2Integrated Multi-Sector Project Health Care IT TourismIntegrated Digital HospitalMedical Tourism Clinics (All India)Medical Tourism SPAs (All India)Medilife-100 (Medical Insurance)Tele-Medicine NetMedical Call CenterBio-Medical SoftwareMedical OutsourcingTheme HolidaysBusiness HolidaysPilgrimage HolidaysTime share club
3Malayala Manorama Dated - 7/12/2008 Time Share Club inHealth CareMalayala ManoramaDated - 7/12/2008
4World Tourism Scenario As per WTO 700 million tourists travel every year.They spend more than $300 billion, accounting for 8% of worlds exports & 30%of International trade services providing more than 1 billion JobsIn Florida (USA) 41 million people visit per year for Medical TreatmentCountryNo. of TouristsFrance75,100,000Spain53,600,000United States46,100,000China41,800,000Italy37,100,000United Kingdom27,000,000Hong Kong21, 800,000Mexico20,600,000Germany20,100,000Austria19,400,000Singapore6,500,000India5,000,000
5Indian Tourism Scenario Number of Domestic Tourists = 600 millions (Approx.)Number of foreign visitors in 2007 = 5 MillionsAverage Tourist stay in Singapore = 5 daysAverage Tourist stay in India = 26 daysA Foreign Tourist spends in Goa = $1000/dayA Domestic Tourist Spends in Goa = Rs. 2600/dayA Foreign Tourist spends in Gujarat = $700/day.A Domestic Tourist Spends in Gujarat = Rs. 500/day.Tourism Ministry Proposes to spend for developing 20 tourist spots in India=Rs. 42,000 CroresAs per Mckinsey study revenue from medical tourism by 2012 in India= $2billion.India’s Tourists are 90% Domestic, out of this 80% are Pilgrimage Tourists
6Medical Tourism is the Mother Of Tourism (365 days of Tourism without seasons)
7WHY MEDICAL TOURISM?If 20th Century Brought Software Revolution in India – Software Cost 1/5th of that of USA21St Century –Will bring Medical Tourism Revolution in India – Medical Cost 1/5th of that of USA
8Medical Tourism Scenario IT RevolutionRecession in the West AffectsIT Exports from India $ 50 BillionIT - 5 % GDP in USAMedical Tourism RevolutionRecession Proof- Recession reinforces need for cost cut in Health careHealth Outsourcing from USA$60 BillionHealth care -16 % of GDP,Health Care & Medical Tourism in India,
10An overview of world Medical Tourism CountryNo. Of foreigners treated (2005)From CountryMoney earnedStrengthsThailand600,000US,UK$470mCosmetic surgery, Organ transplants, Dental treatments, Joint replacementsJordan126,000Middle East$600mOrgan transplants, Fertility treatments, Cardiac careIndia100,000Middle East, Bangladesh,UK, Developing countriesN.ACardiac care, Joint replacements, LasikMalaysia85,000US, Japan, Developing countries$40mCosmetic SurgerySouth Africa50,000Cosmetic Surgery, Lasik, Dental treatmentsCubaLatin America, US$25m-50mSpecialist Niche treatments :Vitiligo, Night Blindness; Cosmetic Surgery.
