ahmc africa presentation 102515

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Page 1: AHMC  Africa Presentation 102515
Page 2: AHMC  Africa Presentation 102515

AHMC is a private USA based international hospital operator and advisory company headquartered in Washington D.C. offering clients “individualized turn-key services and total hospital solutions”

AHMC’s successful 17 year track record includes collaboration in more than 50 hospital projects, on 5 continents and 26 countries around the world

AHMC’s management model is based upon the very best characteristics of American management practices and Joint Commission International (JCI) Standards

AHMC unique experience in the management and development of world-class tertiary level healthcare facilities that private investor owned hospitals, PPP hospitals, and academic teaching hospitals

AHMC is Committed to physician and employee development through continual medical education and knowledge transfer

AHMC is transparent in its administration and business practices in order to earn investors’ trust and enhance ROI

AHMC’s model has been adapted successfully to the unique needs of clients around the world in order to deliver enhanced operational capabilities, quality, and profitability

AHMC PROFILE

Page 3: AHMC  Africa Presentation 102515

GLOBAL NETWORK COMPRISED OF: Hospitals and projects currently under contract: 33

Operational facilities under contract: 13

Contracted facilities under design or construction: 20

Total current licensed beds: 3,400

Physicians currently under management: 2,000

Employees/Staff currently under management: 5,000

UNIQUE EXPERIENCE:

Private-Public Hospital Partnerships

New hospital commissioning

Academic and teaching hospital

AHMC OPERATIONS OVERVIEW

Page 4: AHMC  Africa Presentation 102515

AHMC SCOPE OF SERVICES

PHASE 1-FS/BP DevelopmentTIMEFRAME: 2 – 3 MONTHS

Conduct Feasibility Study

Develop Business Plan

Develop the Financial Projections

Analysis of the site and architectural design

Preliminary staffing plan

Market analysis

PHASE 2- PROJECT MANAGEMENT CONSULTINGTIMEFRAME: 18-24 MONTHS Work with architect and

construction manager Operating procedures

development Equipment planning HIT Selection and

implementation Development of bylaws for

the board and medical staff Establish governance

structure

PHASE 3- PRE-OPERATIONS & COMMISSIONINGTIMEFRAME: 6 - 9 MONTHS Staffing core operating team General staffing and

recruitment Physician recruitment Implement operating

policies and procedures Implement process design

and protocol Equipment procurement

and installation Establish financial controls

and measures Hospital commissioning

PHASE 4- OPERATIONSTIMEFRAME: 10-15 YEARS Turnkey executive

management and control of daily business operations

Implement international mode of clinical procedures and medical care

Implement quality improvement and patient safety framework

Implement AHMC best practice financial and operations management

Recruitment, training and retention of physicians, nurses and hospital staff

Selection/implementation of HIT System

AHMC Onsite Full-TimeAHMC Consulting and Support

Page 5: AHMC  Africa Presentation 102515

Scope or Work Turnkey executive management Management and control of daily

business operations Assistance in the recruitment, training

and retention of physicians, nurses and hospital staff

Implement international mode of clinical procedures and medical care

Implement quality improvement and patient safety framework

Implement AHMC’s best practice financial and operations management service

Deliverables Clinical Practice and Medical Care Model Quality and Patient Safety Framework Financial and Operation Management

Services Plan Hospital performance benchmarks data

and key performance indicators (KPI’s) Marketing Implementation Plan Monthly Reports: monthly reports

prepared for Hospital Board and investors Annual Report to the Ownership

Continuing Education Program and Professional development of staff

AHMC MANAGEMENT PHASE

Page 6: AHMC  Africa Presentation 102515

The client is granted a license to use the AHMC name and logo, a prestigious and established brand, to better position and client hospital in the market

License and implementation of AHMC’s Business Model and Best Practices including: Proprietary Joint Commission International (JCI) compliant policies and

procedures Quality improvement program Financial controls and processes Standardized reporting and benchmarking Clinical Governance Medical staff bylaws and clinical protocols Human resources: job descriptions, policies and procedures Continuous employee development and retention programs

AHMC VALUE PROPOSITION

Page 7: AHMC  Africa Presentation 102515

Access to AHMC’s Corporate Support and Internal Consulting that includes the following areas of expertise: Operations

Finance, revenue cycle and supply chain

Clinical Services including nursing, lab, radiology and other clinical areas

Quality and accreditation

Human resources

Strategic planning

Governance

Medical staff

Marketing and business development

New facilities and services development

Mergers, Acquisition and Divestiture

AHMC VALUE PROPOSITION-CONTINUED-

Page 8: AHMC  Africa Presentation 102515

AHMC Clients have access to Economies of Scale for cost savings such as: Medical equipment purchasing Consumables International insurance contracting Malpractice and other liability insurance

Access to AHMC’s global network of hospitals and Alliances Facilitate recruitment of physicians, nurses and hospital personnel Continuing medical education and staff development Access to AHMC proprietary programs including:

New Hospital Commissioning- AHMC Launch Package Quality improvement program Financial budgeting and forecasting model Education

