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MEDICAL TOURISM COMPLEX & IT RESORT, AHMEDABAD

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MEDICAL TOURISM COMPLEX & IT RESORT, AHMEDABAD
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MEDICAL TOURISM COMPLEX &

IT RESORT, AHMEDABAD

Integrated Multi-Sector Project



Health Care + IT + Tourism

 Integrated Digital Hospital  Tele-Medicine Net  Theme Holidays

 Medical Tourism Clinics (All India)  Medical Call Center  Business Holidays

 Medical Tourism SPAs (All India)  Bio-Medical Software  Pilgrimage Holidays

 Medilife-100 (Medical Insurance)  Medical Outsourcing  Time share club

Malayala Manorama Dated - 7/12/2008



Time Share

Club in

Health Care

Malayala Manorama



Dated - 7/12/2008

World 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 Jobs

 In Florida (USA) 41 million people visit per year for Medical Treatment

Country No. of Tourists

France 75,100,000

Spain 53,600,000

United States 46,100,000

China 41,800,000

Italy 37,100,000

United Kingdom 27,000,000

Hong Kong 21, 800,000

Mexico 20,600,000

Germany 20,100,000

Austria 19,400,000

Singapore 6,500,000

India 5,000,000

Indian Tourism Scenario

 Number of Domestic Tourists = 600 millions (Approx.)

 Number of foreign visitors in 2007 = 5 Millions

 Average Tourist stay in Singapore = 5 days

 Average Tourist stay in India = 26 days

 A Foreign Tourist spends in Goa = $1000/day

 A Domestic Tourist Spends in Goa = Rs. 2600/day

 A 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 Crores

 As 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

Medical Tourism is the

Mother Of Tourism

(365 days of Tourism without seasons)

WHY MEDICAL TOURISM?

 If 20th Century Brought Software

Revolution in India – Software Cost 1/5th

of that of USA









 21St Century –Will bring Medical Tourism

Revolution in India – Medical Cost 1/5th

of that of USA

Medical Tourism Scenario

IT Revolution Medical Tourism Revolution

 Recession in the West  Recession Proof- Recession

Affects reinforces need for cost cut in

Health care

 IT Exports from India

$ 50 Billion  Health Outsourcing from USA

 IT - 5 % GDP in USA $60 Billion

 Health care -16 % of GDP

,









Health Care & Medical Tourism

in India

,

An overview of world Medical Tourism

Country No. Of foreigners From Country Money earned Strengths

treated (2005)



Thailand 600,000 US,UK $470m Cosmetic surgery,

Organ transplants,

Dental treatments, Joint

replacements



Jordan 126,000 Middle East $600m Organ transplants,

Fertility treatments,

Cardiac care

India 100,000 Middle East, Bangladesh, N.A Cardiac care, Joint

UK, Developing countries replacements, Lasik



Malaysia 85,000 US, Japan, Developing $40m Cosmetic Surgery

countries



South 50,000 US,UK N.A Cosmetic Surgery,

Africa Lasik, Dental treatments





Cuba N.A Latin America, US $25m-50m Specialist Niche

treatments :Vitiligo,

Night Blindness;

Cosmetic Surgery.

Road Blocks to Medical Tourism in India

 Developing Country - Negative perception

about India- poor Hygiene and sanitation





 Low Penetration of Medical insurance









 Flight connectivity and infrastructural problems

Road Blocks to Medical Tourism in

India

 lack of knowledge among foreigners

-world of mouth or internet savvy



 lack of trust - no personal or local

contacts



 lack of follow up – No Follow up and

Suffering from Complications



 lack of Medical liability



 No Integrated Medical tourism

project - Top hospital’s me too

approach . Depends on government initiatives

Achievements in Medical Tourism in India

Actual (1 Lakh) Potential (10 Lakhs)

 1 lakh foreign patients visit

India/year for medical

tourism, compared to the

potential of 10 lakhs





Profile of Patients

 Heart Related - 30%

 Bones & Joint - 15%

 Renal, Eye, Kidney

etc - Balance

Achievements in Medical Tourism in

India

Profile of Countries

 Middle East - 40%

 South Asia - 35%

 US & UK - 25%

Potential Medical tourists for

Gujarat

 47 million Americans not Health

Insured. Consultation cost in USA = $50

Not Insured Insured

to $150 for insured and $250 to

$450 for non insured with

1 week waiting time.