11Road Blocks to Medical Tourism in India Developing Country - Negative perceptionabout India- poor Hygiene and sanitationLow Penetration of Medical insuranceFlight connectivity and infrastructural problems
12Road Blocks to Medical Tourism in India lack of knowledge among foreigners-world of mouth or internet savvylack of trust - no personal or localcontactslack of follow up – No Follow up andSuffering from Complicationslack of Medical liabilityNo Integrated Medical tourismproject - Top hospital’s me tooapproach . Depends on government initiatives
13Achievements in Medical Tourism in India Actual (1 Lakh)1 lakh foreign patients visit India/year for medical tourism, compared to the potential of 10 lakhsProfile of PatientsHeart Related - 30%Bones & Joint - 15%Renal, Eye, Kidneyetc - BalancePotential (10 Lakhs)
14Achievements in Medical Tourism in India Profile of CountriesMiddle East - 40%South Asia - 35%US & UK - 25%
15Potential Medical tourists for Gujarat 47 million Americans not HealthInsured. Consultation cost in USA = $50to $150 for insured and $250 to$450 for non insured with1 week waiting time.NRGs from USA, UK, Africa.Large Gujarati population settledin Mumbai and other metropolitan cities.Diseases for which no Allopathytreatment is available – Ayurveda,Homeo, Holistic treatments.For unique preventive HealthTreatments – Foreign Tourists are evenready for $1 million tourist packages.Not InsuredInsured$50 to $150$250 to $450
18Potential Medical tourists for Gujarat For Infertility treatment. ForInfertility Treatment In UK= Rs.8 Lakhs with 8 months waitingperiod, India= Rs. 1 Lakh: nowaiting period.Egg donors and surrogatemothers readily and economicallyavailable in IndiaPatients from 160 Countriescan take Ayurvedic and HolistictreatmentsUK( Rs.8 Lakhs)India (Rs.1Lakh)Ready MothersAyurveda
19Can Gujarat be the No 1 Medical Tourism destination in the world? YES !!World Medical TourismCentresFlorida – Miami (USA)ThailandSingaporeSouth AfricaJordanPhilippinesHungary
20How Gujarat can be World’s No.1 Destination for Medical Tourism To avoid Heart attack & for better heart healthFor Beautiful Smile & Better TeethFor Ayurveda TreatmentsTo control/Cure DiabetesGujaratFor Anti-aging & RejuvenationFor No Pain/Better Bones & JointsFor Detoxication & De-stressingFor Organ TransplantsFor Beauty & YouthFor Sure ChildBusiness Visitors & MICE TourismObesity TreatmentsPilgrimage Tourism (Hindu, Buddhist, Jain, Islam, Parsi)Medical & DentalCheck-UpsFor best budget Treatment & For Non-health insuredTo avoid spectaclesFor Confidential TreatmentsFor European SPAECO, Agriculture, Wildlife Tourism & Beach TourismMedical BanksFor Non-cured DiseasesMumbai Gujaratis & Innovative Circuits Tourist
21How Gujarat can be World’s No.1 Destination for Medical Tourism ProcedureBUMRUNGRAD Hospital (Thailand ) ( $-US)Medical tourism Hospital (Ahmedabad) ( $-US)Heart Bypass graft surgery7,8945,000Heart Valve replacement10,0006,000Angioplasty13,0003,000Hip replacement12,000Hysterectony2000Bone Marrow Transplant---Liver Transplant20,000-40,000Neuro Surgery800Knee Surgery8,0001,000-2,500Cosmetic Surgery3,5002,000BUMRUNGRAD Hospital (Thailand):1. Thailand population is 63,121,0002. 3 Lakhs Foreign patients from 130 nations Treated In one year3. 25% of patients treated are foreigners4. Helpdesk In 12 Countries5. Assistance in 13 languages6. Medical Helicopter for Foreign patientsMedical Tourism Hospital (Ahmedabad)1. Indian population is 1,128,000,0002. NRG Ambassadors in 160 countries3. Cost of treatment is 30% of that of Thailand4. Ayurveda years old tresure of India5. NRI Doctors can work during holidays in India6. Business visitors of Vibrant Gujarat Projects
