AHMC NEWS

July 24, 2014

American Hospital Management Company Newsletter

Dear Friends and Colleagues,

It has been and exciting and productive year so far and with

the second half of the year looking to be one of the best ever

for AHMC. As we look around and evaluate the various

markets that we currently work, we see dramatic new

developments both at the hospitals we currently manage as

well as new opportunities to explore.

In Panama, Hospital Nacional continues to lead the region in private tertiary care.

The hospital expansion of the operating rooms, intensive care units and emergency

room, with additional radiology services, is complete and occupancies are high. The

new cancer center within the hospital is online and treating patients, while the da

Vinci robotic surgery unit continues to exceed expectations in volumes and

outcomes. Recently Hospital Nacional successfully performed its first liver transplant

and the kidney transplant program continues to grow.

Construction with Clinica Delgado in Lima, Peru continues to advance and is on

target for the hospital opening in 2015.

The groundbreaking for Tbilisi- American Hospital was in June and we will open the

hospital in the fourth quarter of 2015. The ownership group for Tbilisi-American

Hospital is looking to develop a hospital twice as large in Baku, Azerbaijan and have

as well just inked a new partnership to develop an international hospital in Mongolia.

All three hospital will be managed my AHMC.

Africa still provides a tremendous opportunity in private healthcare over the next 10

to 15 years. The four Crystal Thorpe hospitals in Nigeria, with AHMC is a significant

partner, continue to move forward as well as the two hospitals in Ghana.

The Minimally Invasive Surgery Centre in Aqaba, Jordan has entered the design

phase. In Saudi Arabia AHCM began the management of Al Jazeera Medical

Hospital in Riyadh in May and will assume the management of Bakhsh Hospital, in

Jeddah, in August 2014. Al Qadi Specialty Hospital project is entering its pre-

operations and commissioning phase in the next couple months and will be looking

to open the hospital the first quarter of 2015. AHMC is currently in negotiations with

a few other private hospitals in Saudi as we continue to see the Kingdom as a long-

term opportunity.

Thank you all for being part of AHMC,

Randall Arlett

In this Issue:

Quarter 1 & 2 Recap

New to AHMC

Network Facilities

AHMC Quality and Standards

QUARTER 1 & 2 RECAP

AHMC AT ARAB HEALTH JANUARY 27-30 2014 IN DUBAI,

U.A.E.

American Hospital Management Company (AHMC)

returned to Dubai,

U.A.E in January 2014

to exhibit at Arab

Health for its third

year. Arab Health is

the largest healthcare

exhibition and con-

gress in the Middle East with more than 150 countries

represented, 9,000 delegates and 85,000 visitors from

around the world. It is also the world’s longest running

healthcare conference making 2014 its 39th year host-

ing the event. AHMC’s commitment and continued

expansion in the region made Arab Health the ideal

forum for AHMC to unveil the opening of the new Du-

bai office , as well as maximize opportunities to create

new relationships and strengthen existing bonds with

clients and strategic partners in the region.

During the event AHMC arranged two signing ceremo-

nies to announce the formation of strategic alliances

with:

INDEX Healthcare Management (IHCM) Dubai, Unit-

ed Arab Emirates based subsidiary of INDEX Holding;

established in 2005 as a health care consultancy firm

committed to provide pro-

fessional and reliable ex-

pertise to health care insti-

tutions in the United Arab

Emirates, the Gulf coun-

tries, and the Middle East

and North Africa Region.

WJ Towell & Trading Company a prominent Mus-

cat based Omani company that was founded in 1866.

The company is involved in numerous sectors of the

market including manufacturing and distribution of in-

dustrial and consumer goods, information technology

and telecommunications, residential and commercial

real estate, building

and construction, print-

ing and publishing, and

many other services.

WJT has also received

multiple awards for

excellence and service.

While in Dubai for the expo, the AHMC team also met

with an architect/engineering group to sign a third

memorandum of understanding.

