MEDICAL TOURISM HOSPITAL

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MEDICAL TOURISM HOSPITAL EXECUTIVE RETREAT,
KOCHI
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Integrated Multi-Sector Project
Health Care IT Tourism

• Telemedicine Net
• Medical Call Center
• Medical Outsourcing

• Theme Holidays
• Business Holidays
• Time share club

• Digital Hospital
• Medical Tourism Clinics
• Medical Tourism SPAs

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Malayala Manorama Dated - 7/12/2008
Time Share Club in Health Care
Malayala Manorama Dated - 7/12/2008
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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 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
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Indian Tourism Scenario

• Number of Domestic Tourists 400 millions
  (approx.)
• Number of foreigner visitors in 2007 5
  Millions
• (including NRIs, PIOS Pakistanis)
• Average Tourist stay in Singapore 5 days
• Average Tourist stay in India 26 days
• A foreign Tourist spends in Goa Rs. 1000/day
• A Domestic Tourist Spends in Goa Rs. 2600/day
• Tourism Ministry Proposes to spend Rs. 42,000
  Crores for developing 20 tourist
• spots.
• As per Mckinsey study revenue for medical
  tourism 100 billion by 2012 in India.
• Indias Tourist are 90 Domestic, out of this
  80 are Pilgrimage Tourists

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Medical Tourism is the Mother Of Tourism (365
days of Tourism without seasons)
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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

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Medical Tourism Scenario

• IT Revolution
• Recession in the West Affects
• IT Exports from India 50 Billion
• IT - 5 GDP in USA

• Medical Tourism Revolution
• Recession Proof- Recession reinforces need for
  cost cut in Health care
• Health Outsourcing from USA
• 60 Billion
• Health care -16 of GDP

,
Health Care Medical Tourism in India
,
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An overview of world Medical Tourism
Country No. Of foreigners treated (2005) From Country Money earned Strengths
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, UK, Developing countries N.A Cardiac care, Joint replacements, Lasik
Malaysia 85,000 US, Japan, Developing countries 40m Cosmetic Surgery
South Africa 50,000 US,UK N.A Cosmetic Surgery, Lasik, Dental treatments
Cuba N.A Latin America, US 25m-50m Specialist Niche treatments Vitiligo, Night Blindness Cosmetic Surgery.
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• 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

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• 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 hospitals me too
• approach . Depends on government initiatives

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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

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Achievements in Medical Tourism in India

• Profile of Countries
• Middle East - 40
• South Asia - 35
• US UK - 25

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Potential Medical tourists

• 47 million Americans not Health
• Insured
• Consultation cost in USA 50
• to 150 for insured and 250 to
• 450 for non insured with
• 1 week waiting time
• 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

Not Insured
Insured
50 to 150
250 to 450
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Potential Medical tourists

• For Infertility treatment. For
• Infertility Treatment In UK Rs.
• 8 Lakhs with 8 months waiting
• period. India Rs. 1 Lakh no
• waiting period
• Egg donors and surrogate
• mothers readily and economically
• available in India
• Patients from 160 Countries
• can take Ayurvedic and Holistic
• treatments

UK( Rs.8 Lakhs)
India (Rs.1Lakh)
Ready Mothers
Ayurveda
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• Can Kerala be the No 1 Medical Tourism
  destination in the world?
• YES !!
• World Medical Tourism
• Centres
• Florida Miami (USA)
• Thailand
• Singapore
• South Africa
• Jordan
• Philippines
• Hungary

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How kerala can be Worlds No.1 Destination for
Medical Tourism
For Beautiful Smile Better Teeth
To avoid Heart attack for better heart health
For Ayurveda Treatments
To control/Cure Diabetes
Kerala
For Anti-aging Rejuvenation
For No Pain/Better Bones Joints
For Detoxication De-stressing
For Organ Transplants
For Beauty Youth
For Sure Child
Kerala Astrology Meditation
Obesity Treatment
Organic farming, Akshaya Kudumbasree
Medical Dental Check-Ups
For best budget Treatment For Non-health insured
To avoid spectacles
For Confidential Treatments
For European SPA
Akshaya, Kudumbasree
Medical Banks
Medical Other Tourism Circuits
For Non-cured Diseases
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How kerala can be Worlds No.1 Destination for
Medical Tourism
Procedure BUMRUNGRAD Hospital (Thailand ) ( -US) Medical tourism Hospital (Kochi) ( -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) 1. Thailand
population is 63,121,000 2. 3 Lakhs Foreign
patients from 130 nations Treated In one year 3.
25 of patients treated are foreigners 4.
Helpdesk In 12 Countries 5. Assistance in 13
languages 6. Medical Helicopter for Foreign
patients
Medical Tourism Hospital (Kochi) 1. Indian
population is 1,128,000,000 2. NRK Ambassadors
in 160 countries 3. Cost of treatment is 30 of
that of Thailand 4. Only state in India with four
International Airports 5. Ayurveda
-5000 years old tresure of Kerala 6. NRI Doctors
can work during holidays in India
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How kerala can be Worlds No.1 Destination for
Medical Tourism

