Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care...

21
www.globalmedicalreit.com Capital Partners to Health Care Providers INVESTOR PRESENTATION September 2017

Transcript of Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care...

Page 1: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

Capital Partners to Health Care Providers

INVESTOR PRESENTATIONSeptember 2017

wwwglobalmedicalreitcom

DISCLAIMER

2

This presentation is for informational purposes only and does not constitute an offer to sell or a solicitation of offers to purchase the Companyrsquos securities The information containedin this presentation does not purport to be complete and should not be relied upon as a basis for making an investment decision in the Companyrsquos securities This presentation alsocontains statements that to the extent they are not recitations of historical fact constitute ldquoforward-looking statementsrdquo Forward-looking statements are typically identified by theuse of terms such as ldquomayrdquo ldquoshouldrdquo ldquoexpectrdquo ldquocouldrdquo ldquointendrdquo ldquoplanrdquo ldquoanticipaterdquo ldquoestimaterdquo ldquobelieverdquo ldquocontinuerdquo ldquopredictrdquo ldquopotentialrdquo or the negative of such terms and othercomparable terminology The forward-looking statements included herein are based upon the Companyrsquos current expectations plans estimates assumptions and beliefs that involvenumerous risks and uncertainties Assumptions relating to the foregoing involve judgments with respect to among other things future economic competitive and market conditionsand future business decisions all of which are difficult or impossible to predict accurately and many of which are beyond the Companyrsquos control Although the Company believes thatthe expectations reflected in such forward-looking statements are based on reasonable assumptions the Companyrsquos actual results and performance could differ materially from thoseset forth in the forward-looking statements due to the impact of many factors including but not limited to those discussed under ldquoRisk Factorsrdquo in the Companyrsquos Annual Report onForm 10-K and Quarterly Reports on Form 10-Q and any prospectus or prospectus supplement filed with the Securities and Exchange Commission The Company undertakes noobligation to update or revise any such information for any reason after the date of this presentation unless required by law

wwwglobalmedicalreitcom

AT A GLANCE

Well-positioned to execute on pipeline acquisitions using credit facility

Addition of recently-announced ATM facility provides acquisition financing optionality

STOCK INFORMATION

3

BALANCE SHEET HIGHLIGHTS

bull GMRE (NYSE) STOCK PRICE $918

bull Market Capitalization $1986 million

bull Common shares outstanding 216 million

Data is as of September 8 2017

KEY BUSINESS POINTS

bull $380 million gross investment

bull Healthcare REIT focused on the acquisition and sale-leaseback of healthcare facilities

bull Substantial pipeline of high quality purpose-built facilities

bull Experienced management with deep relationships in sector

bull Attractive industry tailwinds recession-resistant asset class

wwwglobalmedicalreitcom

JAMIE BARBER General Counsel and Corporate Secretary

LEADERSHIP

4

Over 30 years of experience in financial accounting reporting and management including extensive experience in SEC reporting and Sarbanes-Oxley compliance

Served as the Senior Vice President Controller and Chief Accounting Officer of FBR amp Co (ldquoFBRrdquo NASDAQ FBRC) beginning in October 2007 Prior role as Senior Vice President Controller and Chief Accounting Officer of Arlington Asset Investment Corp (NYSE AI) Previously Senior Manager in the assurance practice at Ernst amp Young

Over 17 years of experience in real estate finance and has completed $3 billion of transactions Prior experience as principal at investment advisor to pension funds and investment banker representing healthcare systems developers and

REITs Healthcare real estate investment banker for Cain Brothers

DANICA HOLLEY Chief Operating Officer

ALFONZO LEON Chief Investment Officer

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

More than a decade of experience with SEC compliance and reporting matters corporate governance investment banking and REIT-related capital markets

Served as Associate General Counsel of FBR (NASDAQ FBRC) beginning in July 2012 Prior role as Senior Associate ndash REIT Capital Markets at Hunton amp Williams LLP where he represented public REITs in conjunction with their SEC

compliance requirements corporate governance matters offerings of equity and debt and merger and acquisition transactions Previously with Sullivan amp Cromwell LLP and KPMG

Management and business development experience spans more than 18 years More than a decade of experience managing multinational teams for complex service delivery across disciplines More than 8 years in healthcare programs and infrastructure as Executive Director of Safe Blood International

ROBERT KIERNAN Chief Financial Officer and Treasurer

JEFFREY BUSCH Chairman Chief Executive Officer and President

wwwglobalmedicalreitcom

COMPANY OVERVIEW

5

Healthcare REIT focused on the acquisition and leasing of state-of-the-art purpose built healthcare facilities

Focus on state-of-the-art medical office buildings (MOB) outpatient and licensed medical facilities that through their technology and design enhance the quality of care Facilities built or adapted to contemporary best healthcare practices Target the ldquofactoryrdquo where core medical procedures are delivered Lease to strong medical providers with leading local market share Focus on single tenant net lease real estate

Current portfolio of 48 facilities net leased to 39 tenants Approximately 1120000 square feet of leasable area 9 years average lease term remaining 12 years average age of portfolio ndash youngest of listed healthcare REITs

Pipeline primed for growth Large and increasing acquisition pipeline under review Focus on relationships and off-market transactions

wwwglobalmedicalreitcom

STRATEGY TO OUTPERFORM

6

Creating attractive returns by leveraging management expertise and differentiated investment strategy

Attractive Acquisition Dynamics

Outsized Current Returns

Capital Appreciation

Less competitive market segment

Deal sourcing through relationships

Tenant-focused due diligence process

Contractual rent increases

Minimal FFO impact from tenant improvements

Insulation from operating cost increases

Newer real estate core to provider

Barriers to entry lower supply

Steady increase in healthcare demand

wwwglobalmedicalreitcom

ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

wwwglobalmedicalreitcom

EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

wwwglobalmedicalreitcom

GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 2: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

DISCLAIMER

2

This presentation is for informational purposes only and does not constitute an offer to sell or a solicitation of offers to purchase the Companyrsquos securities The information containedin this presentation does not purport to be complete and should not be relied upon as a basis for making an investment decision in the Companyrsquos securities This presentation alsocontains statements that to the extent they are not recitations of historical fact constitute ldquoforward-looking statementsrdquo Forward-looking statements are typically identified by theuse of terms such as ldquomayrdquo ldquoshouldrdquo ldquoexpectrdquo ldquocouldrdquo ldquointendrdquo ldquoplanrdquo ldquoanticipaterdquo ldquoestimaterdquo ldquobelieverdquo ldquocontinuerdquo ldquopredictrdquo ldquopotentialrdquo or the negative of such terms and othercomparable terminology The forward-looking statements included herein are based upon the Companyrsquos current expectations plans estimates assumptions and beliefs that involvenumerous risks and uncertainties Assumptions relating to the foregoing involve judgments with respect to among other things future economic competitive and market conditionsand future business decisions all of which are difficult or impossible to predict accurately and many of which are beyond the Companyrsquos control Although the Company believes thatthe expectations reflected in such forward-looking statements are based on reasonable assumptions the Companyrsquos actual results and performance could differ materially from thoseset forth in the forward-looking statements due to the impact of many factors including but not limited to those discussed under ldquoRisk Factorsrdquo in the Companyrsquos Annual Report onForm 10-K and Quarterly Reports on Form 10-Q and any prospectus or prospectus supplement filed with the Securities and Exchange Commission The Company undertakes noobligation to update or revise any such information for any reason after the date of this presentation unless required by law

wwwglobalmedicalreitcom

AT A GLANCE

Well-positioned to execute on pipeline acquisitions using credit facility

Addition of recently-announced ATM facility provides acquisition financing optionality

STOCK INFORMATION

3

BALANCE SHEET HIGHLIGHTS

bull GMRE (NYSE) STOCK PRICE $918

bull Market Capitalization $1986 million

bull Common shares outstanding 216 million

Data is as of September 8 2017

KEY BUSINESS POINTS

bull $380 million gross investment

bull Healthcare REIT focused on the acquisition and sale-leaseback of healthcare facilities

bull Substantial pipeline of high quality purpose-built facilities

bull Experienced management with deep relationships in sector

bull Attractive industry tailwinds recession-resistant asset class

wwwglobalmedicalreitcom

JAMIE BARBER General Counsel and Corporate Secretary

LEADERSHIP

4

Over 30 years of experience in financial accounting reporting and management including extensive experience in SEC reporting and Sarbanes-Oxley compliance

Served as the Senior Vice President Controller and Chief Accounting Officer of FBR amp Co (ldquoFBRrdquo NASDAQ FBRC) beginning in October 2007 Prior role as Senior Vice President Controller and Chief Accounting Officer of Arlington Asset Investment Corp (NYSE AI) Previously Senior Manager in the assurance practice at Ernst amp Young

Over 17 years of experience in real estate finance and has completed $3 billion of transactions Prior experience as principal at investment advisor to pension funds and investment banker representing healthcare systems developers and

REITs Healthcare real estate investment banker for Cain Brothers

DANICA HOLLEY Chief Operating Officer

ALFONZO LEON Chief Investment Officer

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

More than a decade of experience with SEC compliance and reporting matters corporate governance investment banking and REIT-related capital markets

Served as Associate General Counsel of FBR (NASDAQ FBRC) beginning in July 2012 Prior role as Senior Associate ndash REIT Capital Markets at Hunton amp Williams LLP where he represented public REITs in conjunction with their SEC

compliance requirements corporate governance matters offerings of equity and debt and merger and acquisition transactions Previously with Sullivan amp Cromwell LLP and KPMG