Alliance with US hospitals and teaching institutions Alliance with global medical tourism facilitators

AHMC VALUE PROPOSITION-CONTINUED-

Page 9: AHMC  Africa Presentation 102515

AHMC HOSPITAL NETWORK

Page 10: AHMC  Africa Presentation 102515

AHMC HOSPITALSOperational and/or Investor

Country Client /Project Beds Start Date End Date Services Current Status

Panama Hospital Nacional 120 2000 Present Phase 4 Management/Operations

Honduras Honduras Medical Center 50 2002 2007 Phase 3 & 4 Completed

Colombia Pasteur Labs NA (6 Labs/DX) 2002 Present Alliance On-Going

Ecuador Hospital Del Rio 90 2003 2010 Phase 2-4 Completed

Honduras La Lima 80 2003 2008 Phase 4 Completed

Peru Clinica Delgado 170 2009 Present Phase 2-4 On-Going

India Sama Healthcare 31 2012 Present Phase 4 Management/Operations

India Reliance Hospital 345 2014 Present Phase 3 & 4 On-Going

6 13 886

Page 11: AHMC  Africa Presentation 102515

AHMC HOSPITALSUnder Development

Country Client /Project Beds Start Date End Date Services Current Status

Peru Torre Trecca NA (Ambulatory) 2009 Present Phase 2-4 Construction on Hold

Libya Swani Road 200 2010 Present Phase 1-4 Construction

Libya VIP Hospital 60 2010 Present Phase 1, 3-4 Pre-Operations

Russia Russian American Hospital 100 2010 Present Phase 1-4 Construction

Egypt Egyptian American Medical Center 182 2011 Present Phase 1-4 Financing

Jordan MIS Surgical Centre NA (Ambulatory) 2011 Present Phase 1-4 Financing

Morocco Morrocan American Hospital 110 2011 Present Phase 1 Financing

Ghana St. James Medical Centre 100 2012 Present Phase 1, 3-4 Completed

Nigeria Crystal Thorpe Lagos 150 2012 Present Phase 1 Financing

Nigeria Chystal Thorpe Abuja 120 2012 Present Phase 2 Financing

Nigeria Chystal Thorpe Yola 100 2012 Present Phase 3 Financing

Saudi Arabia AlQadi Specialty Hospital 140 2012 Present Phase 1-4 Pre-operations

Georgia American Hospital Tiblisi 120 2013 Present Phase 1-5 Financing

Ghana R&H Surgical Centre 100 2013 Present Phase 1-4 Project Mgmt Consulting

Libya Libyan American Hospital 120 2013 Present Phase 1-4 Financing

Nigeria Lagos American Specialty Hospital 50 2013 Present Phase 1 Financing

Indonesia Jakarta American Center TBD 2014 Present Phase 1 Feasibility and Business Plan

UAE Manazel Medical Complex 340 2014 Present Phase 1-4 Construction

Georgia W&C Hospital 150 2015 Present Phase 1 Feasibility and Business Plan

Iraq American Hospital Kurdistan 400 2015 Present Phase 1 Feasibility and Business Plan

12 20 2,542

18 33 3,428

Page 12: AHMC  Africa Presentation 102515

AHMC HOSPITALSFormer Clients

Country Client /Project Beds Start Date End Date Services Current Status

Puerto Rico (US) Matilde Brenes 104 1998 2000 Phase 4 Completed

Trinidad & Tobago Trinidad Specialty Hospital 65 2002 2003 Phase 1 Completed

Dominican Republic Hospital Metropolitano de Santiago 400 2003 2007 Phase 4 Completed

Colombia Colombia Medical Center 94 2004 2007 Phase 1 Completed

Ecuador Hospital Solaris 100 2006 2008 Phase 1 Financing

Ecuador Ambato 40 2006 2009 Phase 3 & 4 Completed

Antigua & Barbuda Mount Saint Johns Medical Center 185 2007 2015 Phase 3-4 Management/Operations

Barbados Project Hope Medical Centre 60 2007 2008 Phase 1 Completed

Ecuador Hospital Loja 40 2007 2011 Phase 4 Completed

Mexico Centro Medico Cozumel 60 2007 2010 Phase 4 Completed

Dominican Republic Intercare NA (Ambulatory) 2009 2011 Phase 1 & 2 Completed

UAE American Specialty Clinic NA (OP clinic) 2009 2010 Phase 1 Completed

Bangladesh American Super Specialty Hospital 230 2011 2012 Advisory Completed

Egypt Memorial Souad Kafafi Medical Center 280 2011 2014 Phase 3-4 Management/Operations

Mexico Cancun Medical Center 100 2011 Present Phase 1 Financing

St. Kitts & Nevis Royal St Kitts Medical Centre 24 2011 2012 Phase 1 Completed

Egypt Alexandria American Medical Center 80 2012 2013 Phase 1 Completed

Peru Arequipa 60 2012 2013 Phase 3-4 Completed

Russia Fantasy Children's Hospital 120 2012 2012 Phase 1 Completed

Ghana Korle Bu 1,600 2013 Present Advisory Current Client

8 20 3,642

26 53 7,070

Page 13: AHMC  Africa Presentation 102515

AHMC HOSPITAL CHARACTERISTICSAward winning design, modern technology, and patient centered environments

