United States. EPD launched at the beginning of 2011 with approximately $5 billion in annual sales. All these actions give us the right commercial footprint to
  • 27. Page 27 become one of the largest pharmaceutical companies in emerging markets. We expect that roughly one-third of our global pharmaceutical sales will come from high-growth emerging markets within five years.1 In the domestic pharmaceutical business, the most significant charges against gross sales are for Medicaid and Medicare Rebates, Pharmacy Benefit Manager Rebates and Wholesaler Chargebacks. In order to evaluate the adequacy of the ending accrual balances, management uses both internal and external data to estimate the level of inventory in the distribution channel and the rebate claims processing lag time. External data sources used to estimate the inventory in the distribution channel include inventory levels periodically reported by wholesalers and third party market data purchased by Abbott. Management estimates the processing lag time based on periodic sampling of claims data. To estimate the price rebate percentage, systems and calculations are used to track sales by product by customer and to estimate the contractual or statutory price. Abbott’s systems and calculations have developed over time as rebates have become more significant, and Abbott believes they are reliable.2 AstraZeneca 2010: We seek to maximize the efficiency of our supply chain through a culture of continuous improvement. We focus on what adds value for our customers and patients, and what eliminates waste. This program has delivered significant benefits in recent years, including reduced manufacturing lead times and lower stock levels, both of which improve our ability to respond to customer needs and reduce inventory costs. Changes have also been achieved without compromising customer service and quality. We have been applying Lean business improvement tools and ways of working to improve the efficiency of our manufacturing plants for a number of years, and are now applying them to the whole of our supply chain. In 2010, we reinforced our commitment to creating a Lean supply and manufacturing organization with a global campaign to recruit more Lean experts into our manufacturing sites and supply chain functions. This has included the creation of a new global centre of excellence comprising Lean experts from a broad range of industrial backgrounds to provide support and co-ordination to the accelerated development of our Lean supply system. This enables us to learn from other industries how to operate our supply chains at a much higher performance level than is generally found in the pharmaceutical sector. The inauguration of a new regional packing centre in Wuxi, China in 2010 was a key milestone. We operate this centre to 1 Abbot Laboratories, 2010 Annual Report, March 3, 2011, p.3, http://www.abbott- laboratories.si/uploads/datoteke/Global%20citizenshi p%20report%202010.pdf, accessed April 1, 2016. 2 Abbot Laboratories, 2010 Annual Report, March 3, 2011, p.65, http://www.abbott- laboratories.si/uploads/datoteke/Global%20citizenshi p%20report%202010.pdf, accessed April 1, 2016.
  • 28. Page 28 our global standards and apply a broad range of Lean techniques and principles. We believe it will improve our competitiveness in Asian markets.3 At the end of 2010, approximately 9,300 people at 23 sites in 16 countries were working on the manufacturing and supply of our products. Approximately 8,350 people work in formulation and packaging and 350 people work in active pharmaceutical ingredient (API) supply. Our principal small molecule manufacturing facilities are in: the UK (Avlon and Macclesfield); Sweden (Snäckviken and Gärtuna, Södertälje); the US (Newark, Delaware and Westborough, Massachusetts); France (Reims); Japan (Maihara); Australia (North Ryde); China (Wuxi); Puerto Rico (Canovanas); Germany (Wedel); Mexico (Lomas Verdes); Brazil (Cotia); and Argentina (Buenos We continue to work to make sure that our purchasing is directed only to those organizations which embrace ethical standards consistent with our own. This is particularly important given the strategic changes to our geographic footprint and our increased outsourcing activity to support improved efficiency and effectiveness across the organization. Our Global Responsible Procurement Standard defines the process for integrating our ethical standards into our procurement activity and decision making worldwide. The process is based on an escalating set of risk-based due diligence activities, applied in a pragmatic way. The same initial assessment process is used for all suppliers and more detailed, specific assessments are then made as required, proportionate to the level of risk a supplier presents. The Standard includes detailed expectations of suppliers which suppliers sign up to as part of the contracting process. We will work with suppliers to help them improve their standards, rather than automatically excluding them from our supply chain but we will not use suppliers who are unable or unwilling to meet our expectations in a timely way. Implementing our approach across the many thousands of suppliers we work with around the world will take time. We started with our largest suppliers, whose contracts with AstraZeneca are managed centrally by our Procurement team. In 2009, we completed Responsible Procurement assessments of over 800 suppliers accounting for around 65% of our third party spend. In 2010, we extended the program to other companies in our supply chain, including smaller suppliers and those whose contracts are managed locally. Since the program began, we have completed over 1,950 assessments which account for around 75% of our third party spend. The ongoing program will continue throughout 2011 and beyond. 3 AstraZeneca, 2010 Annual Report, March 2011, p.34, https://www.astrazeneca.com/content/dam/az/our- company/investor-relations/presentations-and-webcast/Annual-Reports/2010-Annual-Report.pdf, accused April 1, 2016.
  • 29. Page 29 In late 2010, we introduced a requirement that our key suppliers provide independent audit verification that their ethical standards are being applied in practice. Together with our suppliers, we are partnering with experienced third party providers in this work and using an assessment program that reflects best practice from other industry sectors, as well as the principles of the Pharmaceutical Supply Chain Initiative (a group of major pharmaceutical companies working to support suppliers in operating in line with industry expectations). We are in the early stages of engaging with suppliers on the introduction of this requirement and it will take time to embed the practice. However, we believe that this move significantly strengthens the framework for working together with our suppliers to drive continuous improvement. We continued our Integrated Supplier Evaluation Protocol audit program during the year and have now supplemented this with the introduction of focused Responsible Procurement assessments. In 2010, the program covered 48 audits at 42 different suppliers (2009: 51 audits at 45 suppliers).4 Roches Holdings AG 2010: In the Pharmaceuticals Division the operating profit increased by $2.2 billion to $5.9 billion, driven primarily by synergies from the Genentech integration in all functions, higher positive effects of cost-sharing agreements with related parties and resource prioritization, notably in marketing and distribution, despite the initial costs for the Operational Excellence program of $0.4 billion. Cost of sales decreased in comparison to 2009, as a result of lower royalty expenses and lower expenses for collaboration and profit-sharing agreements in 2010, further to an amended agreement with GlaxoSmithKline in the U.S. for Bonviva/Boniva. 2010 also includes the impacts of productivity improvements in technical operations, offset by unfavorable product mix effects. The comparative period includes the one-time impact of the inventory write-off for the voluntary withdrawal of Raptiva. Research and development costs, excluding intangible assets impairments, decreased by 4% mainly due to the positive impact of cost sharing agreements with related parties, resource prioritization and synergies. Research and development expenses also included the immediate recognition of the remaining costs of $53 million necessary to cover the termination of the ocrelizumab rheumatoid arthritis development program and the payment received from Novartis for opting in the Lucentis study on the treatment of macular edema following retina/vein occlusion. The majority of the costs that were recorded as part of the Operational Excellence program 4 AstraZeneca, 2010 Annual Report, March 2011, p.44, https://www.astrazeneca.com/content/dam/az/our- company/investor-relations/presentations-and-webcast/Annual-Reports/2010-Annual-Report.pdf, accused April 1, 2016.