 NRGs from USA, UK, Africa.



 Large Gujarati population settled $50 to $150 $250 to $450



in Mumbai and other metropolitan cities.



 Diseases for which no Allopathy

treatment is available – Ayurveda,

Homeo, Holistic treatments.



 For unique preventive Health

Treatments – Foreign Tourists are even

ready for $1 million tourist packages.

Potential Medical tourists for

Gujarat

 For Infertility treatment. For

Infertility Treatment In UK= Rs.

8 Lakhs with 8 months waiting UK( Rs.8 Lakhs) India (Rs.1Lakh)



period, India= Rs. 1 Lakh: no

waiting period.



 Egg donors and surrogate

mothers readily and economically

Ready Mothers

available in India



 Patients from 160 Countries

can take Ayurvedic and Holistic Ayurveda



treatments

Can Gujarat be the No 1 Medical Tourism

destination in the world?

YES !!

 World Medical Tourism

Centres

Gujarat

 Florida – Miami (USA)

 Thailand

 Singapore

Thailand

 South Africa

 Jordan

 Philippines

 Hungary Singapore

How Gujarat can be World’s No.1 Destination for

Medical Tourism For Beautiful Smile & Better

To avoid Heart attack &

for better heart health Teeth



For Ayurveda Treatments

To control/Cure Diabetes



Gujarat For Anti-aging &

Rejuvenation

For No Pain/Better

Bones & Joints

For Detoxication & De-

stressing

For Organ Transplants

For Beauty & Youth

For Sure Child

Business Visitors & MICE

Obesity Treatments Tourism





Medical & Dental Pilgrimage Tourism (Hindu,

Buddhist, Jain, Islam, Parsi)

Check-Ups

For best budget Treatment

To avoid spectacles & For Non-health insured



For Confidential For European SPA

Treatments

ECO, Agriculture, Wildlife

Medical Banks Tourism & Beach Tourism



For Non-cured Diseases Mumbai Gujaratis &

Innovative Circuits Tourist

How Gujarat can be World’s No.1 Destination for

Medical Tourism

Procedure BUMRUNGRAD Hospital Medical tourism Hospital

(Thailand ) ( $-US) (Ahmedabad) ( $-US)

Heart Bypass graft surgery 7,894 5,000



Heart Valve replacement 10,000 6,000



Angioplasty 13,000 3,000



Hip replacement 12,000 5,000



Hysterectony 10,000 2000



Bone Marrow Transplant --- 10,000



Liver Transplant --- 20,000-40,000



Neuro Surgery --- 800



Knee Surgery 8,000 1,000-2,500



Cosmetic Surgery 3,500 2,000

BUMRUNGRAD Hospital (Thailand): Medical Tourism Hospital (Ahmedabad)

1. Thailand population is 63,121,000 1. Indian population is 1,128,000,000

2. 3 Lakhs Foreign patients from 130 nations Treated In one year 2. NRG Ambassadors in 160 countries

3. 25% of patients treated are foreigners 3. Cost of treatment is 30% of that of Thailand

4. Helpdesk In 12 Countries 4. Ayurveda -5000 years old tresure of India

5. Assistance in 13 languages 5. NRI Doctors can work during holidays in India

6. Medical Helicopter for Foreign patients 6. Business visitors of Vibrant Gujarat Projects

How Gujarat can be World’s No.1 Destination for

Medical Tourism

Gujarat can be treatment destination for all Chronic Diseases

 Chronic diseases like Diabetes, BP, AIDS, Cancer are causing



65% deaths in India. Mortality due to Diabetes & Heart diseases to cost



Rs. 210 billions every year, expected to increase to Rs. 235 billions by next 10 years



 India will have 30million Diabetes patients by 2020,

out of which 25% suffering from complications, And Ayurveda

is a Good remedy for Diabetes Complications



 India will have 213 million BP patients in 2025 compared to 180 millions in

2010. Ayurveda is a Good remedy for Blood pressure

 In India 10% of adults suffer from Hypertension while the country is home to

25-30 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 2010.6 million people

have coronary artery diseases & 5 million have Rheumatic Heart diseases.

