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Clinical & Medical Products


Dave Schlotterbeck
Vice Chairman and CEO
Clinical and Medical Products



January 14, 2009




                                © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Forward-looking statements

This presentation contains forward-looking statements addressing expectations, prospects, estimates and other matters that
are dependent upon future events or developments. These matters are subject to risks and uncertainties that could cause
actual results to differ materially from those projected, anticipated or implied. The most significant of these uncertainties are
described in Cardinal Health’s Form 10-K, Form 10-Q and Form 8-K reports (including all amendments to those reports) and
exhibits to those reports, and include (but are not limited to) the following: uncertainties related to the deferral in hospital
capital spending affecting Cardinal Health’s Clinical and Medical Products segment and difficulties in forecasting the exact
duration and potential long-term changes in hospital spending patterns; uncertainties regarding the planned spin-off of the
Clinical and Medical Products businesses as a new stand-alone entity, including the timing and terms of any such spin-off
and whether such spin-off will be completed, and uncertainties regarding the impact of the planned spin-off on Cardinal
Health, the new Clinical and Medical Products company and the potential market for their respective securities; competitive
pressures in Cardinal Health’s various lines of business; the loss of one or more key customer or supplier relationships or
changes to the terms of those relationships; uncertainties relating to timing of generic and branded pharmaceutical
introductions and the frequency or rate of branded pharmaceutical price appreciation or generic pharmaceutical price
deflation; changes in the distribution patterns or reimbursement rates for health-care products and/or services; the results,
consequences, effects or timing of any inquiry or investigation by any regulatory authority or any legal or administrative
proceedings; future actions of regulatory bodies or government authorities relating to Cardinal Health’s manufacturing or sale
of products and other costs or claims that could arise from its manufacturing, compounding or repackaging operations or from
its other services; the costs, difficulties and uncertainties related to the integration of acquired businesses; uncertainties
related to the recent disruptions in the financial markets, including uncertainties related to the availability and/or cost of credit
and the impact of the financial market disruptions on Cardinal Health’s customers and vendors; and conditions in the
pharmaceutical market and general economic and market conditions. This presentation reflects management’s views as of
January 12, 2009. Except to the extent required by applicable law, Cardinal Health undertakes no obligation to update or
revise any forward-looking statement. A transcript of the conference call will be available on the investor relations page at
www.cardinalhealth.com.




                                      © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Agenda

    Why invest in us
1

    Who we are
2

    What we do
3

    Why we will grow
4




             © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Why invest in us?
               Of pure play med tech companies we rank #6 in
               revenue, and #1 in earnings growth for companies
               greater than $2 billion in revenue1,2
              We are the only med tech company that is singularly
              focused on patient safety

               Market leadership: Infusion, Med Dispensing, Infection
               Prevention, PeriOperative dispensing, Respiratory
               and Neurocare, Surgical Products and Data Analytics

               We will launch more than 45 new and enhanced
               products over the next 18 months

                Led by healthcare veterans with more than 200
experience      years of combined management experience

                                                                                      1.     MX: Business Strategies for Medical Technology Executives,
                                                                                             May/June 2008 edition and Cardinal Health analysis.
                                                                                      2.     Revenue and segment profit in the tables above reflects historical
                                                                                             revenue and segment profit of the CMP segment which includes the
                                                                                             gloves, gowns and fluid management businesses being retained by
                                                                                             Cardinal health after the spin-off.
             © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
As a stand alone company
Global revenue > $4 billion FY09 pro forma1
More than 13,000 employees worldwide
Customers in more than 120 countries
•     Long-standing relationships with GPOs and major health systems in U.S.
•     Growing global footprint

Direct operations in more than 20 countries




                                    =
    Serving:
                                                                         ~$20 billion
    Acute care hospitals
                                                                        global market
    Insurance providers
                                                                        opportunity2
    Government
    Outpatient surgery centers