• Kerala 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

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How kerala can be Worlds No.1 Destination for
Medical Tourism (Kerala 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
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How kerala can be Worlds No.1 Destination for
Medical Tourism

• Kerala Achieved the same health index as western
  world - Infant Mortality 12,Maternal mortality
  2/1000 , Life Expectancy 75 Years , Compared to
  Keralas Per Capita Income 355 (0.38 of that
  of New York 93377 )
• Abundant Trained Health Manpower
• NRK population as Kerala Ambassadors in 160
  Countries
• IT advantage and Tourism advantage - Two Under
  water cable terminate at Kochi Skilled IT / ITES
  Personnel Kerala has become one of the world
  tourism destinations

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How kerala can be Worlds No.1 Destination for
Medical Tourism

• Medical Tourism Cost at Kochi 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
• Worlds No 1 Medical tourism Hospital, BUMRUNGRAD
  International Hospital, Thailand tried to
  takeover, Lakeshore Hospital, Kochi Two Months
  back, showing the Importance of Kochi in World
  Medical Tourism.

Lakeshore Hospital
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Globalization of Ayurveda

• Kerala Ayurveda Worlds Best Ayurveda Brand
• But It confines to Musculoskeletal Diseases
• Kerala Ayurveda Vedic (North Indian)
• Ayurveda 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.com and Dr
  Batras Positive Homeopathy , Dr Bakons
  Homeopathy etc)
• Ayurveda is 5000 Yrs old Waiting for
  Globalization to 160 Countries through a
  Telemedicine Net

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Project
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• Brief Description About the Project
• Setting up a Medical Tourism Hospital in
  the periphery of Kochi 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

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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.

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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, etc,
• Further it will be connected through a
  Telemedicine Net to Medical Tourism Spas in
  tourism centers like Kovalam, 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 Kochi.
• Medical Audit Medical research will be
  conducted continuously
• through Tele-Medicine Net and Medical Call
  center at Kochi
• 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

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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 Kerala.
• 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 Kerala
  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.

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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,
• 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 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

Medical Automation
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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 Kochi. 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 .

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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 Kerala. 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 .
• 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. 

Hub Spoke System
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Highlights

• 13. Organic Spice Flower Tourism
• After constructing the building for
  the hospital, the extra space will be utilized to
• develop an organic spice flower
  farm. In this farm all the spice plants and
  special
• flower plants like Orchid, Anthurium
  etc., will be grown for demonstration to
  Tourists.
• This will be an additional income for
  the project.

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Highlights

• 14. Mother Tourism Project A Big Boost to
  Kerala Tourism
• Through our all India and International
  Marketing, we will bring large number of Indian
• International Medical Tourists to
  Kerala. (Only 5 Lakhs Foreign Tourists (10) of
  the
• 5 Million Tourists Visiting India, Come
  to Kerala) 365 days of the year. As our
• Board Lodging Facilities are
  limited, these tourists will be staying in other
  resorts
• near Kochi. Thus our Medical Tourism
  Project will be a big boost for tourism in
  Kerala.
• Similarly, due to operation of
  Executive Retreat, there are possibilities of
  many
• Professional meetings and Business
  Conventions conducted at Kochi. 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 Kerala.

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Highlights
15. Mother project Boost To Kerala
Industries A number of Industries (Like Tiptop
Furniture etc,) developed at Kottackal. The
Patients and their relatives use to do shopping
when they come for Treatment at Kottackal Nursing
Home. Similarly this project will give a boost to
Kerala Industries like Health Mattress (Rubber),
Health Chappals, Health Foods, Medical Implants,
Ayurveda Medicines, Kudumbasree Products, Organic
Agricultural Products, Handicrafts, Hospital
Furniture etc
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Project Details

