Surgical Development Partners

We believe the all-encompassing litmus test of a successful facility is happy, satisfied physicians.

The executives at Surgical Development Partners have dedicated their careers to helping physicians generate and capture ancillary revenue streams. Our track record of successfully aligning ourselves with the physicians and exceeding their expectations allows us to earn the trust of our physician partners.

With declining professional reimbursements and rising costs across the nation, today's doctors are having to work harder to keep their incomes constant. We believe it is essential for surgeons to supplement their professional incomes by accessing additional facility based income where appropriate.

Physicians choose SDP for the following reasons:

• Physician Advocates – With constant pressures on physicians, including regulatory and reimbursement challenges, you can depend on Surgical Development Partners to remain a strong advocate of the physician.

• Flexible model – A controlling interest is not our goal, but, rather, we prefer a minority interest in our projects, giving the majority interest to our physician and hospital partners whose commitment warrants the larger share.

• Expertise – Having the right input from the inception of a project to opening is critical to success. Surgical Development Partners' guidance on everything from design and scope of the facility, financial modeling, staffing personnel, recruitment and syndication of the partnership, and managed care contracting will help avoid many of the pitfalls that can lead to failure. Small miscalculations in any of these areas can and usually will lead to major problems.

• Turn Key Development – The ability to take the vision of a group of surgeons from the drawing board to reality. Our development and management experience allows our physician partners to focus on their professional practice while we execute the project game plan.

• Strong Recruitment Skills – Surgical Development Partners management is highly trained, proven, and focused on recruiting additional surgeons to its projects. We have demonstrated an ability to provide recruitment assistance to our projects ensuring "same facility or same store" growth and increased profitability over time. Our recruitment experience can be especially helpful at the start of a project when it is necessary to layer in additional surgeons on top of our core founding group to reach enough critical mass to get a project off the ground.

• Syndication Expertise – Surgical Development Partners management includes an individual with experience as president and licensed principal of a NASD registered broker dealership responsible for managing hundreds of syndications and partnership equity transactions. There is a delicate balance between growing the partnership base and minimizing dilution among the founding members. Our disciplined approach maximizes the distributions and equity value of the founding members. We have the ability to evaluate and manage secondary syndications and handle the share transfers and repurchases that frequently take place in these partnerships.

• Partnership Legal Structure – We have taken the lessons learned from involvement with hundreds of surgery centers and reworked the best provisions and refined the language into a set of proprietary legal documents. We believe the best way to avoid costly and frustrating partnership issues down the road is to set up the partnerships correctly from the start. Our legal team will ensure that partnership documents have the right provisions to handle the issues of share transfers, secondary syndications, retirement, involuntary disposition, bad actor language, and "deadweight buy-outs". Our standard documents incorporate buy back provisions relating to the latest OIG extension of practice or "one-third, one-third" language. Our partnerships are designed to have only active, participating physician members.

• Disciplined Financial Modeling – We have performed hundreds of feasibility studies and believe we have the best financial models in the business. However, a pro forma is only as good as the underlying assumptions. Our experience allows us to evaluate your prior assumptions before you commit more of your time, reputation, and money to a venture that may have undetected flaws. In the event that we discover something disconcerting, we will not only tell you so, but we will make strategic recommendations to overcome those concerns.

• Financing Options - Surgical Development Partners has some of the best banking and lending relationships in the industry. We have been able to provide creative financing alternatives where other companies have fallen short. Our strong belief is that our partnerships should be set up without personal debt guarantees whenever possible. If personal guarantees are unavoidable for a particular project, we will work with lenders to minimize the guarantees and ensure that they are based on pro rata ownership percentages - not joint and several.

• Facility Design – Members of the SDP team have been responsible for the design of over 400 surgery centers, 40 hospitals, 150 imaging centers, and over 100 Medical Office Buildings. We have the most efficient schematic designs and space programs available. Our template designs focus on physician and staff convenience while maintaining appropriate, efficient patient flows.