Creating Spine Destination Centers for Medical Tourists August 22, 2013

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1 Creating Spine Destination Centers for Medical Tourists August 22, 2013 Presented By: Marcy T. Rogers, M.Ed. President and CEO SpineMark Corporation Henry Huang Founder and COO California Healthcom Group Michael Cambron Director of Strategic and Business Development Palmdale Regional Medical Center

2 For Medical Tourists, Simple Math New York Times, August 4 th, 2013

3 Spine Destination Center Program Structure

4 Hospital Market Differentiation Innovative Spine Destination Center Game-Changing Technology

5 Game Changing Technology Mazor Robotics Magnet for new staff surgeon recruitment Strong patient demand Clinical, Quality, Economic ROI ; 3 year contribution to margin 1,200 cases (MIS, Non Fusion, Fusion, Deformity) $3-7,000,000 or higher

6 Surgery is Only One Component of Comprehensive Spine Care Non-surgical care accounts for 90% of volumes and 60% of spine revenue! Patient Diagnostics: $4.2 billion Spinal Injections: $2.3 billion Complementary/Alternative Medicine: $26.1 billion Imaging Physical Therapy Pain Injections $75 150K/year $ K/year $ K/year

7 Spine Center Focus on Treatment for Multiple Conditions Types of patients the Center will serve: MISS Complex spine (fusions, etc.) General spine, trauma Total disc replacement Dynamic stabilization Diagnostic and therapeutic injections Ablative interventional pain procedures Pumps and stimulators Interventional pain

8 Medical Tourism Alliances and Partnerships Opportunities, Obstacles

9 Benchmarks, Protocol, Quality Metrics

10 An Increasing Emphasis on Outcomes Transparency Hospitals and physicians need to collaborate to better manage quality and the cost of care. Performance With increased competition, patients and referral sources are asking for quality results. Market Share & Maximized Reimbursement Health care organizations have the opportunity to leverage their results of operational improvement and quality initiatives to attract volumes and gain market size.

11 Spine Destination Center Goals Medical Tourism 18-30% Corporate Self Insured Employer Referrals 20-35%

12 Healthcare delivered when you need it, where ever you are Introduction Presentation Confidential California Healthcom Group. All rights reserved. *All other third-party trademarks referenced herein belong to their respective owners.

13 08/27/2012 8:00PM Beijing Xiehe Hospital Healthcare delivered when you need it, where ever you are Presentation 2013 Confidential

14 Healthcare delivered when you need it, where ever you are Market Size : Research by BCG & CCB (2012) 1.75 Million Families with one million USD (Assets for Investments) +17% (2012) More than 12 Trillion USD will be invested by Private (HNWI) Presentation 2013 Confidential

15 Healthcare delivered when you need it, where ever you are Asset Light Healthcare Delivery Better quality + access, save time and money. Presentation 2013 Confidential

16 Data Collection Engaging apps +health tools HAOEYOU Digital Hospital Data Storage PHR cloud storage Virtual Visits On-line clinical appointments Cloud Platform Premium Content and Services Marketplace Presentation 2013 Confidential

17 How It Works Healthcare delivered when you need it, where ever you are Hospitals EMR Online RX Vitamins Hospital Appointment Smart Devices Doctors Online video consultation Live EMR display Easy Payment Users Presentation 2013 Confidential

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20 Case Study Medical Tourism Lessons to Establish Market Leadership August 2013 PALMDALE REGIONALTM M E D I C A L C E N T E R

21 What we did right Physician alignment drives accelerated profitability MD E&M Visit Reimbursement Increased 250% MD Surgical Reimbursement Increased 400% Hospital/Facility Reimbursement Increased 200% Bundled Billing Ortho, Spine, Neuro, Surgical Oncology Patient Navigation/Translator Mid Levels: Nurse Practitioners Top of Mind Presence Physician Satisfaction Improved 41% MARTI Robotic Translator PALMDALE REGIONALTM M E D I C A L C E N T E R

22 What we did wrong Narrow focus Thinking we could do it ourselves and better Staff flexibility to accommodate on-site clinic visits Post Treatment Care and F/U visits Slow adapter disbelief Political sensitivity OB, Transplants IT infrastructure redundancy, bandwidth, EMR, DICOM, ODBC, etc Executive Health Concierge Health PALMDALE REGIONALTM M E D I C A L C E N T E R

23 Palmdale Regional Medical Center Medical Center Drive Palmdale, CA THANK YOU! PALMDALE REGIONALTM M E D I C A L C E N T E R

24 Q&A Marcy T. Rogers, M.Ed. President and Chief Executive Officer, SpineMark Corporation Henry Huang Founder and COO, California Healthcom Group Michael Cambron Director of Strategic and Business Development, Palmdale Regional Medical Center (858)