• 1. Land Required 3 acres
•  
• Note
• In the original proposal there was provision for
  a small Organic Agriculture farm surrounding the
  Hospital. This was a good revenue earning
  project, as we have seen in a spice farm at Goa,
  where, 1000 tourists visit everyday.  With an
  entry tickets of Rs 300 and profit from selling
  species the annual income from the organic farm
  is about Rs 12 crores.
• b) So also for a hospital, Floor Space Index
  (FSI or FAR) is more in Kerala Development
  Control Regulations. Hence the land required is
  only 3 acres instead of 5 acres.
•  
• 2. Land identified
• We have identified necessary land at
  Ankamaly, Perumbavoor, Kumbalangy etc. for the
  Hospital

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Project Details

• 3. Building
• In 1st stage, the requirements of
  building is cut down to 60,000sq.ft. Out of the
  12 departments in the Hospital, 40,000 Sq ft will
  be allocated to Allopathy departments and 20,000
  will be allocated to Ayurveda and Holistic
  departments. Telemedicine Net, Medical call
  center and NRE services center will be operated
  from our existing office at Kochi city.
• Note
• 1. Medical Tourists will be accommodated
• in the hotels and resorts near Kochi,
  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
• from Rs 1000 to Rs 800 Per Sq. ft.

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Project Details

• Cost of Project
• 1. Land        (3acres)                           
    Rs   3.00 Crores
• 2. Building ( 60,000 sq ft )                      
                 Rs    4.80 Crores
• 3. Medical equipments                             
               Rs     6.00 Crores
• 4. Telemedicine  Medical call
  center.               Rs     0.25 Crores
• 5. Working Capital                                
                   Rs     0.25 Crores
•                                                   
                               
  
  
  Rs    14.30 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.

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Project Details

• 4. 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 Kochi.
•  
• 5. Working capital
•  
• The working Capital requirements is
• reduced as the Medical Tourism Hospital is
  
• conducted as pact of existing nursing
  homes at Mumbai.
•  
• 6. Means of Finance
•  
• Promoters additional contribution to
  equity                       0.90 Crores
• N R I Contribution                         
                                             4.00
  Crores
• Time share contribution (30.000 Sq ft at
  Rs 1000)                 3.00 Crores
• Team Loan from financial
  institution                                       
  6.40  Crores
•                                                   
                                            
     ----------------------                        
                                             T
  otal        14.30 Crores

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Project Details

• 7. NRI contribution
•  
• 1 Lakh shares (face value Rs.10) will be
  given to
• NRIS at Rs.40/ share. This will form about
  48 of
• equity Capital of Crystal Hospitals Ltd.,
  This can
• be given to two NRIs as strategic investors
  with
• Board representation.
•  
• 8. 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.

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Project Details

• 9. 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

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Project Details

• Working Results
• Revenue (On Full Operation)
• 1. Patients Income (1800 Rs.2 lakhs)
  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 (5000 Tourists x
  Rs 5000) Rs 2.50
  crores
• 5. Medical Tourism club Income (50,000
  members x Rs 1000) Rs 5.00 crores
• 
  
  ------------------------ Total Revenue
  Rs
  53.70 crores
• 
  
  ------------------------
• Expenditure
• 80 of the Income (Estimated)
  Rs. 42.96 crores

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Project Details

• Employment Potential
• Direct -------------------------
  ------------------------------------- 360
• Indirect ---------------------------
  --------------------------------- 1800
• (Other Tourist resorts will be
  taken on management contract to accommodate more
  medical tourists)
• Land Requirement Land Available
• Total requirement
  3 Acres
• In your possession
  Nil
• (An office of 1100s.ft which will act as
  Tele-Medicine Center and Package tour operation
  center at kochi is owned by us. Further space
  for Medical Tourism clinics is available at
  Mumbai, Pune, Coimbatore and Bangalore)
• To be acquired
  3 acres
• Has any work been started?
  Yes
• We are operating Medical tourism clinics
  and Medical Tourism Spas at Mumbai and Kochi.
• Specify assistance required ? Tie up
  Needed for the project
• One strategic investor, NRK or group of investor
  NRKs to contribute 48 of equity
• Term loans from financial institutions.
• Government Land on lease basis, if available
  (Near IT Park, Chertala)

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We have launched a no of Medical and Dental
Tourism Services through our portals
Other Relevant Details

• www.medicaltourism.org
• www.keralaayurvedashram.com
• www.hitechdental.org
• www.germanhomeopathy.org

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• www.allgooddoctors.com
• www.internationalmedicaltourism.org
• www.tourismhomestay.com
• www.beautiful-indians.com
• www.surechild.com
• www.tourwell.com

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THANK YOU For your valuable time with us