22How Gujarat can be World’s No.1 Destination for Medical Tourism Gujarat can be treatment destination for all Chronic DiseasesChronic diseases like Diabetes, BP, AIDS, Cancer are causing65% deaths in India. Mortality due to Diabetes & Heart diseases to costRs. 210 billions every year, expected to increase to Rs. 235 billions by next 10 yearsIndia will have 30million Diabetes patients by 2020,out of which 25% suffering from complications, And Ayurvedais a Good remedy for Diabetes ComplicationsIndia will have 213 million BP patients in 2025 compared to 180 millions in Ayurveda is a Good remedy for Blood pressureIn India 10% of adults suffer from Hypertension while the country is home to million diabetes.3 out of every 1,000 people suffer a stroke. The number of deaths from heart attack is projected to 2 million in million people have coronary artery diseases & 5 million have Rheumatic Heart diseases. Ayurveda is a remedy for all these diseases
23How Gujarat can be World’s No How Gujarat can be World’s No.1 Destination for Medical Tourism (Gujarat Medical Banks)LeverHeart1. Organs BanksEyeLungsKnee & Hands2. Bone Marrow RegisterFace & Hair3. Semen & Egg Bank4. Stem Cell Bank5. Surrogate MotherRegister6. Skin BankSkin Bank7. Kidney Register
24How Gujarat can be World’s No.1 Destination for Medical Tourism Gujarat has the state-of-the-art Technology and the skilled Super- specialistsAbundant Trained Health ManpowerNRG population as Medical Tourism Gujarat Ambassadors in 160 CountriesIT advantage, Pharma advantage, Bio-technology advantage and Tourism advantage in Gujarat.“Vibrant Gujarat” is going to be “Davos meet” which will bring many medical tourists to Ahmedabad
25How Gujarat can be World’s No.1 Destination for Medical Tourism Medical Tourism Cost at Ahmedabad 30 to 50 % of that in Thailand. If Integrated treatment Approach is adopted the cost will be 10 to 20% of CostAmericans Spent $25 billion on CAM Therapies Last Year. This can be Increased to $100 billion if we globalize and Modernize AyurvedaAnand in Gujarat has become a destination for infertile couples
26Globalization of Ayurveda Indian Ayurveda-World’s Best Ayurveda BrandGujarat Ayurveda + Kerala Panchakarma= Metabolic Diseases +Musculoskeletal diseases + Other diseases =A Total System of MedicineHomeopathy is only 230 Years old , but it is catering to patients to 152 Countries from India (Dr Rajesh shah – and Dr Batra’s Positive Homeopathy , Dr. Bakson’s Homeopathy etc)Ayurveda is 5000 Yrs old – Waiting for Globalization to 160 Countries through a Telemedicine Net
27Project 28 2 Acres 2 5 Acres 27 Acres (SEZ) 5 MTC + IT Resort + Medical Out SourcingMedical Tourism Complex (MTC)MTC + IT ResortMedical Tourism Complex (MTC) – MTC consists of Medical Tourism Hospital, Handicrafts Mall, Art & Cultural Village, Multi Cuisine Food Centre, Medical Call Centre, Telemedicine Net.
28Medical Tourism Hospital Multi Cuisine Food Centre Digital Executive Business CentreDigital NRI Service CentreMEDICAL TOURISM COMPLEX & IT RESORT, AHMEDABADTelemedicine NetMedical Call CentreHandicrafts MallArt & Cultural Village
29Brief Description About the Project: Setting up a Medical Tourism Complex in the periphery of Ahmedabad with specialized departments like1. Heart Surgery2. Joint Replacement,Microdesectomy & Spinal Fusion3. Cosmetic Surgery4. Eye Surgery (Lasik, Cataract, Glaucoma, RefractiveSurgery, Vitreoretinal Surgery) & Ear (Cochlear Implant)5. Major Surgeries & Organ Transplants6. Infertility Treatment, Fibroid and Women's Disease
30Brief Description About the Project: 7) Obesity Treatment & Interventional Cardiology8) Comprehensive Health Check Up9) Rehabilitation, Psychology & Geriatrics10) Ayurveda, CAM Therapies & Non-Cured Diseases11) Multi specialty Dental Clinic12) Anti Aging Clinic and European Spa.
