CUSTOMER RECOGNITION:

South Lyon Gardens and Medilodge of

Sterling Heights both recently received a

perfect survey. Congratulations to

their staffs for a job well done!

Happy Birthday to MAHSA! The

organization is celebrating their

40th Anniversary!

Upcoming Trade Upcoming Trade ShowsShows

Stop by our booth!

MAHSA April 29, 2008

Spring 2008

NNEWSLETTEREWSLETTER Volume 5, Issue 2

AALLLL M MEDED MMEDICALEDICAL S SUPPLYUPPLY

Why are healthcare products made in China getting more Why are healthcare products made in China getting more expensive and slowing production?expensive and slowing production?

• Value–Added Tax (VAT) was reduced or in some cases eliminated. The Chinese Government used to give incentives to manufacturers by use of a rebate to stimulate exporting of products. In the case of gloves that was about 13%. Elimination of this tax was in some cases the only profits a manufacturer realized.

• Rising Chinese currency and weakened US dollar makes everything made in China more expensive to buy. The Chinese currency is expected to continue to be strong.

• Rising level of economic status in China – implementation of Social Security, Health benefits, minimum wage. There are more jobs options for factory workers.

• Raw material costs are on the rise PVC – (used in manufacturing non latex gloves) cost have increased 10-15%

• Fuel – Crude oil current price $109.00/barrel, up from $60.00 last year. All products coming from China travel oversees by (Ocean Freight) then transported to us and to our end users, via truck.

• Chinese government putting pressure on manufacturers to become more environmentally friendly. Particularly in large cities like Beijing where they are preparing to host the Olympic Games.

• Increased scrutiny by Customs. Due in part to the issues with some of the imported toys that were defective last holiday season, Customs have increased inspection levels on Chinese goods.

CONTACT YOUR ACCOUNT MANAGER FOR ADDITIONAL DETAILSCONTACT YOUR ACCOUNT MANAGER FOR ADDITIONAL DETAILS

Medical Exam Glove Update Medical Exam Glove Update

Customer Spotlight Customer Spotlight Cindy Selke, Medilodge of Sterling HeightsCindy Selke, Medilodge of Sterling Heights

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CEU Programs Announced from Arkray CEU Programs Announced from Arkray

All Med recently celebrated our 13th Anniversary! The All Med doors opened on April 1, 1995. We would like to thank all of our fabulous customers for the partnerships we have grown over the years. We admire your dedication to Long Term Care, and would not be here without you! A few exciting changes at All Med include: • Theresa Friedline has been promoted to Contracts Administrator. We are delighted to have Theresa

accept this vital position in our organization. Although Theresa is relatively new to All Med she has es-tablished herself as an integral part of our operations team.

• Kim Schwieterman has been promoted to The Director of Sales and Marketing. In her new role Kim will be working directly in the field with our account managers as well as assisting in Corporate Accounts. We are excited about the opportunity to offer our customers another resource in the field.

• Sara Gilbert recently celebrated her 11th year anniversary with the company! • One of distribution specialists, Jeff Watkins, has been promoted to be the driver of our first All Med

truck. You will soon see our logo on the road! • A warm welcome to our new employees– Gina Miller has come to us as an administrative assistant in

the front office, and Alec Ravencroft has joined our team of distribution specialists in the warehouse.

Cindy Selke has been Central Supply Coordinator at Medilodge of Sterling Heights for 12 1/2 years, and has been working with All Med since she began at the facility. Prior to that, she waitressed for 20 years at Sinbad’s Restaurant in Detroit. Cindy is responsible for managing the inventory for the entire 335 bed skilled nursing facility located in Sterling Heights, MI. Her favorite part of the job is being out on the floor and interacting with the residents each day. Cindy also is able to indulge her creative side at the facility. She recently helped with updates by painting the entire main entrance. She also gets involved with events for the entire MediLodge Group, including the Senior Olympics and the Senior Prom, where she contributed silk floral arrangements.

Outside of work, Cindy enjoys spending time with her husband Gil and her family. Together, they like to spend as much time outside as possible, including taking their boat out on Lake St. Clair. Recently the couple took a trip to Disney World, where she described them as acting like “two kids in a candy store” Cindy also has a daughter Nikki, who has been married for two years and so far has given Cindy a grand-puppy named Roxy. Everyone at All Med has enjoyed working with Cindy over the years, and look forward to several more. According to Sara Gilbert, Customer Service Manager, Cindy “is an extremely organized, consistent customer who is always a pleasure to deal with!” Keep up the good work, Cindy!

Cindy Selke, surrounded by congratulatory flowers sent for the facility’s perfect survey

Introducing the all new ARKRAY Education Program! ARKRAY has launched courses specifically designed and accredited for Nurses and Nursing Home Administrators. The courses can be found at www.ARKRAYEducation.com. Current programs are Managing Diabetes in the Long Term Care Facility (2 Credits) and Sharps: Needlestick Injury Prevention and Response (1 Credit). Both courses can be completed by completing the interactive online version or by printing the .pdf! Tests are taken and submitted online to receive credits. To create an account, use the case sensitive authorization code ARKRAYEducation.

Happy Birthday All Med! Happy Birthday All Med!