                                                                  1.    An estimate of the pro forma revenue for the 12 months ending June 30, 2009 in accordance with
                                                                        generally accepted accounting principles with adjustments expected to reflect Cardinal Health and the spin-
                                                                        off company as stand-alone entities. The estimate is based on assumptions that management currently
                                                                        believes are reasonable, but actual revenue may vary materially from the estimate.
                                                                  2.    Cardinal Health data analysis.
                                 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
CMP revenue and profit trends
        Revenue ($M)2                                                           Segment Profit ($M)2
         CAGR = 21.9%                                                                          CAGR = 30.9%

                                                                         800
5,000
4,000                                                                    600
3,000
                                                                         400
2,000
                                                                         200
1,000
                                                                               0
   0
         FY 06   FY 07 FY 08                                                                   FY 06             FY 07 FY 08

          Among pure med-tech players through FY08:
         CMP is #6 in revenues and #1 in growth1
                                                                   1.    Business Strategies for Medical Technology Executives, May/June 2008 edition.
                                                                   2.    Revenue and segment profit in the tables above reflects historical revenue and segment profit
                                                                         of the CMP segment which includes the gloves, gowns and fluid management businesses
                                                                         being retained by Cardinal health after the spin-off.


                    © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Focus and position

       Medication Safety

                                                                              Medical Technologies
         Critical Care
                                                                                 and Services
         Technologies




                                                                                                      Medical
                                                                            Infection
 Dispensing   Infusion       Respiratory
                                                                                                     Specialties
                                                                           Prevention
    #1          #1                     #1                                            #1

                         Infection Prevention



                                                                                                                   7
                     © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Solution portfolio

                                  Critical Care
                                  Technologies




        Dispensing                                Infusion                                    Respiratory
      Market leading brands                Market leading brands                           Market leading brands

       Pyxis® products                       Alaris® products                                   Pulmonetics
                                                                                                  Jaeger
                                                                                                   AVEA




                       © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Solution portfolio

                                    Critical Care
                                    Technologies




         Dispensing                                 Infusion                                    Respiratory
     Annual market opportunity:           Annual market opportunity:                      Annual market opportunity:

         • Medication:                           Infusion:                                     Respiratory:
       ~$1 billion (U.S.)1                  ~$3 billion globally3                           ~$2.5 billion (U.S.)4
           • Supplies:
       ~$1 billion (U.S.)2


                                                                                                           1.   Cardinal Health data analysis.
                                                                                                           2.   IBID.
                                                                                                           3.   IBID.
                                                                                                           4.   IBID.

                                                                                                                                                 9
                         © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Solution portfolio

   Medication Safety
              Medical             Technologies
                               and Services




        Infection Prevention                                          Medical Specialties
          Market leading brands                                            Market leading brands

            ChloraPrep®                                                        V. Mueller
         MedMined™ Services                                                 Snowden Pencer
                                                                                Nicolet




                                                                                                   10
                   © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Solution portfolio

   Medication Safety
              Medical              Technologies
                                and Services




        Infection Prevention                                           Medical Specialties
         Annual market opportunity:                                     Annual market opportunity:

         • Infection Prevention                                            Medical Specialties
          ~$3.4 billion (U.S.)1                                            ~$2.5 billion (U.S.)2




                                                                                       1.    Cardinal Health data analysis – market opportunity assessment
                                                                                             includes, gloves, patient protection, fluid management and surgeon and
                                                                                             staff protection products.
                                                                                       2.    Cardinal Health data analysis.
                                                                                                                                                    11
                    © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Our Strategy

• Deliver innovative, clinically differentiated and proven
  solutions with compelling economic benefits

• Bring to market products that make it easy to follow
  evidence-based protocols and provide improved patient
  care

• Leverage and integrate our portfolio to create unique
  value and drive world class processes and practices




                 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Pressures on global healthcare systems

• Healthcare costs rising, reimbursement and funding is
  declining
• Shortage of more than 4 million healthcare workers1
• Healthcare reform top priority
• Public awareness and hospital transparency are rising
• Reimbursement increasingly tied to quality: CMS will not
  pay for ‘never’ events (U.S.)


                                                                                     1.    The World Health Report 2006, “Working together for health”, pp 11-
                                                                                           12.




                © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Top quality and patient safety issues
                              Annual serious adverse events in
                                 a typical 300-bed hospital

             Adverse Drug
                                                                                                        1,300
                   Events




         Hospital Acquired
                                                                                                   1,260
                 Infections

                               Sources: Solucient, First Consulting Group, 2004;
                               Elixhauser et al, Agency for Healthcare Research and Quality, April 2008.




• Med errors cost $3.5 billion per year in the U.S.1
• HAIs cost as much as $20 billion per year in the U.S.2

                                                                  1.    Institute of Medicine. Preventing medication errors. Aspen P, Wolcott J, Bootman L, Cronenwell
                                                                        LR, Eds. 2006; Washington DC: National Academic Press.
                                                                  2.    McCaughey, Betsy. Unnecessary Deaths: The Human and Financial Costs of Hospital Infections.
                                                                        Committee to Reduce Infection Deaths. www.hospitalinfection.org -. Accessed via
                                                                        http://www.vigilairsystems.com/pdfs/RID%20costs%20HAI%20UVGI.pdf, January 5, 2009.
                                                                                                                                                      14
                        © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Harm worldwide
                                                                Harm in the U.S.
                                 HAI Related Deaths                                                     Fatal Car Crashes
                                      99,0005                                                                37,2484
Global Harm
WHO estimates
                                                                                                Deaths
more than 1 in 10
                                                                                             from Cancer
patients are                                                                                   565,6501
harmed while
receiving hospital                                                                                                                     Homicides
care in developed                                                                                                                       14,8312
                                                 Harm and deaths from Med Errors
countries5                                                 1.5 million3




                                                                        1.        American Cancer Society: cancer.org/downloads/stt/CFF2008Table_pg4.pdf.
                                                                        2.        Federal Bureau of Investigation, Crime in the United States, 2007.
                                                                        3.        ISMP Acute Care Medication Safety Alert, July 26 2007.
                                                                        4.        ISMP Acute Care Medication Safety Alert, July 26 2007.
                                                                        5.        WHO, Fast Facts , available at:
                                                                                  http://www.who.int/features/factfiles/patient_safety/en/index.html.
                     © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Why invest in us?
               Of pure play med tech companies we rank #6 in
               revenue, and #1 in earnings growth for companies
               greater than $2 billion in revenue1,2
              We are the only med tech company that is singularly
              focused on patient safety

               Market leadership: Infusion, Med Dispensing, Infection
               Prevention, PeriOperative dispensing, Respiratory
               and Neurocare, Surgical Products and Data Analytics

               We will launch more than 45 new and enhanced
               products over the next 18 months

                Led by healthcare veterans with more than 200
experience      years of combined management experience

                                                                                      1.     MX: Business Strategies for Medical Technology Executives,
                                                                                             May/June 2008 edition and Cardinal Health analysis.
                                                                                      2.     Revenue and segment profit in the tables above reflects historical
                                                                                             revenue and segment profit of the CMP segment which includes the
                                                                                             gloves, gowns and fluid management businesses being retained by
                                                                                             Cardinal health after the spin-off.
             © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
© 2008 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.

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Clinical & Medical Products presentation

