ISOC Meeting April 29 – May 01, 2010 (Bologna) Presenting the Schulthess Clinic Zurich

1. Meeting of the International Society ofOrthopedic Centers (ISOC)April 29 – May 01, 2010(Bologna) ISOC Meeting April 29 – May 01, 2010(Bologna) Presenting the Schulthess Clinic Zurich

2. Background of Matthias Spielmann Position Overview 2003 – dato CEO Schulthess Clinic, Zurich (CH) Educational background 1976 – 1982 Grammar School in Economics; Zug (CH) 1983 – 1987 Hotel Management School; Lausanne (CH) 1992 – 1994 Bachelor of Business Administration (BBA); Zurich (CH) 2002 – 2004 Master of Health Administration (MHA); University of Bern (CH) Further Education 2009 European Health Leadership Programme, INSEAD; Fontainebleau (F) Overview of career 1988 – 1996 Manager/Vice Director/COO in Catering-, Hospital- and Hotel- Industry 1996 – 1997 COO Ami Clinic; Cham (CH) 1998 – 2003 CEO Public Hospital; Riehen (CH)

3. Key figures of Switzerland Foundation 1291 Square 41‘285 km2 (divided in 26 cantons) Population 7‘782‘900 Languages German (63,7%) French (20,4%) Italian (6,5%) Romanic (0,5%) Capital Bern Economic Capitals Zurich and Geneva Main Industry Banking & Insurance Tourism Pharma Watches Production Johnson & Johnson Med. Tech. Zimmer GmbH Companies Stryker AG Medtronic AG etc.

4. Financial statistic ● Health providing in Switzerland 2007: US$ 52 Mia ● Health costs 2007 = 10,8% GDP (USA 15,3%/F 11,0%) Social insurance in Switzerland ● The federal statute of the new health insurance system was introduced 1996 and revised in the meantime three times already. ● Each person in Switzerland is insured obligatory (premium per head) and has therefore the right to get all medical services without paying additional fees. ● Auxiliaryinsured patients are free in the choice of the doctor as well as the hospital. Brief overview of the healthcare structure and system in Switzerland

5. Schulthess Clinic Corporate Film Please dive in now for some minutes in the world of Schulthess Clinic in Zurich!

6. The clinic at a glance Focus Orthopedic surgery Founded 1883 Owned by non-profit foundation Turnover 2009 US$ 139 million Status University clinic grade “A” (Swiss Olympic Medical Center; FIFA Medical Center) Employees/ totally800 of it are Physician 35 Orthopedic Surgeons 45 Assistants 27 physician (resident system = all employed) Beds 160 Operating Rooms 9

7. Facts and Figures 2009 Number of cases total 8‘000 Divided after departments Upper Extremities 1‘550 Lower Extremities 2‘700 Hand Surgery 850 Foot and Ankle Surgery 1‘400 Spine Surgery (incl. Neurosurgery) 1‘300 Pediatric Orthopedics 200

8. Development Patients/Personnel/Turnover

9. Overview of teaching & research efforts • Research • Scope: Outcome research, prognostic studies neuromuscular adaptation, osteoporosis, prosthesis development and clinical testing, injuries in football (F-MARC), pathophysiology of rheumatoid arthritis, … • Number of scientists: 14 • Annual grant funding: $1 Million USD • No. of peer-reviewed articles: 101 in 2009 • Teaching • University affiliation currently not available • Cooperation with ETH and University Zurich & Lausanne

10. Strategic Plan/Direction/Major Initiatives underway and Future Challenges • Economic Success • Rise in Labor Costs and Medical Devices– Worsening Tariff System • Extension • Qualified Staff in Europe

11. The dream of… …a low cost medicine!

12. Thank you for your attention!