Management and business development experience spans more than 18 years More than a decade of experience managing multinational teams for complex service delivery across disciplines More than 8 years in healthcare programs and infrastructure as Executive Director of Safe Blood International

ROBERT KIERNAN Chief Financial Officer and Treasurer

JEFFREY BUSCH Chairman Chief Executive Officer and President

wwwglobalmedicalreitcom

COMPANY OVERVIEW

5

Healthcare REIT focused on the acquisition and leasing of state-of-the-art purpose built healthcare facilities

Focus on state-of-the-art medical office buildings (MOB) outpatient and licensed medical facilities that through their technology and design enhance the quality of care Facilities built or adapted to contemporary best healthcare practices Target the ldquofactoryrdquo where core medical procedures are delivered Lease to strong medical providers with leading local market share Focus on single tenant net lease real estate

Current portfolio of 48 facilities net leased to 39 tenants Approximately 1120000 square feet of leasable area 9 years average lease term remaining 12 years average age of portfolio ndash youngest of listed healthcare REITs

Pipeline primed for growth Large and increasing acquisition pipeline under review Focus on relationships and off-market transactions

wwwglobalmedicalreitcom

STRATEGY TO OUTPERFORM

6

Creating attractive returns by leveraging management expertise and differentiated investment strategy

Attractive Acquisition Dynamics

Outsized Current Returns

Capital Appreciation

Less competitive market segment

Deal sourcing through relationships

Tenant-focused due diligence process

Contractual rent increases

Minimal FFO impact from tenant improvements

Insulation from operating cost increases

Newer real estate core to provider

Barriers to entry lower supply

Steady increase in healthcare demand

wwwglobalmedicalreitcom

ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

wwwglobalmedicalreitcom

EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

wwwglobalmedicalreitcom

GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 3: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

AT A GLANCE

Well-positioned to execute on pipeline acquisitions using credit facility

Addition of recently-announced ATM facility provides acquisition financing optionality

STOCK INFORMATION

3

BALANCE SHEET HIGHLIGHTS

bull GMRE (NYSE) STOCK PRICE $918

bull Market Capitalization $1986 million

bull Common shares outstanding 216 million

Data is as of September 8 2017

KEY BUSINESS POINTS

bull $380 million gross investment

bull Healthcare REIT focused on the acquisition and sale-leaseback of healthcare facilities

bull Substantial pipeline of high quality purpose-built facilities

bull Experienced management with deep relationships in sector

bull Attractive industry tailwinds recession-resistant asset class

wwwglobalmedicalreitcom

JAMIE BARBER General Counsel and Corporate Secretary

LEADERSHIP

4

Over 30 years of experience in financial accounting reporting and management including extensive experience in SEC reporting and Sarbanes-Oxley compliance

Served as the Senior Vice President Controller and Chief Accounting Officer of FBR amp Co (ldquoFBRrdquo NASDAQ FBRC) beginning in October 2007 Prior role as Senior Vice President Controller and Chief Accounting Officer of Arlington Asset Investment Corp (NYSE AI) Previously Senior Manager in the assurance practice at Ernst amp Young

Over 17 years of experience in real estate finance and has completed $3 billion of transactions Prior experience as principal at investment advisor to pension funds and investment banker representing healthcare systems developers and

REITs Healthcare real estate investment banker for Cain Brothers

DANICA HOLLEY Chief Operating Officer

ALFONZO LEON Chief Investment Officer

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

More than a decade of experience with SEC compliance and reporting matters corporate governance investment banking and REIT-related capital markets

Served as Associate General Counsel of FBR (NASDAQ FBRC) beginning in July 2012 Prior role as Senior Associate ndash REIT Capital Markets at Hunton amp Williams LLP where he represented public REITs in conjunction with their SEC

compliance requirements corporate governance matters offerings of equity and debt and merger and acquisition transactions Previously with Sullivan amp Cromwell LLP and KPMG

Management and business development experience spans more than 18 years More than a decade of experience managing multinational teams for complex service delivery across disciplines More than 8 years in healthcare programs and infrastructure as Executive Director of Safe Blood International

ROBERT KIERNAN Chief Financial Officer and Treasurer

JEFFREY BUSCH Chairman Chief Executive Officer and President

wwwglobalmedicalreitcom

COMPANY OVERVIEW

5

Healthcare REIT focused on the acquisition and leasing of state-of-the-art purpose built healthcare facilities

Focus on state-of-the-art medical office buildings (MOB) outpatient and licensed medical facilities that through their technology and design enhance the quality of care Facilities built or adapted to contemporary best healthcare practices Target the ldquofactoryrdquo where core medical procedures are delivered Lease to strong medical providers with leading local market share Focus on single tenant net lease real estate

Current portfolio of 48 facilities net leased to 39 tenants Approximately 1120000 square feet of leasable area 9 years average lease term remaining 12 years average age of portfolio ndash youngest of listed healthcare REITs

Pipeline primed for growth Large and increasing acquisition pipeline under review Focus on relationships and off-market transactions

wwwglobalmedicalreitcom

STRATEGY TO OUTPERFORM

6

Creating attractive returns by leveraging management expertise and differentiated investment strategy

Attractive Acquisition Dynamics

Outsized Current Returns

Capital Appreciation

Less competitive market segment

Deal sourcing through relationships

Tenant-focused due diligence process

Contractual rent increases

Minimal FFO impact from tenant improvements

Insulation from operating cost increases

Newer real estate core to provider

Barriers to entry lower supply

Steady increase in healthcare demand

wwwglobalmedicalreitcom

ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

wwwglobalmedicalreitcom

EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

wwwglobalmedicalreitcom

GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 4: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

JAMIE BARBER General Counsel and Corporate Secretary

LEADERSHIP

4

Over 30 years of experience in financial accounting reporting and management including extensive experience in SEC reporting and Sarbanes-Oxley compliance

Served as the Senior Vice President Controller and Chief Accounting Officer of FBR amp Co (ldquoFBRrdquo NASDAQ FBRC) beginning in October 2007 Prior role as Senior Vice President Controller and Chief Accounting Officer of Arlington Asset Investment Corp (NYSE AI) Previously Senior Manager in the assurance practice at Ernst amp Young

Over 17 years of experience in real estate finance and has completed $3 billion of transactions Prior experience as principal at investment advisor to pension funds and investment banker representing healthcare systems developers and

REITs Healthcare real estate investment banker for Cain Brothers

DANICA HOLLEY Chief Operating Officer

ALFONZO LEON Chief Investment Officer

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

More than a decade of experience with SEC compliance and reporting matters corporate governance investment banking and REIT-related capital markets

Served as Associate General Counsel of FBR (NASDAQ FBRC) beginning in July 2012 Prior role as Senior Associate ndash REIT Capital Markets at Hunton amp Williams LLP where he represented public REITs in conjunction with their SEC

compliance requirements corporate governance matters offerings of equity and debt and merger and acquisition transactions Previously with Sullivan amp Cromwell LLP and KPMG

Management and business development experience spans more than 18 years More than a decade of experience managing multinational teams for complex service delivery across disciplines More than 8 years in healthcare programs and infrastructure as Executive Director of Safe Blood International

ROBERT KIERNAN Chief Financial Officer and Treasurer

JEFFREY BUSCH Chairman Chief Executive Officer and President

wwwglobalmedicalreitcom

COMPANY OVERVIEW

5

Healthcare REIT focused on the acquisition and leasing of state-of-the-art purpose built healthcare facilities

Focus on state-of-the-art medical office buildings (MOB) outpatient and licensed medical facilities that through their technology and design enhance the quality of care Facilities built or adapted to contemporary best healthcare practices Target the ldquofactoryrdquo where core medical procedures are delivered Lease to strong medical providers with leading local market share Focus on single tenant net lease real estate

Current portfolio of 48 facilities net leased to 39 tenants Approximately 1120000 square feet of leasable area 9 years average lease term remaining 12 years average age of portfolio ndash youngest of listed healthcare REITs

Pipeline primed for growth Large and increasing acquisition pipeline under review Focus on relationships and off-market transactions

wwwglobalmedicalreitcom

STRATEGY TO OUTPERFORM

6

Creating attractive returns by leveraging management expertise and differentiated investment strategy

Attractive Acquisition Dynamics

Outsized Current Returns

Capital Appreciation

Less competitive market segment

Deal sourcing through relationships

Tenant-focused due diligence process

Contractual rent increases

Minimal FFO impact from tenant improvements

Insulation from operating cost increases

Newer real estate core to provider

Barriers to entry lower supply

Steady increase in healthcare demand

wwwglobalmedicalreitcom

ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

wwwglobalmedicalreitcom

EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

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GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 5: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

COMPANY OVERVIEW

5

Healthcare REIT focused on the acquisition and leasing of state-of-the-art purpose built healthcare facilities

Focus on state-of-the-art medical office buildings (MOB) outpatient and licensed medical facilities that through their technology and design enhance the quality of care Facilities built or adapted to contemporary best healthcare practices Target the ldquofactoryrdquo where core medical procedures are delivered Lease to strong medical providers with leading local market share Focus on single tenant net lease real estate

Current portfolio of 48 facilities net leased to 39 tenants Approximately 1120000 square feet of leasable area 9 years average lease term remaining 12 years average age of portfolio ndash youngest of listed healthcare REITs

