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PIONEERING DIAGNOSTICS Sh a p i n g a b o l d f u t u r e bioMérieux In vitro diagnostics serving public health

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P I O N E E R I N G D I A G N O S T I C S

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bioMérieuxIn vitro diagnostics serving public health

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OUR HISTORY

A FAMILY COMMITMENT TO THE FIGHT AGAINST INFECTIOUS DISEASES

bioMérieux is a family-owned company created in 1963. Its expertise and its commitment to expand the frontiers of knowledge in biology are grounded in an entrepreneurial adventure that has been ongoing for more than one century.

bioMérieux is first and foremost a human and scientific adventure that began more than 50 years ago, yet its roots reach back to the tradition of Louis Pasteur and the fight against infectious diseases. In 1897, Marcel Mérieux, who had studied with Pasteur, founded a laboratory in Lyon where he developed the first anti-tetanus sera. He called it Institut Mérieux, and from the outset began to lay the groundwork for a bio-industrial edifice that would leave its mark on vaccinology and the diagnosis of infectious diseases worldwide.

Under the direction of his son, Dr. Charles Mérieux, and later his grandson, Alain Mérieux, Institut Mérieux grew to become world leader in human and veterinary vaccines. The Institute gave rise to companies that rank today as major players in public health, such as Sanofi Pasteur and Merial. In 1994, Alain Mérieux shifted his focus from the vaccines activity to concentrate on the family holding and its diagnostics and immunotherapy businesses, including bioMérieux. In 2014, Alexandre Mérieux, Marcel’s great-grandson, took up the torch and today continues the family tradition as CEO of bioMérieux.

With its headquarters in Marcy l’Étoile, France, today bioMérieux employs nearly 10,000 people.The Company is present in more than 150 countries through 42 subsidiaries and its network of distributors. It generates 90% of international sales.

"The entrepreneurial adventure of bioMérieux is rooted in a strong family commitment to serve public health. Faithful to our pioneering spirit, our ambition is to remain a major player in infectious disease diagnostics. Thanks to our scientific approach, with no barriers between the disciplines and no geographic barriers, and bolstered by the commitment of our teams across the globe, we remain

focused on this goal as part of our long-term vision."

Alexandre Mérieux, CEO

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SERVING PUBLIC HEALTH

THE IMPORTANCE OF DIAGNOSTICS

As an essential link in the healthcare chain, diagnostics are a fundamental source of medical, economic and social value. Between 60% and 70% of healthcare decisions are based on diagnostic test results (1). bioMérieux, a major player of in vitro diagnostics and world leader in clinical microbiology and industrial microbiological control, contributes to the quality of patient care and the safety of consumers.

bioMérieux develops and produces in vitro diagnostic solutions (instruments, reagents and software) for private and hospital laboratories, mainly for the diagnosis of infectious diseases. The results obtained from a patient sample (blood, urine, stool, cerebrospinal fluid, saliva, etc.) provide doctors with information to support their decisions. For 25 years, bioMérieux has also applied the expertise acquired in the clinical sector to meeting industrial microbiology needs, making it possible to manage contamination risks in agri-food, pharmaceutical and cosmetic products, at each step of the production chain.

For improved patient careDiagnostic tests have a decisive impact on quality at each step of the healthcare chain, as well as on early diagnosis:l For screening to help prevent certain diseases,l For early diagnosis at the onset of a disease when symptoms are still very mild,l For diagnosis and prognosis, in particular of infectious diseases, to help identify the responsible

pathogen and determine its antibiotic resistance profile,l For therapeutic decisions and treatment monitoring.

How diagnostics benefit healthcare systemsSpending on medical biology represents only between 2% and 3% of healthcare expenditures (2). This cost is limited when weighed against the medical value of diagnostics and the savings it can generate – both by reducing over-prescription of treatments and by shortening the onset of care and the length of hospital stays. Diagnostics is also a valuable instrument of healthcare policy, in particular for epidemiological monitoring and control.

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Microbiology applications in industrial production Microbiological control tests make it possible to meet the quality demands of the agri-food, pharmaceutical and cosmetic industries. Performed along the entire production chain and for the environmental control of production zones, such tests ensure product sterility, the absence of disease-causing bacteria and the enumeration of bacterial flora that indicate the quality of food products.