Professional Engineering Consultants with its

head office in Ajman, UAE, is a strong competitor in

major Architectural & Civil Engineering industry includ-

ing infrastructure, priding itself on the ability to deliver

results on specialized projects, using excellent

knowledge and experience with the use of a large

base of Contractors, Subcontractors and Suppliers that

have the same company

values. Their expertise

varies from urban design to

residential, healthcare,

educational, and industrial

projects.

January

AHMC opens regional office in Dubai, UAE

Arab Health in Dubai, UAE

Georgetown University Fellow joins AHMC Team

February

Contract extension with Mount St. John’s Medical Centre, Antigua

March

Contract signed with Tbilisi-American Hospital (TAH)

April

Georgetown University Fellow completes fel-lowship at corporate office

New Financial Control-ler joins AHMC team in DC office

TAH group visits DC and Panama with Randall Arlett

May

Randall Arlett and Greg Kuntz meet with Chinese Investor in Shanghai

International Nurses Day

GWU Finance Assis-tant completes intern-ship

Marketing Assistant completes internship

International Marketing Representative joins AHMC team in DC office

June

Greg Kuntz visits Republic of Georgia

Tbilisi-American Hospital Groundbreak-ing

Business Analyst and Accountant joins AHMC team in DC office

AHMC OPENS REGIONAL OFFICE IN

DUBAI, UAE

The new office, officially opened on January 1,

2014, is located in the Emirates Towers, Level

41 on Sheikh Zayed Road in Dubai. The iconic

Emirates Towers, a popular element of Dubai’s

skyline, are among the tallest buildings in the

world. AHMC’s new office is on the forty-first

(41st) floor of Emirates Tower One, the taller of

the sister towers.

The office we established in order to allow

AHMC and staff to better cater to the needs of

existing clients based in the U.A.E., Saudi Ara-

bia, Bahrain, Jordan, Egypt and Libya. In addi-

tion, it will enhance the hospital operator’s re-

sponsiveness to potential clients and partners in

the region.

AHMC INVITED TO JOIN THE USA ALLIANCE FOR EXPO 2020

AHMC was recently invited to be a part of the USA Alliance for Expo 2020, the lead-

ership group that is spearheading the effort to ensure the USA is well-represented at

the expo. Building on the tradition of the great World’s Fairs, Expo 2020 Dubai will

be the first universal expo held in the Middle East. As such, it is a project of enor-

mous significance and national pride to the rulers and general population of the en-

tire UAE.

The USA Alliance for Expo 2020 is an influential group of U.S. companies, associa-

tions, institutions, and individuals with the goal of laying a solid foundation for U.S.

participation in Expo 2020 Dubai. As an Alliance Business Partner AHMC will have

input as plans for the USA at Expo 2020 Dubai continue to develop. The Alliance

will serve as a key networking hub and information clearinghouse. US support sends

a strong message to the U.A.E. that members believe in the country’s aspirations for

the event.

As a member of the USA Alliance for Expo 2020

AHMC will receive special recognition during Arab

Health to include:

Receipt of a complimentary Expo 2020 support

logo on exhibit booth fascia

AHMC’s logo will be displayed in the U.S. Meeing

Point in the U.S. Pavillion

AHMC’s logo and name will be displayed on the

Expo 2020 website

AHMC will receive a complimentary enhanced

listing with company logo in the Official Guide to

U.S. Exhibitors at Arab Health.

For additional info please reference:

http://usaallianceexpo2020.org/join-us/

INTERNATIONAL NURSES DAY

Every year International Nurses Day is celebrated on May 12th to commemorate

Florence Nightingale’s birthday. To honor the memory of Florence Nightingale and

recognize the importance of nursing, each of AHMC’s Network Facilities awarded

certificates of achievement to a Staff Nurse, a Nurse Leader, and a Nursing Assis-

tant who exemplified all of the qualities that Florence Nightingale demonstrated in

her practice. The facilities also honor all of the nursing staff for their continued dedi-

cation to the welfare of the patient with a time of celebration and reflection.