Pipeline primed for growth Large and increasing acquisition pipeline under review Focus on relationships and off-market transactions

wwwglobalmedicalreitcom

STRATEGY TO OUTPERFORM

6

Creating attractive returns by leveraging management expertise and differentiated investment strategy

Attractive Acquisition Dynamics

Outsized Current Returns

Capital Appreciation

Less competitive market segment

Deal sourcing through relationships

Tenant-focused due diligence process

Contractual rent increases

Minimal FFO impact from tenant improvements

Insulation from operating cost increases

Newer real estate core to provider

Barriers to entry lower supply

Steady increase in healthcare demand

wwwglobalmedicalreitcom

ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

wwwglobalmedicalreitcom

EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

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GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 6: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

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STRATEGY TO OUTPERFORM

6

Creating attractive returns by leveraging management expertise and differentiated investment strategy

Attractive Acquisition Dynamics

Outsized Current Returns

Capital Appreciation

Less competitive market segment

Deal sourcing through relationships

Tenant-focused due diligence process

Contractual rent increases

Minimal FFO impact from tenant improvements

Insulation from operating cost increases

Newer real estate core to provider

Barriers to entry lower supply

Steady increase in healthcare demand

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ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

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EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

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GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

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MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

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PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

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PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

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ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 7: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

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ATTRACTIVE INDUSTRY TRENDS

7

PROJECTED AGING OF US POPULATION

CHANGING CONSUMER PREFERENCES ARE A MAJOR FACTOR IN GMRErsquoS PROPERTY SELECTION

1517

1921 21 22 22 22 23 24

0

5

10

15

20

25

30

0

20

40

60

80

100

120

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

Perc

enta

ge 6

5 an

d O

lder

Mill

ions

of P

eopl

e

65-74 75-84 85+ 65+

65+ age group expected to double between 2015 and 2060

85+ age group expected to triple between 2015 and 2060

Use of healthcare dramatically increases with age

GMR targets practice types frequently utilized by older

demographics cardiovascular treatment cosmetic plastic

surgery eye surgery gastroenterology oncology treatment

and orthopedics

Source Centers for Medicare amp Medicaid Services Office of the Actuary

1250

1500

1750

2000

2250

1993

1997

2001

2005

2009

2013

Visi

ts p

er 1

000

100

105

110

115

120

125

1993

1997

2001

2005

2009

2013

Adm

issi

ons

per 1

000

OUPATIENT CARE INPATIENT CARE

Demographic shifts and changing consumer preferences spurring healthcare industry growth

Consumer preference shifting to outpatient care

508 growth in outpatient visits from 1993-2013

109 decrease in inpatient admissions from 1993-2013

Need for more outpatient facilities

Preference for smaller specialized and efficient hospitals

Source American Hospital Association Annual Survey for community hospitals

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EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

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GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

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MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

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PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

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PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

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ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 8: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

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EVIDENCE-BASED DESIGN

8

As EBD research becomes more widely recognized and reproduced facilities with these features expect to outperform

STATE-OF-THE-ART MEDICAL

TECHNOLOGY

ADVANCED BUILDING ENGINEERING

EFFICIENT TREATMENT AND PROCESSING

DESIGN

AMENITIZED PATIENT

ENVIRONMENT

EBD research demonstrates an interrelatedness between the design of a healthcare facility and patient outcomes

Certain design elements have an important impact on productivity safety health and morale for both physicians and patients

Facilities with these features can attract and retain strong tenants and will outperform over time

BETTER PATIENT

OUTCOMES

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GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

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MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

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PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

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PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

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ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 9: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

GMR INVESTMENT CRITERIA

HIGH-QUALITY FACILITIES

State-of-the-art technology and design Facilities recently built or renovated Facilities core to provider business model Functionality reusability conversion value

FOCUS ON TENANT OPERATIONS

Excellent medical practice groups with sustainable practices

Single long-term tenants = no vacancy rate Existing long-standing provider Strong and diversified payor mix

STRATEGIC LOCATIONS

Position to take advantage of decentralization trends Identifiable predictable historical market demand Proximity to related resources for reliable patient flow Barriers to entrycompetition

Dominant specialty group practices regional sole providers

Regional specialty hospitals Long-term practice success expert hospital

management history

PROVIDERS CRITICAL TO LOCAL POPULATIONS

9

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

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PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

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PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 10: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

MARKET LEADING TENANTS

ESTABLISHED PROVIDER CLINICAL EXPERTISE STRONG CREDIT

10

What we seek to acquire

Demonstrated clinical leaders

Going concern history

High market share

Stable and competent management

Robust and durable payor contracts

Competitive advantages

Predictable stable rents

Strong and diversified payor mix

Higher barrier to entry for competitors

Supports long term lease terms

What we seek to acquire

Prominent local physicians

Board credentials

Strong peer reviews

Academic identity

Age-related procedure expertise

Competitive advantages

Newer purpose-built real estate

Patient loyalty and strong market share

Focus on the future of healthcare

What we seek to acquire

Strong EBITDARM rent coverage

Guarantors with strong credit

Subordination of profits to rent

Operators with regional or national

footprint

Competitive advantages

Rent coverage in excess of peers

Implicit credit stronger than peers

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 11: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Select Specialty Omaha NE 1 LTAC 41113 493 2008 $1762512 $4287 Select Specialty Hospital ndash Omaha IncSelect Medical Corporation

Orthopedic Surgery Center of Asheville Asheville NC 1 ASC 8840 461 19812002 237621 2688 Orthopedic Surgery Center of

AshvilleSurgery PartnersAssociates in Ophthalmology West Mifflin PA 1 MOB

ASC 27193 1316 2007 783653 2882 Associates Surgery Centers LLC Associates in Ophthalmology Ltd

Gastroenterology Center of the MidSouth Memphis TN 6 MOB

ASC 52266 104320012003 19842011 20092006

1300000 2487Gastroenterology Center of the MidSouth

Star Medical Center LLCLumin Health Plano TX 1 Surgical

Hospital 24000 1850 2013 1278000 5325 Star Medical CenterLumin Health

Surgical Institute of Michigan Detroit MI 1 ASC 15018 868 19742002

2009 389500 2594Surgical Institute of MichiganSurgical Management Professionals

First Choice Healthcare Solutions Melbourne FL 1 MOB

Imaging 75899 868 19942005 1104675 1455 Marina Towers LLCFirst Choice Healthcare Solutions Inc

Berks Physicians amp Surgeons Wyomissing PA 2 MOB

ASC 23500 898 2001 19922008 690045 2936 Berks Physicians amp Surgeons

Ridgewood Surgery AssociatesBrown Clinic Watertown SD 3 MOB 46884 1417 2016 707167 1508 Brown Clinic Prospect Medical Group Holdings East Orange NJ 1 MOB 60442 917 1998 942895 1560 Prospect Medical Holdings Inc

Northern Ohio Medical Specialists Sandusky OH 8 MOB 55760 1026 2015 2016

2017 1999 842482 1511 Northern Ohio Medical Specialists

Carson Medical Group Carson City NV 2 MOB 20632 626 1991 344000 1667 Carson Medical GroupPiedmont Mountainside Hospital Inc Ellijay GA 3 MOB 44162 892 20052012

2015 364224 825 Piedmont Mountainside Hospital Inc

HealthSouth Mesa Mesa AZ 1 IRF 51903 726 2009 1710617 3296 HealthsouthHealthSouth Altoona Altoona PA 1 IRF 70007 378 1986 1671760 2388 HealthsouthHealthSouth Mechanicsburg

Mechanicsburg PA 1 IRF 78836 378 1986 1877298 2381 Healthsouth

11

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 12: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO AS OF SEPTEMBER 12 2017 (CONT)

Property Location of

BuildingsFacility Type

Net Leasable

Square Feet

Lease Years

RemainingYear BuiltRenovated

AnnualizedRent(1)

Annualized Rent Per

Square Foot(1) TenantGuarantor(2)

Geisinger Health Lewisburg PA 1 MOBImaging 28480 576 2008 542501 1905 Geisinger Health

Southwest Florida Neurosurgical Associates Cape Coral FL 1 MOB 25814 951 2007 529187 2050 Southwest Florida Neurosurgical

AssociatesLas Cruces Orthopedic Associates Las Cruces NM 1 MOB 15761 1151 19871992

2012 354623 2250 Las Cruces Orthopedic Associates

Thumb Butte Medical Center Prescott AZ 1 MOB 12000 909 2016 360000 3000 Thumb Butte Medical

CenterPhysician Guaranty

Orlando Health South Lake Hospital Clermont FL 1 MOB 18152 358 2014 361915 1994

Orlando Health Southlake Hospital Vascular Specialists of Central Florida

OCOM Oklahoma City OK 3 Surgical

Hospital 96596 858 2002 3523356 3648Oklahoma Center for Orthopedic amp Multi-Specialty SurgeryINTEGRIS USPI physician guaranty

Great Bend Regional Hospital Great Bend KS 1 Hospital 63978 1468 2000 2143750 3351

Great Bend Regional Hospital LLC Nueterra Holdings LLC physician guarantees

Unity Family Medicine Brockport NY 1 MOB 29497 1323 2011 620653 2104 Unity Hospital of RochesterUSPILonestar Endoscopy

Flower Mound TX 1 ASC 10062 917 2014 288362 2866 Lonestar Endoscopy Center LLC

Carrus Hospital Sherman TX 1 IRFLTAC 69352(3) 1992 2010 2346140 3383 SDB Partners LLC