  • 30. Page 30 relate to research and development.5 AstraZeneca 2011: In October, we launched an online Supply Chain Academy, providing ongoing internal training to drive further improvements across our end-to-end supply chain. Alongside this we ran an internal leadership program to reinforce the cultural aspects of more efficient supply chain processes. In October, we announced an investment of $200 million to build a manufacturing facility in China Medical City in Taizhou, Jiangsu province, China to meet growing local demand for our products and expand availability of our products to people in urban and rural communities. This will be our first manufacturing site to be built using Lean principles from the outset. These principles are being applied from the planning stage to the whole facility, including operators, products, components and equipment. We are designing equipment to meet varying demand, enabling fast, reliable changeover. We also seek to identify where processes could fail, designing systems to minimize these risks.6 Capital expenditure on supply and manufacturing facilities totaled approximately $388 million in 2011 (2010: $333 million; 2009: $360 million). As part of our overall risk management, we carefully consider the timing of investment to ensure that secure supply chains are in place for our products. We also have a program in place to provide appropriate supply capabilities for our new products. At the end of 2011, approximately 9,600 people at 23 sites in 16 countries were working on the manufacturing and supply of our products. GlaxoSmithKline 2011: In 2011 the FDA approved the highest number of new molecular entities since 2004, and nearly a third of these approvals were for therapies to treat rare diseases. This is in line with the FDA’s priority to address the public health needs of special populations. Enforcement and compliance activity increased in the manufacturing and global supply chain, as well as in drug advertising and promotion. The FDA developed its goals for the renewal in 2012 of the Prescription Drug User Fee Act (PDUFA) with a focus on enhancing the science of drug development, improving the quality of evidence in applications, providing a more efficient and predictable review process, and maintaining public confidence.7 Our record demonstrates the success of this approach. Although reported turnover fell 3% in 2011, we have delivered underlying sales growth of 4% in each of the past two years. We anticipate that 5 Roche Holdings AG, 2010 Annual Report, March 2011, p. 3, http://www.roche.com/rhi_ar_2010.pdf, accessed April 1, 2016. 6 AstraZeneca, 2011 Annual Report, March 2012, p.38, https://www.astrazeneca.com/content/dam/az/our-company/investor- relations/presentations-and-webcast/Annual-Reports/2011-Annual-report.pdf, accessed April 4, 2016. 7 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.14, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016.
  • 31. Page 31 underlying sales growth will translate into reported sales growth in 2012. (For details of underlying growth see page 27). In addition, 38% of Group turnover is now generated outside the USA and Europe. The shift in sales away from a reliance on ‘white pills in Western markets’ to a broader base including Emerging Markets, Vaccines and Consumer Healthcare is clear.8 Despite a 5% fall in reported sales, our US operating profit increased by 1% as our efforts to simplify and standardize work processes produced efficiencies that helped control costs and offset the decline in sales of certain products combined with higher asset disposal income. In our Pharmaceuticals business, reported turnover declined by 6% and underlying turnover declined by 1%. Sales of our largest product, Advair, declined 1%. This follows the drop in the US market for ICS/ LABA combination products following the revised class labeling implemented by the Food and Drug Administration (FDA) in 2010. Hycamtin sales declined 92% due to generic competition and Zovirax sales declined 79% following the divestment of the brand in January 2011.9 The first implementation of GSK’s new global standard Enterprise Resource Planning system, designed to standardize and improve financial and commercial processes, was completed successfully in Germany, and the deployment of our new European supply chain continues.10 Reported turnover growth in the year was 6%, but underlying growth of 15% outpaced growth in the market for the third consecutive year. The underlying growth was driven by relatively consistent pharmaceuticals growth during the year, of 14%. Operating profit fell 3%, reflecting the loss of sales of pandemic products, Avandia and Valtrex.11 In 2011, we announced our intention to build a new manufacturing facility in the UK for the supply of biopharmaceutical products. Subject to the introduction of ‘patent box’ legislation by the UK Government in 2012, this facility could be built at one of four existing GSK sites – Barnard Castle or Ulverston in the north of England, or Irvine or Montrose in Scotland – representing an investment of several hundred million pounds. Standardization should increase productivity, as our businesses will have more time to focus on their 8 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.16, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016. 9 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.18, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016. 10 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.20, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016. 11 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.21, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016.
