Fisher & Paykel Healthcare Mexico and US Site Visit 22 September - - PowerPoint PPT Presentation

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Fisher & Paykel Healthcare Mexico and US Site Visit 22 September - - PowerPoint PPT Presentation

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Fisher & Paykel Healthcare Mexico and US Site Visit 22 September 2014 1 Tijuana, Mexico Manufacturing Facility Pacifico Industrial Center, Tijuana, Baja California, Mexico 2 Introduction Michael Daniell, CEO Offshore (from NZ)

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Fisher & Paykel Healthcare Mexico and US Site Visit

22 September 2014

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Tijuana, Mexico Manufacturing Facility

Pacifico Industrial Center, Tijuana, Baja California, Mexico

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Introduction – Michael Daniell, CEO

  • Offshore (from NZ) manufacturing

– Geographic diversity – Skills availability – Cost

  • Tijuana benefits

– Medical device manufacturing skills (30,000 people) – Proximity to major North American markets – Low and relatively stable manufacturing labour costs – Bilingual Spanish, English – Working day overlap with Auckland

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Facility Location Tijuana

10,462 km

Distance from Auckland to Tijuana

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Tijuana and Mexico Demographics

  • Population of Mexico estimated at approximately 120 million
  • 1.40% annual population growth
  • 76.1 years life expectancy
  • 26.3 years median age
  • 3.2 million people in Baja California
  • 1.6 million people in Tijuana

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Medical device industry in Tijuana

  • 1,946,358 employees in the Maquiladora Industry in Mexico in 5,084

companies

  • 226,737 employed in Baja California in 911 companies
  • 146,340 employed in Tijuana in 583 companies
  • 38 medical device manufacturing plants in Tijuana
  • 30,516 employees in medical device manufacturers in Tijuana

Source: Tijuana Medical Cluster

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Other medical device manufacturers in Tijuana

Availmed Block Medical Carl Zeiss DJ Orthopedics Pall Medical Covidien CareFusion Gambro Greatbatch Kimberly Clark Healthcare Medtronic Nypro Ossur Cardinal Health Smiths-Medical Sunrise Medical Welchallyn Other medical device companies in the area:

Source: Tijuana Medical Cluster

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Quality

  • Commitment to manufacturing quality healthcare devices
  • Our Mexico plant incorporates a controlled working environment – an

environmentally-controlled space in which temperature, humidity, pressure and contaminant levels are kept within strict limits

  • Production quality is continuously monitored

and out products are rigorously tested before shipment

  • We maintain an effective quality management

system that is certified to ISO13485: (the Medical Devices Quality Management Systems standard) by TÜV SÜD

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Timeline

2009 2010 2011 2012 2013 2014

Aug 2009 Lease agreement signed and fit-out starts Nov 2009 First moulding machines arrive Feb 2010 Fit-out completed May 2010 First full face mask shipped Oct 2010 First breathing circuit shipped Feb 2011 First shipments to Europe Oct 2011 Received Japan accreditation Jul 2012 Started production

  • f 407

mask Sep 2012 Started production of 405 mask Second chamber line installed Jan 2013 Shipments to Colombia and UK Feb 2013 Started production

  • f Evaqua II

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Staff and education

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Total number of Mexico employees at 31 March 2014

  • Qualified manufacturing staff are readily available

in Tijuana

  • We believe there will continue to be a steady

supply of well-qualified staff Education

  • 5 Public Universities in Tijuana

–3 of them offer engineering degrees and also Master degrees

  • 12 Private Universities in Tijuana

–7 of them offer engineering degrees and also offer Masters degrees

  • UABC (Autonomous University of Baja California), CETYS University

and UIA (Universidad Iberoamericana) are well regarded Universities

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Organization Chart

General Director, Mexico Operations Human Resources Director Operations and Engineering Director Finance and Group Services Director Materials Management Director Quality Director Senior Vice President – Products & Technology

New Zealand Mexico

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Manufacturing & Operations

  • Respiratory and Acute Care (RAC) manufacturing area
  • Obstructive Sleep Apnea (OSA) manufacturing area

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Products Made in Mexico

  • Chambers
  • Circuits

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Products Made in Mexico

  • Masks
  • Spares

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What is next for Mexico?

Within the next 3 years we expect our Mexico plant to be manufacturing approximately half of the company’s consumable product volume

  • Adding capacity growth in Mexico, generally not moving production

from New Zealand

  • Currently expanding clean manufacturing area
  • In the next 12 to 18 months we will establish 6 additional production

lines in Mexico

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Q&A

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US / Canada Sales & Distribution

Barranca Parkway, Irvine, California, United States of America

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US and Canadian Distribution Facilities

Irvine, California US Corporate Office 53,000 sq ft Distribution Laval, Quebec Canada 25,000 sq ft Distribution Louisville, Kentucky US 50,000 sq ft Distribution

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OSA and Homecare - Markets and Products

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F&P Sales

Sleep Diagnostics Testing with F&P products Sleep Physician Scripting preferred F&P products Homecare Provider Supply preferred F&P products

Patient OSA Sales Process

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OSA Therapy

  • New interface share gain
  • Growth in home sleep testing
  • Focus on compliance
  • Focus on re-supply

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OptiflowTM with myAIRVOTM

  • Focus on Chronic Obstructive Pulmonary Disease (COPD)
  • Reducing hospital re-admission
  • Establishing awareness
  • Establishing payment pathway

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Home Ventilation

  • Noninvasive ventilation market growth
  • MR810 respiratory humidifier
  • HC550 respiratory humidifier

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Respiratory & Acute Care - Markets and Products

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Group Purchasing Organizations

  • Group purchasing organizations (GPOs) assist health care providers in

realizing savings and efficiencies by aggregating purchasing volume and using leverage to negotiate discounts with manufacturers, distributors and other vendors.

  • Nearly 98% of hospitals belong to at least one GPO (2.2

GPOs/hospital).

  • GPOs provide a wide array of services: Contracting; E-Commerce;

Information Technology; Operational, clinical and safety initiatives; Technology assessment; Networking.

  • Approximately 72.8% of a hospital’s spend is covered under a GPO

contract.

Goldenberg & King, July 2009, Locus Systems Lewin Group, May 2003 Schneller, 2009 25

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Group Purchasing Organizations

GPO Total Purchase Volume Number of Acute Care Members Premier $41B 2,000 Novation $49B 2,500 Amerinet $9B 3,000 MedAssets $50B 3,000 HealthTrust $20B 1,400

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Hospital

CareFusion

3rd Party Distribution Product aggregation GPO / IDN F&P Sales

Respiratory & Acute Care Sales Process

Product price negotiation Fees rebated

  • n Hospital

purchases Distribution price negotiation Fees rebated on volume Product flow Sales & Marketing activity GPO – Group Purchasing Organization IDN – Integrated Delivery Network

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Invasive Ventilation

  • Optimal humidity
  • Condensate control
  • Evaqua™ technology
  • Ventilator compatibility

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Noninvasive Ventilation

  • Unique humidification platform
  • Compliance to therapy
  • NIV respiratory support from premature birth to discharge

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Optiflow™

  • New Optiflow™ nasal high flow therapy
  • Prevent escalation
  • Replace traditional O2 therapy
  • Strong clinical evidence

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Q&A

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Fisher & Paykel Healthcare Mexico and US Site Visit

22 September 2014

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