The World Institute of Surgical Excellence Company Profile provides an overview of the WISE healthcare service offering, the patient process, the quality outcomes that patients obtain and the dramatic savings that WISE is able to offer to individual patients, companies, associations and all other entities with healthcare needs.

1. Company Profile
Excellence
2013
World Institute of Surgical
The World Institute of Surgical Excellence Company Profile
provides an overview of the WISE healthcare service offering,
the patient process, the quality outcomes that patients obtain
and the dramatic savings that WISE is able to offer to individual
patients, companies, associations and all other entities with
healthcare needs.

2. World Institute of Surgical Excellence
Company Profile
Overview
The World Institute of Surgical Excellence, “WISE”, is the largest and most patient centered global
health company in the world; with offices in nearly every major city in the United States and an
operations team to personally accommodate each and every patient in their destination countries,
WISE is able to effectively handle any request and leaves nothing to chance. WISE caters to:
 Individual patients
 Self-insured companies
 Third party administrators
 Individual physicians and physician practices
 Private and public unions
 State, trade, national and medical associations
WISE prides themselves on their ability to provide patients an alternative to the traditional U.S.
healthcare experience that is more patient focused and conducted with Joint Commission International
(“JCI”, the international arm of JCAHO) accredited providers by world-renowned surgeons who are
recognized by their peers as experts in their prospective fields. In addition, WISE’s patients experience
their recovery in a tropical paradise at recovery centers with a 24/7 nursing staff, where their every
want and need is satisfied beyond their expectations. The World Institute of Surgical Excellence makes
all of this and much more available at an average of 70% savings, when compared to the average cost
of the same procedures in the United States.
Global health, more commonly referred to as medical tourism or medical travel is growing at a rapid
rate, as more and more individuals and companies alike are discovering the wonderful benefits that
are inherent in accessing the great quality healthcare available outside of the United States. This in
turn creates a better and less expensive healthcare experience, for those involved, in destinations such
as Costa Rica, which is ranked higher than the United States for quality of healthcare by the World
Health Organization.
WISE has positioned themselves as the global leader in medical tourism and is proud to offer a solution
to the healthcare needs of North Americans that is safe, affordable, comprehensive and even
enjoyable. In the words of the Executive Director of the Council for the International Promotion of
Costa Rican Medicine, Massimo Manzi, “…no one does it better than WISE does.”

3. Breadth of Services
WISE has a broad range of services that they regularly see patients for, including, but not limited to the
following:
 Anti-Aging Medicine
 Bariatric Surgery
 Cardiology
 CCSVI Liberation (Chronic Cerebrospinal Venous Insufficiency)
 Cosmetic Surgery
 Dental
 Dermatology
 General Surgery
 In Vitro Fertilization
 OBGYN
 Ophthalmology
 Oral/Maxillofacial Surgery
 Otolaryngology
 Orthopedics
 Stem Cell
o Parkinson’s
o Multiple Sclerosis
o Rheumatic Diseases
o Diabetes
o Cosmetic Rejuvenation
o Orthomolecular Medicine
o Much More…
 Urology
Providers
CIMA Hospital
WISE provider, CIMA Hospital, is affiliated with Baylor University Medical Center in Dallas and managed
by the International Hospital Corp of Dallas,
Texas; also, it is the only hospital in Central
America accredited by the U.S. Veteran Affairs
Office, which has a location in the main lobby of
CIMA.
CIMA Hospital is equipped for over 60
specialties with 170 physicians, a complete
imaging department including open MRI, CT, X-
ray, ultrasound, endoscopy, a full service
laboratory, and a 24 hour pharmacy.