  • 32. Page 32 operations and performance rather than coordinating internal processes. Standardization of data and systems should provide better decision-making information. A key enabler for the delivery of benefits from CBS will be the enterprise-wide Enterprise Resource Planning (ERP) system. The significant investment we are making in the Global ERP program over the next five years will enable CBS to • create standard business processes, systems and data to support the growth and • change agenda across multiple businesses. As part of the ERP program we are • converting country-based commercial IT systems to a single SAP IT system and • replacing numerous fragmented and non-standardized applications. In 2011 the system went live in Germany, marking the start of ERP deployment across the whole of GSK. In 2011, we implemented changes to our supply chain processes. To help supply chain efficiency we have significantly simplified our product portfolio by reducing the number of packs or ‘SKUs’ by 25% in Europe, 15% in Japan and up to 24% in Emerging Markets. We are now focused on standardizing the remaining pack formats to improve packaging efficiency and costs. In addition, our manufacturing organization is actively seeking to improve procurement processes and in particular our purchasing of active ingredients, chemical intermediates, packaging components and part-finished and finished products. This is releasing further cost efficiencies and allowing us to reduce working capital. In our Consumer Healthcare business, we are redesigning our supply chain to form an integrated, end-to-end process that is more aligned with our customers and the commercial operations of the business. This process is also being configured to support the high-growth regions of emerging markets. These changes are expected to reduce cost and free-up working capital. Our European pharmaceuticals and vaccines supply chain has also been redesigned to simplify operations and consolidate distribution locations to reduce inventory, increase service levels and cut operating costs.12 Our long-term vision is for our entire value chain to be carbon neutral by 2050. Around 40% of our carbon footprint results from our supply chain and a further 40% from propellants released from our inhalers. Less than a fifth of our total impact comes directly from our operations, so while we continue to increase energy efficiency and the use of renewable energy at our sites, we are also focusing on our supply chain and the use of products, especially inhalers. In 2011 we began foot-printing key products to identify the priorities, and have developed site-based 12 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.41, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016.
  • 33. Page 33 events to analyze local carbon reduction potential and act on the opportunities. In 2011 we reduced energy consumption from our operations by 5.2%. Greenhouse gas emissions from the use of inhalers rose by 2.9%.13 Inventory of £3,873 million has increased by £36 million during the year. The increase reflects higher Vaccine stocks, principally Cervarix for the national HPV program in Japan, partly offset by initiatives to reduce manufacturing cycle times and reduce stockholding days through more efficient use of inventory throughout the supply chain.14 Roches Holdings AG 2011: The manufacturing organization’s primary objectives in 2011 were to support Roche’s growing R&D pipeline and improve our manufacturing network and processes, while maintaining a strong focus on supply chain reliability and product quality. We continued to foster a culture of continuous improvement and share best practices across sites. Improvements introduced in 2011 include additional common standards for producing small molecules, which will help make site performance more transparent, and establishing best practices for materials flows and productive maintenance. In biologics production, we improved scrap-handling practices, resulting in lower manufacturing costs, Manufacturing sites higher yields and improved manufacturing processes for products such as Pulmozyme and Nutropin.15 The agility and resilience of our global supply chain was tested in March, when the disastrous earthquake in Japan interrupted Chugai’s Utsunomiya operations, and again in September, when a fire damaged our site in Segrate. In response, Roche and Chugai immediately set up supply chain taskforces that worked in close cooperation with health authorities to ensure continued product supply and regulatory compliance. Both sites have fully recovered from these incidents and resumed production. As part of the Operational Excellence program, announced in late 2010, and the ongoing evaluation of our manufacturing network, we divested technical development and small molecule manufacturing operations located in Boulder, USA, to Corden Pharma. Corden will continue to supply us with commercial-scale peptides and chemical active ingredients for important medicines. We also sold our clinical plant in Oceanside, USA, to Gilead Sciences in our ongoing program to consolidate clinical and process development operations. These divestments, along with other measures, lowered the 13 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.49, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016. 14 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.61, https://www.GlaxoSmithKline.com/media/325141/annual-report- 2011.pdf, accessed April 4, 2016. 15 Roche Holdings AG, 2011 Annual Report, March 2012, p.55, http://www.roche.com/gb11e.pdf, accessed April 4, 2016.
  • 34. Page 34 number of people employed in pharmaceutical operations in the US by 15%. We reorganized operations across the Diagnostics Division in 2010 to establish a single, integrated function for driving excellence in manufacturing, supply chain management and procurement. Since then, we have pursued an agenda of delivering cost savings while building capabilities for sustainable high performance in quality, cost and supply reliability. In 2011 we again realized an aggressive cost- saving target, which contributed to the division’s overall improvement in profitability. We also advanced three performance initiatives: Asset management: We invested in facilities to expand capacity, alleviate bottlenecks and mitigate supply risks, and we transferred product manufacturing to consolidate capacity, increase utilization and reduce costs. We also consolidated our supplier base to ensure optimal alignment between external suppliers and internal capacities. Right-first-time manufacturing: We introduced a system-wide program to improve performance by systematically eliminating errors, driving improvements in right-first-time rates, quality and cost at all sites. The program also served as a forum for sharing best practices across the network. Design for quality and manufacturability: We developed tools and methodologies to ensure the establishment of robust production processes and applied them to product development projects across the division. We expect these changes to pay dividends in the form of improved quality and manufacturability as new products are brought to market.16 Abbot Laboratories 2012: Geographically, we are now one of the most truly globalized of healthcare companies, with only 30 percent of our revenue coming from the United States, a remarkable reversal from just 10 years ago. Another 30 percent of our sales come from established international markets, while 40 percent now come from the world’s fastest-growing international markets, including India, in which we are the largest pharmaceutical company. We expect this to grow to 50 percent over the next several years.17 AstraZeneca 2012: Since 2007, we have undertaken significant efforts to restructure and reshape our business to improve long-term competitiveness. The first phase was completed in 2009. The second phase, which featured a significant change program in R&D, began in 2010. The restructuring actions for this phase of the program were completed in 2011, at a total program cost of $2.1 billion. 16 Roche Holdings AG, 2011 Annual Report, March 2012, p.57, http://www.roche.com/gb11e.pdf, accessed April 4, 2016. 17 Abbot Laboratories, Annual Report, March 2013, p.2, file:///Users/howardking/Downloads/2012%20Annual%20Report.pdf, accessed April 5, 2016
  • 35. Page 35 Headcount changes associated with this phase, involving an estimated 9,000 positions, were also completed. Total annual benefits of $1.9 billion were to be delivered by the end of 2014 in connection with this phase of the program, of which $1.5 billion had been achieved by the end of 2012. We are committed to delivering product quality that underpins the safety and efficacy of our medicines. We have a comprehensive quality management system in place designed to assure the quality of our products in compliance with relevant regulations. Notwithstanding our efforts, during 2012 we experienced disruptions to our supply chain resulting from the implementation in February 2012 of an enterprise resource planning IT system in our facilities in Sweden (Södertälje and Gärtuna). This change was necessary, due to the legacy systems reaching the end of their life-cycle. At launch the implementation encountered some unexpected difficulties and we put in place a team with representatives from different parts of the organization to manage the situation so that impact on patients would be minimized and markets were kept informed. The underlying problems have now been resolved and production levels returned to normal in September. We estimate that the negative revenue impact for the year resulting from this disruption was approximately 1%. Supply from our site in India (Bangalore) was also disrupted for a period of time following a voluntary recall of products that we determined did not meet our global quality standards. Remediation actions have been implemented. Lessons learned from the supply chain disruptions in 2012 have been shared across the Group as part of our continuous improvement program. This program allows us to improve our systems and minimize the impact of our activities on the environment. We focus on what adds value to our customers and patients, as well as waste elimination. The program has delivered significant benefits in recent years, including reduced manufacturing lead times and lower average stock levels, both of which improve our ability to respond to customer needs and reduce inventory costs. All improvements are designed to ensure we maintain product quality, safety and customer service.18 We have applied Lean production business improvement tools and ways of working to improve the efficiency of our manufacturing plants for a number of years and, in recent years, have applied them to the whole of our supply chain. This has led to improvements in quality, lead times and overall equipment effectiveness. In 2012, we continued to establish more efficient processes, with experts from our global supply chain organization providing cross-functional support throughout the 18 AstraZeneca, 2012 Annual Report, March 2013, p.40, https://www.astrazeneca.com/content/dam/az/our-company/investor- relations/presentations-and-webcast/Annual-Reports/2012-Annual-report.pdf, accessed April 5, 2016.
