MTC needs to reduce costs by at least 2.3% to offset taxes from the Affordable Care Act. Improving forecasting accuracy and reducing safety stock could save over $149,000 annually, more than offsetting the $136,940 tax. MTC's proposal includes developing in-house sterilization, using warehouses strategically with 3PLs, and replacing loaner offices and trunk stock with smart kiosks to streamline product flow and further reduce costs.