DRAFT

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MCCI Medical Group May 2008
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Company Overview

• Headquartered in Miami, Florida
• 33 state-of-the-art medical centers in Florida
• 5,000 to 30,000 square feet
• Medical Resources
• 105 physicians
• Over 200 specialists
• Partnerships with Humana, Coventry, and WellCare
• Provides healthcare services under global risk
  contracts
• More than 90,000 Medicare, Medicaid, and
  commercial beneficiaries
• In-house urgent care services
• Broad range of full scale medical services on
  site
• Disease management programs

Over 20 years of experience
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Significant Presence in Key Florida Counties
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Patient Breakdown
By County
By Payor
By Type
Note Membership data as of March 2008.
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MCCI Patients
2004
2005
2006
2007
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Premium Revenue
2004
2005
2006
2007
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Profit Margin
2004
2005
2006
2007
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Medical Structure
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MCCIs Broad Range of Services
Disease
Case
Hospitalists
Urgent Care
Management
Management
Direct Access to
In House/Delivery
Direct Access to
Direct Referral
Physicians
Specialist
Access
Pharmacy
X-ray
Lab Drawing
EKG
Pacemaker
Testing
Check
Services
Stations
Internal
Dental
Eye Care
Physical Therapy
Services
Medicine
Activity
Transportation
Diabetes Education/
Family Health
Nutrition
Education
Centers
Services
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Wide Offering of Specialties
Wide Offering of Specialties
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MCCI Approach

• Patient is seen within 7 days after assigned to
  physician
• High risk patients may be segregated into an
  inter-disciplinary approach
• Disease management
• Social services
• Increased frequency of physician-patient
  interaction
• Preventive screening (e.g., mammograms)
• MCCI coordinates all referral visits for patients
  
• One hospital coordinator at every medical center
• Post-hospitalization follow up within 48 hours
• In-house pharmacy in all facilities
• Transportation provided to patients
• Activity centers available

On average, MCCI patients visit their PCP
approximately 6-8 times a year, higher than
competitor rate
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Competitive Advantage
STRONG PHYSICIAN-PATIENT RELATIONSHIPS Average
physician-patient relationship of 15-20 years
LOW PHYSICIAN TURNOVER Minimal physician losses
since 2000
SUPERIOR CLINICAL OUTCOMES Three-year average
hospitalization days of 1,200 to 1,300 per
thousand patients vs. 1,450 industry average
HIGH PATIENT SATISFACTION AND RETENTION 98
satisfaction rate Low patient turnover of
approximately 1.0 per year since 2000
PROPRIETARY DATA WAREHOUSE Highly secure data
warehouse, with exceptional drill-down
capabilities
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MCCI Clinical Outcomes
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Continuous Preventive Screening

• Blood Cell Count
• Electrolytes
• Fasting Blood Sugar
• Liver Enzymes
• Urinalysis
• TSH
• PSA
• A1Z (Glycohemoglobin)

• GFR
• Chest X-Ray
• Mammograms (women over 40 years old)
• Pap Smear
• Colonoscopy (patients over 50 years old)
• Bone Density
• EKG
• Vaccines updated

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Medical Loss Ratio
2004
2005
2006
2007
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Bed Days per Thousands
2007
2004
2005
2006
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Admissions per Thousands
2007
2004
2005
2006
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Re-Admission Rate (7 days or less)
2004
2005
2006
2007
Industry Avg.
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Re-Admission Rate (30 days or less)
2004
2007
2005
2006
Industry Avg.
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Cost of Diabetic Patients
2004
2005
2006
2007
Industry Average
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Diabetes Management Approach

• Increased frequency and duration of visits
• Nutritional/Exercise training
• Case management/ Social worker follow up
• Daily monitoring of fasting blood sugar
• Close follow up of Glycohemoglobin
• Ophthalmology check up every six months
• Annual podiatry check up
• Biofeedback
• Group therapy
• Family involvement

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Cost of Asthma Patients
2004
2005
2006
2007
Industry Avg.
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Asthma Management Approach

• Increased frequency and duration of visits
• Family/Patient Training
• Self-determination of FEV1
• Close outpatient monitoring of moderate to severe
  asthmatics
• Case Management/ Social Worker follow up
• Access to urgent/after-hours care
• Home visits by physician

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MCCI

• Continuous patient monitoring
• Inter-disciplinary approach tailored to patient
  needs
• Focus on disease management programs
• Prevent high-cost of hospitalizations
• In-house urgent care services
• State-of-the-art information technology systems
• Superior clinical outcomes

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Medical Management System

• Business Intelligence/Data Warehouse
• Web-based Analytical Reporting Tool
• Drilldown Capability
• Trend Analysis
• Clinical Profiling
• Financial Reporting
• Highly Scalable

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Questions Answers