Derma Sciences, Inc. is engaged in the manufacture, marketing and sale of three dermatological related product lines: wound care, wound closure-fasteners and skin care. The Company's customers consist of various healthcare agencies and institutions, such as nursing homes, hospitals, home healthcare agencies, physicians' offices and retail and closed door pharmacies. Derma Sciences sells its products through distributors servicing these markets in the United States and select international markets. In Canada, the majority of the sales are made directly to hospitals. The Company's manufacturing and distribution facilities are located in St. Louis, Missouri and Toronto, Canada. Derma Sciences, through Dumex Canada, maintains a manufacturing facility in Nantong, China producing wound care products. The Company's products are sold throughout the rest of the world through various licensing and distribution agreements.