Veterinary applications: the continuum between human and animal healthThe "One Health" concept, an integrated approach advocated by international organizations, is based on the principle of the continuum between animals and humans when it comes to the transmission of infectious agents and antimicrobial resistance. Since 2011, bioMérieux has provided its microbiology expertise to professionals of animal health, in particular to make progress in the fight against antimicrobial resistance, animal diseases and emerging zoonoses.

(1) The Lewin Group, “The Value of Diagnostics Innovation, Adoption and Diffusion into Health Care”, 2005. This figure concerns all diagnostic tools: in vitro diagnostic tests and medical imaging exams.

(2) French Directorate for Research, Studies, Evaluation and Statistics (DREES) and Court of Auditors, 2011.

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HUMAN

FOOD

ENVIRONMENT

ANIMAL

ONE HEALTHDIAGNOSTICS

Antimicrobial Resistance Solutions

"The medical revolution is underway, propelled by a wave of unprecedented innovations that are likely to greatly improve patient care while making healthcare systems more efficient. Like the rest of the chain of care, diagnostics will benefit from the emergence of new technologies. Thanks to imaging, sequencing, proteomics, genomics, information technology and “Big Data”, in the future it will be possible to deliver results faster and with greater precision. By joining our unique expertise as a leader in microbiology with these new fields of knowledge, bioMérieux will make a valuable contribution to shaping the very high medical value diagnostics of tomorrow."

Jean-Luc Belingard, Chairman

AN INTERNATIONAL NETWORK CLOSE TO CUSTOMERS AND COMMUNITIESIn a world where virus and bacteria know no borders, an international outlook is an integral part of bioMérieux’s history. In the service of global public health, the Company places its diagnostic solutions within the reach of as many people as possible – for instance, it has been present in China and Brazil for several decades. Today bioMérieux derives its strength from its organization based on geographic regions, and from investments in R&D and production as close as possible to its markets.

A GLOBAL PLAYER IN THE FIELD OF IN VITRO DIAGNOSTICS

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Headquarters

Subsidiaries

Bio-industrial sites

R&D centers

AsiaPacificregion

17%*6.3%**

EMEAregion

41%*Europe - Middle East - Africa

2.7%**

North America35%*

20.6%**

LatinAmerica7%*

12.2%**

Americaregion

42%*

19%**

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bioMérieux is present in more than 150 countries through 42 subsidiaries and a large distribution network

90% of international sales

19 bio-industrial sites and 20 R&D centers worldwide

A GLOBAL PLAYER IN THE FIELD OF IN VITRO DIAGNOSTICS

Headquarters

Subsidiaries

Bio-industrial sites

R&D centers

AsiaPacificregion

17%*6.3%**

EMEAregion

41%*Europe - Middle East - Africa

2.7%**

North America35%*

20.6%**

LatinAmerica7%*

12.2%**

Americaregion

42%*

19%**

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* Percentage of bioMérieux 2016 total sales.** Year-on-year, at constant exchange rates and scope of consolidation.

ADDRESSING MAJOR PUBLIC HEALTH CHALLENGES

SOLUTIONS TO SERVE HEALTHCARE PROFESSIONALS AND INDUSTRY

Across the globe, bioMérieux’s research teams are working to develop high medical value diagnostic applications that address public health challenges and laboratories’ needs.

THE FIGHT AGAINST SEPSIS Early detection, the first line of defense

Sepsis affects around 27 million people each year. Reaching a diagnosis as rapidly as possible is critical for patient outcomes. The survival rate is 60% when the right treatment is administered within 2 hours after the onset of care and it falls to 30% if treatment is given within 4 hours (4).

bioMérieux provides the broadest product offering on the market for the diagnosis of sepsis, based on both the host response with the VIDAS® B∙R∙A∙H∙M∙S PCT™ test and on the detection, identification and characterization of disease agents, in particular with the BacT/ALERT®, VITEK® and FilmArray® product ranges.

ANTIMICROBIAL RESISTANCEA global health emergency

Every 45 seconds, a person dies from an infection caused by bacteria which have become resistant to antibiotics (3). Diagnostic tests contribute to reducing the improper use of

antibiotics and help ensure they remain effective for the treatment of bacterial infections in humans and in animals. bioMérieux’s mission is to contribute to protecting the health of patients and consumers, as well as the health of animals.