Page 14: AHMC  Africa Presentation 102515

Country Client /Project BedsPatient

Visits

Annual

Medical

Procedures

Total

Development

Budget

Annual

Operating

Budget

Total

Number of

Staff

Total

Number of

Physicians

Service

DatesCurrent Status ACHIEVEMENTS

Panama Hospital Nacional 120 215,015 752,553 65,000,000 95,000,000 625 4252000 -

Present

Management &

Operations

Avg. occupancy level increased from less than 35% to 85%. Growth in

patient volume required hospital expansion which led to proportional

increase in profitability and cash flow. New profitable services such as

MRI, dialysis and robotic surgery introduced and cardiac surgery

programs expanded. Hospital remodeled and increased space by 20% in

2014 adding additional OR's, ER and ICU space. AHMC started only

kidney and liver transplant programs programs in private hospitals in

Central America. Currently operates at 48% EBITDA.

HondurasHonduras Medical

Center50 59,435 208,023 41,500,000 14,100,000 345 145

2002 -

present

Completed and

Current Investor

Previously a bankrupt and partially completed hospital until AHMC

partnered with original financing bank to retool and open a formerly

bankrupt unfinished hospital. After 4 quarters of operations the hospital

became the market leader with more than 50% of private market share

and 100 doctors on campus. Operates at 32% EBITDA

Honduras La Lima 80 93,845 328,458 16,850,000 9,500,000 325 1162003 -

Present

Completed and

Current Investor

USD $1,000,000 financial turn-around in first 2 quarters of operations

through efficiencies and expense reductions. In 2004, 2.5 million was

invested in hospital including remodeling and acquisition of the latest

medical/equipment technology. 20 additional physicians were also

recruited to meet the growing demand for the hospital's services.

Operates at 37% EBITDA.

Antigua &

Barbuda

Mount Saint Johns

Medical Center185 143,425 501,988 57,500,000 24,074,074 525 65

2007 -

2014Completed

Public Private Partnership Antigua under an 8. year contract. Reduced

CapEx by 11 million USD. Profitable in the first year. Achieved accredited

teaching hospital status within 8 months. 36% EBIDA.

Egypt

Memorial Souad

Kafafi Medical

Center

280 213,995 748,983 60,000,000 11,250,000 475 1252011 -

2014

Management &

Operations

Operational and financial turn around of a university owned teaching

hospital. Losing 3.5 million USD per year, reduce to breakeven within one

year an profit the second year. Operates at 18% EBITDA.

AHMC HOSPITAL PROFILE

Page 15: AHMC  Africa Presentation 102515

AHMC HOSPITAL TRACKRECORD IN AFRICA

Page 16: AHMC  Africa Presentation 102515

Memorial Souad Kafafi Medical Center6th of October, Egypt

• Moved into Extension with new ED, OR & Cath Lab

• CCU, NICU, ICU, OB

• Remodeling of Old Building

• Transition to Fee for Service Model

Beds: 140

Type: General Hospital

Status: Operations (Completed April 2014)

Page 17: AHMC  Africa Presentation 102515

AHMC HOSPITAL PROJECTSUnder Development

Lagos American Medical CenterLagos, Nigeria50 BedsStatus: Design and Capitalization

Crystal Thorpe (3 hospitals)Yola, Abuja and Lagos, Nigeria100, 120 and 150 BedsStatus: Design and Capitalization

R&H Specialty HospitalAccra, Ghana100 BedsStatus: Design and Capitalization

Page 18: AHMC  Africa Presentation 102515

AHMC HOSPITAL PROJECTSUnder Development (continued)

VIP HospitalTripoli, Libya60 BedsStatus: Construction (Pending)

Swani Road Tripoli, Libya200 BedsStatus: Pre-Operations (Pending)

Tripoli American HospitalTripoli, Libya120 BedsStatus: Design and Capitalization

Page 19: AHMC  Africa Presentation 102515

AHMC HOSPITAL PROJECTSHospitals Under Development (continued)

Moroccan American Medical CenterCasablanca, Morocco110 bedsStatus: Design and Capitalization

Egyptian American Medical CenterCairo, Egypt180 bedsStatus: Design and Capitalization

Page 20: AHMC  Africa Presentation 102515

Based on AHMC’s experience in the private healthcare sector in Africa we

expect to achieve the following:

Increase the availability and access to international standard healthcare

providers currently not available

Reverse out-bound migration of patients that seek safe and quality

healthcare

Create regional healthcare resources that will repatriate qualified

native born, western trained healthcare professionals

Attract and train regional talent to develop skilled healthcare

professionals and enhance local healthcare

Serve as an economic engine in local markets to further encourage

foreign investment

OPPORTUNITES IN HEALTH SECTOR

Page 21: AHMC  Africa Presentation 102515

CONTACT INFORMATION