New Hampshire Hospitals for a Healthy Environment NH3E Sept 10, 2009

1. New Hampshire Hospitals for a Healthy Environment NH3E Sept 10, 2009

2. OVERVIEW Background Maine Hospital Association Relationship Service Offerings Environmental Initiatives Q & A

3. Maine Hospital Association & Oxus � a Partnership Beginning 2001, MHA sought to control rapidly climbing single-server RMW cost. Build treatment plant in 2005 Oxus has been servicing 37 MHA member-hospitals since 2004 and operates the central treatment facility Reengineered Pittsfield, Maine plant in 2009 to increase capacity to over 11 million lbs annually Maine hospitals produce 2.2 million lbs Looking to out-of-state partners to fill excess capacity

4. SERVICE OFFERINGS Regulated Medical Waste Management Incinerate-Only Waste Services Sharps Management Services (reusable containers) Small Quantity Generator Services In-Service Training Programs

5. ENVIRONMENTAL INITIATIVES Regulate Medical Waste (RMW) Reduction Instituting system-wide reusable RMW tubs resulted in immediate 9% RMW reduction by eliminating cardboard boxes Optional reusable sharps containers in hospitals reduce RMW additional 2-3% Disposable sharps container recycling totals over 250,000 lbs of plastic removed from waste stream annually

6. ENVIRONMENTAL INITIATIVES Fleet Management Entire Oxus-owned fleet converted in 2008 to run on B100 biodiesel (B60 during colder months) Prior to plant opening, all Maine hospital waste was being trucked to Rhode Island for treatment Significantly reduced fleet fuel consumption

7. ENVIRONMENTAL INITIATIVES Plastics Recycling Single-Use Sharps Containers represent approx. 250,000 lbs of plastic waste in Maine alone Consolidation of sharps contents allows for higher-density autoclaving while eliminating plastic waste Containers are washed, disinfected and shredded for recycling preparation

8. SHARPS MANAGEMENT Reusable Sharps Container Services System used for hundreds of hospitals nationwide Decrease waste disposal costs (eliminate plastic) Promote hospital employee safety concerns Eliminate hospital purchasing of single-use containers Enhance waste minimization and increase recycling Demonstrate environmental consciousness Reduce hospital sharps container spending by a minimum of 10% to 20%

9. MHA-Oxus PlantPittsfield, Maine

10. NHHA Affiliation MHA and Oxus would like to extend offerings to New Hampshire hospitals Competitive pricing to combat upward spiraling fees from very few providers Progressive environmental, waste reduction and recycling initiatives unmatched in the industry

11. Contact: Kyle Paquin, COO (207) 487-5300 paquin@oxusenviro.com __________________________________________________________________________________________ 264 Industrial Park Street, Pittsfield, ME 04967 www.oxusenviro.com