  • 36. Page 36 business.19 We categorize suppliers as high, medium or low risk. We focus our auditing efforts on high and medium risk rated suppliers but we also audit some suppliers that we consider to be lower risk, to confirm our performance expectations across all suppliers we do business with. In 2012, we continued our audit activity with 482 audits across 52 countries (751 audits in 2011) as set out in the table on the previous page. Forty-three percent of suppliers audited demonstrated standards that met our expectations, with a further 53% implementing improvements to address minor noncompliance. We monitor progress across all corrective actions and 4% of suppliers audited this year will require significant follow up to confirm they will make the improvements we require. We will not use suppliers who are unable or unwilling to meet our expectations in a timely way. During 2012, we removed eight suppliers from our supply chain.20 GlaxoSmithKline 2012: We continue to make changes to simplify our operating model. Our Operational Excellence program has now delivered annual savings of £2.5 billion and remains on track to hit the target we set of £2.8 billion of annual savings by 2014. In February 2013 we announced a new major change program, which we expect to produce incremental annual cost savings of at least £1 billion by 2016. This program will include a series of technological advances and opportunities to eliminate complexity, which we believe can transform our long-term cost competitiveness in both manufacturing and R&D. The program will help us simplify our supply chain processes, shorten cycle times, lower inventory levels and reduce our carbon footprint.21 Despite reducing our carbon footprint from energy use by 15% since 2010, our total carbon footprint (excluding that from raw materials) increased by 7% compared to 2010 driven by higher inhaler sales. However, current carbon reduction projects should enable us to reach our interim target to cut our value chain carbon footprint by 10% to 13.5 million tons of CO2 equivalent by 2015.22 The transformation of our operating model and processes has been a key business strategy, enabling us to standardize and streamline important aspects of our business, including our supply chain. We have been implementing a restructuring program to deliver significant savings to support investment 19 AstraZeneca, 2012 Annual Report, March 2013, p.41, https://www.astrazeneca.com/content/dam/az/our-company/investor- relations/presentations-and-webcast/Annual-Reports/2012-Annual-report.pdf, accessed April 5, 2016. 20 AstraZeneca, 2012 Annual Report, March 2013, p.42, https://www.astrazeneca.com/content/dam/az/our-company/investor- relations/presentations-and-webcast/Annual-Reports/2012-Annual-report.pdf, accessed April 5, 2016 21 GLAXOSMITHKLINE, 2012 Annual Report, March 2013, p.3, https://www.GlaxoSmithKline.com/media/279963/annual-report- 2012.pdf, accessed April 5, 2016. 22 GLAXOSMITHKLINE, 2012 Annual Report, March 2013, p.43, https://www.GlaxoSmithKline.com/media/279963/annual-report- 2012.pdf, accessed April 5, 2016.
  • 37. Page 37 in our priority growth businesses as well as offset pressures on the Group’s margin resulting from changes in the shape and mix of our business. The existing Operational Excellence program is coming to a close and will be superseded by a new major change program. This will focus on opportunities to simplify our supply chain processes, as previously announced in 2012 and on building the Group’s capabilities in manufacturing and R&D, as well as restructuring our European business. 2012 also saw £165 million of restructuring charges relating to the acquisition of Human Genome Sciences (HGS). Total restructuring charges related to HGS are expected to be approximately £204 million, of which most is expected to be a cash cost. The majority of the remaining HGS restructuring charges will be booked in 2013.23 Roche Holdings AG 2012: Manufacturing, procurement and supply functions bring innovative medicines and diagnostics from the R&D pipeline to patients and healthcare professionals worldwide. At all stages of our global supply chain, from suppliers to manufacturers, warehousing and transportation, we require and apply rigorous safety, quality, ethics, labor, health and environmental standards. State-of-the-art processes and facilities ensure that these standards are fully met and that products are made available reliably.24 Pharmaceutical manufacturing played a decisive role in the rapid launch in the US of breast cancer medicine Perjeta — available to patients one day following FDA approval — and skin cancer medicine Erivedge — in distribution three days after approval. In collaboration with R&D, we supported 108 development projects for new medicines, including manufacturing investigational products for approximately 600 global clinical trials that involved tens of thousands of patients. During the year we took active steps to safeguard operational reliability. Throughout the organization, we increased inventory ‘safety stock’ levels, to ensure continuity of product supply in response to unforeseen increases in demand, especially for new product launches. This contributed to a total inventory increase of 18% in the division. We also increased oversight across the supply chain including suppliers and CMOs. To ensure an effective response in case of unexpected events, a new business continuity process for our manufacturing operations was put into effect.25 Throughout 2012 we continued to pursue several long-term initiatives aimed at sustainable high performance: 23 GLAXOSMITHKLINE, 2012 Annual Report, March 2013, p.44, https://www.GlaxoSmithKline.com/media/279963/annual-report- 2012.pdf, accessed April 5, 2016. 24 Roche Holdings, 2012 Annual Report, March 2013, p.62, http://www.roche.com/gb12e.pdf, accessed April 5, 2016. 25 Roche Holdings, 2012 Annual Report, March 2013, p.64, http://www.roche.com/gb12e.pdf, accessed April 5, 2016.
