Tri-Isthmus Group, Inc. Partners With Innovative Healthcare Management Inc.

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POWAY, Calif., Feb. 20 /-/ -- Tri-Isthmus Group, Inc. (the "Company" or "TIGroup") (OTC Bulletin Board: TISG) has partnered with Innovative Healthcare Management Inc. ("IHM") to:

    -- Work with the Company's existing ambulatory surgery center ("ASC")

     investments,

    -- Join TIGroup's advisory board,

    -- Co-invest in existing TIGroup projects, and

    -- Pursue future investment or acquisition projects together on a case by

     case basis

    David Hirschhorn, Co-CEO of TIGroup(TM) commented, "We are very pleased to be working with Bill Simon and his team at IHM. IHM has a stellar track record in developing, managing and realizing exceptional returns for its physician partners. IHM has successfully developed 4 ASCs and recruited over 100 physician partners in the Southern California market during the past 10 years. Partnering with IHM as both our management partner and possible co- investor in future projects permits us to more aggressively pursue acquisition and investment opportunities in our target markets with a partner that has a proven track record of creating value and liquidity events for its ASC partners."

    "Working with TIGroup to manage their ASC investments is an exciting opportunity for us that assists us in our growth initiatives and continues to expand our industry platform and further leverages our industry infrastructure in our local marketplace" stated Bill Simon, CEO of IHM. Mr. Simon added, "We look forward to continuing to grow our relationship with TIGroup as we evaluate new business opportunities together. Additionally, we believe that TIGroup has attractive opportunities with its current ASCs in the Point Loma and Del Mar markets plus intriguing opportunities in its business development pipeline."

    TIGroup(TM) recently acquired a 51% ownership in two ASCs in Point Loma and Del Mar, California in November 2006.

    TIGroup(TM) is seeking opportunities to both invest in and acquire ambulatory surgery centers, imaging centers and specialty surgical hospitals on either a majority or minority basis. In particular TIGroup is seeking both "transition" or "re-start" situations and currently profitable ASC investment opportunities.

    About Innovative Healthcare Management Inc.:

    Innovative Healthcare Management Inc. has over 10 years of successful experience developing and managing ambulatory surgery centers and has been involved in the launch of 4 successful ambulatory surgery centers in the Southern California marketplace. Innovative Healthcare Management Inc. is headquartered in El Segundo, California. http://www.ihmweb.com

    About Tri-Isthmus Group, Inc.

    TIGroup(TM) is a public holding company focused on the acquisition of private businesses in the healthcare services sectors. The company actively seeks out profitable or near profitable businesses that provide a platform for accelerated growth via additional acquisitions and attractive internal growth dynamics. The TIGroup(TM) team, board and advisory board combine significant experience in operations, acquisitions, financing, asset management, turnarounds and the management of private and public companies. TIGroup(TM) makes its investments in the healthcare services sector through its subsidiary, Surgery Center Acquisitions Holdings, Inc.

    TIGroup has offices in Poway, CA, and is listed on the OTCBB, trading symbol TISG.OB.

    Forward Looking Statements

    This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, including, among others (i) prospective business opportunities and (ii) Tri-Isthmus Group's potential strategies for redirecting and financing its business. Forward-looking statements are statements other than historical information or statements of current condition. These statements involve risks and uncertainties that cannot be predicted or quantified, and consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Such risks and uncertainties include the factors detailed in the Company's Annual Report on Form 10-K filed with the Securities and Exchange Commission. These statements speak as of the date of this release, and the Company undertakes no obligation to update these statements in light of future events or otherwise.

    For more information contact: David Hirschhorn at (818) 887-6659.
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