Taking a global health approach, the Company develops innovative solutions for clinical diagnostics, industrial microbiological control – particularly in the agri-food sector, environmental monitoring, and veterinary diagnostics. This holistic approach represents an essential asset when it comes to meeting public health needs such as antimicrobial resistance. It also allows bioMérieux to provide the most complete offering on the market, based in particular on FilmArray®, VITEK® 2, VITEK® MS, API® and chromID® for microbial identification; VITEK® 2, Etest® and RAPIDEC® CARBA NP for detection of resistance; and the VIDAS® B∙R∙A∙H∙M∙S PCT™ test to help diagnose bacterial infections.

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MULTIPLE TARGETS WITH A SINGLE TEST Five syndromic panels to combat infectious diseases

For most patients with an infectious disease, the first symptoms are not specific to the cause of the infection: fever, diarrhea, coughing, headache, etc.

The syndromic approach, based on using the FilmArray® multiplex molecular biology system, is especially valuable for this reason. The FilmArray® technology delivers results within about one hour. With a single test, it simultaneously detects, from a single sample, bacteria, viruses,

yeast and parasites that may be causing an infectious disease. FilmArray® provides accurate, rapid answers for clinicians, which speeds up the decision-making process and improves

patient care. The Meningitis/Encephalitis Panel and the Respiratory EZ Panel add to the FilmArray® offering by complementing the Respiratory, Blood Culture Identification

and Gastrointestinal panels. As a pioneer in the syndromic molecular diagnosis of infectious diseases, bioMérieux plans to further expand the FilmArray®

menu, which is the most complete menu on this market today.

A strategy based on the three key technologies of in vitro diagnostics:

MICROBIOLOGYTwo leadership positions in both clinical and industrial applications

Microbiology is based on culturing biological samples, identifying microorganisms and measuring their resistance to antibiotics.

IMMUNOASSAYSSpecialized player in high medical value tests

Immunoassays use an immunological reaction to identify and quantify the presence of antigens and/or antibodies in a sample.

MOLECULAR BIOLOGYPioneer in the syndromic diagnosis of infectious diseases

Molecular biology is based on the detection of the DNA or RNA genetic sequences that characterize a disease agent in order to target several bacteria, viruses, yeast and parasites.

(3) Based on the 700,000 deaths caused annually by antimicrobial resistance according to "Antimicrobial Resistance: Tackling a crisis for the health and wealth of nations", Jim O’Neill, December 2014.

(4) Kumar et al., Crit Care Med 2006, vol. 34, p. 1589-1596.

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THE EFFICIENCY OF MICROBIOLOGY LABS The most complete offering on the market

Automation is extremely important for microbiology laboratories because it allows them to optimize workflows, standardize analyses, ensure traceability and speed up time to results. The “Lab Efficiency” offer is the result of a strategic partnership between COPAN’s unique know-how in automation and pre-analytic solutions and bioMérieux’s leadership in clinical microbiology diagnostics. “Lab Efficiency” makes it possible to automate and standardize each step of microbiology analysis thanks to the WASP® (Walk-Away Specimen Processor) system and the WASPLab™ automated system. Respectively, the system for the automated plate streaking of Petri dishes and the system for incubation, imaging and digital analysis make it possible to reduce the time required to identify bacterial growth. These instruments enrich and complete the Company’s range of automated products, which include in particular BacT/ALERT® and VIRTUO™ for blood culture and VITEK® 2 and VITEK® MS for the automated identification of bacteria and susceptibility testing.

PROVIDING CARE IN EMERGENCY SITUATIONS Improved patient management

In emergency rooms, healthcare professionals need to initiate patient care as quickly and efficiently as possible. High medical value tests, such as VIDAS® B∙R∙A∙H∙M∙S PCT™ for the diagnosis of bacterial infection and severe sepsis, the VIDAS® High sensitive Troponin I test for myocardial infarction, and the VIDAS® D-Dimer Exclusion™ test for pulmonary embolism provide rapid results to clinicians and contribute to optimized patient care.