Lubbock Heart Hospital Lubbock TX 1 MOB 27280 12 2004 600160 2200 Lubbock Heart HospitalSurgery Partners Inc

Urology Center of the South

Germantown TN 1 MOB

ASC 33777 10 2002 1459024 4320 Urology Center of the SouthPhysician guarantees

Total PortfolioAverage 48 1127204 93 2006(4) $29136120 $2585

(1) Annualized rent calculated by multiplying (a) actual monthly rent for the month of August 2017 by (b) 12 Accordingly this methodology produces an annualized amount as of a point in time but does not take into account future contractual rental rate increases

(2) Certain guarantees are for less than 100 of the contractual rental payments(3) Does not include 12000 square feet of shell space(4) Based on the last year of renovation

12

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 13: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

PROPERTY PORTFOLIO MAP AS OF SEPTEMBER 12 2017

13

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 14: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

PORTFOLIO METRICS

AVERAGE ASSET AGE LEASE MATURITY ndash SQ FT EXPIRING

PREMIUM PORTFOLIO FUNDAMENTALS

Portfolio metrics reflecting newer buildings dominant tenants and long term leases

00 00 00 00

14844

808

0

25

50

75

100

2017 2018 2019 2020 2021 2022 2023+

14

Youngest assets of listed healthcare REIT peers

driving high quality tenant retention

Average lease term remaining of 93 years

100 net lease portfolio insulates GMR from

operating expense increases and capital

expenditures

$2585 average annual rent per square foot

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 15: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

ASSOCIATES IN OPHTHALMOLOGY WEST MIFFLIN PA

KEY STATISTICS STATE OF THE ART FACILITY

TOP FACILITIES AND CREATIVE LEASEbull The building contains state of are equipment used diagnosis

and treatment of cataracts glaucoma diabetic eye care and macular degeneration

bull The building is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC)

bull Profitable operator provides high 7x rent coveragebull NNN Lease with annual rent increases of 2bull The Company secured a new 15-year lease at closing with

four (4) five (5) year renewal optionsbull Lease is protected by a strong corporate guarantorbull Associates in Ophthalmology (AIO) subordinates profits

before distributions to physicians to rent payments

bull The facility is operated by Associates in Ophthalmology (AIO) and Associates Surgery Centers (ASC) respectively via two separate lease agreements that expire in 2030

bull Located in the Pittsburgh market the facility can draw from a population of 764000 within a 10-mile radius of the property

bull 32 of the regional population is over the age of 55 a key demographic for AIO services

bull 34 doctor practice provides highest quality carebull Market-leading ophthalmology practice with 11+ physicians

and 7 locations

Asset Type Surgery Center and Medical Office Building

Gross Leasable Area 27193

Year Built 2007

EBITDARM Rent 7x at lease inception

Leased Occupancy 100

Lease Expiration 9252030

Transaction Value $114M

Source calculations based upon tenantrsquos financial statements

15

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type LTACH
Gross Leasable Area 41113 square feet
Year Constructed 2008
Number of Units (Rooms) 52 licensed beds
Leased Occupancy 100
Lease Expiration 62323
Transaction Value $217 million
Asset Type Surgery Center and Medical Office Building
Gross Leasable Area 27193
Year Built 2007
EBITDARM Rent 7x at lease inception
Leased Occupancy 100
Lease Expiration 92530
Transaction Value $114M
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 16: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

bull Although each facility has a different overall layout the buildings are purpose built to provide a complete compliment of care

bull Sustainable Design Elements such as the use of sunshade devices on windows

bull Centrally Located Nursing Stationsbull Comforts amenities such as ample Lounge areas and parking

for family visitsbull Care enhancement services like on-site Pharmacies to

properly obtain and administer prescriptions to patients

HEALTHSOUTH PORTFOLIO ARIZONA (1) AND PENNSYLVANIA (2)

KEY STATISTICS STATE OF THE ART FACILITIES

SERVING CONTEMPORARY TRENDS MARKET DOMINANT TENANT

bull HealthSouth is the leading US provider of post-acute healthcare services offering both facility-based and home-based post-acute services

bull Operates in 30 plus states and Puerto Rico through network home health agencies and hospice agencies

bull HealthSouth had $31 billion in revenue in 2015 and $46 billion in total assets as of the end of 2015

bull The inpatient rehabilitation (IRF) industry is highly fragmented and HealthSouth has no single large competitor

16

Asset Type Inpatient Rehab Hospitals

Gross Leasable Area 200746 square feet

Asset Quality Class A-B+ Assets

EBITDARMRent 6x average at purchase

Leased Occupancy 100

Lease Expiration 52021 (PA) amp 112024 (AZ)

Transaction Value $681 million

Altoona PA

Mechanicsburg PA

Mesa AZ

Listing Terms

Portfolio

Lease Maturity

20162017201820192020202120222023+036180723532613812E-200000096381927646738619

Case Studies

Sources amp Uses

Insured

200820092010201120122013201420152016201720182019086099999999999999085084399999999999997085299999999999998085699999999999998086088800000000000001091400000000000003091900000000000004092200000000000004092300000000000004092300000000000004

Age

65-7420152020202520302035204020452050205520602759400000000000133076000000000001370930000000000043922699999999999738161999999999999366439999999999983694700000000000339347999999999999427250000000000014577400000000000175-842015202020252030203520402045205020552060139321663899999999999921344999999999999257529161999999999999310673050629675999999999998302913266700000000000285+20152020202520302035204020452050205520606304000000000000367267482000000000000291310000000000002119079999999999991463417259189711945499999999999819724 65+

201520202025203020352040204520502055206001488320279802967901687309231905244601897879568716081020619807346648042021394509880163526021657255423847835021754829298859252022091090759374185022697171413704065023552345877469738

Millions of People

Percentage 65 and Older

Outpatient amp Inpatient

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131422147061574616583168191756318165185281890819311193671946394740959713519761121629664067200252849050427862002388759025961720525516756701392091005879344770621078000000000002210557056021977452150179128678555121445394759734158

Visits per 1000

1993199419951996199719981999200020012002200320042005200620072008200920102011201220131193118117811721181178118711761187119711961194805503056307611915141320114827118162643037027641173154966975339311761083338814707115721716442947551137111822784282009811096544626872328110631445707290378

Admissions per 1000

Average Age

Sheet9

Total National Health Expenditures200520062007200820092010201120122013201420152016201720182019202020212022202320242024521572296199999999999824026249642595699999999999826966279928799303133243534026358663785540204273845425482539999999999965119399999999999654251Spending as a of GDP20052006200720082009201020112012201320142015201620172018201920202021202220232024015401550156015901630000000000000101729999999999999901729999999999999901739999999999999901729999999999999901729999999999999901749999999999999901801809999999999999901809999999999999901809999999999999901830185018801910193019600000000000001