31Brief Description About the Project: This Hospital will be connected through a Telemedicine Net to Medical Tourism Super Clinics in 60 cities in India and places like Gulf (Dubai, Saudi-Arabia, Qatar, Oman, Bahrain, Kuwait) Maldives, Colombo, Malaysia, Indonesia, Singapore, Philippines, Dhaka, USA, UK, Kenya, Uganda, Nigeria, Africa etc,Further it will be connected through a Telemedicine Net to Medical Tourism Spas in tourism centers like Dwaraka, Fort Kochi, Mahabalipuram, Bangalore, Goa, Mumbai, Jaipur & New Delhi.36 disease management clubs like Diabetes clubHeart Club etc, will be conducted on an all India basisthrough Tele-Medicine Net and Medical Call center at Ahmedabad.Medical Audit & Medical research will be conducted continuouslythrough Tele-Medicine Net and Medical Call center at AhmedabadHome Health care services (National & International)Will be conducted through Medical Call Centre & Telemedicine Net,so that Hospital admission and stay of the patient in the hospitalwill come downA Multi-Cuisine Health Food Court , Digitized Businesscenter and Digitalized NRI Center will beattached to the hospital.
33Brief Description About the Project: Chief Executives who are under going Rejuvenationin this IT Resort can control his organization from thehospital, Similarly, NRIs can be digitally connected totheir relatives in India.A Gujarat Art & cultural centre will be attachedwhere all the folk dances& cultural festivals ofGujarat will be demonstrated daily to the foreigners& Indian TouristsOne floor of the complex will be ear-marked forshops of Gujarat Handicrafts
34Highlights 1. First Hospital: 2. Unique Marketing: It will be the first integrated Medical Tourism hospital in theworld which specially cater to Medical Tourism.2. Unique Marketing:a) Medical Tourism Clinics and Medical Tourism Spasall over India will bring large number of Medical Touriststo Gujarat.b) A Medical Tourism Club will be promoted on time sharebasis all over India and abroad in which there will be afacility for members to come to Gujarat every year andenjoy 15 days free stay for treatment (chargeable).3. Centers of Excellence:a) All the departments of the hospital will be the centers of excellence as the best doctors from different parts of India Mumbai, Delhi, Chennai, Bangalore, Pune, Kolkata, etc.. will be taken on visiting basis in addition to the core team at the hospital.b) Through the Tele-Medicine Net the tourist can consult the best doctors in different parts of India, with whom hospital will have contract arrangement.
35Highlights 4. Technological Excellence: 5. Minimum Cost: a) As far as possible the best medical equipments onlease will be installed and every 5 years there willbe replacement of better technology equipments.b) Medical Automation – It will be fully Digitalized hospitalwith facilities like Pharmacy Robot, Robotic Surgery,Fully Automated Laboratory, Picture Archive &Communication Systems (PACS), 4D Ultra Sonography,Wi-Fi connection, 128-bit CT-Scan, Pet Scan & MRI, etc,.5. Minimum Cost:a) All the rooms and suites will be given on time share basis to NRIs, Foreigners andHigh Net worth Individuals (HNI)s. Every year they can use the facility free for 15days, for their parents or for friends. If they do not avail the facility the hospital willrent to other patients and 50% of room charges will be given to the owners andhospital will guarantee return not less than the prevailing bank interest.b) Non core activities will be given on contract to reduce the operational cost.c) As it is 100% digital hospital, there will not be any paper work and cost of operationwill be minimum.d) All Medical Tourism clinics in 60 cities in India and Medical Tourism Spas will be run on franchise basiswhich will reduce the cost of investment & operation cost.6. Tele-Medicine Net:A Tele-Medicine net supported by Medical Call Center not only will make the operation ofhospital online but also it will enable NRGs to see their parents onlinewhen they are in hospital or in their house.MedicalAutomation
36Highlights 7. Integrated treatment: 8. Immediate Start: Any patient can get integrated treatment of Allopathy,Ayurveda, Homeopathy and CAM Therapies8. Immediate Start:The project can be started immediately without waiting for the construction of the hospital usingthe facilities in other super specialty hospitals at Ahmedabad. Thus the gestation period of the project will be minimum.9. International Treatments:In Ayurveda and CAM Therapy, all the holistic treatments as existing in “DubaiHerbal Treatment center” like Ayurveda, Traditional Chinese Medicine, Colon Hydro Therapy,Chiro Practice, Ozone Therapy, Manual Lymphatic Drainage, Taichai, Yoga, Nutrition, BeautyCare, etc, will be introduced .10.Digital Marketing:A dynamic web site will be developed for the hospital and itwill be translated into Chinese, Spanish, Japanese, German,French, Korean, Italian, Deutsch, Arabic and Indianlanguages like Hindi .