4. Clinica Zahha Ambulatory Surgery Center
Clinica Zahha is one of WISE’s ambulatory surgery centers. The facility is an American Association for
Accreditation of Ambulatory Surgery Facilities (AAAASF) accredited ambulatory surgery center that
boasts the latest technology, high tech operating rooms and a full service aesthetics department.
Clinica Zahha is set up for several different fields of
medicine including, urology, cosmetic, surgery,
oncology, orthopedic, vascular surgery, pediatrics,
dermatology, and internal medicine.
The WISE physicians in Costa Rica have surgery
privileges at Clinica Zahha and the Zahha family goes
above and beyond to make sure patients feel at home.
The full service spa embedded in Clinica Zahha is sure
to sooth any preoperative anxiety for the patients and we have also found that family members are
able to enjoy spa services during their wait time, as they accompany the patient.
Dental Cosmetics Costa Rica
WISE dental clinic, Dental Cosmetics Costa Rica, is an
American Association for Accreditation of
Ambulatory Surgery Facilities (AAAASF) accredited
facility that is comprised of dentists that specialize in
specific areas of dentistry. This ensures that each
WISE patient has a doctor that specializes in the
prospective area of dentistry that they need to be
treated for, as opposed to having a general dentist
performing a wide range of services.
This WISE dental facility is a part of the American
Academy of Cosmetic Dentistry, the American Academy of Implant Dentistry and is accredited by the
International Congress of Oral Implantologists.
Lastly, Dental Cosmetics Costa Rica is the only dental clinic in
Central America that is licensed to do immediate load
zygomatic implants, which allows patients that are good
candidates and in need of a dental implant to have a more
simple, effective, permanent, immediate and beautiful
result.

5. Hospital Clinica Biblica
WISE hospital, Hospital Clinica Biblica is affiliated with
Blue Cross-Blue Shield. The hospital was founded in
1929 and has grown and prospered ever since. The
hospital is also affiliated with the prestigious
Evergreen Hospital in Kirkland, Washington and
Clinica Biblica and Evergreen have a teaching
relationship allowing doctors of both facilities to train
in either facility. The hospital is also affiliated with
Tulane Medical Center, Oschner Medical Center (both
in New Orleans), and Mount Sinai Medical Center in
Florida. Clinica Biblica is equipped for over 60 surgery
specialties, including cancer care, orthopedics, bariatric surgery, cosmetic surgery, a coronary center,
general surgery, OBGYN, oral surgery and much more.
IVF Panama
WISE center for In Vitro Fertilization, IVF Panama, is
embedded in the prestigious Johns Hopkins Punta
Pacifica Hospital and is recognized for their
outstanding success rates. The success rates of WISE’s
IVF clinic are twice that of the United States average for women of any age (25% in the U.S. vs. 52%
with WISE) and 35% greater for women age 35 and under (41% in the U.S. vs. 68% with WISE). The
clinic maintains all of the credentials required to be accredited by the Joint Commission International
(JCI), as well as the Johns Hopkins International (JHI) accreditation standards. The clinic’s head IVF
specialist is Dr. Mario Vega who is a part of the American College of Obstetricians and Gynecologists
and specialized at the Albert Einstein College of Medicine, Hospital and Medical Center in New York,
where he received his Maternal and Fetal Medicine Fellowship.
Johns Hopkins Hospital Punta Pacifica
WISE Hospital, Hospital Punta Pacifica, is a Johns Hopkins
International Hospital and is accredited by the Joint
Commission International (JCI). Additionally, Hospital
Punta Pacifica is managed by and meets the same
standards of Johns Hopkins for the Johns Hopkins’
Medical Center in Baltimore, Maryland; this goes for the
WISE surgeons that work within the hospital as well.
This WISE hospital works with 27 different U.S. insurance companies including Blue Cross Blue Shield,
CIGNA, AETNA and the American Foreign Service - AFSPA (USA - Department of State). Additionally,
Punta Pacifica is equipped for over 60 medical specialties including orthopedics, bariatric surgery, hand
microsurgery, cosmetic surgery, general surgery, and cardiology.