Billions

of US GDP

Design amp Tech

Average Rent

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
DOC 2236 DOC 85 DOC 90
SBRA SBRA SBRA 98
HTA 47
HCN 110
OHI
Marina Towers Gastro one Omaha Acute Care West Mifflin Ophthamology Plano Acute Care Surgican Institute of Mich Asheville ASC
State-of-the-Art Medical Technology High efficiency operating room equiptment uuml uuml uuml uuml uuml uuml uuml
State-of-the-art imaging technology
Infection control HVAC filtration uuml uuml uuml
[Other]
Efficient Treatment and Processing Design Contiguous treatment and recovery areas
Uniformity of surgical and treatment rooms
Reduced FTE density requirements uuml uuml uuml uuml
Proximity to other major medical centers uuml uuml uuml uuml uuml uuml uuml
Advancing Building Engineering Reflective solar efficient glass uuml uuml uuml uuml uuml
Polymer membrane roof materials uuml uuml uuml uuml uuml uuml uuml
Fiber optic cabling uuml uuml uuml uuml uuml
Modern generator and back-up generator
Amenitized Patient and Visitor Environment Sound insulation uuml uuml
Admissions privacy uuml uuml uuml uuml uuml uuml uuml
Updated patient visitor areas (cafeacutes TVs) uuml uuml uuml
Inspections and Accredidations AAAHC Accreditation uuml uuml uuml uuml uuml uuml uuml
Joint Commission Inspections uuml uuml uuml uuml uuml uuml uuml
Approval Accredidations uuml uuml uuml uuml uuml uuml uuml
Table 1 National Health Expenditures Aggregate and Per Capita Amounts Annual Percent Change and Percent Distribution Selected Calendar Years 1960-2014 PROJECTED (SEE PROJECTION TAB)
Item 19600 19700 19800 19900 20000 20010 20020 20030 20040 20050 20060 20070 20080 20090 20100 20110 20120 20130 20140 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Amount in Billions
National Health Expenditures $272 $746 $2553 $7214 $1370 $1487 $1629 $1768 $1897 $2025 $2157 $2296 $2403 $2496 $2596 $2697 $2799 $2880 $3031 $3244 $3403 $3587 $3786 $4020 $4274 $4543 $4825 $5119 $5425
Health Consumption Expenditures 247 670 2355 6741 12864 13994 15324 16645 17851 19048 20318 21578 22546 23575 24529 25471 26458 27274 28774
Personal Health Care 233 631 2170 6153 11620 12619 13676 14777 15882 16965 18051 19193 20139 21159 21941 22804 23718 24413 25636
Government Administration and Net Cost of Health Insurance 11 26 121 387 813 907 1126 1325 1420 1511 1659 1725 1691 1675 1834 1927 1979 2095 2348
Government Public Health Activities 04 14 64 200 430 468 522 542 549 572 609 659 715 741 754 740 760 766 790
Investment 25 75 199 473 833 874 968 1037 1114 1197 1252 1384 1480 1390 1427 1495 1532 1525 1539
Millions
US Population1 186 210 230 254 282 285 287 290 293 295 298 301 304 306 309 311 314 316 318
Amount in Billions
Gross Domestic Product2 $5433 $10759 $28625 $59796 $102848 $106218 $109775 $115107 $122749 $130937 $138559 $144776 $147186 $144187 $149644 $155179 $161553 $166632 $173481
Average Annual Percent Change from Previous Year Shown
National Health Expenditures 106 131 109 66 85 96 85 73 68 65 65 46 39 40 39 38 29 53
Health Consumption Expenditures 105 134 111 67 88 95 86 72 67 67 62 45 46 40 38 39 31 55
Personal Health Care 105 132 110 66 86 84 81 75 68 64 63 49 51 37 39 40 29 50
Government Administration and Net Cost of Health Insurance 94 164 124 77 115 242 177 72 64 98 40 -20 -10 95 50 27 58 121
Government Public Health Activities 138 169 120 80 87 116 39 13 42 64 83 85 35 18 -18 27 07 31
Investment 116 102 91 58 49 108 72 74 75 45 106 69 -61 27 47 25 -05 09
US Population1 12 09 10 11 10 09 09 09 09 10 09 09 09 08 07 08 08 07
Gross Domestic Product2 71 103 76 56 33 33 49 66 67 58 45 17 -20 38 37 41 31 41
Percent Distribution
National Health Expenditures 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
Health Consumption Expenditures 908 899 922 934 939 941 941 941 941 941 942 940 938 944 945 945 945 947 949
Personal Health Care 855 846 850 853 848 849 839 836 837 838 837 836 838 848 845 846 847 848 846
Government Administration and Net Cost of Health Insurance 39 35 47 54 59 61 69 75 75 75 77 75 70 67 71 71 71 73 77
Government Public Health Activities 14 18 25 28 31 31 32 31 29 28 28 29 30 30 29 27 27 27 26
Investment 92 101 78 66 61 59 59 59 59 59 58 60 62 56 55 55 55 53 51
Per Capita Amount
National Health Expenditures $146 $355 $1108 $2843 $4857 $5220 $5668 $6099 $6481 $6856 $7235 $7630 $7909 $8147 $8402 $8666 $8927 $9115 $9523
Health Consumption Expenditures 133 319 1022 2657 4562 4914 5331 5741 6101 6451 6815 7170 7421 7693 7940 8185 8438 8632 9040
Personal Health Care 125 300 942 2425 4121 4431 4758 5097 5428 5745 6054 6377 6629 6905 7102 7328 7564 7727 8054
Government Administration and Net Cost of Health Insurance 6 13 52 153 288 318 392 457 485 512 556 573 557 546 594 619 631 663 738
Government Public Health Activities 2 6 28 79 153 164 182 187 188 194 204 219 235 242 244 238 243 242 248
Investment 13 36 86 187 295 307 337 358 381 405 420 460 487 453 462 480 489 483 483
Percent
National Health Expenditures as a Percent of Gross Domestic Product 50 69 89 121 133 140 148 154 154 155 156 159 163 173 173 174 173 173 175 180 181 181 181 183 185 188 191 193 196
1US Bureau of the Census Census resident-based population less armed forces overseas and population of outlying areas
2US Department of Commerce Bureau of Economic Analysis
NOTE Numbers and percents may not add to totals because of rounding Dollar amounts shown are in current dollars Percent changes are calculated from unrounded data
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group US Department of Commerce Bureau of Economic Analysis and US Bureau of the Census
CHCT sq ft DOC own ownership adjust
Health Care Bassin Center For Plastic Surgery I 2008 2016 5228 00791666903 Medical Office 21st Century Radiation Oncology CentersmdashEngelwood 100 1992 2016 7000 7000 005
Health Care Bassin Center For Plastic Surgery II 2012 2016 2894 00219116681 Medical Office 21st Century Radiation Oncology CentersmdashPort Charl 100 1996 2016 8395 8395 005
Health Care Bassin Center For Plastic Surgery IiI 2006 2016 2420 00458070463 Medical Office 21st Century Radiation Oncology CentersmdashSarasota 100 1975 2016 21400 21400 024
Medical Office Bayside Medical Center 1992 2016 51316 23312076592 Medical Office 21st Century Radiation Oncology CentersmdashVenice 100 1987 2016 10100 10100 008
Medical Office Brook Park Medical Building 1999 2016 18444 05935003208
Health Care Canon City 2016 Medical Office Arrowhead Commons 100 2004 2016 12800 12800 004
Medical Office Cavalier Medical amp Dialysis Center 2000 2016 36362 11012468224 Medical Office Aurora Medical Office Building 100 2010 2016 9112 9112 001
Health Care Columbia Gastroenterology Surgery Center 1963 2016 16969 17023507343 Medical Office Austell Medical Office Building 100 1971 2016 14598 14598 018
Health Care Continuum Wellness Center 2005 2016 8200 01707353545
Health Care Court Street Surgery Center 2000 2016 7787 02358343602 Medical Office Avondale Medical Building 100 2006 2016 61614 61614 017
Medical Office Cypress Medical Center 2006 2016 43945 08318143187
Medical Office Dahlonega Medical Mall 2005 2016 20621 04293577739
Health Care DaVita Etowah Dialysis Center 1985 2016 4720 02769622735 Medical Office Baylor Surgicare ASC-Mansfield 100 2010 2016 15662 15662 003
Health Care Desert Endoscopy Center 1992 2016 13000 05905701842
Health Care Eynon 2016
Health Care Family Medicine East 1982 2016 16581 10671035372
Health Care Fresenius Corsicana Dialysis Center 1973 2016 17699 14405691431 Medical Office Canton Medical Office Building 51 1994 2016 38098 19430 023
Health Care Fresenius Florence Dialysis Center 1973 2016 18283 14881024715 Medical Office Carle Danville Medical Office Building 100 2007 2016 46663 46663 011
Health Care Fresenius Fort Valley Dialysis Center 2003 2016 4920 01210668878 Medical Office Carlisle Medical Office Building II 100 1996 2016 13245 13245 007
Health Care Fresenius Gallipolis Dialysis Center 1971 2016 15110 12870455023 Medical Office Carmel Medical Pavilion Medical Office Building 100 1993 2016 28572 28572 018
Health Care Grandview Plaza 2006 2016 20000 03785706309 Medical Office Central Ohio Neurosurgical Surgeons Medical Office 100 2007 2016 38891 38891 010
Health Care Gulf Coast Cancer Centers I 2005 2016 6398 01332152193
Health Care Gulf Coast Cancer Centers II 1995 2016 6146 02443029852
Health Care Gulf Coast Cancer Centers III 1995 2016 3971 01578469174 Inpatient Crescent City Surgical Centre 100 2010 2016 60000 60000 010
Health Care Liberty Dialysis 2005 2016 8450 01759407007 2016 - 0 - 0
Medical Office Los Alamos Professional Plaza 2007 2016 41797 07120402496 Medical Office CRHS-1800 10th Avenue 100 1976 2016 38650 38650 042
Health Care Northwest Surgery Center 1979 2016 11200 07843983472 Medical Office CRHS-1810 Stadium Drive 100 1999 2016 27620 27620 013
Health Care Portfolio-USA 2016 Medical Office CRHS-1900 10th Avenue 100 1976 2016 50930 50930 056
Health Care Prairie Star Medical Facility I 2002 2016 24557 06507591288 Medical Office CRHS-1942 North Avenue 100 1971 2016 6808 6808 008
Medical Office Prairie Star Medical Facility II 2004 2016 24840 05642216682 Medical Office CRHS-1968 North Avenue 100 1966 2016 3952 3952 005
Medical Office Provena Medical Center 1979 2016 54000 37819206024 Medical Office CRHS-2000 10th Avenue 100 1989 2016 40341 40341 030
Health Care UW Health Clinic-Portage 2003 2016 14000 03444992741 Medical Office CRHS-2200 Hamilton Road 100 1992 2016 17805 17805 012
Health Care Virginia Orthopaedic amp Spine Specialists 2002 2016 8445 02237920284 Medical Office CRHS-500 18th Street 100 1982 2016 15877 15877 015
220 528303 Medical Office CRHS-615 19th Street 100 1976 2016 9048 9048 010
Medical Office CRHS-633 19th Street 100 1972 2016 11315 11315 014
Medical Office CRHS-705 17th Street 100 1994 2016 44995 44995 027
