Batesville Tool & Die, Inc. Batesville, Indiana Automotive Metal Stamping 350 (255) Employees

BTD Health Plan Self-Insured Health Plan Associates to pay 20% of Plan Expenses Plan 1 or Plan 2 $20, $40, $60 or $6, $12, $24 per Week $20 or $25 Office Co-Payment $1,000 or $1,500 Deductible 80%/20% or 70%/30% Rx - $10, 30%, 30%+$15 All Lab Work goes to Deductible $5 No Tobacco Discount (2006) $260/year –Sign Agreement –Pass Nicotine Test (random testing)

Disposable Income? Clothes Food Shelter Utilities Automobile Gasoline Insurance Cell Phones Cigarettes Beer Entertainment Hobbies Dr Office Co-Pay Lab Work Rx Co-Pay Baby Aspirin

2006 BTD Associates 52% Smokers Poor Eating Habits Limited or No Physical Exercise Over Weight or Obese High Blood Pressure High Cholesterol High Alcohol Consumption High Anxiety &/or Depression Tired all the time Poor Life Style Behavior

BTD Wellness Programs Brown Bag Lunches - 70 participants # of smoking cessation programs failed Weight Watchers meetings fizzled Health Fairs (blood pressure, BMI, etc.) Toll Free Phone Health Coaching - 23 Walking program (free pedometers) –only 9 started logging daily steps - 3 finished $150 in HRA for Health Risk Assessment $150 in HRA for Physical (100% paid) Total $300 - only 70 participants

Can we afford health care? BTD profits constantly being squeezed Wellness programs not hitting target Continued poor life style behavior Co-payments & deductibles keeping some associates from seeking medical care Rx costs keeping some associates from taking maintenance medications Endless series of “train wrecks” Considered flat dollar amount per associate

Novia Concept Invest in associates wellbeing Free treatment, lab work & prescriptions No waiting at appointments 20 minute appointments so doctors have time to get to the “real” cause of symptoms

Novia Concept BTD pays wholesale versus retail Get associates attention with easy to read and understand colored charts Doctor explain risks associated with associate’s life style behavior Nurse coaching to support efforts to change

Novia Concept Associates schedule own appointments Electronic records constantly updated with latest lab results, treatments, and drugs Associates can view lab results Records accessible via internet or fax any time and any where in the world Complete confidentiality with password protection for each patient Company only sees group summary data

BTD Novia Clinic All associates and dependents covered by BTD Health Plan are eligible to use clinic No office co-payments No deductible No prescription co-payments Free diagnosis & treatment Free lab work Free generic drugs 20 minute appointment No waiting

Invest in Associates Wellbeing Medical Equipment - $4,008 Computer Equipment - $2,446 Initial order of Rx - $3,791 Total Equipment & Rx - $10,245 Burdick 12 lead EKG - $2,500 Total invested - $12,745 Renovate House - $23,324

Novia Clinic Opened February 13, 2007 –T, W, Th – 6:00 a.m. to 8:00 a.m. –F – 1:00 p.m. to 4:00 p.m. (9 hours) –Th – 2:00 p.m. to 6:00 p.m. (13 hours) –Th -9:00 a.m. to 10:00 a.m. Lab work &/or Rx refills (1 hour) –M – 11:20 a.m. to 12:20 p.m. Lab work &/or Rx refills (2 hours) –M – 12:20 p.m. to 4:00 p.m. (16.6 hours) –W – 8:00 a.m. – 12:00 p.m. (20.6 hours) –F – 4:00 p.m. to 5:00 p.m. (21.6 hours) Added M – 8:00 a.m. – 10:00 p.m. (23.6 hours) Added F – 3:30 p.m. to 5:30 p.m. (25.6 hours) YTD utilization 95.6%

Novia Clinic Current Doctor Hours –T, W, Th – 6:00 a.m. to 8:00 a.m. - Male MD –F – 1:00 p.m. to 5:00 p.m. - Male MD –Th – 2:00 p.m. to 5:00 p.m. - Female MD –M – 12:20 p.m. to 4:00 p.m. - NP –T – 3:00 p.m. to 6:00 p.m. - Female Pediatrician –W – 8:00 a.m. – 12:00 p.m. (23.6 hours) Lab Hours –M – 11:20 a.m. to 12:20 p.m. - Nurse Lab work &/or Rx refills –Th -9:00 a.m. to 10:00 a.m. - Nurse Lab work &/or Rx refills (2 hours) YTD utilization 76.1%

Does it really work? Pre-Opening Health Fair (blood draw) 189 people 11 associates have quit smoking 5 associates are alive today – PRICELESS! Nurse coaching supporting doctor’s recommendations –27 trying to quit smoking –93 trying to lose weight –83 trying to change sedentary lifestyle –112 trying to reduce their risk of heart disease –109 trying to decrease risk of diabetes –83 trying to decrease hypertension –39 requested educational material Associates actually requested “healthier” selections be put in vending machines

Does it really work? Cost per appointment –$ Doctor & Nurse ($70.42) –$19.80 – Medications ($23.37) –$11.52 – Lab work ($13.70) –$ 1.99 – Equipment & Supplies ($2.35) –$70.93 Total ($109.84) Rx purchased at 34% of retail –$60 or $40 vs. $18.81 for 90 days Labs purchased at 20% of retail –$154 vs. $14.50 Plan %, now 46% Plan 2 - 9%, now 54% Smokers 52%, now 49%

What does it save associates? Estimated saved office co-pays - $171,090 Estimated saved Rx co-pays - $439,732 Estimated saved lab work - $424,192 Estimated saved wages - $271,462 (2.5 hrs) Estimated Total saved - $1,306,476 Eliminate appointment scheduling hassle Anxiety about not being able to afford care Waiting until critical to make appointments

Do associates like the clinic? Yes! “Reduce my pay more, but don’t take away clinic!”

What next? ProScan MRI w/o contrast $525 MRI with contrast$550 CT w/o contrast$300 CT with contrast$450 Ultrasound$200 Mammogram$160 Dexa Scan$100 Novia – Predictive Modeling

Novia CareClinics, LLC. Phone: Website: Information Presentation Market analysis Formal Proposal