- Medical Technology Corporation (MTC) is a medical device manufacturer located in Pennsylvania that produces and sells surgical devices. - They faced problems due to the Affordable Care Act's medical device excise tax of 2.3% of revenue, which led to a 10% reduction in net profits. - MTC proposed transforming their supply chain management strategy through implementing smart kiosks in hospitals, moving sterilization in-house, downsizing salesforce, and establishing online customer assistance to reduce costs by 14% and increase net profits by $38 million.