Medical Office CRHS-920 18th Street 100 1982 2016 6055 6055 006
Medical Office Decatur Medical Office Building 100 1974 2016 13300 13300 015
Medical Office Eagles Landing Family Practice-Conyers 100 2008 2016 18014 18014 004
Medical Office Eagles Landing Family Practice-Jackson 100 2006 2016 14269 14269 004
Medical Office Eagles Landing Family Practice-McDonough I 100 2007 2016 17733 17733 004
Medical Office Eagles Landing Family Practice-McDonough II 100 2010 2016 18695 18695 003
Medical Office East El Paso Medical Office Building 99 2004 2016 41007 40597 013
Inpatient East El Paso Surgical Hospital 99 2004 2016 77000 76230 025
2016 - 0 - 0
Medical Office El Paso Medical Office Building 100 1987 2016 21777 21777 017
Medical Office El Paso-Kenworthy 100 1983 2016 16245 16245 015
Medical Office El Paso-Lee Trevino 100 1983 2016 75484 75484 068
Inpatient El Paso-Murchison 100 1970 2016 86971 86971 110
Medical Office Eye Center of Southern Indiana MOB 100 1995 2016 32096 32096 018
Medical Office Fairview Health System-MOB 96 1979 2016 68385 65650 069
Medical Office Farmington Professional Pavilion 100 1972 2016 21338 21338 026
Medical Office Firehouse Square 100 2002 2016 17265 17265 007
Medical Office Foundation Surgical Affiliates MOB 99 2004 2016 52000 51480 017
Medical Office Foundations San Antonio MOB 100 2007 2016 22832 22832 006
Inpatient Foundations San Antonio Surgical Hospital 100 2007 2016 45954 45954 011
Medical Office Great Falls Ambulatory Surgery Center 100 1999 2016 12636 12636 006
Medical Office Grenada Medical Complex MOB 100 1975 2016 52941 52941 059
Medical Office Hackley Medical Center 100 1968 2016 44089 44089 058
Inpatient LifeCare LTACH-Fort Worth 100 1985 2016 80000 80000 068
Inpatient LifeCare LTACH-Pittsburgh 100 1987 2016 154910 154910 123
Inpatient LifeCare Plano LTACH 100 1987 2016 75442 75442 060
2016 - 0 - 0
Medical Office MeadowView Professional Center 100 2005 2016 64200 64200 019
Medical Office Mid Coast Hospital Medical Office Building 663 2008 2016 44677 29621 010
Medical Office Middletown Medical-111 Maltese 100 1988 2016 27264 27264 021
Medical Office Middletown Medical-2 Edgewater 100 1992 2016 8162 8162 005
Medical Office Mississippi Orthopedics Medical Office Building 100 1987 2016 44269 44269 035
Medical Office Napoleon Medical Office Building 100 1974 2016 65775 65775 076
Medical Office New Albany Professional Building 100 2000 2016 17213 17213 008
Medical Office North Mountain Medical Building 100 2008 2016 121976 121976 027
Medical Office Northpark Trail 100 2001 2016 14223 14223 006
Medical Office Ortho One-Columbus 100 2009 2016 75873 75873 015
Medical Office Ortho One-Westerville 100 2007 2016 19876 19876 005
Medical Office Palm Valley Medical Building 100 2004 2016 101241 101241 033
Medical Office Paradise Valley Medical Center 100 2006 2016 122580 122580 034
Medical Office Peachtree Dunwoody Medical Office Building 100 1987 2016 131368 131368 104
Medical Office Pensacola Medical Office Building 100 2012 2016 20319 20319 002
Medical Office Pinnacle Health Cardiology-Carlisle 100 2002 2016 10485 10485 004
Medical Office Pinnacle Health Cardiology-Wormleysburg 100 1990 2016 27601 27601 020
Medical Office Pinnacle-240 Grandview 100 1980 2016 19446 19446 019
Medical Office Pinnacle-32 Northeast 100 1994 2016 19110 19110 012
Medical Office Pinnacle-4518 Union Deposit 100 2000 2016 39009 39009 017
Medical Office Pinnacle-4520 Union Deposit 100 1997 2016 10200 10200 005
Medical Office Pinnacle-Market Place Way 100 2004 2016 30000 30000 010
Medical Office Presbyterian Medical Plaza 100 2008 2016 29422 29422 006
Medical Office Remington Medical Commons 100 2008 2016 37240 37240 008
Medical Office Renaissance Surgery Center 100 2007 2016 24622 24622 006
Medical Office South Bend Orthopaedics Medical Office Building 100 2007 2016 45198 45198 011
Medical Office South Landmark Avenue 500 100 2000 2016 65000 65000 028
Medical Office South Landmark Avenue 550 100 2000 2016 15000 15000 007
Medical Office South Landmark Avenue 574 100 2004 2016 10000 10000 003
Medical Office Summit Healthplex 100 2002 2016 67333 67333 026
Medical Office Summit Urology Medical Office Building 100 1996 2016 15946 15946 009
Medical Office Surgical Institute of Monroe 100 2010 2016 24500 24500 004
Medical Office The Berger Medical Center 100 2007 2016 31528 31528 008
Medical Office The Mark H Zangmeister Cancer Center 100 2007 2016 109667 109667 027
Medical Office The Oaks Lady Lake 100 2011 2016 27992 27992 004
Medical Office Trios Health Medical Office Building 100 2015 2016 161885 161885 004
Medical Office Valley West Hospital Medical Office Building 100 2007 2016 38717 38717 010
Medical Office Wayne State Medical Center 100 1986 2016 176000 176000 145
Medical Office West Tennessee Bone amp Joint 100 1996 2016 12524 12524 007
Medical Office West Tennessee Bone amp Joint-Physicians Drive 100 1991 2016 23900 23900 016
202 3653110
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Outpatient Visits1000 Persons 1422 1471 1575 1658 1682 1756 1817 1853 1891 1931 1937 1946 1976 2003 2002 2053 2091 2108 2106 2150 2145
Inpatient Admissions1000 Persons 119 118 118 117 118 118 119 118 119 120 120 119 119 118 117 118 116 114 112 110 106
Inpatient Growth 508
Outpatient Change -109
Source Avalere Health analysis of American Hospital Association Annual Survey data 2013 for community hospitals
Previously Chart 314 in 2013 and earlier yearsrsquo Chartbooks
OUTPATIENT INPATIENT
table with row headers in column A and column headers in rows 3 through 4 (leading dots indicate sub-parts)
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060
Sex and age (Resident population as of July 1 Numbers in thousands)
2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
BOTH SEXES 321369 334503 347335 359402 370338 380219 389394 398328 407412 416795
Under 5 years 19965 20568 21010 21178 21268 21471 21775 22147 22499 22778
5 to 9 years 20463 20274 20889 21347 21529 21632 21845 22158 22536 22894
10 to 14 years 20590 20735 20555 21182 21650 21842 21952 22171 22489 22871
15 to 19 years 21092 21048 21219 21060 21706 22190 22395 22516 22743 23067
20 to 24 years 22740 22059 22077 22299 22183 22866 23383 23615 23757 23999
25 to 29 years 22473 23722 23103 23179 23450 23377 24098 24646 24903 25065
30 to 34 years 21659 23168 24450 23878 23995 24302 24259 25004 25572 25845
35 to 39 years 20346 22060 23586 24898 24360 24507 24838 24813 25572 26151
40 to 44 years 20178 20568 22291 23840 25176 24668 24840 25190 25180 25949
45 to 49 years 20817 20204 20613 22351 23919 25274 24798 24995 25363 25368
50 to 54 years 22312 20638 20063 20506 22257 23844 25219 24781 25006 25395
55 to 59 years 21811 21879 20294 19777 20260 22023 23629 25023 24633 24893
60 to 64 years 19093 21141 21265 19799 19351 19880 21653 23275 24689 24357
65 to 69 years 16094 18194 20202 20397 19071 18704 19283 21054 22686 24112
70 to 74 years 11500 14882 16891 18830 19091 17940 17664 18294 20039 21662
75 to 79 years 8126 10112 13154 15013 16819 17143 16212 16042 16717 18393
80 to 84 years 5806 6527 8191 10737 12343 13924 14294 13634 13574 14274
85 to 89 years 3875 3964 4521 5747 7622 8867 10114 10492 10137 10184
90 to 94 years 1859 2024 2114 2464 3192 4320 5127 5951 6275 6184
95 to 99 years 498 649 728 782 940 1254 1751 2141 2550 2752
100 years and over 72 89 119 138 154 193 267 387 493 604
Median age (years) 378 385 393 401 410 416 420 424 427 430
MALE 158345 165036 171489 177528 183030 188093 192919 197727 202671 207764
Under 5 years 10211 10520 10747 10833 10879 10983 11138 11329 11509 11652
5 to 9 years 10448 10360 10676 10910 11003 11055 11164 11325 11519 11702
10 to 14 years 10513 10584 10500 10821 11061 11158 11215 11327 11490 11685
15 to 19 years 10796 10749 10835 10762 11093 11341 11446 11508 11624 11790
20 to 24 years 11678 11300 11290 11404 11354 11706 11972 12091 12165 12289
25 to 29 years 11447 12161 11818 11841 11982 11956 12327 12609 12742 12825
30 to 34 years 10906 11781 12510 12194 12241 12402 12392 12776 13069 13210
35 to 39 years 10181 11099 11979 12725 12430 12494 12669 12670 13062 13361
40 to 44 years 10025 10272 11193 12086 12845 12569 12648 12834 12843 13241
45 to 49 years 10324 10010 10266 11194 12097 12869 12612 12706 12903 12921
50 to 54 years 10955 10182 9889 10165 11100 12013 12796 12564 12675 12885
55 to 59 years 10601 10651 9929 9672 9969 10911 11833 12627 12426 12560
60 to 64 years 9131 10147 10229 9578 9362 9685 10631 11559 12364 12201
65 to 69 years 7612 8567 9556 9676 9105 8936 9285 10227 11157 11967
70 to 74 years 5306 6900 7804 8747 8901 8426 8309 8683 9604 10523
75 to 79 years 3615 4538 5938 6760 7623 7808 7447 7388 7780 8655
80 to 84 years 2417 2783 3529 4660 5351 6087 6289 6062 6060 6454
85 to 89 years 1448 1545 1808 2327 3115 3626 4181 4374 4284 4330
90 to 94 years 591 686 749 897 1178 1612 1919 2258 2407 2414
95 to 99 years 128 181 216 243 299 405 572 703 851 931
100 years and over 14 20 29 35 41 52 73 106 137 170
Median age (years) 365 373 380 390 398 404 408 413 416 420
FEMALE 163024 169467 175846 181874 187308 192126 196476 200601 204741 209031
Under 5 years 9755 10047 10264 10346 10389 10488 10637 10818 10990 11127
5 to 9 years 10015 9914 10214 10437 10526 10576 10680 10833 11018 11192
10 to 14 years 10076 10150 10055 10361 10590 10683 10737 10844 10999 11185
15 to 19 years 10297 10299 10384 10298 10613 10849 10949 11008 11119 11277
20 to 24 years 11062 10759 10787 10895 10828 11160 11411 11523 11592 11711
25 to 29 years 11026 11561 11284 11338 11468 11421 11770 12037 12161 12240
30 to 34 years 10753 11387 11940 11683 11755 11901 11868 12228 12504 12635
35 to 39 years 10166 10961 11607 12173 11929 12013 12169 12144 12510 12790
40 to 44 years 10153 10296 11098 11755 12330 12098 12192 12356 12338 12708