AHMC's Sean Deschamps, CEO at Mount St. John's Medical Centre in Antigua, handed out Perfect Attendance awards to nursing staff from all areas with perfect attendance between January and March 2014.

AHMC MEETS WITH INVES-

TORS IN SHANGHAI CHINA

CEO Randall Arlett, Regional Vice

President Greg Kuntz, and Internation-

al Sales Representative Jaman Chow-

dry met Chinese investors in Shanghai

at the beginning of May to explore

healthcare project development oppor-

tunities in China and in Asia. (Since

2007 healthcare deals in China have

tripled, to $10.5 billion in 2013, ac-

cording to the Wall Street Journal).

China is experiencing unprecedented

growth in both public and private sec-

tor healthcare, and ever-increasing

consumer demand for international-

standard healthcare services. This

presents AHMC with new growth and

expansion opportunities in Eastern

and Southern Asia.

MONGOLIAN PRIVATE

HEALTHCARE INVESTMENT

CONFERENCE

Regional VP Greg Kuntz recently gave

a presentation entitled “Investing in

Healthcare” to participants at the

Health Sector Economic and Invest-

ment Forum, held June 7, in Ulaanbaa-

tar, Mongolia. Greg addressed a group

of 100 forum participants on opportuni-

ties and challenges faced by investors

every day in private healthcare ser-

vices. While in the capital, Greg and

representatives of Sayali Capital met

with investors to explore private hospi-

tal development projects in Mongolia.

Vivian Ebhoyjiaye

Financial Controller

Tess Bower

International Marketing Representative

Lu Yu

Business Analyst/Accountant

NEW TO THE AHMC TEAM

ANTIGUA

Manuel Vicente- Director of Quality

EGYPT

Wesam Abu Diab- Director of Technology

INDIA

Victor Jackson- Chief Executive Officer Alan Fernandes- Chief Operating Officer

Bazil Brown- Chief Medical Officer

KINGDOM OF SAUDI ARABIA

Arebi Garsa- Chief Operating Officer Elmar Heilig- Chief Operating Officer David Ranney- Chief Financial Officer

Hannah Little- Director of Quality

2014 FELLOWS AND INTERNS

Alya Ibrahim, served as AHMC’s International Fellow dur-ing her final semester at Georgetown University, where she earned her MS in Health Systems Administration. During her time with AHMC, Alya primarily worked on the Healthcare Management Professional Project during Phas-es 1 through 3. She played a large role in development of many of the training modules. Specifically she worked on the KPI, Implementing LEAN/Six Sigma, and the Strategic Planning modules.

Alya has now graduated from Georgetown and will be joining Johns Hopkins Singa-pore to work as an administrative resident focusing on quality improvement initiatives and strategic planning. We are thankful to have had her as part of the AHMC team and wish her continued success.

Lu Yu, a masters student at George Washington Universi-ty, interned with us as a Financial Intern in 2013-2014. During his time as an intern at AHMC, Lu worked with the Financial Controller developing his financial skills. Lu graduated this past May with his Masters in Accountancy. We are excited to announce that Lu is joining the AHMC team full-time as the company's new Accountant and Business Analyst at the AHMC corporate office in Washington, DC.

Tess Bower worked with AHMC’s Vice President of Busi-ness Development to assist with AHMC’s marketing efforts. During her internship she worked to improve AHMC’s web-site and social media, created a database of clients and con-tacts, drafted marketing plans for Network Facilities, and supported the corporate team in various projects. Tess also travelled with the team to Dubai for Arab Health 2014 where she was responsible for scheduling meetings, adding pro-spects to the data base and subsequent follow-up.

As a result of AHMC continued growth and Tess making herself indispensable to AHMC's on-going business development efforts she earned a full-time position as AHMC's new International Marketing Representative.