  • 38. Page 38 We established a continuous improvement culture and metrics in manufacturing quality performance (‘right first time’) and put methodologies and tools in place to ensure more robust production processes (‘design for quality and manufacturability’), with first positive trends. We continued to optimize manufacturing capacity (‘asset management’), and initiated a major capital investment project at our site in Penzberg, Germany. We started two new initiatives that are expected to generate significant savings over the next years: a supply chain excellence initiative to enhance the reliable and cost-effective supply of our products and to optimize inventory levels, and a procurement excellence initiative to ensure more strategic sourcing and improved supplier management, including a new supplier performance measurement tool.26 Abbot Laboratories 2014: In a highly innovative move, we also agreed to co-develop a dairy-farm hub in China, which will deepen our roots in the country and strengthen our supply chain. These investments are a reflection of the strong underlying demand for high-quality adult and pediatric nutrition products. Our intent is to design and manufacture products around the world to ensure that they’re geared to local needs and preferences, that we can produce them efficiently, and that we build our presence and strengthen our relationships with key stakeholders in every country in which we do business.27 In Abbott’s worldwide diagnostics business, margin improvement continued to be a key focus in 2014. Operating margins increased from 19.2 percent of sales in 2012 to 22.9 percent in 2014 as the business continued to execute on efficiency initiatives in the manufacturing and supply chain functions. In addition to continued margin improvement, unit growth across geographical regions positively impacted worldwide diagnostic sales. Worldwide sales for this business increased 6.4 percent in 2014 and 8.3 percent in 2013, excluding foreign exchange. In the Established Pharmaceutical Products segment, Abbott announced in July 2014 that it will sell its developed markets branded generics pharmaceuticals business to Mylan Inc. As a result, the current and prior year operating results of the developed markets branded generics business are reported as part of discontinued operations. Following the close of this transaction, the Established Pharmaceuticals business will operate entirely in emerging markets. On September 26, 2014, Abbott completed its acquisition of a controlling interest in CFR Pharmaceuticals S.A. (CFR). The acquisition of CFR more 26 Roche Holdings, 2012 Annual Report, March 2013, p.66, http://www.roche.com/gb12e.pdf, accessed April 5, 2016. 27 Abbott Laboratories, 2014 Annual Report, March 2015, p. 2, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol- proxy, accessed April 11, 2016.
  • 39. Page 39 than doubles Abbott’s branded generics pharmaceutical presence in Latin America and further expands its presence in emerging markets. On December 12, 2014, Abbott acquired control of Veropharm, a leading Russian pharmaceutical company. Through this acquisition, Abbott establishes a manufacturing footprint in Russia and obtains a portfolio of medicines that is well aligned with Abbott’s current pharmaceutical therapeutic areas of focus.28 A supplier’s recall of product in August 2013 in certain international markets negatively impacted International Pediatric Nutritional sales in the third and fourth quarters of 2013, as well as the first two quarters of 2014. While there were no health issues associated with this supplier recall and the supplier subsequently determined that the product had been safe for consumption, this event created significant disruption in these markets. The decline in 2014 U.S. Pediatric Nutritional sales primarily reflects lower infant formula revenue. U.S. Pediatric sales were flat in 2013 due to lower formula share, partially offset by higher sales of toddler products.29 In 2014, Abbott management approved plans to streamline operations in order to reduce costs and improve efficiencies in various Abbott businesses including nutritional and established pharmaceuticals businesses. Abbott recorded employee related severance and other charges of approximately $164 million in 2014. Approximately $20 million is recognized in Cost of products sold, $53 million is recognized in Research and development and approximately $91 million is recognized in Selling, general and administrative expense. Additional charges of approximately $39 million in 2014 were also recorded primarily for accelerated depreciation. In 2014 and 2013, Abbott management approved plans to reduce costs and improve efficiencies across various functional areas as well as a plan to streamline certain manufacturing operations in order to reduce costs and improve efficiencies in Abbott’s established pharmaceuticals business.30 AstraZeneca 2012: We are committed to high product quality, which underpins the safety and efficacy of our medicines. To help assure compliance and quality, we maintain a comprehensive quality management system. Our continuous improvement program allows us to upgrade our systems and minimize environmental impact. By focusing on increasing efficiency and cutting waste, we have reduced manufacturing lead times, average stock levels and inventory costs. We have also improved customer responsiveness. We apply Lean production business improvement tools and methods to 28 Abbott Laboratories, 2014 Annual Report, March 2015, p. 61, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol- proxy, accessed April 11, 2016. 29 Abbott Laboratories, 2014 Annual Report, March 2015, p. 63, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol- proxy, accessed April 11, 2016. 30 Abbott Laboratories, 2014 Annual Report, March 2015, p. 66, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol- proxy, accessed April 11, 2016.
  • 40. Page 40 our manufacturing plants and entire supply chain to improve efficiency, quality, lead times and overall equipment compliance responsibility and supported by dedicated compliance teams. Our Internal Audit Services (IA) function provides independent assurance. Due to our strategy to outsource most API manufacturing, we need an uninterrupted supply of high quality raw materials. As such, we place great importance on our global procurement policies and integrated risk management processes. We purchase materials from a wide range of suppliers and work to mitigate supply risks, such as disasters that disrupt supply chains or the unavailability of raw materials. Contingency plans include using dual or multiple suppliers where appropriate, maintaining adequate stock levels and working to mitigate the effect of pricing fluctuations in raw materials. In 2014, we implemented a new process for third party risk management. This process, which consists of four steps and applies to all our suppliers, downstream supply chain partners and local business development partners, assesses risk based upon defined criteria, including that related to anti-bribery and anti-corruption, data privacy, the environment and wages. Each step of the process provides an additional level of assessment, and we conduct more detailed assessments on those relationships identified as higher risk. Through this process we seek to better understand the partner’s risk approach, ensure the partner understands and can meet our standards and mitigate risk. To help secure our future, we are identifying and recruiting emerging talent and investing in internships and recruitment opportunities globally. For example, we conduct a global program to hire recent graduates for our procurement, quality, engineering, IT and supply chain functions. We also have a graduate program for IMED, which complements our established IMED Post Doctorate Program for researcher recruitment. GlaxoSmithKline 2012: Our end-to-end supply chain program, which began in 2013, is designed to reform and simplify our supply chain. In 2014, we introduced processes to improve coordination across each stage of production from sourcing and manufacturing to more efficient delivery of our products to patients and consumers In 2014, we introduced the GSK Production System (GPS) across our Pharmaceutical manufacturing sites. The GPS is a standard way of working to identify and eliminate the root causes of accidents, defects and waste. This standardized way of working will improve our processes and performance. For example, at our site in Cairo, Egypt, deployment of the program has resulted in a 26% increase in production with a decrease in manufacturing interruptions of more than 40%.
