1. AUSTRIAN CONCESSIONAL LOANS Upgrading an Existing Hospital in Tirana, Albania A Case Study

2. AME International Background Global healthcare technology solutions provider Based in Vienna, Austria (HQ) Founded in 1995 by a seasoned team of experts 100 % Austrian ownership Currently, 250 members of staff worldwide Main line of business: healthcare solutions

3. AME International Achievements and Certifications Our Achievements 1st filmless & paperless hospital in Asia 1st filmless & paperless hospital in Africa Numerous medical equipment projects, (e.g. in Albania, China, Indonesia, Malaysia, Vietnam) Feasibility studies and PPP- project consulting services IT projects in Albania, China, Lithuania, Malaysia, South Africa and UAE. Our Certifications ISO 9001: 2008 Member of “Austrian Model Companies” Member of “Leading Austrian Companies” Recipient of the Austrian State Award

4. AME International A Global Player Austria Vienna (HQ) China Beijing Urumqi Jinan City Egypt Cairo Lithuania Vilnius Malaysia Kuala Lumpur UAE Dubai South Africa Durban Johannesburg

5. What Are Concessional (“Soft") Loans?  A loan with a significantly below-market interest rate (or even zero interest), also known as “soft financing”;  Long repayment periods;  Extended grace periods, where only interest or service charges are due;  Provided by governments to commercially non-viable projects primarily in the areas of health, education and environment.

6. Soft Loan Process Overview

7. Soft Loan Process Timeline Project Development (6 – 12 months) Project identification – Determination of med tech requirements – “wish list” Adaptation of “wish list” to planned budget Contractual negotiations / contract signing Credit agreement / Coming Into Force (CIF) of contract Implementation (6 – 9 months) Site survey Project mobilization Project engineering Configuration Project management / Purchasing - Financial engineering Site preparation Installation Commissioning / Training Transport & Insurance Final Acceptance Certificate (FAC) Post Implementation (4 years) Warranty (1 year) Project monitoring (3 years) After-sale services

8. The Purpose of Soft Loans  Upgrading & replacing hospital equipment and facilities  Development of “turn-key” projects  Construction  Delivery only

9. Bilateral Agreement between Austria and the Recipient Country 1. Conclusion of bilateral agreement between BMVIT (Austrian Federal Ministry for Transport, Innovation and Technology) and the Recipient Country 2. Definition and nomination of project priorities in subsequent bilateral meetings, i.e. project list as annex 3. Contract awarding process procedures

10. Project value to be financed: 100% ◊ Grace period: 4 years ◊ First installment: 54 months after delivery ◊ Pay-back period: 20 half-year repayments ◊ Duration: 14 years ◊ Interest rate: 0% p.a. ◊ Guarantee charges: 1.224 % p.a. Grant element: At least 35% overall concessionality level 40% of up-front guarantee charges for risk category 6 Soft Loan Conditions for Albania Conditions of a PRE-MIXED CREDIT Country Risk Category: 6 (out of 7)

11. The Shefqet Ndroqi Hospital in Tirana Hospital Background  Founded in 1953 as a public hospital (university clinic) in Tirana  The only tertiary lung treatment center and one of the most important referral hospitals in Albania  300 beds  Encompasses teaching and research facilities

12. AME‘s Scope in ALBANIA  Modernization of clinical equipment  Client: Ministry of Health of the Republic of Albania  Project value: approx. EUR 7,5 mn  Tertiary specialties to include cardiovascular diagnoses and treatment  Project status: Project nearing completion  Our services cover: Supply of modern med-tech equipment (“hardware”) Provision of associated services (“software”), i.e. engineering, project management, installation, operation, training, maintenance, etc.

13. Our Services Consulting & Hospital Engineering Health System Studies Project Development & Feasibility Studies Strategic Business Consulting Hospital Engineering & Equipment Planning Hospital Information Systems & eHealth Solutions Total Integrated HIS National/Regional EHR Implementation & Project Management Maintenance, Support & Operation Medical Package Solutions Project Design Medical Equipment Package Procurement & Installation Testing & Commissioning Maintenance & After-Sales Services

14. Questions?

15. Mulţumesc! Thank you! Mulţumesc! Thank you!