1. Redistribution of Medical Office buildings (MOBs) UNDER HEALTH CARE REFORM 3/9/2011 © Street Sotheby’s International Realty

2. Historical Perspective 2008 Commercial real estate values are down 40 to 50% 2009 MOBs were buffered from the real estate slide Credit terms for physicians wanting to purchase buildings were tightening Physicians were joining hospital based employment in record numbers 2010 60% of physicians are hospital based or salaried Only 40% are fee for service or private practice There is currently an abundance of obsolete medical office space for sale or lease due to changing practice patterns 3/9/2011 © Street Sotheby’s International Realty

4. Quality MOBs are turning out to be a bright spot in an otherwise dismal investment market

5. Traditional real estate investors and Real Estate Investment Trusts, REITs, need to keep investing on a regular basis as part of their business model3/9/2011 © Street Sotheby’s International Realty

6. Currents Trends According to National Real Estate Investor® health care REITs continue to be in high demand Reimbursement will not keep pace with inflation, therefore the need to cut costs will increase Liability reform is needed to reduce costs Movement toward mergers and acquisitions, “Bigger is Better” 3/9/2011 © Street Sotheby’s International Realty

7. Cain Brothers Newsletter Perspective Timing still good to sell medical office buildings Provide cash for mergers and acquisitions Buyout exiting physicians Cash to hire replacement physicians Relocate practices to more strategic locations Meet Health Care Reform goals: Patient safety Low cost Efficient Capable to handle large numbers of patients Industry Insights Aug. 9, 2010 Issue 682 Cain Brothers Newsletter for Health Care Industry 3/9/2011 © Street Sotheby’s International Realty

8. The Physician’s Case FOR Sale/Lease Back Important part of a physician’s exit strategy The entire lease payment is deductible Cash available to invest in business expansion plans including additional locations Lack of property mortgage affecting tenant’s balance sheet Reduced liabilities on the tenant’s balance sheet Continued long term operational control of the property Reduced upfront cash requirement 3/9/2011 © Street Sotheby’s International Realty

9. The Investor’s Benefit FOR Sale/Lease Back Regular assured stream of payments Depreciation deductions from taxable income Little or no time commitment All the benefits of appreciation over the life of the property Higher return than other investment alternatives Investing in Medical Office Net Lease Properties, October 2008;: www.stanjohnsonco.com 3/9/2011 © Street Sotheby’s International Realty

10. For a valuation of your MOB and possible sale lease back contact: Gerard M. Papp D.O. gerard.papp@sothebysrealty.com O-614-538-8895 EXT 188 C-614-531-8887 TOM DALCOLMA thomas.dalcolma@sothebysrealty.com O-614-538-8895 EXT 180 C- 614-439-5311 3/9/2011 © Street Sotheby’s International Realty