CURRENT POSITIONS

AVAILABLE

SAUDI ARABIA

Regional Vice President Chief Executive Officer Chief Operating Officer Chief Financial Officer Chief Medical Officer Chief Nursing Officer

Director of Quality

MIDDLE EAST & NORTH AFRICA

Regional Vice President

GLOBAL HEADQUARTERS

WASHINGTON, DC

NEW AHMC NETWORK FACILITY

TBILISI– AMERICAN HOSPITAL

TBILISI, GEORGIA

An agreement between AHMC and Tbilisi-American Hospital’s (TAH) promoters

was signed in March 2014, adding TAH to AHMC’s network of facilities. This facility

is AHMC’s first greenfield hospital project in Eastern Europe.

Work continues on the development of Tbilisi-American Hospital to be located in

Tbilisi, Republic of Georgia. Schematic design has been completed, and design

development is underway. Regional VP Greg Kuntz met with representatives of the

lead project lender, in Tbilisi in June to complete their due diligence review. The site

visit also marked the official kick off of the project.

The Tbilisi-American Hospital, slated to open in the fourth quarter of 2015, will be an

80 bed tertiary acute care facility, featuring clinical programs in Cardiovascular Medi-

cine, Neurosurgery, Orthopedic Surgery, and General Surgery, and will offer cutting

edge diagnostic and clinic services. In addition, intends to develop new specialties

based on the perceived needs of the local and regional communities.

AHMC NETWORK UPDATES

CARIBBEAN

MOUNT ST. JOHN’S MEDICAL

CENTRE

AHMC and Mount St. John’s Medical Centre (MSJMC) in Antigua agreed to ex-

tend our management contract for a further term of six months. The extension be-

gan February 21st, 2014 and expires August 20th, 2014. The extension came after

the expiration of the original five-year term contract, signed on February 1st, 2009.

Manuel Vicente joined the AHMC team at MSJMC as Director of Quality in February

2014.

MIDDLE EAST AND NORTH AFRICA

AL QADI SPECIALTY HOSPITAL

NAJRAN, SAUDI ARABIA

Al Qadi Specialty Hospital is AHMC’s

first network facility to be developed in the

Kingdom of Saudi Arabia. The Al Qadi

Group and AHMC partnered in 2012 to

deliver the first hospital of its kind in the

Najran healthcare market, providing cutting

edge technology and care to the communi-

ty. Al Qadi Specialty hospital is projected to

begin operations in the first quarter of 2015.

LATIN AMERICA

HOSPITAL NACIONAL

PANAMA CITY, PANAMA

Hospital Nacional hosted the Azerbaijani and Georgian stakeholders of the

American Hospital Tbilisi project at the end of April, along with AHMC CEO, Randall

Arlett. Hospital Nacional CEO, Craig Morrissey, met with the team to give them a

look into an operating AHMC Network Facility.

In June Hospital Nacional, together with the Hospital de Niño and the Rotary Club of

Panama's Gift of Life Foundation, for the second year has opened its doors to the

"Jornada de Cateterismos Cardíacos". 21 children benefited from this event by re-

ceiving both diagnostic and corrective treatment, with all of the procedures being

performed in the Cardiac Cath Lab of Hospital Nacional.

AHMC would like to congratulate Hospital Nacional, its employees and the Medrano

Family on the 41st Anniversary of the institution. From its beginning as a 5 bed ma-

ternity clinic in 1973, there has always been a dedication to quality care that still ex-

ists today. AHMC is honored to have had the opportunity to have partnered with

Hospital Nacional since 2000.

Hospital Nacional will also be hosting the Fourth National Congress of Neonatology,

September 10-12, 2014.

CLINICA DELGADO

LIMA, PERU

Clinica Delgado began the second phase of construction in December, 2012.

The project consists of three towers, 147 beds, 7 operating rooms, 100 suite medial

office, out-patient services, diagnostics, 900 car parking, and a cancer treatment

center. The facility will serve as the flagship facility for AUNA Hospital Group, one of

Peru’s most respected healthcare providers.