  • 41. Page 41 Consolidation of our supply base also helps to simplify our Pharmaceutical manufacturing and supply chain operations and during 2014 we reduced the number of third-party suppliers who manufacture medicines on behalf of GSK, by a further 8%, compared with 2013. We have also continued to reduce complexity in our supply base by standardizing specifications for goods and materials that we buy and pursuing integrated sourcing processes. We continued our initiative to reduce the complexity of our Pharmaceutical product portfolio, which allows us to simplify both supply chain and commercial operations and reduce risk and complexity while increasing service levels. In 2014, we achieved a 19% reduction (against our 2012 baseline) which equates to more than 4,000 discontinued packs.31 We have faced challenges during the year with several of our Consumer Healthcare manufacturing sites primarily in North America. However, affected supply lines are now fully operational and we expect to see increasing benefit from resumption in supply during 2015. We have undertaken a comprehensive operational review of our supply network and are investing heavily in a multi-year program to ensure future sustainable supply including improvements in systems and capacity, more training for our people and addition of new roles, particularly in key areas such as quality and engineering. We are also working to reduce our exposure to single source supply. In 2014, we continued to roll-out GSK’s commercial Enterprise Resource Planning (ERP) system across the Consumer Healthcare business. This new platform allows us to make better commercial decisions and drive financial efficiencies as we standardize and consolidate data, forecast and plan on the same system, save time and money on system maintenance and upgrades, and become more efficient in how we do business with our customers. With 11 Consumer Healthcare markets added in 2014, 26% of global consumer healthcare revenue is now on the system and we expect to fully complete the roll-out by 2020.32 In 2014, we introduced Fingerprint, an end-to-end supply chain serialization program that will apply unique serial fingerprints on many of our products. The unique identifiers will be recorded in a database so the product can then be scanned and verified against the database at any point in the supply chain. By the end of 2014, 48 packaging lines at 14 of our sites had serialization capability.33 31 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.30, https://www.gsk.com/media/603031/annual-report-2014.pdf, accessed April 11, 2016. 32 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.35, https://www.gsk.com/media/603031/annual-report-2014.pdf, accessed April 11, 2016. 33 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.42, https://www.gsk.com/media/603031/annual-report-2014.pdf, accessed April 11, 2016.
  • 42. Page 42 We have been establishing Core Business Services (CBS) to bring together our support functions in order to streamline and standardize functional support to the business. Six CBS regional business centers already support 93 markets, representing 65% of GSK sales. Further, the enterprise resource planning (ERP) platform that we are implementing is replacing a large number of separate outdated IT systems across the company, giving us common databases and standard business processes that will help us simplify our operations, drive efficiencies and give us detailed analytics to improve our day-to-day operations and decision making.34 Inventory of £4,231 million increased by £331 million during the year. The increase primarily reflected the impact of stock building for new product launches and remediation of the Consumer Healthcare supply chain, partly offset by a favorable exchange impact.35 Roche Holdings AG 2014: In order to manage our supply chain more effectively on an end-to-end basis, an enhanced technical product management approach was implemented and significant progress was made in 2014. This includes clearer governance for sourcing decisions and better defined strategic supply plans over the product lifecycle. Roche has established a dedicated Supplier Relationship Centre (SRC) in order to work more closely with key suppliers on innovation. In 2014, Roche increased the scope of the SRC to form an Innovation Centre of Excellence to include more external partners and drive innovative strategies. We introduced a new fast-track process to deliver more ideas and value in shorter time. To date, 45 innovative business cases have been approved and 32 are in progress or have been implemented.36 Through partnerships with governments and other stakeholders, we aim to build disease solutions which support infrastructure development, support training and education and improve supply chain. We also plan to work with private insurers to create policies that cover treatment for cancer and that have regional, rather than a local risk pool. We also have plans to develop centers of excellence, as well as create a pan-African platform for healthcare professional education to train specialists. There is enormous scope to make a difference to patients in this part of the world.37 Counterfeiting of medical products is a serious and growing global problem. The World Health Organization (WHO) defines a counterfeit medicine as ‘one which is deliberately and fraudulently mislabeled with respect to identity and/or source.’ It estimates that counterfeiting, substandard 34 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.51, https://www.gsk.com/media/603031/annual-report-2014.pdf, accessed April 11, 2016. 35 GLAXOSMITHKLINE, 2011 Annual Report, March 2012, p.66, https://www.gsk.com/media/603031/annual-report-2014.pdf, accessed April 11, 2016. 36 Roche Holdings AG, 2014 Annual Report, March 2015, p. 69, http://www.roche.com/gb14e.pdf, accessed April 11, 2016. 37 Roche Holdings AG, 2014 Annual Report, March 2015, p. 86, http://www.roche.com/gb14e.pdf, accessed April 11, 2016.
