EFTA01371273.pdf

Successful Healthcare Operational Track Record Alvarado Hospital Medical Center (2006 - 2010) Investment Summary Investment Returns Acquisition date Dec-2006 Exit date Nov-2010 Seller tenet Buyer a Prime I lealthcare Purchase price $22 million Location San Diego, CA Equity multiple!'? 6.0x Hospital type Acute & specialty care IRR -50% # Beds 306 Additional real # Employees 1,500+ 4.0x on additional equity estate development Clinical Improvement Highlights Operational Improvement Highlights — Physician recruitment: Cardiology, orthopedics, spine program, — Health insurance plan reimbursements: Renegotiated health plan neurosurgery, urology and internal medicine agreements achieving significant rate increases — Navigate regulatory environment: Renegotiated Medicaid and CDCR - New specialties and service lines: Minimally invasive spine surgery agreements with the State of California achieving significant rate increases program, skull base neurosurgery program and laparoscopic gastric bypass adding a new MRI suite, new CT scan suite, and new cardiac — Operating Improvements: Hospitalist program implemented to reduce catheterization suite patient length-of-stay and hospital acquired infections, and renegotiated vendor agreements achieving significant cost savings. Increased patient census: With the new specialties and service lines, an — Development of Excess Real Estate: Built 320 student housing units on emergency room physician restructuring, and improved hospital admissions half the 10-acre hospital campus, which is next to San Diego State University Clinical Achievements Financial Achievements Emergency department admissions growth +22% Average daily census growth From 80 to 120 Hospital admissions growth +55% Length of stay reduction From 7.4 to 4.2 days Cardiac admissions growth +88% Revenue growth 14% CAGR from $120mm to $200mm Clinical trials growth From 1 to 55 EBITDA turnaround ($10mm) loss to $12mm profit (a) Represents the total amount of equity returned over the total amount of equity invested American Medical Properties CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0064564 CONFIDENTIAL SDNY_GM_00210748 EFTA01371273