Built to Last:

By Jake Perrotti

In the realm of business literature, few books have had as profound an impact as “Built to Last: Successful Habits of Visionary Companies” by Jim Collins and Jerry Porras. This influential work dissects the principles and practices that enable companies to thrive over the long haul, ensuring their endurance through changing markets and unforeseen challenges. At Exact Medical Manufacturing, we’ve embraced these principles to forge a path toward sustainability and excellence, in an effort to solidify our status as a company truly “built to last.”

Embracing Core Ideologies

Central to the philosophy presented in “Built to Last” is the idea that visionary companies maintain a set of core ideologies that do not change, even as they adapt their business strategies. At Exact Medical Manufacturing, our core ideology is encapsulated in our mission statement: “Manufacturing with Integrity.” This guiding principle, articulated by our President as “Staying Pure of Mind and Purpose,” has been the bedrock of our operations since our inception.

From my own experience, aligning with this ideology was pivotal in my personal and professional growth within the company. It provided a clear framework within which I could navigate the complexities of our industry and contribute meaningfully to our collective goals. By adhering to our core values, we’ve been able to foster a culture of trust and reliability, which our partners have come to depend upon.

Cultivating a Visionary Approach

One of the hallmarks of visionary companies, as highlighted by Collins and Porras, is their ability to cultivate a strong, compelling vision that unites and motivates their workforce. At Exact, this vision is not just a lofty ideal but a practical roadmap that guides our strategic decisions and daily operations.

Our recent expansion, along with continuous growth of manufacturing capabilities and product offering is a testament to the effort applied towards this visionary approach. Recognizing the need to adapt to an ever-changing market. These decisions, driven by long-term planning yet executed with short-term flexibility, exemplify the balance necessary to maintain both stability and adaptability—a core concept in “Built to Last.”

Fostering a Culture of Continuous Improvement

Continuous improvement is another cornerstone of companies that are built to last. This principle is deeply embedded in our operational philosophy at EMM, derived from the teachings of W. Edwards Deming. Dr. Deming’s approach to quality emphasizes the importance of continuous, incremental improvements, focusing on process optimization and reducing variability.

We embrace Dr. Deming’s principles by consistently seeking ways to enhance our processes, improve our products, and deliver greater value to our customers. This dedication to quality is not just about meeting standards but exceeding them, ensuring that we deliver products that not only meet our customers’ needs but also anticipate and adapt to future demands to ensure we remain agile and responsive in a dynamic market.

Building Long-Term Partnerships

The essence of being built to last extends beyond internal operations; it encompasses the relationships we build with our clients. At EMM, we believe in creating long-lasting partnerships based on mutual trust, understanding, and shared goals. This philosophy is rooted in our commitment to not just sell products, but to offer comprehensive solutions that address the unique challenges our customers face.

This customer-centric approach to business was something I was exposed to since my early days at Exact. To understand the importance of seeing the bigger picture—of not just understanding our products but also comprehending the entire ecosystem in which they operate. We believe this is a critical component to ensure we are a partner our customers can continue to depend on.

 By making our customers’ problems our own, and working together to find long term solutions, we’ve been able to establish enduring relationships that are built to last.


“Built to Last” has provided a blueprint for companies aspiring to achieve lasting success, and at Exact, we’ve internalized these lessons to guide our journey. By upholding our core ideologies, fostering a visionary approach, embracing continuous improvement, and building strong partnerships, we’ve positioned ourselves to thrive in an ever-evolving industry. As we continue to navigate the challenges and opportunities that come our way, our commitment to these principles ensures that we are not just surviving, but truly thriving—built to last.

“The only truly reliable source of stability is a strong inner core and the willingness to change and adapt everything except that core.” – Jim Collins

Biography of Jake Perrotti

Jake has worked for the Exact Medical Manufacturing, Inc. team since December of 2016. He has contributed in a number of ways over the last eight years including sales support, sourcing, customer account management and business development.

Prior to working at Exact Medical Manufacturing, Inc. Jake completed his associate’s degree in business administration from Erie Community College and his bachelor’s in business management from Buffalo State University. Jake enjoys all things sports including a life-long fandom for the Pittsburgh Penguins and Steelers. His hobbies include snowboarding, basketball, and fishing as well as spending time with friends and family.