Integrated Multi-Sector Project
Health Care
 Digital Hospital
 Telemedicine Net
 Theme Holidays
 Medical Tourism Clinics
 Medical Call Center
 Business Holidays
 Medical Tourism SPAs
 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 for Medical Treatment
No. of Tourists
United States
United Kingdom
Hong Kong
21, 800,000
Indian Tourism Scenario
 Number of Domestic Tourists = 400 millions (approx.)
 Number of foreigner visitors in 2007 = 5 Millions
(including NRI’s, 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
 As per Mckinsey study revenue for medical tourism = 100 billion by 2012 in India.
 India’s Tourist are 90% Domestic, out of this 80% are Pilgrimage Tourists
Medical Tourism is the
Mother Of Tourism
(365 days of Tourism without seasons)
 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
Medical Tourism Revolution
 Recession in the West  Recession Proof- Recession
reinforces need for cost cut in
Health care
 IT Exports from India
 Health Outsourcing from USA
$ 50 Billion
$60 Billion
 IT - 5 % GDP in USA
 Health care -16 % of GDP
IT Revolution
Health Care & Medical Tourism
in India
An overview of world Medical Tourism
No. Of foreigners
treated (2005)
From Country
Money earned
Cosmetic surgery,
Organ transplants,
Dental treatments, Joint
Middle East
Organ transplants,
Fertility treatments,
Cardiac care
Middle East, Bangladesh,
UK, Developing countries
Cardiac care, Joint
replacements, Lasik
US, Japan, Developing
Cosmetic Surgery
Cosmetic Surgery,
Lasik, Dental treatments
Latin America, US
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
 lack of knowledge among foreigners
-world of mouth or internet savvy
 lack of trust - no personal or local
 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
 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
Actual (1 Lakh)
Potential (10 Lakhs)
Achievements in Medical Tourism in
Profile of Countries
 Middle East - 40%
 South Asia - 35%
 US & UK - 25%
Potential Medical tourists
 47 million Americans not Health
 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
$50 to $150
$250 to $450
Potential Medical tourists
 For Infertility treatment. For
Infertility Treatment In UK Rs.
UK( Rs.8 Lakhs) India (Rs.1Lakh)
8 Lakhs with 8 months waiting
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
Can Kerala be the No 1 Medical Tourism
destination in the world?
YES !!
World Medical Tourism
Florida – Miami (USA)
South Africa
How kerala can be World’s No.1 Destination for
Medical Tourism For Beautiful Smile & Better
To avoid Heart attack &
for better heart health
For Ayurveda Treatments
To control/Cure Diabetes
For No Pain/Better
Bones & Joints
For Organ Transplants
For Anti-aging &
For Detoxication & Destressing
For Beauty & Youth
For Sure Child
Obesity Treatment
Medical & Dental
Kerala Astrology &
Organic farming, Akshaya &
To avoid spectacles
For Confidential
For best budget Treatment
& For Non-health insured
For European SPA
Akshaya, Kudumbasree
Medical Banks
For Non-cured Diseases
Medical & Other Tourism
How kerala can be World’s No.1 Destination for
Medical Tourism
(Thailand ) ( $-US)
Medical tourism Hospital
(Kochi) ( $-US)
Heart Bypass graft surgery
Heart Valve replacement
Hip replacement
Bone Marrow Transplant
Liver Transplant
Neuro Surgery
Knee Surgery
Cosmetic Surgery
BUMRUNGRAD Hospital (Thailand):
Medical Tourism Hospital (Kochi)
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. NRK 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. Only state in India with four International
5. Assistance in 13 languages
6. Medical Helicopter for Foreign patients
5. Ayurveda -5000 years old tresure of Kerala
6. NRI Doctors can work during holidays in India
How kerala can be World’s 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
How kerala can be World’s No.1 Destination for Medical Tourism
(Kerala Medical Banks) Lever
1. Organs Banks
Knee & Hands
2. Bone Marrow Register
Face & Hair
3. Semen & Egg Bank
4. Stem Cell Bank
5. Surrogate Mother
6. Skin Bank
Skin Bank
7. Kidney Register
How kerala can be World’s 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 Kerala’s 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
How kerala can be World’s 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
Globalization of Ayurveda
Kerala Ayurveda World’s 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 – and Dr Batra’s
Positive Homeopathy , Dr Bakon’s Homeopathy etc)
Ayurveda is 5000 Yrs old – Waiting for Globalization to 160 Countries
through a Telemedicine Net
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
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, 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
attached to the hospital.
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
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.
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
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 NRIs to see their parents online
when they are in hospital or in their house.
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 .
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
the same all over India and for starting CRYSTAL STAR
(Medical Tourism) Super clinics all over India.
Hub & Spoke System
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.
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.
15. Mother project – Boost To Kerala Industries
A number of Industries (Like Tiptop Furniture etc,) developed at
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
Project Details
1. Land Required: 3 acres
a) 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
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
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.
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.
Project Details
Cost of Project
1. Land
2. Building ( 60,000 sq ft )
3. Medical equipments
4. Telemedicine & Medical call center.
5. Working Capital
3.00 Crores
4.80 Crores
6.00 Crores
0.25 Crores
0.25 Crores
14.30 Crores
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
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
N R I Contribution
Time share contribution (30.000 Sq ft at Rs 1000)
Team Loan from financial institution
0.90 Crores
4.00 Crores
3.00 Crores
6.40 Crores
---------------------14.30 Crores
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.
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
for second and third 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 NRI can reap handsome profit
Project Details
9. Mode of NRI Financing:
1. Authorized. Share Capital
Rs 5.5 Crores
2. Paid up Capital
3. Promoters holding
4. NRI Holding
Rs 2.1 Crores
Rs 1.1 Crores
Rs 1.0 Crores
Project Details
Working Results:
Revenue (On Full Operation)
1. Patients Income: (1800 * Rs.2 lakhs)
2. Medical Tourism clinics Income:
(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 )
Rs 36.00 crores
Rs 9.00 crores
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
80% of the Income (Estimated)
Rs. 42.96 crores
Profit ---------------------------------------------------------------------------- Rs. 10.74 crores
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:
In your possession:
3 Acres
(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
To be acquired:
Has any work been started?
3 acres
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)
Other Relevant Details
We have launched a no of Medical and Dental Tourism Services through our portals