1. Piper Jaffray 25 th Annual Healthcare Conference December 3, 2013 Donald J. Spence, Chairman/CEO www.accellent.com Helping People Live Better Lives

2. Forward Looking Statement This presentation includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. All statements other than statements of historical fact communicated during this presentation may constitute forward-looking statements. Examples of forward- looking statements include those relating to our intentions, beliefs or current expectations concerning our results of operations, financial condition, liquidity, prospects, strategies and the industry in which we operate. These statements involve risks and uncertainties. Important factors that could cause actual results to differ materially from our expectations are disclosed in the risk factors contained in the Company’s filings with the Securities and Exchange Commission. All forward-looking statements made during this presentation are expressly qualified in their entirety by such factors. 1

3. Accellent is an industry leader serving blue chip customers One of the world’s leading providers of outsourced manufacturing and design services to the medical device industry −Scale and product diversity with focus on several large, growing markets −Broad set of capabilities within key product segments −Strong, long-standing customer relationships −3200 dedicated employees in 5 countries Secure financial position −Recurring revenue base with Blue Chip customers −Solid liquidity position with $60M cash balance and undrawn ABL −2013 Growth through Q3 in revenue and EBITDA Accomplished management team Strong support from KKR and Bain Capital 2

4. Vision: Helping People Live Better Lives Mission To be the preferred partner to develop and manufacture high quality and cost effective medical devices that improve patient outcomes. We will develop deep expertise in selected product segments and be viewed as global leaders by our customers, employees, competitors and communities. Product Life Cycle Partner Design Services, Integrated Supply Chain, Technology & Process Knowhow, Global Footprint, Strong Quality Systems 3 Cardio and Vascular Catheters Vascular Access Cardio & Neuro Stim Advanced Surgical Surgical Devices Ortho

5. 4 A portfolio of technologies to serve our customers Design & Assembly Design & material selection Prototyping Testing Automation design Bonding/Welding Clean room assembly Sterilization Mgt Tube & Wire Forming & Fabrication Tube and Wire drawing, forming Platinum materials Laser Cutting Wire coiling, winding, grinding EDM wire, plunge Metal Processing & Machining Swiss Machining Turning Milling Electropolishing Passivation Heat Treatment Plasma Spray MIM Metallurgical Expertise Polymer Processing Extrusion Film casting Injection Molding Insert/ Over Molding Ultrasonic Welding Pad Printing Coatings

6. Micro Machining Thermocouples Polyimide Tubing Coated Stainless Wire Welded Pull Cables Welded Electrode Assemblies PT Electrodes & Marker Bands Braided Polyimide Tubing Braided Multi lumen Handle Design BraidedShafts High Spring Constant Coils Irrigation Tube Sets Insert Molding Polyimide Coated Wire Product focus integrated with process knowhow 5

7. 6 Upland, CA Brooklyn Park, MN Wheeling, IL Laconia, NH Brimfield, MA Collegeville, PA Trenton, GA Galway, IRL Juarez, MX Arvada, CO Trenton, GA Orchard Park, NY Salem, VA Wilmington, MA Aura, Germany Penang, Malaysia Over one million square feet of manufacturing space across 15 locations around the globe Over one million square feet of manufacturing space across 15 locations around the globe Global footprint with low cost locations

8. Examples of the Accellent Advantage 7 Complete product design, development & production Worked in partnership with a key customer for over three years to develop and launch a novel new product in the ortho space. –Developed patented proprietary technology –Provided insight to customer DFM –Launched program on schedule Speed to market Helped a major customer bring a new and unique surgical product to market at least 6 months earlier than planned. –Initial customer discussion in Q1 2012 –Formally kicked off the program in Q3 2012 –Product launch in Q3 2013 with favorable clinician feedback –Accellent currently producing 100% of growing customer demand Seamless transfer and integration Transferred full manufacturing and assembly for a PMA cardio device from customer site to an Accellent location. Ramped up manufacturing volume to meet strong market demand.

9. Solid 2013 financial performance 8

10. Summary A global leader in serving the medical device industry. A strategy designed to support the product needs of our customers. Enduring customer relationships combined with favorable end market dynamics. Strong near term financial performance. 9