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Product Spotlight Product Spotlight

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Employee SpotlightEmployee Spotlight

Wheelchair AntiWheelchair Anti--Rollback Rollback

PEGGY BRUNETPEGGY BRUNET Purchasing Purchasing

Peggy Brunet joined the All Med team as Purchasing Director in August of 2003. Her responsibilities include generating purchase orders for vendors, managing inventory, accounts payable, and rebate management. Peggy also troubleshoots in times of shipping errors, shipping delays, and backorders, to ensure our customers always have the product they need.

Peggy’s favorite part of her job is “building her relationships with manufacturers over the phone”. She also enjoys working with the customer service team and helping them find products and pricing they need. According to Jason Flewelling, Director of Operations, “Peggy always has a positive attitude and is willing to help others out.”

Prior to coming to All Med, Peggy worked in the customer service department of another distributor for six years. Little known fact: Peggy’s creative idea to attach a picture of herself to her resume spurred us to call her in for her first interview with the company. Her customer service skills and distribution knowledge got her the rest of the way!

SafeSafe--t mate, t mate, a name that has been trusted by thousands of facilities nationwide since 1998, has redesigned our acclaimed wheelchair anti-rollback device. Like the original, the SM2-2 prevents a wheelchair from rolling back by grabbing the tires as the user attempts to sit or stand. However, the use of high strength plastics and robotic welding has allowed us to add more user-friendly features without increasing the weight or cost! The result, the SM2-2 fits even more chairs, has greater adjustability and increased comfort. Take a look!

1. Newly Designed Seat Lever - More seat pad adjustments. ▪ 3 Height adjustments for regular, hemi and extra low chairs

▪ 2 Depth adjustments moves pad forward to accommodate residents who slouch in their chairs

▪ Articulating / Floating Seat Pad remains in proper alignment with seat bottom for greater comfort 2. Advanced Mounting - Adjustable spring tension to accommodate a variety of seat cushions. More compatible with: ▪ Hemi / low Chairs ▪ Dual / triple axle chairs ▪ Space saver armrests

▪ Flip back armrests

▪ Bariatric Chairs 3. Temporary Override Lever Center override lever makes backing up unoccupied chair a cinch. Or opt to remove lever without effecting operation of anti-rollback device.

In her spare time, Peggy enjoys reading and watching movies. She also is a member of a pool league, and apparently is quite the shark, finishing 2nd in her league this year! She also takes any opportunity to travel, preferably to somewhere warm. She recently returned from a girls’ trip to Puerto Rico, where she discovered the Mojito!

Peggy is a great member of our team, and we are happy to have her here!

All Med Medical Supply 6321 Commerce Drive Westland, MI 48185

Phone: 800-434-2909 Fax: 888-810-4410

Email: kschwieterman@amms.net

We’re on the Web!

www.amms.net

Page 4

• NEW PRICING NEW PRICING Pro-Stat 101 pricing has decreased, reflecting a cost savings that was extended to All Med by the manufacturer, Medical Nutrition. Call your customer service representative to inquire about your new pricing. Medical Nutrition also has clinical studies, newsletters, and CEUs available to their customers.

• As you may be aware, Novartis Nutrition was purchased by Nestle Nutrition. The new company will be continued to be known as Nestle Nutrition. The company is consolidating product lines, and more information on timelines will be relaesed in the future, and facilities will be directly contacted for conversions.

• First Quality: is upgrading the packaging of their XXL brief. The product will now be packaged in 4 bags of 12. The product itself will not be changing. The new manufacturer number will be PV-017. The All Med number will remain

•• NNEWEW O ONLINENLINE!! !! Online Order tracking numbers! Our Fed Ex tracking system is integrated with our online ordering system. This will allow you to log-in to our website and track any outstanding Fed Ex Ground orders that you may have.

MMEDICALEDICAL S SUPPLYUPPLY

S S OO LL UU TT II OO NN SS that will help you

Thrive! Thrive!

Product Updates and NewsProduct Updates and News

On January 8, 2008, the Centers for Medicare & Medicaid Services (CMS) announced the Metropolitan Statistical Areas (MSAs) and product categories for the second round of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) new competitive bidding program. The program is designed to improve the effectiveness of Medicare's DMEPOS payments, reduce beneficiary out-of-pocket costs, and save the Medicare program money while ensuring beneficiary access to quality DMEPOS items and services by requiring suppliers to be accredited by a Medicare-recognized accreditation organization.

Three MSA’s in Michigan were announced: Detroit-Livonia, Flint, and Grand Rapids-Wyoming, as well as the Indianapolis MSA. The second round of the competitive bid is expected to happen in 2009. Nursing Homes who are billing Medicare for any of the 8 designated product categories products will be required to be accredited as a supplier and submit a bid in order to continue to bill for their patients.

On March 20, 2008, winning bidders for Round 1 were notified that they had been selected for a bid, and given a window of 10 days to accept or decline the bid. Single payment amounts were also released, and were on average 30% below the current single payment amount. Providers will be announced soon, and the new amounts will go into effect in July 2008. FOR MORE INFORMATION OR ASSISTANCE WITH ACCREDITATION AND THE COMPETITIVE BID PROCESS, CONTACT YOUR ALL MED ACCOUNT MANAGER.

Competitive Bidding Update Competitive Bidding Update Round 2 Announced, Round 1 Suppliers Notified Round 2 Announced, Round 1 Suppliers Notified