1. The Sage Difference

3. * others include: Dynarex, Cardinal Health Hosp Supply, Medical Action Industries, Tri-State, PDI ORAL CARE: NON-SUCTION Medline Kimberly- Clark/Ballard Sage Others* 84.5%84.5% 5.9%5.9%5.5%5.5% <1.1% each Annual 2011 Market Source: GHX Trend Report (Dollars) 2 nd Quarter, 2011 Hospital; Annual market represents last 4 quarters of data

4. ORAL CARE: SUCTION Medline Kimberly- Clark/Ballard Trademark Medical Sage 89.6%89.6%6.7%6.7%3.5%3.5%.2%.2% Annual 2011 Market Source: GHX Trend Report (Dollars) 2 nd Quarter, 2011 Hospital; Annual market represents last 4 quarters of data

5. High Mortality, Longer Stays, Increased Costs Mortality Length of Stay Mean Hospital Charges VAP 29.3% 23 days $150,841 HAP 18.8% 15.2 days $65,292 Kollef MH, et al., Chest. Dec 2005;128(6):3854-62.

6. The Product Selected Must Address The Three Risk Factors for VAP 1.Colonization of dental plaque with respiratory pathogens. 2. Bacterial colonization of the oropharyngeal area. 3. Aspiration of subglottic secretions. Schleder B, et al., J Advocate Health Care. 2002;4(1):27-30.

7. Formation of Biofilm Biofilm forming over 12 hours http://www.tumoutou.net/702_05123/it_jamilah.htm

8. Sage Suction Toothbrush Nylon Bristles 4000 contact points Swab on the back More than 10 times the solution Sodium Bicarbonate 3 Suction Ports 1-piece configuration

9. Sage Suction Brush and Plaque Removal 34% more effective in plaque removal when compared to plastic brush.

10. Sage Suction Swab Perpendicular Ridges Side Suction Ports Sodium Bicarbonate 1-Piece Configuration

11. Q-Care Burst Pouch Ease of use to aid in compliance No set up required No tearing or pouring No mixing, no mess, burstable solution packets

12. Covered Yankauer Protected between uses Soft Tip 1-Piece configuration Available individually as well as in systems

13. 2003 Q Care ® with Suction Handle #6802, #6804, #6808, #6602 2007 Q Care ® RX with Thumb Port Tools & Suction Handle #6904, #6912, #69140 2006 Q Care ® with Thumb Port Tools #6402, #6412, #6404, #6414, #6424 2001 Complete Care Suction System #6600, #6601 2005 Q Care ® Petite with Suction Handle #6704 2002 Complete Oral Suction System #6602 Single Use Suction Toothbrush System #6570 Single Use Suction Swab System #6550 2002 Advocate Oral Suction System #6902

14. Year-to-Year in Kits $31.4M $44.4M $51.9M $56.7M Annualized * 2010 YTD: Jan-April, Sage Sales

15. Year-to-Year in Kits

16. Comprehensive Oral Care Program

17. Outcomes 5 Manuscript Publications –AJCC, AJIC, Journal of Nursing Care Quality, Advocate Journal of Health, Nursing Management, Journal of Neuroscience Nurses 19 Poster presentations in conference –AACN, APIC, IHI, AARC, and more 20 Case studies –ICT Today, HPN News, Nursing, and more.

18. Recently Published Brookdale University Med Center 4 Year study Q4 hour Q-Care System 33% reduction in VAP Reduction in Length of Stay in ICU Reduction in time on vent “Reducing Ventilator-Associated Pneumonia Through Advanced Oral-Dental Care: A 48-Month Study”: Robert Garcia, BS, MMT (ASCP), CIC

19. Thank You For Your Time