  • 43. Page 43 formulation, contamination, fakery, and active ingredient substitution constitute a 431 billion US dollar market.1 Illegally imported medicines may also not have been stored or handled properly and could be contaminated, damaged or degraded. Patients are the ultimate victims of this criminal activity. In answer to increasing global supply chain challenges and international criminal activities, in 2010, Roche initiated a ten-year program to increase security in our supply chain. We are implementing a number of new technologies including overt and covert anti-counterfeiting features, 2D barcoding, mass serialization techniques, tamper-evident packaging as well as tracking and tracing systems. In 2014, we increased supply of serialized products significantly, particularly those for China and the US. On completion of the program, which is anticipated by 2018, every Roche product, folding box, case and pallet will have a unique identification. With the cooperation of health authorities and other trading partners, this will ultimately enable tracking and tracing from our manufacturing facilities, through all global distribution channels and, then, to the patient. We are also working with international trade organizations in support of industry-wide efforts to improve the safety and security of the pharmaceutical supply chain. In addition, we collaborate with health authorities, law enforcement bodies and other government agencies in the countries where our products are sold on traceability guidelines and regulations. Roche is committed to conserving eco-system services and biodiversity. In order to provide us with an overarching metric which assesses and compares our risks and opportunities across operations, products and supply chains we are exploring the idea of natural capital evaluation. This is a means of placing a monetary value on environmental impacts along the entire supply chain of our business. Roche is, however, faced with a number of challenges associated with natural capital evaluation such as the lack of a harmonized framework and difficulties to gain access to data if the impact analysed lies beyond the company premises. In general, putting the impacts into a regional context and to find data with adequate quality are also great challenges. We are now investigating the best way forward.38 One focus in 2014 was the launch of the Global Logistics Security Program in the Pharmaceuticals Division. The goal is to improve, systematically, the protection of our products from theft or manipulation during transportation or storage in own or third-party warehouses. A small team led by Global Pharma Supply Chain and comprising security and logistics experts from different regions, performed training sessions and delivered guidance on risk assessment and auditing for the local 38 Roche Holdings AG, 2014 Annual Report, March 2015, p. 126, http://www.roche.com/gb14e.pdf, accessed April 11, 2016.
  • 44. Page 44 logistics security officers.39 Abbot Laboratories 2015: In recent years, we’ve built our presence in the region through targeted investments in manufacturing, supply chain and research-and-development facilities. In 2015, we opened a new research-and-development pilot plant in Singapore that will allow us to more rapidly pair nutrition science innovation with local taste and texture preferences.40 In 2015 and 2014, Abbott management approved plans to stream‑line operations in order to reduce costs and improve efficiencies in various Abbott businesses including the nutritional, established pharmaceuticals and vascular businesses. Abbott recorded employee-related severance and other charges of approximately $95 million in 2015 and $164 million in 2014. Approximately $18 million in 2015 and $20 million in 2014 are recorded in Cost of products sold, approximately $34 million in 2015 and $53 million in 2014 are recorded in Research and development and approximately $43 million in 2015 and $91 million in 2014 are recorded in Selling, general and administrative expense. Additional charges of approximately $45 million in 2015 and $39 million in 2014 were recorded primarily for accelerated depreciation. From 2013 to 2015, Abbott management approved various plans to reduce costs and improve efficiencies across various functional areas. In 2013, Abbott management also approved plans to stream‑ line certain manufacturing operations in order to reduce costs and improve efficiencies in Abbott’s established pharmaceuticals business.41 AstraZeneca 2015: Following the successful introduction of our Taizhou facility in China at the end of 2014, regulatory validation work continues at our Vorsino facility in Russia, which opened in 2015. This marks the largest foreign investment in the construction of a new pharmaceutical plant in Russia. First commercial production is scheduled to commence in early 2016, improving our ability to supply local markets. Also during 2015, we announced major investment plans to develop our capability in biologics, including the acquisition of Amgen’s facility in Boulder, Colorado in the US, as well as a $285 million investment in a new manufacturing facility in Södertälje, Sweden. These projects, in addition to a previously announced expansion plan at Frederick, Maryland US, will increase production capacity to support the growing demand for biologics, which represents half of our development pipeline.42 39 Roche Holdings AG, 2014 Annual Report, March 2015, p. 132, http://www.roche.com/gb14e.pdf, accessed April 11, 2016. 40 Abbott Laboratories, 2015 Annual Report, March 2016, p.17, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol- proxy, accessed April 11, 2016. 41 Abbott Laboratories, 2015 Annual Report, March 2016, p.67, http://www.abbottinvestor.com/phoenix.zhtml?c=94004&p=irol- proxy, accessed April 11, 2016. 42 AstraZeneca, 2015 Annual Report, March 2016, p. 46, https://www.astrazeneca.com/content/dam/az/our-company/investor- relations/presentations-and-webcast/Annual-Reports/AZ_Annual_Report_2015.pdf, accessed April 11, 2016.
  • 45. Page 45 Our continuous improvement program allows us to upgrade our systems and minimize environmental impact. By applying Lean methodology to our manufacturing plants and supply chain, we have been successful in reducing waste and inventory costs. We have also improved efficiency, quality, lead times, equipment effectiveness and overall customer responsiveness. We are continuing to establish more efficient processes, with global supply chain experts providing support throughout the organization. With most of our API manufacturing outsourced, we need an uninterrupted supply of high-quality raw materials. We therefore place great importance on our global procurement policies and integrated risk management processes. We purchase materials from a wide range of suppliers and work to mitigate supply risks, such as natural or man-made disasters that disrupt supply chains or the unavailability of raw materials. Contingency plans include using dual or multiple suppliers where appropriate, maintaining adequate stock levels and working to mitigate the effect of pricing fluctuations in raw materials.43 GlaxoSmithKline 2015: In 2015, we significantly reshaped our Pharmaceuticals business, and continued to reduce supply chain complexity, while retaining our commitment to quality. We have rescaled the commercial operations, global support functions, R&D and manufacturing that support this business. Our supply chain improvement programme aims to deliver industry-leading levels of performance. Since 2012, this programme has delivered significant savings through procurement excellence (how and what we buy), logistics (distribution), portfolio optimization – reducing the number of pharmaceutical pack variants by 27% (against the 2012 baseline), and streamlining our external supply network by 35%. We have strengthened our logistics operations by establishing five regional supply and demand hubs, enabling more efficient use of our warehouses and transport reducing ‘cost to serve’ by £136 million. The ongoing roll-out of our Enterprise Resource Planning (ERP) system across our commercial markets and manufacturing sites is a critical part of our transformation. Coupled with new planning capabilities, this increases end-to-end visibility and control, helping ensure supply and demand are robust and aligned. These changes will help improve service to our patients and consumers. Cost savings generated from Pharmaceuticals restructuring will support delivery of £3 billion annual savings for the Group by the end of 2017.44 43 AstraZeneca, 2015 Annual Report, March 2016, p. 47, https://www.astrazeneca.com/content/dam/az/our-company/investor- relations/presentations-and-webcast/Annual-Reports/AZ_Annual_Report_2015.pdf, accessed April 11, 2016. 44 GlaxoSmithKline, 2015 Annual Report, March 2016, p.25, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf,
