 Develop an allopathic medical school in Southwest Virginia  Have a profound impact on the quality of life in the region by increasing the quality of healthcare and stimulating the economy  Utilizing a modern medical education curriculum that is fully integrated and taught in small groups that can allow our students to better retain and learn  Recruit the brightest minds from within the region, train them in the best environment, and enable them to practice medicine at the highest level in Southwest Virginia.  Build a medical education building designed with the modern curriculum in mind, creating an environment conducive to stimulating minds and excellence in medical education, teaching and research.  State of the art simulation center – designed to introduce students to the greatest variance of learning scenarios to ensure  Clinical rotations with partnering hospital systems and physicians.  Deliver desperately needed medical care in the region, thus encouraging students to remain here for a fruitful, fulfilling and impactful career at home.

LCME – Liason Committee on Medical Education SACS – Southern Association of Colleges & Schools SCHEV – State Council of Higher Education for Virginia Accreditations Undergraduate Classrooms (Years 1-4) Research Facilities Facilities Endowment [~ $100,000,000] Tuition [ ≤ 40% Total Revenues] Other Revenues [Practice Plan, Research, etc.] Fiscally Sound Dean (CEO) Executive Leadership Chairs, Directors, etc. Administration Ph.D.s M.D.s Clinical Faculty Define Program Objectives Establish Curriculum Evaluate Program Effectiveness Curriculum Undergraduate Hospital Settings Ambulatory Clinical Training Residencies GME

High Entrance Costs 1. Establishment of ~ $100,000,000 Endowment 2. Establishment of Competitive Research Program - Faculty- Grants - Facilities Accreditation 1. SACS Accreditation Required3. LCME Accreditation 2. SCHEV Certification Infrastructure Needs 1. Recruit Faculty & Staff2. Administrative Support - Insurance - Retirement - Etc. Time & Risk 1. Lengthy Process3. High Startup Costs 2. Uncertainty

Sponsor Institution Resources Partner Institution Resources Accreditation Facilities Fiscal Resources Administration Faculty Curriculum Clinical Training GME Accreditation Facilities Fiscal Resources Administration Faculty Curriculum Clinical Training GME LCME

Reduced Entrance Costs 1. Elimination of need for ~ $100,000,000 Endowment - Financial Review based upon Main Campus Resources 2. Partnering with Established Research Program - Faculty- Grants - Facilities Accreditation 1. Share Sponsor Campus’ SACS Accreditation 2. Share Sponsor Campus’ SCHEV Certification 3. Share Sponsor Campus’ LCME Accreditation - LCME regards as extension of Sponsor Campus’ program, not separate 4. Reduced Costs Infrastructure Needs 1. Access to Sponsor Campus’ Infrastructure - Financial Aid, Admissions, HR, IT, - Policies, Procedures in Place - Eases concerns of incoming Faculty & Staff - Established benefits, etc. Time & Risk 1. Faster Process 2. Provides Stability & Credibility 3. Reduced Startup Costs

Medical School Requirements AccreditationsFacilitiesFiscal Needs Administration FacultyCurriculumClinical TrainingGME Sponsor Institution - LCME - SACS - SCHEV - Undergrad Classrooms - Research Labs - Endowment - Tuition ≤ 40% - Other Revenues - Dean – CEO - Exec. Leadership -Chairs, Dirs., Etc. - Ph.D.s - M.D.s - Define Objectives - Establish Curriculum - Evaluate Effectiveness - Undergraduate - Hospitals - Ambulatory Residencies Partner Institution Uses Sponsor’s Accreditation - Undergrad Classrooms - Share Research Labs - Reduced Endowment - Tuition - Other Revs - Campus Dean – Reports to Parent - Exec. Leadership - Chairs, Dirs., Etc. - Ph.D.s - M.D.s -Independent Track [Follow Objectives & Measurements of Parent] - Undergraduate - Hospitals - Ambulatory Residencies

 Governor of Virginia  VTICRC  Virginia General Assembly  Abingdon, Virginia  Washington County, Virginia  ARC/DHCD  Physicians Advisory Committee  Governor of Virginia

Medical School Requirements AccreditationsFacilitiesFiscal Needs Administration FacultyCurriculumClinical TrainingGME Sponsor ETSU/Quillen A Tennessee Public Institution - LCME Accredited - SACS Accredited - SCHEV - Application - Undergrad Classrooms - Research Labs - Fiscally sound - $90MM+ - Tuition ≤ 10% - Research & Medical Practice Plan - Dean – CEO - Exec. Leadership -Chairs, Dirs., Etc. - Ph.D.s - M.D.s Traditional Curriculum - Basic Science Lectures LCME Approved - Wellmont- VA Hospital - MSHA (TN)- Ambulatory Established Residency Program Partner KSOM A Virginia Private Entity - Campus Dean - Exec. Leadership - Chairs, Dirs., Etc. - Ph.D.s - M.D.s Modern Integrated Curriculum 4 Year Program - Wellmont- LifePoint - MSHA (VA - JMH)- Ambulatory