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MANAGING THE RISK OF EPIDEMICS DUE TO AN EMERGING PATHOGEN Delivering solutions adapted to the needs of each country

bioMérieux has a longstanding presence in emerging countries. The Ebola epidemic that struck in West Africa triggered a response from the Company that developed the FilmArray® BioThreat-E test™, which received Emergency Use Authorization from the FDA. It was also considered to be eligible in 2015 by WHO, making it available in countries affected by the epidemic.

In 2015, the Company marketed the ARGENE® MERS-HCoV r-gene® test, a Research Use Only kit for laboratories to develop a diagnostic tool for the detection of the coronavirus causing the Middle East Respiratory Syndrome (MERS-CoV).

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PROTECTING CONSUMERS’ HEALTH

Microbiological control solutions for customers in industry

Applying its expertise in clinical microbiology to serve customers in industrial production, bioMérieux offers a broad choice of solutions

in industrial microbiological control, ranging from sample preparation to pathogen identification thanks to the Blue Line™, VITEK®, VIDAS® and

other product lines.

GENE-UP® is a recently-launched molecular diagnostics system designed for customers in the agri-food sector, while EviSight™ Compact is an intelligent incubator for use in the pharmaceutical industry, providing real-time readings of culture media.

As one of the pillars of bioMérieux’s strategy, innovation focuses on two priorities. First, it seeks to enhance the medical value of diagnostics with tests that provide high clinical value to identify and characterize disease agents with growing precision and to deliver faster and increasingly reliable results to support treatment decisions and better patient care. Second, innovation aims to improve lab efficiency and more generally contribute to optimizing laboratories’ operational performance.

Drivers of innovation

l In-house innovation programs,

l International collaborations with academic and private research, the medical and scientific community and cutting-edge biotech companies,

l Joint research laboratories with hospitals, in close proximity to patients,

l Structuring, strategic acquisitions to access new technologies,

l Active scientific and technological watch at the international level.

INNOVATION WITHOUT BORDERS

A PIONEERING AND VISIONARY SPIRIT A combination of daring and an open mind that has been handed down from generation to generation, ambitious R&D programs, and top-notch scientists: innovation is an essential part of bioMérieux’s DNA. To create the diagnostic solutions of tomorrow, the Company has developed an open, multidisciplinary innovation model based on a strategy of targeted acquisitions and partnerships in the life sciences, in both the public and private sectors.

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150

529 patent families in the portfolio

1,600 employees working at 20 R&D centers worldwide

3 joint research laboratories

30 to 40 patents filed annually

Three bio-industrial companies

Two companies dedicated to innovation

A GLOBAL VISION OF HEALTH bioMérieux is 59% owned by Institut Mérieux. Within the scope of a global, long-term vision, Institut Mérieux contributes its experience in industrial biology to improving medicine and public health across the globe. To fight against infectious diseases and cancers, the Institute designs and develops new approaches in the fields of diagnostics, immunotherapy, food safety, and nutrition.

Its three bio-industrial companies, bioMérieux, Transgene and Mérieux NutriSciences, working closely with its entities devoted to innovation, including Mérieux Développement and ABL Inc., have contributed to major advances in medicine and public health.

Institut Mérieux employs more than 15,000 people around the world and is present in over 40 countries.

BIOMÉRIEUX, AN INSTITUT MÉRIEUX COMPANY

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DRAWING STRENGTH FROM OUR ROOTS

Our employees: our priority The Company owes its success first and foremost to its employees. bioMérieux places great importance on ensuring that the working environment fosters their career development while respecting the balance between their professional and personal lives. Each employee is also expected to behave ethically and with integrity within the company and in relations with external partners. As a company that believes in its human capital, bioMérieux encourages internal mobility – to keep pace with jobs in a changing industry in the short term, and to respond to the Company’s future development needs in the long term.

Mérieux Université, a successful employee training toolMérieux Université was created by Institut Mérieux in 2012 for

employee training. Open to all employees of the companies that are part of Institut Mérieux, Mérieux Université ensures the

transmission of a strong, clear entrepreneurial culture and helps build bridges within the Group. This university is

organized around four regional hubs based in France, China, the United States and Brazil to support

employees’ professional development, encourage innovation, promote the expression of talent and contribute to employee engagement. In a constantly changing industry, employee training represents a strategic investment and a priority for bioMérieux.

