www.americanglobalmd.com

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Table of Content Mission & Vision Overview & Scope Market Analysis

Market Size Market Trends Competitive Landscape

Set-up & Operations Location and Build-out Services offerings Industry partnerships

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Mission & Vision

AGMD’s(American Global MD’s) Mission is to create state of the art hospitals globally to provide affordable healthcare services

AGMD’s Vision is to provide sophisticated healthcare to the needy population all across the globe and making an effort to bring down the overall healthcare costs

Overview and Scope

• 200 bed hospital with state of art technology• $200 million investment• Center for excellence• Promoted, invested, operated by network of

experienced MDs (AGMD)• First of its kind on Caribbean soil• Geographically well suited location

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Medical Tourism DefinedWhere people who live in one country travel to another

country to receive medical, dental and surgical care while at the same time receiving equal to or greater care than they would have in their own country, and

are traveling for medical care because of affordability, better access to care or a higher level of quality of care

Market Size:Estimated at US$40 billion

Source: The Medical Tourism AssociationTM

Major MT Promoting Factors• Global increase in overall healthcare cost• Changes in the US federal regulations• Patient and Provider dissatisfaction • Worsening bureaucracy and tightening legal

environment • Increasing need for advanced medical

treatments• Social medicine with long wait times

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Why do Patients Travel for Treatment?

(Availability of Experimental Medicine)

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Globally Thriving Industry

Why Jamaica? Ideal Location

Sangster International Airport: Montego Bay, Jamaica

• 39 international airlines service Sangster Intl Airport• Flight times from many destinations are less than 3 hours• Less than 15 min travel from Montego Bay airport to the medical facility

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Why Jamaica? Close to USA for ease of travel Major tourist destination with highly coveted resorts No real competition on the island Major push and support by local government Availability of well trained and qualified registered nurses Limited liability and malpractice insurance needs Favorable international laws Several years of working experience in Jamaica by physicians in

network Lower overheads for operating a high quality facility English speaking local community Temperate weather year-round

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Jamaica Tourism Statistics: Stopovers

2007 2008 2009 2010 1,500 1,550 1,600 1,650 1,700 1,750 1,800 1,850 1,900 1,950

1,701 1,767

1,831

1,922

Total Stopovers ( '000)

Market Share 2007 2008 2009 2010

USA 66.6% 65.1% 64.1% 64.7%

Canada 11.2% 13.4% 15.9% 16.9%

Europe 17.0% 16.1% 15.1% 14.1%

Caribbean 3.7% 3.8% 3.6% 3.0%

Latin America 0.7% 0.9% 0.8% 0.7%Other countries 0.8% 0.7% 0.6% 0.5%

2007 2008 2009 2010 -

200

400

600

800

1,000

1,200

1,400

1,600

1,279 1,346 1,397

1,488

422 421 435 434

Stopovers by Port ('000)

Montego BayKingston

TotalCanada

SpainLatin America

OtherContinental Europe

Total EuropeUK

USACaribbeanGermany

ItalyJapan

3.40%20.60%

7.90%4.90%

2.50%1.90%

1.50%1.30%1.10%1.00%

-1.00%-6.00%

-15.10%

Stopover CAGR 2006-2010

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Jamaica Tourism Statistics: Occupancy

Monteg

o Bay

Ocho Rios

Negril

Port Anto

nio

Kingsto

n

Man

deville

0%

10%

20%

30%

40%

50%

60%

70%

60%65%

57%

21%

46% 45%

61%66%

62%

10%

42%

50%

20092010

2007 2008 2009 2010

Total Rooms Available 15,827 16,829 18,388 18,759

Total Room Nights Sold 3,653,383 3,722,306 3,956,993 4,145,603

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Government of Jamaica (GoJ) SupportThe government of Jamaica considers this project to be of strategic importance to the growth of the local economy and had thus agreed to the following incentives to GGMD:

1. Excise Duty and Import Tax: – The enterprise will be importing building materials, medical & surgical supplies, etc.

in the tune of $50 million over 5 years and $140 million in 10 years– Excise Duty and import tax benefit: $19 million ($5 million in first 5 years)

2. Income Tax:– The entity will generate an income of $90 million in the first 5 years and $150

million over the next 5 years– Income Tax benefit: $84 million ($31.5 million in first 5 years)

Total monetary benefit from Government of Jamaica $36.5 million in 5 years

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DEVELOPMENT

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Location

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Conceptual Interior

Phase 1 Scope• 10 Operation rooms and 50 bed ambulatory surgical

center• Out patient clinics• Major reference lab• State of art diagnostic radiology center• Rehab facility – substance abuse, medical and sports

rehab services• Dialysis center• Wellness services including medical spas, naturopathy

treatments etc.,• Clinical drug trials and research• Concierge medical services

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Summary of Procedures per PhasePhase 1 Phase 2 Phase 3

Total number of beds 50 125 200

Procedures

Plastic / cosmetic surgery ✔ ✔ ✔

Fertility services ✔ ✔ ✔

Gynecology ✔ ✔ ✔

Urology ✔ ✔ ✔

Bariatric services ✔ ✔ ✔

Dental specialties ✔ ✔ ✔

Dialysis ✔ ✔ ✔

Orthopedic ✔ ✔ ✔

Gastroenterology ✔ ✔

Cardiology ✔ ✔

Neurology ✔ ✔

Nephrology ✔ ✔

Internal Medicine ✔ ✔

Oncology ✔ ✔

Pulmonary ✔ ✔

Cardiac / Thoracic surgery ✔

Neurosurgery ✔

Orthopedic procedures ✔

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MARKET ANALYSIS

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Target Market North American based patients: insured, underinsured, and uninsured

It is estimated that 49.9 million people in the U.S. are without health insurance. The Jamaican Diaspora is currently estimated at 3 million world-wide, with 750,000 based in North America.