AHMC also partnered with Gresham Smith and Partners (GSP) to design the iconic

hospital, which won two awards for “South American Hospital Design” from the

American Institute of Architects (AIA), and the 2011 AIA Tampa BayPeople’s Choice

Award The Construction projected to be completed at the end of 2014.

GHANA

Development activities continue for the 100 bed R-H Hospital for Special Surgery,

to be constructed in Accra, Ghana. Construction, slated to start during the first quar-

ter of 2015, is projected to take 18 months, with the hospital opening in mid-2016.

Project leaders and AHMC principals met recently in Washington, DC, with the

Overseas Private Investment Corporation (OPIC) to review funding and other

project details.

LAGOS, NIGERIA

Financing activities are underway for the 50 bed Lagos-American Specialty Hospi-

tal. The hospital will focus on surgical and concierge services and will offer

special amenities creating a unique healing environment unique to West Africa.

YOLA, NIGERIA

Feasibility studies have begun for the proposed 100 bed Crystal Thorpe/Yola hospi-

tal, slated for construction in 2015. Located in Northeast Nigeria, Crystal -

Thorpe/Yola will offer acute medical and surgical services in medical resort setting

which will include a hotel and 18 hole golf course. AHMC has partnered with Crystal

Thorpe to develop facilities in Lagos, Abuja, and Yola, Nigeria.

WEST AFRICAN PROJECTS

AN INTRODUCTION TO JOINT COMMISSION INTERNATIONAL AT AHMC FACILITIES

What is Quality?

Quality is a measure of excellence. It is a state of being free from defects, deficien-cies, and significant variations. This is brought about by the strict and consistent adherence to measurable and verifiable standards.

What are the Standards we need to adhere to?

They are the policies and procedures that the hospital develops according to accept-ed international best practices. This helps everyone to do something the same way and to the same level of excellence. Policies and procedures assist staff in knowing what is expected of them in their job performance. The types of standards created by the Joint Commission include those for patient rights, patient safety, medical staff credentialing, performance improvement, patient confidentiality, pain management, informed consent, and a lot more.

Why is Quality important?

When persons have access to Quality Healthcare they stay healthier overall, they recover more quickly when they become sick, and have less chance for complica-tions when they have health problems. Reaching for the highest level of quality as-sists in providing a safe environment of care for each patient. Everyone wants to receive the best care for themselves and their family members. It is our job to pro-vide them with this level of care.

What is Joint Commission International (JCI)?

JCI works with health care organizations, govern-ments, and international advocates to promote the highest quality standards of care and provide solu-tions for achieving high quality performance. JCI has been a consistent beacon for patient safety and quality improvement in the global community. It was created by the US based accreditation agency, the Joint Commission. JCI has a presence in more than 90 countries today.

Why do AHMC facilities strive for JCI accreditation?

JCI works with health care organizations, governments, and international advocates to promote the highest quality standards of care and provide solutions for achieving high quality performance. JCI has been a consistent beacon for patient safety and quality improvement in the global community. It was created by the US based ac-creditation agency, The Joint Commission. JCI has a presence in more than 90 countries today.

JCI-accredited hospitals in other countries must meet the same standards as U.S. hospitals. Without Joint Commission Accreditation in the US, hospitals have difficul-ty getting licensure and likely go out of business. Receiving JCI accreditation demonstrates to the public that this hospital operates under the highest quality rec-ognized internationally.

Who is responsible for Quality in each hospital?

AHMC facilities are in various stages of the process of creating a department specif-ically devoted to ensuring that the hospital and staff provide high quality healthcare to the citizens the individual countries in which they reside. The Quality Department cannot successfully achieve this by themselves. It requires teamwork from every staff member of the respective hospitals. It is everyone’s responsibility to ensure that the patients and visitors are treated well and that they receive the highest quality service.

AHMC QUALITY AND STANDARDS