Ayurveda is a remedy for all these diseases

How Gujarat can be World’s No.1 Destination for Medical Tourism

(Gujarat Medical Banks) Lever

Heart

1. Organs Banks

Eye

Lungs

Knee & Hands

2. Bone Marrow Register Face & Hair









3. Semen & Egg Bank





4. Stem Cell Bank



5. Surrogate Mother

Register



6. Skin Bank

Skin Bank



7. Kidney Register

How Gujarat can be World’s No.1 Destination for

Medical Tourism

 Gujarat has the state-of-the-art Technology and the skilled Super- specialists

 Abundant Trained Health Manpower

 NRG population as Medical Tourism Gujarat Ambassadors in 160 Countries

 IT 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

How 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 Cost





 Americans Spent $25 billion on CAM

Therapies Last Year. This can be

Increased to $100 billion if we globalize

and Modernize Ayurveda





 Anand in Gujarat has become a

destination for infertile couples

Globalization of Ayurveda

 Indian Ayurveda-World’s Best Ayurveda Brand





 Gujarat Ayurveda + Kerala Panchakarma

= Metabolic Diseases +

Musculoskeletal diseases + Other diseases =

A Total System of Medicine



 Homeopathy is only 230 Years old , but it is catering to patients to

152 Countries from India (Dr Rajesh shah – www.lifeforce.in 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

Project

Acres

22 5

5 Acres 27 Acres (SEZ)

28





Medical MTC + IT MTC + IT

Tourism Resort Resort +

Complex (MTC) Medical Out

Sourcing





Medical Tourism Complex (MTC) – MTC consists of Medical Tourism Hospital,

Handicrafts Mall, Art & Cultural Village, Multi Cuisine Food Centre, Medical Call

Centre, Telemedicine Net.

Medical Multi Cuisine

Tourism Food Centre

Hospital







Digital Executive Digital NRI

Business Centre MEDICAL TOURISM Service Centre

COMPLEX &

IT RESORT,

Telemedicine AHMEDABAD Medical Call

Net Centre



Handicrafts Art & Cultural

Mall Village

Brief Description About the Project:

Setting up a Medical Tourism Complex in the periphery of Ahmedabad

with specialized departments like

1. Heart Surgery



2. Joint Replacement,

Microdesectomy & Spinal Fusion



3. Cosmetic Surgery



4. Eye Surgery (Lasik, Cataract, Glaucoma, Refractive

Surgery, Vitreoretinal Surgery) & Ear (Cochlear Implant)



5. Major Surgeries & Organ Transplants





6. Infertility Treatment, Fibroid and Women's Disease

Brief Description About the Project:

7) Obesity Treatment & Interventional Cardiology





8) Comprehensive Health Check Up





9) Rehabilitation, Psychology & Geriatrics





10) Ayurveda, CAM Therapies & Non-Cured Diseases





11) Multi specialty Dental Clinic







12) Anti Aging Clinic and European Spa.

Brief 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 club

Heart Club etc, will be conducted on an all India basis

through Tele-Medicine Net and Medical Call center at Ahmedabad.



 Medical Audit & Medical research will be conducted continuously

through Tele-Medicine Net and Medical Call center at Ahmedabad



 Home 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 hospital

will come down



 A Multi-Cuisine Health Food Court , Digitized Business

center and Digitalized NRI Center will be

attached to the hospital.

Brief Description About the Project:

 Chief Executives who are under going Rejuvenation

in this IT Resort can control his organization from the

hospital, Similarly, NRIs can be digitally connected to

their relatives in India.