Caribbean and Latin American-based patients who presently access services in the US, primarily in the south Florida area CARICOM has a population of 18 million with many member countries having limited medical

facilities.

Canada and UK-based patients who experience long wait times for elective procedures

Private health insurance companies both locally and abroad, looking for lower cost options for their clients requiring health care

The non-emergency needs of the local market

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Market Analysis US Market Size & Trends

60,000 and 85,000 patients travel to other countries for inpatient hospital care annually

Potential for huge growth as US insurances reduces procedure payments

Market for Americans seeking cheaper care abroad is currently 710,000 procedures a year (2009)

These procedures currently bring $35 billion of revenue for US based hospitals

Savings of about $15,000 a procedure on average Most Americans seeking cheaper care overseas now are

uninsured / underinsuredSource: McKinsey & Co. 09/2009

Approach to Target Market

• Referral physician networks (AGMD & CGMD)• Partnerships with strategic business entities• Understanding with government bodies• Center of excellence• Promotion through mass media and web

portals• Central Hub and peripheral Feeders model

reaching to wider Caribbean population

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Competitive Analysis: Surgery Pricing

Medical Tourism Association 2010 Survey

Planned pricing structure places us in the value end of the competition

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BUSINESS MODEL

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Business Model Highlights Great emphasis and planning in establishing a referral physician network and patient

referrals from physicians Upfront fixed fee payment by patient to cover all expenses (air, transportation,

accommodation, procedure, recovery) Procedures to be performed by visiting specialist and all surgeries performed by the

specialist to be scheduled together for the week Patients to be continuously cared for by Jamaica based patient care team

Tele-med infrastructure to keep a direct linkage with patient and primary physician 24/7 registered nurse assigned to each patient Recovery and recuperation in a high end luxury resort in close vicinity to the

hospital Follow-up with patient’s referring physician in home office Planned Strategic Partners: Local insurance companies, other corporate entities,

JAMPRO, tourism industry, cruise line industry and different Ministries of Health

Patient seen by referring Physician

Patient determines need for outside care

In-Network Physician refers patient to

AGMD

Patient scheduled, itinerary developed

and payment collected

In Network physician travels to AGMD and performs scheduled

procedures

Patient recovers under care of in-house physician

Patient returns to In-Network physician for

follow-up care

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Patient Process Flow

AGMD Network

• Net work of MD’s dedicated to providing American standard health care across the globe

• Growth focuses on niche surgical and medical specialty MDs

• Network spans across the US and expected to extend into Canada and Caribbean

AGMD Skill Set

Surgical Specialties• Bariatric• Plastic/Cosmetic• Cardio-thoracic• Vascular• Orthopedic/Spinal• Urology• OB/GYN• ENT• General Surgery• Neuro Surgery• Infertility and Reproductive

Medicine

Medical Specialties• Cardiology• Pulmonary and Critical Care• Nephrology• Neurology• Gastroenterology• Endocrinology• Hematology-Oncology• Internal Medicine/Geriatrics• Rehab Medicine• Psychiatry

AGMD Investment• Promote hospitals under AGH banner• First in Montego bay, Jamaica• MD network brings experience, vision, and $• Creates investment opportunities for strategic

business partners• Strategic business partners include

Governments, business entities in Healthcare, and Financial institutions

Partner Benefits

• Governments – inflow of foreign investments, state of art technology, expertise, new job creation, and improvement of healthcare indices

• Healthcare entities – save dollars by reducing overseas treatment costs and return on investments.

• Financial institutions – opportunity to improve growth in economy of the country and return on the investments

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Start-up Organizational StructureBoard of Directors

CEO

Chief Medical Officer

Director of Medical and Surgical

Services

Nursing Services

Chief Administrative & Financial Officer

Director of IT

Billing & Accounting

Procurement

Security & Transportation

Maintenance & Engineering

Director Sales & Marketing

Advertising, Communications &

PR

Director of Human Resources

Director of Referral Operations

Hospitality Operations

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Key Differentiators Patient referred by group of physician network Credentials of the Physicians Referring physician in complete control of process In most cases the procedures are performed by patient’s own physician or

group of in-house physicians Post procedure follow-up to be with patient’s own physician Availability of highly educated and competent nurses and physicians Close proximity to US, Canada, LA and the Caribbean Attractiveness as a tourist destination Cultural affinity with home country Full services offerings … travel, treatment, accommodation, recovery 24 hour access to personal care 1.5 - 1 nurses to patient ratio Limited medical liability

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Milestones Positive engagements with the Ministry of Health and

Tourism Location and Land identified Existing relationship with medical equipment providers Key personnel identified Active engagement with MD network expansion Finalized business model MD network engaged to bring their experience and

investment

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• SUMMARYAGH - Jamaica will be a multi – disciplinary tertiary care teaching and research medical facility located in Montegobay , Jamaica. Facility will be supported and staffed by physicians from the AGMD network .This network will provide physicians the opportunity for ownership and participation to potentially improve their revenue stream and provide diversity to their income potential. Through this facility and network, physicians will be able to provide American standard affordable medical care to patients from US and globally.