6. Pino’s Plastic Surgery Center
Pino Plastic Surgery Center is a WISE cosmetic ambulatory
surgery center and is accredited by the American
Association for Accreditation of Ambulatory Surgery
Facilities (AAAASF) and was the first facility in Costa Rica to
obtain this prestigious accreditation. This WISE cosmetic
surgery center is overseen by certified plastic surgeon, Dr.
Ronal Pino, who is a part of the American Society of Plastic
Surgeons and is recognized as a leader in the field of
plastic surgery.
Stem Cells & Regenerative Medicine
WISE stem cell clinic, Stem Cells & Regenerative
Medicine, is embedded in the prestigious Johns
Hopkins Punta Pacifica Hospital. The clinic
maintains all of the credentials required to be
accredited by the Joint Commission International (JCI), as well as the Johns Hopkins International (JHI)
accreditation standards.
WISE offers stem cell treatments for rheumatic diseases such as rheumatoid arthritis and
osteoarthritis, neurological diseases such as multiple sclerosis and Parkinson’s, treatment for type 1
and 2 diabetes, cosmetic rejuvenation, orthomolecular medicine to modulate any imbalances occurring
in cells using micro-nutrients and repair altered biochemistry, and more.
Physicians from the United States frequently come to this WISE stem cell clinic to learn about the
cutting edge treatments that are being performed, because of the fact that Stem Cells and
Regenerative Medicine is setting the bar in stem cell medicine.
Recovery
The recovery process for WISE patients is set up not only to ensure that each patient has the medical
and nursing care that they need and deserve, but also to make the process of recovery enjoyable for
the patient. WISE patients have many choices, when it comes to their recovery retreat. They are able
to recover close to the city, outside of the city,
overlooking a volcano, an 8 acre garden filled with
butterflies, the beach, the Pacific Ocean and/or the
Caribbean, or even a Costa Rican cloud forest.
The one constant that remains, no matter the WISE
recovery center that a patient chooses is that every
one of them is easily accessible for patients of all ages
and physical abilities and they come with 24-hour
nursing care with a registered nurse, when needed, at
no additional cost. WISE patients are regularly quoted

7. as saying that “…my WISE recovery center was wonderful…all of my wants and needs were addressed, I
was very well taken care of and I was able to focus on my recovery in a clean, tranquil environment
that truly made me feel at ease….”
Additionally, the WISE recovery staff is accustomed to all the needs and requests that medical and
dental patients need to have addressed, because this is what they do full-time on a daily basis and
there is no request to small or too large.
Patient Advocates
One of the largest contributors to the fact that WISE patients return
home as raving fans about the quality outcome of their procedure or
treatment and their experience while partaking in the WISE patient
process is the team of dedicated patient advocates located in WISE’s
destination countries.
WISE has a team of patient advocates that makes sure every WISE
patient has every single one of their needs and desires fulfilled while
they are in their destination country. WISE patient advocates are with
each WISE patient through every step of the patient process, even
initiating contact with each patient before they leave for their
destination country and providing the necessary services to ensure that the patient has a flawless trip;
services including:
 Greeting the patient at the airport with a large bouquet of tropical flowers
 Whisking the patient away to their recovery center to get settled in
 Taking the patient to all pre-operative and post-operative appointments
 Taking the patient to every physical therapy session (when needed)
 Going with the patient to their appointments on the day of their surgery or treatment
 Arranging for patients to go on tours such as a coffee plantation, volcano, rainforest, beach,
waterfall, canopy, and many others
 Making sure each patient has all of the foods and beverages they prefer at their recovery
center
 Taking the patient to the airport on the day of their departure, thanking them and wishing
them well
Having a WISE patient advocate with them every step of the way allows each patient to feel safe,
comfortable and at ease during their trip, because it lets them focus on the only thing they should have
to focus on, which is feeling healthy and being happy.
Follow-Up
One area that really makes patients feel great about making the choice to have their healthcare needs
fulfilled with WISE is the comprehensive follow-up that takes place after they return home. Prior to
ever boarding the plane to come to down to their destination country, WISE patients’ follow-up care
appointment in their home town is scheduled by WISE with the appropriate physician relative to the

