This section of the UPS Healthcare Supply Chain Vital Signs survey is focused on understanding the business priorities, supplier satisfaction and logistics challenges of hospitals in the U.S., while providing valuable insights and implications for their clinical product suppliers, including medical device and pharma manufacturers and distributors. Amidst industry uncertainty, U.S. hospitals are being challenged to increase efficiency while digesting acquisitions and implementing new concepts in care delivery. Margin pressures are driving price sensitivities and efforts to reduce cost throughout the supply chain. Meanwhile, outcome-based reimbursement models mean hospitals must focus on coordinating patient care across a broad spectrum of care-delivery groups while remaining accountable to better outcomes. These factors, combined with the ambiguity surrounding potential regulatory changes, are causing hospitals to re-evaluate their supply chain and logistics strategies.