45 to 49 years 10493 10195 10347 11157 11822 12405 12186 12289 12460 12447
50 to 54 years 11356 10456 10174 10342 11157 11831 12423 12217 12331 12509
55 to 59 years 11210 11228 10365 10106 10291 11112 11795 12396 12207 12333
60 to 64 years 9962 10993 11036 10221 9989 10195 11022 11715 12325 12156
65 to 69 years 8482 9626 10646 10721 9967 9768 9997 10827 11528 12145
70 to 74 years 6193 7982 9088 10083 10189 9514 9355 9611 10435 11139
75 to 79 years 4512 5574 7216 8253 9196 9335 8765 8654 8937 9738
80 to 84 years 3389 3744 4662 6076 6992 7837 8005 7572 7514 7820
85 to 89 years 2427 2420 2713 3420 4507 5241 5933 6118 5853 5854
90 to 94 years 1268 1337 1365 1567 2014 2708 3208 3693 3867 3770
95 to 99 years 370 468 511 540 640 849 1179 1438 1698 1821
100 years and over 58 69 91 103 114 141 194 280 356 434
Median age (years) 392 398 406 414 423 429 433 436 438 441
Footnotes
Suggested Citation
Table 9 Projections of the Population by Sex and Age for the United States 2015 to 2060 (NP2014-T9)
Source US Census Bureau Population Division
Release Date December 2014
65+ 47830 56441 65920 74108 79232 82345 84712 87995 92471 98165
65-74 27594 33076 37093 39227 38162 36644 36947 39348 42725 45774
75-84 13932 16639 21345 25750 29162 31067 30506 29676 30291 32667
85+ 6304 6726 7482 9131 11908 14634 17259 18971 19455 19724
65+ 15 17 19 21 21 22 22 22 23 24
65-74 28 33 37 39 38 37 37 39 43 46
75-84 14 17 21 26 29 31 31 30 30 33
85+ 63 67 75 91 119 146 173 190 195 197
Table 17Health Insurance Enrollment and Enrollment Growth Rates Calendar Years 2008-2024
Spending ($ billions) 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 lt---BLUE INDICATES PROJECTION
Medicare $4671 $4997 $5199 $5447 $5666 $5857 $6168 $6460 $6854 $7284 $7753 $8376 $9057 $9767 $10539 $11355 $12213
Medicaid 3447 3749 3976 4075 4237 4494 5033 5445 5689 5993 6321 6693 7085 7500 7942 8412 8901
CHIP 102 111 115 120 126 135 136 151 159 171 181 191 201 211 222 233 245
Other Public 3055 3139 3274 3361 3409 3459 3535 3660 3854 4079 4317 4574 4851 5144 5458 5781 6113
Private Health Insurance 8080 8331 8622 8994 9357 9617 10203 10854 11395 11977 12583 13290 14061 14885 15724 16581 17464
Employer-sponsored Insurance 7713 7929 8181 8520 8859 9113 9597 10087 10436 10810 11254 11896 12595 13345 14110 14884 15688
Other Insurance2 367 402 441 474 498 504 606 768 959 1167 1329 1394 1466 1540 1614 1697 1776
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment (in millions)
Medicare 444 455 466 477 497 513 526 545 561 577 594 612 630 648 667 685 703
Medicaid 472 508 543 566 577 589 665 705 720 738 747 753 759 764 770 775 781
CHIP 50 53 55 56 57 59 56 58 59 60 61 62 63 63 64 65 65
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 1959 1897 1863 1873 1880 1893 1906 1972 1998 2011 2026 2041 2053 2063 2071 2076 2082
Employer-sponsored Insurance 1773 1708 1679 1682 1686 1699 1705 1726 1718 1709 1706 1720 1733 1743 1752 1758 1764
Other Insurance2 198 204 199 205 209 209 215 256 286 307 327 328 328 327 327 327 326
Insured 2925 2913 2927 2972 3011 3054 3153 3280 3338 3386 3428 3468 3505 3538 3572 3601 3631 352
Uninsured3 422 459 481 456 447 441 357 276 261 255 255 257 259 261 262 264 264
Insured Share of US Population4 861 850 844 853 857 860 888 914 919 922 923 923 923 923 923 923 924
Spending per Enrollee ($)
Medicare 10522 10990 11159 11408 11404 11422 11728 11842 12220 12621 13048 13690 14379 15069 15806 16568 17361
Medicaid 7303 7381 7325 7198 7347 7627 7564 7727 7898 8117 8464 8892 9339 9812 10315 10848 11396
CHIP 2023 2086 2118 2131 2205 2307 2445 2597 2689 2832 2955 3063 3187 3339 3454 3586 3752
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance 4125 4392 4629 4803 4978 5080 5353 5504 5704 5956 6209 6513 6850 7216 7594 7986 8389
Employer-sponsored Private Health Insurance 4351 4643 4874 5065 5256 5365 5628 5845 6076 6325 6596 6914 7270 7655 8053 8467 8895
Other Private Health Insurance2 1854 1970 2221 2309 2385 2413 2816 3004 3355 3801 4063 4257 4471 4706 4937 5192 5442
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Annual Growth Rates ()
Spending
Medicare mdash 70 40 48 40 34 53 47 61 63 64 80 81 78 79 77 76
Medicaid mdash 88 61 25 40 61 120 82 45 53 55 59 59 59 59 59 58
CHIP mdash 88 39 39 53 69 10 110 53 71 61 53 53 52 51 50 50
Other Public mdash 28 43 27 14 15 22 35 53 58 58 60 61 60 61 59 57
Private Health Insurance mdash 31 35 43 40 28 61 64 50 51 51 56 58 59 56 55 53
Employer-sponsored Private Health Insurance mdash 28 32 41 40 29 53 51 35 36 41 57 59 60 57 55 54
Other Private Health Insurance2 mdash 93 98 74 50 14 202 266 250 217 139 49 51 51 48 52 47
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Enrollment
Medicare mdash 24 25 25 41 32 26 37 28 29 30 30 30 29 29 28 26
Medicaid mdash 76 69 43 19 22 129 59 22 25 12 08 08 08 07 07 07
CHIP mdash 55 23 32 18 22 -47 45 17 17 17 16 12 04 16 12 04
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash -32 -18 05 04 07 07 35 13 07 08 07 06 05 04 03 03
Employer-sponsored Private Health Insurance mdash -37 -17 02 02 08 04 12 -05 -05 -02 08 07 06 05 03 03
Other Private Health Insurance2 mdash 29 -26 33 16 02 30 187 119 74 66 01 01 -02 -01 00 -02
Uninsured3 mdash 89 47 -51 -20 -13 -191 -228 -54 -22 -01 09 07 06 06 07 -01
Insured Share of US Population⁴ mdash -13 -07 11 05 03 32 30 06 03 01 00 00 00 00 00 01
Spending per Enrollee
Medicare mdash 44 15 22 00 02 27 10 32 33 34 49 50 48 49 48 48
Medicaid mdash 11 -08 -17 21 38 -08 21 22 28 43 51 50 51 51 52 50
CHIP mdash 31 15 06 35 46 60 62 36 53 43 36 41 47 35 38 46
Other Public mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
Private Health Insurance mdash 65 54 37 37 21 54 28 36 44 43 49 52 53 52 52 51
Employer-sponsored Private Health Insurance mdash 67 50 39 38 21 49 39 40 41 43 48 51 53 52 51 51
Other Private Health Insurance2 mdash 62 127 40 33 12 167 67 117 133 69 48 50 53 49 52 48
Uninsured3 mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash mdash
1Projected
2Other private health insurance includes those with Medicare supplemental coverage and individually-purchased plans including coverage purchased through the Marketplaces
3Uninsured spending on healthcare cannot be estimated or projected due to data limitations
4Population estimates reflect the US Bureau of Census definition for resident-based population (which includes all persons who usually reside in one of the fifty states or the District of Columbia but excludes (i) residents living in Puerto Rico and areas under US sovereignty and (ii) US Armed Forces overseas and US citizens whose usual place of residence is outside of the United States) plus a small (typically less than 02 of population) adjustment to reflect Census undercounts Projected estimates reflect the area population growth assumptions found in the Medicare Trustees Report
NOTES Numbers may not add to totals because of rounding
SOURCE Centers for Medicare amp Medicaid Services Office of the Actuary National Health Statistics Group
Initial Public Offering $100000 Repayment of Omaha Mortgage Note $14670
Repayment of Convertible Debentures 10000
Acquisition of Wyomissing Properties 9200
Underwriting and Advisory Fees 7000
Estimated Transaction Expenses 1350
Acquisition Capital amp Working Capital 57780
Total Sources of Proceeds $100000 Total Uses of Proceeds $100000
Asset Type Inpatient Rehab Hospitals
Gross Leasable Area 200746 square feet
Asset Quality Class A-B+ Assets
EBITDARMRent 6x average at purchase
Leased Occupancy 100
Lease Expiration 52021 (PA) amp 112024 (AZ)
Transaction Value $681 million
Asset Type Treatment Facilities
Gross Leasable Area 52262 square feet
Average Age 10 years
EBITDARM Rent 105x
Leased Occupancy 100
Lease Expiration 123127
Transaction Value $200 million
Asset Type Medical Office
Gross Leasable Area
Year Constructed INSERT
Number of Units (Rooms)
Leased Occupancy 100
Remaining Lease Term 10 years
Transaction Value INSERT
Nominal Cap Rate 650
Property City State Type SF Maturing
Marina Towers Melbourne FL MOB 75899 2035
Gastro One Portfolio Memphis TN Treatment 52266 2025
Omaha Acute Care Omaha NE LTACH 41113 2023
West Mifflin Ophthalmology W Mifflin PA Surgery 27193 2030
Plano Acute Care Plano TX Out Hosp 24000 2026
Surgical Institute of Michigan Detroit MI Surgery 15018 2028
Asheville ASC Asheville NC Surgery 8840 2017
244329
2016 00
2017 36
2018 00
2019 00
2020 00
2021 00
2022 00
2023+ 964
Property City State Type Square Feet Occupancy Year Built Renov Lease Yrs Remaining EBITDARM Rent 1
1 Omaha Facility Omaha NE LTACH ERRORREF 41113 100 2008 6 62323 91217 18x
2 Gastro One Facilities (6) Memphis TN Treatment ERRORREF 52266 100 1984 - 2011 10 123127 91217 105x
3 Plano Facility Plano TX Out Hosp ERRORREF 24000 100 2013 19 12836 91217 104x
4 Melbourne Facility Melbourne FL Orth Rehab ERRORREF 75899 100 1994 2005 9 33126 91217 47x
5 West Mifflin Facility W Mifflin PA Surgery ERRORREF 27193 100 2007 13 92430 91217 60x
6 Michigan Facility Westland MI Surgery ERRORREF 15018 100 1974 2009 9 33126 91217 37x
7 Asheville Facility Asheville NC Surgery ERRORREF 8840 100 1981 2002 -1 3717 91217 164x
Total Weighted Average 244329 100 2006 2 10 73x
Issuer Global Medical REIT Inc
Proposed Ticker NYSE GMRE
Offering Size (at midpoint) $100100000
Shares Offered 9100000 shares of common stock 11
Over-Allotment 1365000 shares of common stock 10010000000 9100000
Price Range $1000 - $1200 1305000 1365000
Use of Proceeds Acquisition of identified healthcare properties repayment of indebtedness and general corporate purposes
Lock-Up Agreements Officers Directors and Affiliates 180 days
Book-Running Managers Wunderlich Oppenheimer amp Co
Co-Lead Managers BBampT Capital Markets Compass Point DA Davidson amp Co
Expected Pricing Week of June 27 2016
Page 17: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