 A Gujarat Art & cultural centre will be attached

where all the folk dances& cultural festivals of

Gujarat will be demonstrated daily to the foreigners

& Indian Tourists





 One floor of the complex will be ear-marked for

shops of Gujarat Handicrafts

Highlights

1. First Hospital:

It will be the first integrated Medical Tourism hospital in the

world which specially cater to Medical Tourism.





2. Unique Marketing:

a) Medical Tourism Clinics and Medical Tourism Spas

all over India will bring large number of Medical Tourists

to Gujarat.

b) A Medical Tourism Club will be promoted on time share

basis all over India and abroad in which there will be a

facility for members to come to Gujarat every year and

enjoy 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.

Highlights

4. Technological Excellence:

a) As far as possible the best medical equipments on

lease will be installed and every 5 years there will

be replacement of better technology equipments.

b) Medical Automation – It will be fully Digitalized hospital

with facilities like Pharmacy Robot, Robotic Surgery,

Fully Automated Laboratory, Picture Archive &

Communication Systems (PACS), 4D Ultra Sonography,

Medical

Wi-Fi connection, 128-bit CT-Scan, Pet Scan & MRI, etc,.

Automation

5. Minimum Cost:

a) All the rooms and suites will be given on time share basis to NRIs, Foreigners and

High Net worth Individuals (HNI)s. Every year they can use the facility free for 15

days, for their parents or for friends. If they do not avail the facility the hospital will

rent to other patients and 50% of room charges will be given to the owners and

hospital 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 operation

will be minimum.

d) All Medical Tourism clinics in 60 cities in India and Medical Tourism Spas will be run on franchise basis

which 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 of

hospital online but also it will enable NRGs to see their parents online

when they are in hospital or in their house.

Highlights

7. Integrated treatment:

Any patient can get integrated treatment of Allopathy,

Ayurveda, Homeopathy and CAM Therapies







8. Immediate Start:

The project can be started immediately without waiting for the construction of the hospital using

the 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 “Dubai

Herbal Treatment center” like Ayurveda, Traditional Chinese Medicine, Colon Hydro Therapy,

Chiro Practice, Ozone Therapy, Manual Lymphatic Drainage, Taichai, Yoga, Nutrition, Beauty

Care, etc, will be introduced .

10.Digital Marketing:

A dynamic web site will be developed for the hospital and it

will be translated into Chinese, Spanish, Japanese, German,

French, Korean, Italian, Deutsch, Arabic and Indian

languages like Hindi .

Highlights

11. Hub & Spoke System:

For Medical tourism services to the tourists, for the facilities which

are not installed in our hospital, we will be utilizing the facilities

of other hospitals in Gujarat. Thus we will be able to operate the

project with minimum capital cost and minimum operational

cost, which will lead to the high profitability of the project . Hub & Spoke System



12. Medical Insurance:

Company has formulated a unique Medical insurance scheme

called "Medilife 100". It is the world's first total health insurance

scheme as it covers Allopathy, Ayurveda, Homeo,

Pregnancy, Infertility, Beauty and Dental Treatments.

It is also the only double money benefit Health Insurance

in India. Company is in discussion with STAR HEALTH

AND ALLIED INSURANCE COM. LTD to implement

the same all over India and for starting CRYSTAL STAR

(Medical Tourism) Super clinics all over India.

Highlights

13. 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 the

5 Million Tourists Visiting India, Come to Gujarat) 365 days of the year. As our

Board & Lodging Facilities are limited, these tourists will be staying in other Resorts & Hotels

at 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 many

Professional meetings and Business Conventions conducted at Ahmedabad.

The latest trend is that tourists enjoy dynamic holidays. In our organic

demonstration farm and IT Resort we will arrange classes in Organic Agriculture, Culinary

Arts, Management, Advance Technology and Yoga. So this Medical Tourism project will

give a boost to MICE Tourism, Agriculture Tourism, Business Tourism and Holiday

Tourism in Gujarat.

Highlights

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

Project 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 .

Project 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 etc

Note:

1.Medical Tourists will be accommodated

in the hotels and resorts near Ahmedabad, when

our facilities become inadequate



2.Construction of the building will be done by

us instead of giving to the contractors.