A HUMANISTIC CORPORATE OUTLOOK The commitment to improve global public health by fighting against infectious diseases brings with it a unique responsibility, upheld by all the Institut Mérieux companies. As an extension of its public health mission, bioMérieux has always been mindful of the importance of its social responsibility. The initiatives undertaken to address this responsibility are rooted in a pioneering corporate culture that, since the Company’s beginnings, has been guided by a humanistic outlook.

Nearly10,000 employees by late 2016

Women represent 48%*

of the workforce,and women hold 48%*

of management positions

20 hours* of training (annually) per employee on average worldwide

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* In 2015.

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Fighting infectious diseases through the FoundationsWithin the framework of its sponsorship activity, bioMérieux supports the work of the Fondation Mérieux and the Fondation Christophe et Rodolphe Mérieux. These two independent family foundations focus on the fight against infectious diseases that affect developing countries by building capacities, particularly in clinical biology. Through the support of bioMérieux and other partners, the Mérieux Foundations have successfully carried out a number of initiatives:

l They are active today in close to 30 countries, including: Haiti, Guinea, Mali, Madagascar, Lebanon, Iraq, China, Laos, Cambodia and Bangladesh.

l 8 laboratories of excellence, the Rodolphe Mérieux Laboratories, have been created. These labs are dedicated to training biologists, diagnosing diseases specific to developing countries and conducting applied research. New Rodolphe Mérieux Laboratories opened in Chittagong (Bangladesh) in 2015 and in Rio Branco (Brazil) in 2016. Over 30 hospital laboratories have also been renovated and their personnel have received training.

l Through the Christophe Mérieux Prize, worth €500,000, the Fondation Christophe et Rodolphe Mérieux encourages research in developing countries. Since it was created in 2007, this prize has been awarded each year to scientists who work in the field to combat diseases devastating their countries.

Beyond supporting local capacity building in biology, the foundations also seek to protect the most vulnerable individuals, in particular mothers and children. In 2015, for example, housing was built for 250 refugee families in Erbil (Iraqi Kurdistan) and a school was opened for their children.

C 100M 72J 0N 32Pantone : 281 C

BIOMÉRIEUX ALGERIA • BIOMÉRIEUX

ARGENTINA • BIOMÉRIEUX AUSTRALIA

• BIOMÉRIEUX AUSTRIA • BIOMÉRIEUX BELGIUM

• BIOMÉRIEUX BRAZIL • BIOMÉRIEUX CANADA • BIOMÉRIEUX

CHILE • BIOMÉRIEUX CHINA • BIOMÉRIEUX COLOMBIA

• BIOMÉRIEUX CZECH REPUBLIC • BIOMÉRIEUX DENMARK

• BIOMÉRIEUX FINLAND • BIOMÉRIEUX FRANCE • BIOMÉRIEUX GERMANY

• BIOMÉRIEUX GREECE • BIOMÉRIEUX HUNGARY • BIOMÉRIEUX INC. (USA)

• BIOMÉRIEUX INDIA • BIOMÉRIEUX ITALY • BIOMÉRIEUX JAPAN • BIOMÉRIEUX

KOREA • BIOMÉRIEUX MALAYSIA • BIOMÉRIEUX MEXICO • BIOMÉRIEUX

NORWAY • BIOMÉRIEUX POLAND • BIOMÉRIEUX PORTUGAL • BIOMÉRIEUX

RUSSIA • BIOMÉRIEUX SERBIA • BIOMÉRIEUX SINGAPORE • BIOMÉRIEUX

SOUTH AFRICA • BIOMÉRIEUX SPAIN • BIOMÉRIEUX SWEDEN

• BIOMÉRIEUX SWITZERLAND • BIOMÉRIEUX THAILAND

• BIOMÉRIEUX THE NETHERLANDS • BIOMÉRIEUX TURKEY

• BIOMÉRIEUX UNITED ARAB EMIRATES

• BIOMÉRIEUX UNITED KINGDOM • BIOMÉRIEUX

WEST AFRICA • BIOMÉRIEUX VIETNAM

bioMérieux, Inc.100 Rodolphe StreetDurham, NC 27712U.S.A.Tel: (800) 682 2666Fax: (800) 968 9494

www.biomerieux-usa.com©20

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