8. procedure they are having performed, so that they can rest assured that the necessary follow-up to
their procedure is taken care of appropriately.
WISE coordinates the post-operative follow-up
appointments between not only the patient and
their doctor in their home town, but also
between the patient and their WISE physician via
a video conference call to ensure that the patient
is able to ask any questions they may have or
simply stay in contact with their WISE physician
at any point and time, once they return home.
WISE physicians pride themselves on not only
their professional abilities as a surgeon and being
a leader of their prospective fields, but also on
their warmth and bedside manner; this is very
apparent to each WISE patient and makes them feel at ease when speaking to their WISE Physician.
In addition to the follow-up that takes place specifically for each patient’s healthcare needs, WISE
sends each and every patient gifts from their destination country 6 times per year, every year for the
rest of their life. WISE sends these gifts, which are anything from Costa Rican coffee to skin care
products to juices from the local market, as a way of saying thank you for trusting WISE with your
healthcare needs and to ensure that each patient knows they are forever part of the WISE family.
Lastly, WISE has a “WISE Family Reunion” 2 times per year every year, where they invite all of the prior
WISE patients to Costa Rica, so they can experience the tourism side of the country that they may not
have been able to on their initial healthcare trip, due to physical limitations or time. During the family
reunions, WISE patients are able to go on trips to the rainforest, the beach, canopy to go zip lining, the
rivers for white water rafting, volcanos, nature preserves with sloths, monkeys, toucans, macaws, and
much more.
Ensuring that every WISE patient has the care they need and deserve every step of the process and
being certain that they know they are forever part of the WISE family is an integral part of the WISE
experience.
Savings
The fact that WISE offers patients the ability to have their procedures performed in world-class, Joint
Commission International accredited hospitals, with world renowned surgeons who have over 80% of
their patients flying in every day for their services, obtain a higher level of personalized care than they
are accustomed to or would receive at home, and get to recover in a tropical paradise where they do
not have to worry about the stresses of everyday life is reason for them to think this would cost more
than they would pay at home. However, the fact is that WISE patients save an average of 50-70% off
the cost of having their procedure done at home and this savings even includes their lodging, flights
and all of the exceptional services that WISE offers throughout the process. Here are some example
savings for 10 of the more commonly performed WISE procedures:

9. Procedure United States Cost WISE Cost Savings
Total Hip Replacement $45,000 $13,800 70%
Total Hip Replacement (both) $75,000 $24,200 68%
Total Knee Replacement $36,000 $12,400 66%
ACL Repair $35,000 $5,200 85%
Laparoscopic Gastric Bypass $25,000 $13,000 48%
Gastric Sleeve $22,000 $11,000 50%
Laparoscopic Hysterectomy $19,200 $6,300 68%
Porcelain Veneers (per tooth) $3,000 $400 87%
Dental Implants (per tooth) $3,500 $800 77%
Total Mouth Restoration $75,000 $14,000 81%
Average Savings = 70%
*All medical and dental implants or other material that is foreign to the body are United States FDA
approved.
Financing
WISE has partnered with Prosper.com to form
“WISEandProsper.com” where WISE patients are
able to obtain the financing they may need for
any procedure that they need and/or desire.
WISEandProsper.com is the world’s largest Peer-
to-Peer lending service and they provide the
lowest medical loan rates anywhere in the
industry of financing.
In Peer-to-Peer lending, borrowers post loan
requests on the Prosper site and these loans are
invested in by many lenders. Thus, a person
borrowing $10,000 may have dozens and dozens of lenders investing in the loan. Prosper acts as the
platform, and collects and distributes all the money, though the loans on WISEandProsper.com’s
platform are originated by WebBank, an FDIC-insured Utah Industrial Bank.

10. Benefits of WISE & Prosper Loans for Borrower
 Application is online and takes less than 5 minutes
 Fixed loan rates from 6.59% to 35.84% APR (lower than any other financing for medical loans)
 Loans are unsecured. No collateral required
 Fixed rate – Interest rate never changes for life of loan
 Multi-year terms
 Easy monthly payments
 Loan sizes from $2,000 to $25,000
 No prepayment penalties
 No upfront fees – Origination fees depend on credit rating of borrower and are taken from the
loan proceeds
How Long Does the Borrowing Process Take?
 5 minutes to get pre-qualified online
 15 minutes to draft the loan listing
 1 day to 2 weeks for lenders to fully commit to the loan
 24 hours after loan is fully committed and verification documents are received, the patient
receives funds
 Some patients get their funds within 3-4 days of first application
 The average WISE & Prosper patient borrower has the funds deposited directly into their
account within eight days of submitting their application