  • 1. Clinical & Medical Products Dave Schlotterbeck Vice Chairman and CEO Clinical and Medical Products January 14, 2009 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 2. Forward-looking statements This presentation contains forward-looking statements addressing expectations, prospects, estimates and other matters that are dependent upon future events or developments. These matters are subject to risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied. The most significant of these uncertainties are described in Cardinal Health’s Form 10-K, Form 10-Q and Form 8-K reports (including all amendments to those reports) and exhibits to those reports, and include (but are not limited to) the following: uncertainties related to the deferral in hospital capital spending affecting Cardinal Health’s Clinical and Medical Products segment and difficulties in forecasting the exact duration and potential long-term changes in hospital spending patterns; uncertainties regarding the planned spin-off of the Clinical and Medical Products businesses as a new stand-alone entity, including the timing and terms of any such spin-off and whether such spin-off will be completed, and uncertainties regarding the impact of the planned spin-off on Cardinal Health, the new Clinical and Medical Products company and the potential market for their respective securities; competitive pressures in Cardinal Health’s various lines of business; the loss of one or more key customer or supplier relationships or changes to the terms of those relationships; uncertainties relating to timing of generic and branded pharmaceutical introductions and the frequency or rate of branded pharmaceutical price appreciation or generic pharmaceutical price deflation; changes in the distribution patterns or reimbursement rates for health-care products and/or services; the results, consequences, effects or timing of any inquiry or investigation by any regulatory authority or any legal or administrative proceedings; future actions of regulatory bodies or government authorities relating to Cardinal Health’s manufacturing or sale of products and other costs or claims that could arise from its manufacturing, compounding or repackaging operations or from its other services; the costs, difficulties and uncertainties related to the integration of acquired businesses; uncertainties related to the recent disruptions in the financial markets, including uncertainties related to the availability and/or cost of credit and the impact of the financial market disruptions on Cardinal Health’s customers and vendors; and conditions in the pharmaceutical market and general economic and market conditions. This presentation reflects management’s views as of January 12, 2009. Except to the extent required by applicable law, Cardinal Health undertakes no obligation to update or revise any forward-looking statement. A transcript of the conference call will be available on the investor relations page at www.cardinalhealth.com. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 3. Agenda Why invest in us 1 Who we are 2 What we do 3 Why we will grow 4 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 4. Why invest in us? Of pure play med tech companies we rank #6 in revenue, and #1 in earnings growth for companies greater than $2 billion in revenue1,2 We are the only med tech company that is singularly focused on patient safety Market leadership: Infusion, Med Dispensing, Infection Prevention, PeriOperative dispensing, Respiratory and Neurocare, Surgical Products and Data Analytics We will launch more than 45 new and enhanced products over the next 18 months Led by healthcare veterans with more than 200 experience years of combined management experience 1. MX: Business Strategies for Medical Technology Executives, May/June 2008 edition and Cardinal Health analysis. 2. Revenue and segment profit in the tables above reflects historical revenue and segment profit of the CMP segment which includes the gloves, gowns and fluid management businesses being retained by Cardinal health after the spin-off. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 5. As a stand alone company Global revenue > $4 billion FY09 pro forma1 More than 13,000 employees worldwide Customers in more than 120 countries • Long-standing relationships with GPOs and major health systems in U.S. • Growing global footprint Direct operations in more than 20 countries = Serving: ~$20 billion Acute care hospitals global market Insurance providers opportunity2 Government Outpatient surgery centers 1. An estimate of the pro forma revenue for the 12 months ending June 30, 2009 in accordance with generally accepted accounting principles with adjustments expected to reflect Cardinal Health and the spin- off company as stand-alone entities. The estimate is based on assumptions that management currently believes are reasonable, but actual revenue may vary materially from the estimate. 2. Cardinal Health data analysis. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 6. CMP revenue and profit trends Revenue ($M)2 Segment Profit ($M)2 CAGR = 21.9% CAGR = 30.9% 800 5,000 4,000 600 3,000 400 2,000 200 1,000 0 0 FY 06 FY 07 FY 08 FY 06 FY 07 FY 08 Among pure med-tech players through FY08: CMP is #6 in revenues and #1 in growth1 1. Business Strategies for Medical Technology Executives, May/June 2008 edition. 