37Highlights 11. Hub & Spoke System: 12. Medical Insurance: For Medical tourism services to the tourists, for the facilities whichare not installed in our hospital, we will be utilizing the facilitiesof other hospitals in Gujarat. Thus we will be able to operate theproject with minimum capital cost and minimum operationalcost, which will lead to the high profitability of the project .12. Medical Insurance:Company has formulated a unique Medical insurance schemecalled "Medilife 100". It is the world's first total health insurancescheme as it covers Allopathy, Ayurveda, Homeo,Pregnancy, Infertility, Beauty and Dental Treatments.It is also the only double money benefit Health Insurancein India. Company is in discussion with STAR HEALTH AND ALLIED INSURANCE COM. LTD to implementthe same all over India and for starting CRYSTAL STAR(Medical Tourism) Super clinics all over India. Hub & Spoke System
38Highlights13. Mother Tourism Project – A Big Boost to Gujarat Tourism:Through our all India and International Marketing, we will bring large number of Indian &International Medical Tourists to Gujarat. (Only 2 Lakhs Foreign Tourists (4%) of the5 Million Tourists Visiting India, Come to Gujarat) 365 days of the year. As ourBoard & Lodging Facilities are limited, these tourists will be staying in other Resorts & Hotelsat Gujarati. Thus our Medical Tourism Project will be a big boost for tourism in Gujarat.Similarly, due to operation of Executive Retreat, there are possibilities of manyProfessional meetings and Business Conventions conducted at Ahmedabad.The latest trend is that tourists enjoy dynamic holidays. In our organicdemonstration farm and IT Resort we will arrange classes in Organic Agriculture, CulinaryArts, Management, Advance Technology and Yoga. So this Medical Tourism project willgive a boost to MICE Tourism, Agriculture Tourism, Business Tourism and HolidayTourism in Gujarat.
39Highlights 14. Mother project – Boost To Gujarat Industries A number of Industries developed near Medical Tourism towns. The Patients and their relatives use to do shopping when they come for Medical Tourism. Similarly this project will give a boost to Gujarat Industries like Health Mattress (Rubber), Health Chappals, Health Foods, Medical Implants, Ayurveda Medicines, Organic Agricultural Products, Handicrafts, Hospital Furniture etc
40Project Details 1. Land Required: 2 acres Note: For a hospital, Floor Space Index (FSI or FAR) is more in Gujarat Development Control Regulations. Hence the land required is only 2 acres inside Ahmedabad .
41Project Details 2. Building: In 1st stage, the requirements of building is 1.2 lakhs sq.ft. Out of the 12 departments in the Hospital, 50,000 Sq. ft will be allocated to Allopathy departments and 30,000 will be allocated to Ayurveda and Holistic departments. 40,000 sq.ft will be earmaked for Telemedicine Net, Medical call center, NRE services center, Art & Cultural Village, Digital Executive Business Centre, Handicrafts Mall, Multi Cuisine Food Court etcNote:1.Medical Tourists will be accommodatedin the hotels and resorts near Ahmedabad, whenour facilities become inadequate2.Construction of the building will be done byus instead of giving to the contractors.Thus the construction cost will be reducedto Rs.1000 Per Sq. ft.