Credibility Established LCME School Leader in Primary Care Well Respected More Efficient Faster & Less Risk for Accreditation Lowers “Entrance Costs & Barriers” Established Partnerships Wellmont MSHA Four – Year Medical School Modern Curriculum Utilizing Simulation Stone Mill Business & Tech Park Abingdon, Washington County, VA

 LCME Encourages Partnership Approach ◦ Met in December 2012 ◦ Discussed Potential Partnership Strategy ◦ Encouraged us to Partner with ETSU/Quillen ◦ Area of Need  SCHEV ◦ Met in January 2013 ◦ Comfortable with Partnership ◦ Do not see any Problems with Certification ◦ Encouraged Making as Many VA Partnerships  Echoed by VTICRC  Echoed by DHCD

 Virginia Community College System ◦ VHCC  Building New Cadaver Lab this year  Has New Nursing Simulation Lab  Has Multiple Healthcare Programs  May have some classroom space  May have some faculty resources  On same campus  Politically beneficial ◦ SWCC ◦ Wytheville  Virginia Community College System ◦ VHCC  Building New Cadaver Lab this year  Has New Nursing Simulation Lab  Has Multiple Healthcare Programs  May have some classroom space  May have some faculty resources  On same campus  Politically beneficial ◦ SWCC ◦ Wytheville

◦ Close Proximity ◦ Could Provide Needed Infrastructure ◦ Could Begin Recruiting Quickly ◦ Add Credibility ◦ Private Virginia Institution  Would Help Maintain Separate Virginia Identity ◦ Would Establish Local Virginia Ties for Benefactors ◦ Healthcare Programs Synergy ◦ Close Proximity ◦ Could Provide Needed Infrastructure ◦ Could Begin Recruiting Quickly ◦ Add Credibility ◦ Private Virginia Institution  Would Help Maintain Separate Virginia Identity ◦ Would Establish Local Virginia Ties for Benefactors ◦ Healthcare Programs Synergy

KSOM Four Year LCME Med School Modern Facility Modern Curriculum Faculty Students Build All Infrastructure KSOM Four Year LCME Med School Modern Facility Modern Curriculum Faculty Students Build All Infrastructure ETSU SACS/LCME/SCHEV Sponsor Admissions Faculty Appointments Research Synergies Student Life Opportunities ETSU SACS/LCME/SCHEV Sponsor Admissions Faculty Appointments Research Synergies Student Life Opportunities VHCC Cadaver Lab Healthcare Program Collaboration VHCC Cadaver Lab Healthcare Program Collaboration SWVHEC Classroom Space Programming Collaboration SWVHEC Classroom Space Programming Collaboration Clinical Partners Other VA Partners Foundational Partners

KSOM Four Year LCME Med School Modern Facility Modern Curriculum Faculty Students KSOM Four Year LCME Med School Modern Facility Modern Curriculum Faculty Students ETSU LCME/SACS Sponsor Admissions Faculty Appointments Research Synergies Student Life Opportunities ETSU LCME/SACS Sponsor Admissions Faculty Appointments Research Synergies Student Life Opportunities VA College Infrastructure Support Faculty Appointments Healthcare Program Collaboration Student Life Opportunities VA College Infrastructure Support Faculty Appointments Healthcare Program Collaboration Student Life Opportunities VHCC Cadaver Lab Healthcare Program Collaboration VHCC Cadaver Lab Healthcare Program Collaboration SWVHEC Classroom Space Programming Collaboration SWVHEC Classroom Space Programming Collaboration Clinical Partners Foundational Partners

Initial ProjectPartnership Project 4 Year Allopathic Medical School Independent Medical SchoolPartnership Medical School Fully LCME Accredited Program 8-10 yrsFully LCME Accredited Program in 18 mos through partnership Located in Abingdon, VA Focus on Rural Health Care Students initially per class20-42 Students initially per class More if clinical resources available Endowment Needs $100MM to StartEst. Endowment $20MM built over 7 years Annual Budget $35MMEst. Annual Budget $8-$12MM [driven by class size/faculty] 230,000sq ft. classrooms/90,000sq ft research Est. $114MM Building & Costs 50,000-75,000sq. Ft building Est. $30MM Building & Costs TN Ownership & No PartnersVA Ownership & VA Partners Physicians Advisory Council 501(c)(3)