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Gartner Announces Rankings of Its 2013 Healthcare Supply Chain Top 25

Cardinal Health Retains the No. 1 Slot in the Fifth Annual Healthcare Supply Chain Top 25 Ranking

Gartner, Inc. has released the fifth annual Healthcare Supply Chain Top 25 ranking. The 2013 ranking identifies organizations leading the way in transforming the healthcare value chain to meet new revenue challenges through enhanced service and lower costs with an increasing focus on improved patient outcomes. 

"The Fifth Annual Healthcare Supply Chain Top 25 ranking is representative of all the main constituents of the healthcare value chain — manufacturers, providers, distributors and retailers," said Eric O'Daffer, research director at Gartner. "The past couple of years have seen more large distributors and wholesalers investing in global growth markets that expand their scope and importance to the manufacturers. Likewise, retail pharmacies are vertically integrating supply chain while they position themselves as healthcare and wellness providers to their patient-consumers. Leading providers are innovating in new areas as well." 

Cardinal Health took the No. 1 spot in the Healthcare Supply Chain Top 25 for the third year in a row with strong peer and analyst recognition for the breadth of the company's capabilities across distribution and manufacturing. Cardinal uniquely brings together, under one ownership structure, an expanding global presence and increasing vertical integration in the form of a manufacturer, medical surgical distributor, international sourcing company, pharmaceutical wholesaler and retail pharmacy along with a myriad of other services. 

Table 1. The Healthcare Supply Chain Top 25 for 2013

Rank

Company

% Three-Year Weighted ROA (2010-2012)

One-Year

Inventory Turns (2012)

Bond Rating

 

Truven Health Analytics Percentile

Score

Peer Opinion

Gartner Opinion

Composite Score

1

Cardinal Health

2.8

11.5

 

 

970

351

8.64

2

Mayo Foundation

 

 

AA

95.00

843

284

8.41

3

Owens & Minor

5.5

10.5

 

 

823

323

7.97

4

Intermountain Health Care

 

 

AA+

63.00

848

266

7.84

5

McKesson

4.0

11.2

 

 

713

192

6.52

6

BD

11.5

3.0

 

 

659

312

6.50

7

Johnson and Johnson

9.6

2.9

 

 

893

230

6.35

8

Walgreens

7.7

7.3

 

 

548

276

6.32

9

CVS Caremark

5.7

9.4

 

 

565

211

6.03

10

Mercy (MO)

 

 

AA-

24.00

572

261

5.69

11

Pfizer

6.4

1.6

 

 

531

333

5.63

12

Kaiser Foundation Hospitals

 

 

A+

91.00

622

120

5.52

13

Amerisource-Bergen

4.6

13.5

 

 

405

157

5.50

14

Novartis

7.7

2.8

 

 

548

257

5.35

15

Abbott Laboratories

8.3

4.0

 

 

620

199

5.43

16

Geisinger Health Systems

 

 

AA

34.74

580

178

5.28

17

AstraZeneca

14.4

2.6

 

 

262

263

5.00

18

Advocate Healthcare

 

 

AA

98.00

257

83

4.34

19

UMPC Health System

 

 

A+

21.00

556

145

4.23

20

Cleveland Clinic

 

 

AA-

16.00

679

60

3.99

21

Covidien

8.6

2.8

 

 

556

84

3.98

22

Boston Scientific

-12.2

2.7

 

 

473

252

3.91

23

GlaxoSmithKline

10.1

2.0

 

 

237

193

3.88

24

Memorial Hermann Healthcare System

 

 

A+

96.00

179

94

3.76

25

Ascension Health

 

 

AA+

74.00

155

87

3.76

Source: Gartner (November 2013) 

Mayo Clinic is Gartner's highest ranked Health System for the second year in a row and closed the gap significantly in the ranking on Cardinal Health, coming second in the ranking. Mayo received strong peer and analyst support along with quality of care and bond rating scores near the top. Mayo earned high ratings through a disciplined approach to supply chain that positions the company as an orchestrator of internal and external functions. The organization serves multiple markets across the U.S. through strong governance, talent management and metrics discipline. 

Jumping up two spots to No. 3 after spending the past two years ranked fifth in the top 25 is Owens and Minor (O&M). O&M joins Cardinal Health as one of two companies to make the top five in all five years of the ranking. O&M rose through the rankings based predominantly on better recognition by peers and analysts, plus improved inventory turns from 9.6 to 10.5 year over year. Already well-recognized among health systems and manufacturers alike for its leadership, O&M has been building a market strategy to expand both its existing market in North America and branch out overseas. 

"There was definitely movement between companies further down on this year's Healthcare Supply Chain Top 25 ranking," said Stan Aronow, research director at Gartner. "This reflects the realities of our times as consolidation, enabling profitable growth through supply chain, the impacts of globalization and an increasing focus on patient outcomes take center stage." 

Consolidation happened across the healthcare value chain in 2013. The mergers of health systems continued, with more than 100 transactions last year. Large systems are growing larger through acquisitions of physician practices, individual hospitals and integrated delivery networks (IDNs). Many organizations added complexity to their supply chain and were challenged by another set of integrations to manage. Distributors and wholesalers in North America have made strategic moves to expand their reach in core markets, as well as overseas and even integrated with key customers in some cases. 

Enabling profitable growth through the supply chain became more important in 2013. Increasingly, companies with a supply chain vision and solid execution teams are stepping ahead of their competitors. Gartner's research into the Healthcare Top 25 found that the capabilities and initiatives of leaders are more far reaching than ever before, creating distance between the Top 25 and other companies. 

"Change is a constant in the healthcare value chain, and we expect more of it in the next five years," said Mr. O'Daffer. "The focus on building fundamental capabilities, including the ability to correlate supply chain cost and service data, patient outcomes, and quality data, and on adapting to changing revenue models will take center stage. 

"It is clear that the access to and management of data will increase in importance, enabling enhanced, operational supply chain capabilities. It is also clear that supply chain will be at the center of the discussion, bringing together organizational silos no matter where they sit in the supply chain. Organizations that embrace supply chain as an enabler of profitable growth will thrive, and we expect the difference between the 'haves' and 'have nots' to widen in this area, further increasing the likelihood for consolidation." 

More detailed analysis is available in the Gartner Special Report "The Healthcare Supply Chain Top 25 for 2013." The report is available on Gartner's website at http://www.gartner.com/document/2627322?ref=QuickSearch&sthkw=o'daffer.

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