Welcome to our 2019 Annual Report which shares the impact of our work during the 2019 year. This report not only helps quantify and demonstrate the impact we’ve had but also helps us identify opportunities for growth and improvement. Some of the key highlights of our 2019 Annual Report include the expansion of our Case for Quality and cybersecurity programs, completion of new harmonized education materials for the use of surrogate samples, publication of several patient engagement resources, and FDA’s recognition of NESTcc as a Collaborative Community. Our accomplishments would have been possible without the hard work and expertise from our partners across industry, academia, government, healthcare systems, and patient advocacy groups.