42Project Details Cost of Project 1. Land (2 Acres) Rs 01.00 Crore 2. Building ( 1.2 Lakhs sq. ft ) Rs Crores3. Medical equipments Rs Crores4. Telemedicine & Medical call center. Rs Crores5. Working Capital Rs Crores Rs CroresNote:1. Maximum number of equipments will be taken on lease.2. Working capital required will be much less as Medical Tourism clinics and Medical Tourism Spas, (all of them will be on franchise basis) will be operational before the hospital is ready.
43Project Details 3. Equipments: 4. Working capital: Some of the equipments like MRI, CT Scanetc are cut down in 1st stage, as this facilitycan be availed from other centers at Ahmedabad.4. Working capital:The working Capital requirements isreduced as the Medical Tourism Hospital isconducted as pact of existing nursing homes at Mumbai.5. Means of Finance:Promoters additional contribution to equity CroresNRG Contribution 4.00 CroresTime share contribution ( Sq ft at Rs 2000) CroresTeam Loan from financial institution 11.60 Crores Total Crores
44Project Details 6. NRI contribution: 7. Benefits to NRIs: 10 Lakh shares (face value Rs.10) will be given toNRGS at Rs.40/ share. This will form about 48% ofequity Capital of Crystal Hospitals Ltd., This canbe given to two NRGs as strategic investors withBoard representation.7. Benefits to NRIs:a) They can participate in an existing projectb) The income from a Medical tourist will be approximately3 times from that of an general tourist. Hence very highprofitability for the project.c) As there is shortage of 80,000 beds in India, a chain of100-bedded Digital hospitals can be started in other tourism cities & all over India.Thus they can take part in tremendous growth prospects of thehospital project.d) As a forward integration, Medical Outsourcing,. Which is the world's largestoutsourcing after Manufacturing Outsourcing, can be started.e) Promoters will guarantee minimum return of 12% on the face value of sharefrom second years of operation.f) As it is a very promising project, high appreciation of share price can be expectedbefore public issue with in 3 years. So NRGs can reap handsome profit
45Project Details 1. Authorized. Share Capital Rs 5.5 Crores 8. Mode of NRI Financing: 1. Authorized. Share Capital Rs 5.5 Crores 2. Paid up Capital Rs 2.1 Crores 3. Promoters holding Rs 1.1 Crores 4. NRI Holding Rs 1.0 Crores
46Project Details Working Results: Revenue (On Full Operation)1. Patients Income: (1800 * Rs.2 lakh) Rs crores2. Medical Tourism clinics Income: Rs crores(10 Indian clinics monthly income Rs. 5 lakhs;50 Indian clinics monthly income Rs.3 lakhs;10 foreign clinics monthly income Rs. 10 lakhs;Hospital share 25% of income as Franchiser )3. Medical Tourism Spa Income:(0.25 x 8 x 6 x 8) + (0.25 x 2 x 6 x 8) Rs 1.20 crores4. Tourism Operation Income: (3000 Tourists x Rs 5000) Rs crores5. Medical Tourism club Income: (50,000 members x Rs 1000) Rs crores6. Rent income from Handicrafts mall Rs 0.15 crores7. Income from Tele Pathology & Tele Radiology Rs 7.30 crores8. Income from Multi-cuisine food court Rs 3.65 croresTotal Revenue Rs croresExpenditure80% of the Income (Estimated) Rs croresProfit Rs crores
47Project Details Employment Potential Land Requirement & Land Available Direct:Indirect:Note:Other Tourist resorts will be taken on management contract to accommodate more medical touristsLand Requirement & Land AvailableTotal requirement: AcresIn your possession: NilTo be acquired: acresHas any work been started? YesWe are operating Nursing Homes, Medical tourism clinics and Medical Tourism Spas at Mumbai and Kochi.Specify assistance required ? Tie up Needed for the projectGujarat Government Land on lease basis.Term loans from financial institutions.
48Other Relevant Details We have launched a number of Medical and Dental Tourism Services through our portals