Thus the construction cost will be reduced

to Rs.1000 Per Sq. ft.

Project Details

Cost of Project

1. Land (2 Acres) Rs 01.00 Crore

2. Building ( 1.2 Lakhs sq. ft ) Rs 12.00 Crores

3. Medical equipments Rs 15.00 Crores

4. Telemedicine & Medical call center. Rs 00.25 Crores

5. Working Capital Rs 00.25 Crores



Rs 28.50 Crores



Note:

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.

Project Details

3. Equipments:

Some of the equipments like MRI, CT Scan

etc are cut down in 1st stage, as this facility

can be availed from other centers at Ahmedabad.



4. Working capital:

The working Capital requirements is

reduced as the Medical Tourism Hospital is

conducted as pact of existing nursing homes at Mumbai.



5. Means of Finance:

Promoters additional contribution to equity 0.90 Crores

NRG Contribution 4.00 Crores

Time share contribution (60.000 Sq ft at Rs 2000) 12.00 Crores

Team Loan from financial institution 11.60 Crores

----------------------

Total 28.50 Crores

----------------------

Project Details

6. NRI contribution:

10 Lakh shares (face value Rs.10) will be given to

NRGS at Rs.40/ share. This will form about 48% of

equity Capital of Crystal Hospitals Ltd., This can

be given to two NRGs as strategic investors with

Board representation.



7. Benefits to NRIs:

a) They can participate in an existing project

b) The income from a Medical tourist will be approximately

3 times from that of an general tourist. Hence very high

profitability for the project.

c) As there is shortage of 80,000 beds in India, a chain of

100-bedded Digital hospitals can be started in other tourism cities & all over India.

Thus they can take part in tremendous growth prospects of the

hospital project.

d) As a forward integration, Medical Outsourcing,. Which is the world's largest

outsourcing after Manufacturing Outsourcing, can be started.

e) Promoters will guarantee minimum return of 12% on the face value of share

from second years of operation.

f) As it is a very promising project, high appreciation of share price can be expected

before public issue with in 3 years. So NRGs can reap handsome profit

Project Details

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

Working Results:

Project Details

Revenue (On Full Operation)

1. Patients Income: (1800 * Rs.2 lakh) Rs 36.00 crores

2. Medical Tourism clinics Income: Rs 9.00 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 crores

4. Tourism Operation Income: (3000 Tourists x Rs 5000) Rs 1.50 crores

5. Medical Tourism club Income: (50,000 members x Rs 1000) Rs 5.00 crores

6. Rent income from Handicrafts mall Rs 0.15 crores

7. Income from Tele Pathology & Tele Radiology Rs 7.30 crores

8. Income from Multi-cuisine food court Rs 3.65 crores

------------------------

Total Revenue Rs 63.80 crores

------------------------



Expenditure

80% of the Income (Estimated) Rs. 51.04 crores



Profit ---------------------------------------------------------------------------- Rs. 12.76 crores

Project Details

Employment Potential

Direct: -------------------------------------------------------------- 360

Indirect: ------------------------------------------------------------ 1800

Note:

Other Tourist resorts will be taken on management contract to accommodate more medical tourists







Land Requirement & Land Available

Total requirement: 2-5 Acres

In your possession: Nil

To be acquired: 2-5 acres

Has any work been started? Yes



We are operating Nursing Homes, Medical tourism clinics and Medical Tourism Spas at

Mumbai and Kochi.

Specify assistance required ? Tie up Needed for the project



 Gujarat Government Land on lease basis.

 Term loans from financial institutions.

Other Relevant Details

We have launched a number of Medical and Dental Tourism Services through our portals





 www.medicaltourism.org







 www.keralaayurvedashram.com







 www.hitechdental.org







 www.germanhomeopathy.org

 www.allgooddoctors.com

 www.internationalmedicaltourism.org



 www.tourismhomestay.com



 www.beautiful-indians.com









 www.surechild.com







 www.tourwell.com


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