 Turnkey surgical facility development  Acquire interest in De Novo and established hospitals and ASC’s  Real estate ventures  Provide day to day management of all facilities it has interests in

 Physician-Centric  Patient focused  Excellence in healthcare

Empowering physicians to engage in the design and development of their own surgical facility as well as to participate in the operational, strategic and financial aspects of the business

DEVELOPMENT  Site selection and analysis  Design  Construction budget proforma  Partnership formation  Syndication  Financial forecast  Equipment budget and planning

PRE-OPERATIONS  Licensure and Certification  Governance and Medical Committees  Credentialing  Staff Recruitment and Training  PEO  GPO  IT/HIM  Marketing and Public Relations  Payor Contracting  Revenue Cycle Process  Development of Charge Master

MANAGEMENT  Day to Day Operations  Materials Management  AP and AR Management  Revenue Cycle Management  Human Resources Direction  Compliance and Accreditation  Credentialing  Payor Contracting  HIM Direction  Financial Management  Clinical Pathways and Benchmarking

 Developed and managed several ambulatory surgery centers in Dallas  Pine Creek Medical Center, Dallas, TX  Forest Park Medical Center, Dallas, TX  Dallas Medical Center, formerly RHD Medical Center, Dallas, TX  Arizona Regional Medical Center, Mesa, AZ

 Spine Hospital, Fort Worth, TX  Psychiatric Hospital, Round Rock, TX  Tower Plaza Medical Center, Southlake, TX  Thistle Landing Medical Center, Ahwatukee, AZ

Visions Southwest, LLC MedReal Group, LLC PhysiciansPSG/TP Subsidiary Non physician Community Member HMGPhysicians PSG/TP Subsidiary Tower Plaza Hospital Management, LLC Real Estate, LLC Medical Center at Tower Plaza Equipment Acquisition, LLC Physician Synergy Group

Business Model Co-Management partnership between physicians and PSG professionals

1.Align Interest –a collaborative relationship rather than a “us – them” situation 2.Influence Over Operations –Physicians participate in the governance of areas like clinical quality of care, supply/equipment management, care coordination, operational efficiency, patient/family satisfaction. 3.Increased physician practice base through enhanced community reputation.

In summary, the ability of the doctors to influence their work environment in a meaningful way leads to increased quality of care and patient satisfaction. A HEALTHY, SATISFIED RESIDENT IS A COMMUNITY ASSET!