Growing Portfolio ($100 mlns)

PIPELINE OVERVIEW

STEADY PORTFOLIO GROWTH (As of September 12 2017) GMRrsquos portfolio exceeded $380 million of gross investment with leasable

square feet of approximately 1120000 Approximately $60 million and 118278 square feet of acquisitions under

contract comprising three properties Acquisition pipeline consisted of 14 properties comprised of comprised of

approximately 506474 square feet and a total value of over $156 million

Current emphasis on assets within dominant health system portfolios Originating deals directly from owners of multiple properties Focus on relationships and off-market transactions

SOURCING

17

PIPELINE CHARACTERISTICS Long-term leases Market leading tenants Facilities core to provider business model Class A recently built assets East Orange NJ

$56$93 $93

$123

$205

$315

$355$380

$0

$50

$100

$150

$200

$250

$300

$350

$400

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
Page 18: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

INVESTMENT HIGHLIGHTS

Management Team with Public REIT Experience

State-of-the-Art Healthcare Facilities

Attractive Industry Trends

Market Leading Tenants

High Quality Portfolio

Substantial Pipeline of High Quality Assets

18

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
Page 19: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

APPENDIX

19

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
Page 20: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

INDEPENDENT DIRECTORS

President of Global Development International providing development support and oversight for initiatives in medical and healthcare programs (eg Instant Labs Medical Diagnostics MedPharm amp MPRC Group)

Former President and Founder of international programs at The Futures Group International a healthcare consulting firm Director of International Health and Population Programs for GErsquos Center for Advanced Studies Yale (BS) Johns Hopkins (MA)

Professor at Georgetown Universityrsquos McDonough School of Business as the director of the Real Estate Finance Initiative Former director at Invesco Real Estate (NYSE IVR) where he was responsible for oversight of the Underwriting Group which acquired $102 billion worth of

institutional real estate Underwrote $15 billion of acquisitions and oversaw the Valuations group which marked to market Invescorsquos more than $13 billion North American portfolio Penn State University (BS) Texas AampM University (MS and PhD)

Over 40 years experience in managing financial functions for large and small publicly traded companies Previously CFO of three public companies Arlington Asset Investment Corp FBR Capital Markets and Jupiter National Inc Director of Wheeler Real Estate Investment Trust (NASDAQ WHLR) and trustee and treasurer of Nichols College Nichols College (BS) CPA (inactive)

Founder and CEO of Health Care Corporation of America (HCCA) Management Company originally a subsidiary of Hospital Corporation of America (HCA) 30+ years in international healthcare focused on healthcare systems with prior experience developing the Twelfth Evacuation Hospital in Vietnam Tennessee Technological University (BS) California Western University (PhD)

HENRY COLE Independent Director

MATTHEW CYPHER PhD Independent Director

KURT HARRINGTON Independent Director

RONALD MARSTON Independent Director

Rear Admiral (Retired) and Chief Veterinary Medical Officer of United States Public Health Service Former Assistant United States Surgeon General point person for global development support with a focus on less developed countries Epidemic Intelligence Service Officer with the US Centers for Disease Control and Prevention (CDC) Chief epidemiologist with the Centers of Devices and Radiological Health in the US Food and Drug Administration (FDA) Tuskegee University (BS amp DVM) University in Michigan (MPH) Johns Hopkins University (PhD)

DR ROSCOE MOORE Independent Director

Majority independent Board with strong backgrounds in healthcare real estate and capital markets

20

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS
Page 21: Capital Partners to Health Care Providers...Oct 06, 2017  · Capital Partners to Health Care Providers. ... Current portfolio of 48 facilities net leased to 39 tenants ... Pipeline

wwwglobalmedicalreitcom

INTERESTED DIRECTORS

Over 20 years of experience in healthcare real estate development management and investment Former assistant to the US Secretary of Housing amp Urban Development United States Special Representative to United Nations in Geneva Developed large-scale residential commercial hospitality and retail properties

Approximately 20 years experience in real estate development in China Serves as President of Henan Real Estate Chamber of Commerce Co-founder of Henan Zensun Real Estate one of the top 100 property development companies in China Honored with many awards as an outstanding developer and contributor to the Henan real estate industry

Supervisor for Henan Hongguang Real Estate Limited a company engaged in property development in China Supervisor for Henan Zensun Corporate Development Company Limited a company engaged in construction and management in China University College London (BS) Beijing Forestry University (BS) University of Leicester (MA)

JEFFREY BUSCH Chairman

ZHANG JINGGUO Director

ZHANG HUIQI Director

21

  • Slide Number 1
  • Disclaimer
  • At a glance
  • leadership
  • COMPANY OVERVIEW
  • STRATEGY TO OUTPERFORM
  • ATTRACTIVE INDUSTRY TRENDS
  • EVIDENCE-BASED DESIGN
  • GMR Investment criteria
  • MARKET LEADING TENANTS
  • PROPERTY PORTFOLIO as of September 12 2017
  • PROPERTY PORTFOLIO as of September 12 2017 (ConT)
  • PROPERTY PORTFOLIO MAP as of September 12 2017
  • PORTFOLIO Metrics
  • ASSOCIATES IN OPHTHALMOLOGY West Mifflin PA
  • Healthsouth portfolio Arizona (1) and Pennsylvania (2)
  • PIPELINE OVERVIEW
  • Investment Highlights
  • APPENDIX
  • Independent DIRECTORS
  • INTERESTED DIRECTORS