2. Revenue and segment profit in the tables above reflects historical revenue and segment profit of the CMP segment which includes the gloves, gowns and fluid management businesses being retained by Cardinal health after the spin-off. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 7. Focus and position Medication Safety Medical Technologies Critical Care and Services Technologies Medical Infection Dispensing Infusion Respiratory Specialties Prevention #1 #1 #1 #1 Infection Prevention 7 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 8. Solution portfolio Critical Care Technologies Dispensing Infusion Respiratory Market leading brands Market leading brands Market leading brands Pyxis® products Alaris® products Pulmonetics Jaeger AVEA © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 9. Solution portfolio Critical Care Technologies Dispensing Infusion Respiratory Annual market opportunity: Annual market opportunity: Annual market opportunity: • Medication: Infusion: Respiratory: ~$1 billion (U.S.)1 ~$3 billion globally3 ~$2.5 billion (U.S.)4 • Supplies: ~$1 billion (U.S.)2 1. Cardinal Health data analysis. 2. IBID. 3. IBID. 4. IBID. 9 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 10. Solution portfolio Medication Safety Medical Technologies and Services Infection Prevention Medical Specialties Market leading brands Market leading brands ChloraPrep® V. Mueller MedMined™ Services Snowden Pencer Nicolet 10 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 11. Solution portfolio Medication Safety Medical Technologies and Services Infection Prevention Medical Specialties Annual market opportunity: Annual market opportunity: • Infection Prevention Medical Specialties ~$3.4 billion (U.S.)1 ~$2.5 billion (U.S.)2 1. Cardinal Health data analysis – market opportunity assessment includes, gloves, patient protection, fluid management and surgeon and staff protection products. 2. Cardinal Health data analysis. 11 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 12. Our Strategy • Deliver innovative, clinically differentiated and proven solutions with compelling economic benefits • Bring to market products that make it easy to follow evidence-based protocols and provide improved patient care • Leverage and integrate our portfolio to create unique value and drive world class processes and practices © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 13. Pressures on global healthcare systems • Healthcare costs rising, reimbursement and funding is declining • Shortage of more than 4 million healthcare workers1 • Healthcare reform top priority • Public awareness and hospital transparency are rising • Reimbursement increasingly tied to quality: CMS will not pay for ‘never’ events (U.S.) 1. The World Health Report 2006, “Working together for health”, pp 11- 12. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 14. Top quality and patient safety issues Annual serious adverse events in a typical 300-bed hospital Adverse Drug 1,300 Events Hospital Acquired 1,260 Infections Sources: Solucient, First Consulting Group, 2004; Elixhauser et al, Agency for Healthcare Research and Quality, April 2008. • Med errors cost $3.5 billion per year in the U.S.1 • HAIs cost as much as $20 billion per year in the U.S.2 1. Institute of Medicine. Preventing medication errors. Aspen P, Wolcott J, Bootman L, Cronenwell LR, Eds. 2006; Washington DC: National Academic Press. 2. McCaughey, Betsy. Unnecessary Deaths: The Human and Financial Costs of Hospital Infections. Committee to Reduce Infection Deaths. www.hospitalinfection.org -. Accessed via http://www.vigilairsystems.com/pdfs/RID%20costs%20HAI%20UVGI.pdf, January 5, 2009. 14 © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 15. Harm worldwide Harm in the U.S. HAI Related Deaths Fatal Car Crashes 99,0005 37,2484 Global Harm WHO estimates Deaths more than 1 in 10 from Cancer patients are 565,6501 harmed while receiving hospital Homicides care in developed 14,8312 Harm and deaths from Med Errors countries5 1.5 million3 1. American Cancer Society: cancer.org/downloads/stt/CFF2008Table_pg4.pdf. 2. Federal Bureau of Investigation, Crime in the United States, 2007. 3. ISMP Acute Care Medication Safety Alert, July 26 2007. 4. ISMP Acute Care Medication Safety Alert, July 26 2007. 5. WHO, Fast Facts , available at: http://www.who.int/features/factfiles/patient_safety/en/index.html. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 16. Why invest in us? Of pure play med tech companies we rank #6 in revenue, and #1 in earnings growth for companies greater than $2 billion in revenue1,2 We are the only med tech company that is singularly focused on patient safety Market leadership: Infusion, Med Dispensing, Infection Prevention, PeriOperative dispensing, Respiratory and Neurocare, Surgical Products and Data Analytics We will launch more than 45 new and enhanced products over the next 18 months Led by healthcare veterans with more than 200 experience years of combined management experience 1. MX: Business Strategies for Medical Technology Executives, May/June 2008 edition and Cardinal Health analysis. 2. Revenue and segment profit in the tables above reflects historical revenue and segment profit of the CMP segment which includes the gloves, gowns and fluid management businesses being retained by Cardinal health after the spin-off. © 2009 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
  • 17. © 2008 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.