Joseph A. Spiak, President

jspiak@amshcm.com

904-438-2670

Mr. Spiak has been active in the field of healthcare administration and finance for over 30 years. He began his healthcare career in the US Army, serving in the Medical Service Corps, at several assignments including the First Infantry Division, First Medical Battalion. As a graduate of the Columbia University School of Public Health, Joe did his residency at Montifiore Medical Center, New York, Department of Community Medicine. For seven years he served as Director of Planning, United Hospital, Port Chester, New York. It was at United that Joe was introduced to the FHA Section 242 Mortgage Insurance program. Acting as United's point person for the financing, he organized the application and approval process. United had the distinction of being the first publicly offer FHA/GNMA tax-exempt hospital issue. From United Joe moved to Merrill Lynch, where he spent 18 years in Healthcare Public Finance and continued a career of completing 242 insured mortgages, noteworthy was the then largest FHA insured transaction, Buffalo General Hospital, $210 million. His career has included all types of hospital financing including Merrill Lynch's first fixed to floating swap. In 2000 Joe joined Banc of America Securities and as head of its Healthcare Finance Department and established an FHA insured hospital mortgage program. The $422 million Medical University Hospital Authority, Charleston, SC, financing was the flagship deal for Banc of America Securities. In 2004 Joe joined UBS Investment Bank, where he established an FHA Hospital Mortgage funding program. In 2008 Joe established AMS Health Care Mortgage Corporation, to provide FHA mortgage banking services to select hospitals and health systems.