  • 46. Page 46 We strive to minimize the risk of counterfeit medicines. In 2015, we extended our end-to-end supply chain serialization program, Fingerprint, across 86 packaging lines in more than 18 manufacturing sites. The program applies unique serial ‘fingerprints’ on products and logs them into a government- managed database, which they can be verified against at any point in the supply chain.45 Cost of sales as a percentage of turnover was 31.4%, 3.0 percentage points higher than in 2014. On a pro-forma basis, the cost of sales percentage increased 0.8 percentage points and 1.0 percentage points on a CER basis. This reflected adverse price movements, particularly in US Pharmaceuticals, and increased investments in Vaccines to improve the reliability and capacity of the supply chain. This was partly offset by an improved product mix, particularly as a result of the growth in HIV sales, and the benefits of our ongoing cost reduction programs.46 In addition, the Committee has continued to monitor the Group’s key ongoing transformation and simplification programs including, in particular, those in our Global Support Functions where we are continuing to simplify our operating model through programs such as Finance Transformation as well as undertaking major upgrades to the Group’s systems and global processes, including core ERP, HR and supply chain platforms. The Committee has also regularly reviewed the Group’s cyber security and the progress of our Infoprotect program which is designed to address this risk specifically.47 The Committee has continued to review regularly the multi-year programs underway to simplify our support functions and standardize our operating model around new and upgraded platforms. These programs are now well established but are at a peak of activity currently as the new platforms and processes are rolled out across the Group, compounded by the additional requirements to integrate the former Novartis businesses into the Group’s operating and reporting infrastructure. Significant progress has been reported with the completion of new global HR and supply chain forecasting systems and multiple cut overs of local operating companies onto the new ERP platform delivered during the year with targeted control levels maintained throughout. The Committee has also paid particular attention to the parallel transformation programs underway in a number of the support functions, especially the Finance Transformation initiative, to ensure that controls and reporting accessed April 11, 2016. 45 GlaxoSmithKline, 2015 Annual Report, March 2016, p.44, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf, accessed April 11, 2016. 46 GlaxoSmithKline, 2015 Annual Report, March 2016, p.63, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf, accessed April 11, 2016. 47 GlaxoSmithKline, 2015 Annual Report, March 2016, p.88, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf, accessed April 11, 2016.
  • 47. Page 47 requirements are not affected.48 Roche Holdings AG 2015: We also launched the VENTANA HE 600 system globally. A fully automated hematoxylin and eosin (H&E) tissue staining system, it enhances patient safety by avoiding cross-contamination, and produces exceptional staining quality. This system improves workflow by eliminating the need to manually mix reagents. In a global test Doubling the already market-leading throughput of our current instrument from 200 to 400 results per hour is a key feature of the cobas c 513. This new instrument is used in laboratories for the analysis of HbA1c levels in blood samples from people with diabetes. The cobas c 513 is an essential tool for healthcare providers coping with the ever-increasing number of people with this condition. Another key milestone in 2015, the FDA approved the cobas 6800 and cobas 8800 systems and the cobas HBV, cobas HCV and cobas HIV viral load tests. The fully automated systems offer the fastest time to results, the highest throughput and the longest walkaway time available among automated molecular platforms, providing laboratories both improved operating efficiency and flexibility to adapt to changing testing needs. The new tests are the next generation of our viral load tests, which clinicians use to manage the treatment of people with hepatitis B or hepatitis C virus as well as HIV. The US approval follows the 2014 launch of these systems and tests in countries accepting the CE mark.** conducted in 2015, more than 4,000 slides from laboratories in 12 countries were stained on the VENTANA HE 600 system and reviewed by 67 pathologists, with excellent results.49 The African continent is developing quickly, with the GDP expected to increase by 5% in 2016.6 Significant strides have been made in improving health outcomes in many countries. However, major challenges remain, particularly in sub-Saharan Africa. Poor outcomes persist in sub-Saharan Africa for a multitude of reasons, including low disease awareness, late presentation of patients with disease, limited quantity and poor quality of healthcare institutions, lack of medical specialists, uncertain supply chain quality, low government priority, little to no local prevalence data and limited funding.50 In 2010, we initiated a program at Roche to increase security in our supply chain. We are implementing a number of new technologies, including overt and covert anti-counterfeiting features, 2D barcoding, mass serialization techniques and tamper-evident packaging. On completion of the program, slated for 2018, every Roche product, folding box, case and pallet will have a unique 48 GlaxoSmithKline, 2015 Annual Report, March 2016, p.89, http://annualreport.gsk.com/downloads/GSK_Annual_Report_2015.pdf, accessed April 11, 2016. 49 Roche Holdings AG, 2015 Annual Report, March 2016, p.35, http://www.roche.com/gb15e.pdf, accessed April 11, 2016. 50 Roche Holdings AG, 2015 Annual Report, March 2016, p.84, http://www.roche.com/gb15e.pdf, accessed April 11, 2016.
  • 48. Page 48 identification.51 Another initiative to reduce GHG emissions is reducing our use of halogenated substances that are used for refrigeration and/or fire suppression and can remain in the atmosphere for a long period of time. We planned to reduce halogenated substances by 90% (from 2002 baseline) at all Roche legacy sites by 2015. This excludes acquisitions (including Genentech and Ventana), which are working towards their own timelines (2018/2022). With great efforts we managed to achieve an 89.8% reduction and we have now set a new goal to further reduce halogenated substances by 20% at Roche legacy sites over the next five years. We continue to examine alternatives and work with refrigeration and fire suppression suppliers to achieve these reductions.52 51 Roche Holdings AG, 2015 Annual Report, March 2016, p.102, http://www.roche.com/gb15e.pdf, accessed April 11, 2016. 52 Roche Holdings AG, 2015 Annual Report, March 2016, p.127, http://www.roche.com/gb15e.pdf, accessed April 11, 2016.