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TABLE OF CONTENTS
1.     Medical Tourism in Thailand - Overview
             Types of Medical Travelers Profile
2.     Medical Tourism Value Chain in Thailand
3.     Total Foreign Patients Treated and Foreign Patients Revenue in Thailand, 2005-2010
4.     Medical Tourism Treatment Cost Comparison, 2010
5.     Foreign Patients by Nationality, 2010
6. Competitive Landscape of Major Hospitals (Piyavate, Bumrungrad Hospital, Bangkok
Dusit Medical Services), 2010
     6.1. Market Share of Major Thailand Hospitals by Number of Foreign Patients Treated,
     2010
7.     Major Drivers and Growth Barriers
             Major Drivers
             Growth Barriers
8.     Thailand Medical Tourism Future Outlook and Projections
     8.1.    Expected Foreign Patients and Foreign Patients Revenue, 2011-2015
9.     Medical Tourism Industry Factors: Historical and Projections
     9.1.    Total Foreign Tourist Arrivals and Tourism Receipts in Thailand, 2005-2015
     9.2.    Healthcare Expenditure in Thailand, 2005-2015
10.         Appendix
     10.1.     Market Definition
     10.2.     Abbreviations
     10.3.     Research Methodology
             Data Collection Methods
             Approach
     Disclaimer




                                                                                            2
LIST OF FIGURES
Figure 1: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in
Thailand in USD Million, 2005-2010
Figure 2: Foreign Patients by Nationality in Percentage, 2010
Figure 3: Market Share of Major Hospitals on the Basis of Number of Foreign Patients
Treated, in Percentage, 2010
Figure 4: Expected Foreign Patients in Thousands and Foreign Patients Revenue in USD
Million, 2011-2015
Figure 5: Total Foreign Tourist Arrivals in Million and Tourism Receipts in USD Billion,
2005-2015
Figure 6: Healthcare Expenditure in Thailand, in USD Billion, 2005-2015




                                                                                      3
LIST OF TABLES
Table 1: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore,
Malaysia, Mexico and the UK, in USD, 2010
Table 2: Foreign Patients by Nationality in Thousands, 2010
Table 3: Competitive Landscape of Major Hospital Chain/Group in Thailand (Piyavate,
Bumrungrad Hospital, Bangkok Dusit Medical Services), 2010
Table 4: Key Performance Indicators of Major Indian Hospitals in Terms of Foreign Patients
Treated, No. of Hospitals and Beds, 2010
Table 5: Total Foreign Tourist Arrivals in Million and Tourism Receipts in USD Billion,
2005-2015




                                                                                        4
MEDICAL TOURISM IN THAILAND


TOTAL FOREIGN PATIENTS TREATED AND FOREIGN
PATIENTS REVENUE IN THAILAND, 2005-2010


Thailand health tourism industry has witnessed many peaks and troughs in the last decade.
The country has witnessed several challenges in terms of political protest, natural disasters
and financial turmoil which have disrupted the industry and has caused a huge opportunity
                                 loss to the country. However, Thailand has recuperated
 Bangkok, Chiang Mai, Koh        from these challenges and has managed to register a
 Samui and Phuket are touted     considerable average annual growth of ~% in the last 5
 as the epicenter of health care
                                 years.
services in Thailand
                                    The total number of foreign patients has increased from ~
thousand in 2005 to ~ thousand in 2010. Factors such as international accreditation, updated
technology, highly qualified medical personnel and affordable costs have contributed to the
growth of this industry. Bangkok, Chiang Mai, Koh Samui and Phuket are touted as the
epicenter of health care services in Thailand and have become the hub for medical tourism.



Figure: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue
in Thailand in USD Million, 2005-2010

     1,800.0                                                                                        1,400.0
     1,600.0
                                                                                                    1,200.0
     1,400.0
                                                                                                    1,000.0
     1,200.0
                                                                                                          (USD Million)
(Thousand)




     1,000.0                                                                                        800.0

             800.0                                                                                  600.0
             600.0
                                                                                                    400.0
             400.0
                                                                                                    200.0
             200.0
               0.0                                                                                  0.0
                     2005         2006             2007         2008          2009           2010

                     Foreign Patients (Thousand)          Foreign Patients Receipts (USD Million)




                                                                                                                  5
MEDICAL TOURISM TREATMENT COST COMPARISON, 2010


There is huge difference in the cost of the treatment being offered in the US and in Asian
countries. For instance, Angioplasty treatment will cost USD ~ in the US while it will cost
USD ~ in India and Malaysia, USD ~ in Thailand and USD ~ in Singapore. This huge
difference in the cost is largely due to the lower labour cost in the countries in Asia region.
Even in case of medical diagnostic tests such as MRI scan, there exists a huge gap between
the cost charged in the US and in India.

Table: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore,
Malaysia, Mexico and the UK, in USD, 2010

                                                                                        South
Procedure1,2        The US      India   Thailand     Singapore    Malaysia    Mexico    Korea

Heart bypass
(CABG)

Heart Valve
replacement

Angioplasty

Hip replacement

Knee replacement

Gastric bypass

Hip resurfacing

Spinal fusion

Mastectomy

Rhinoplasty

Tummy Tuck

Breast reduction

Breast implants

Crown

Tooth whitening


                                                                                             6
Dental implants

Notes:

1. Costs of surgeries around the world. Costs given in USD

2. The price comparisons for surgery take into account hospital and doctor charges, but do not include the costs of flights
and hotel bills for the expected length of stay.




FOREIGN PATIENTS BY NATIONALITY, 2010


Thailand is one of major health tourism destination for international patients especially for
the Middle East with the high class medical technology, low cost treatments and enriching
                                         tourist experience. The country has registered the
 Thailand has registered the largest     largest foreign patients’ arrivals from UAE which
 foreign patients’ arrivals from UAE     accounted for ~% of the total foreign patients in 2010.
 which accounted for ~% of the total     This is followed by Qatar and Oman which accounted
 foreign patients in 2010                for ~% and ~% of the total foreign patients
                                         respectively. Japan and Myanmar is the fourth and
fifth largest contributor to the total foreign patients’ arrivals. Around ~ thousand Japanese
and ~ thousand Myanmar patients were treated in Thailand in 2010…

Figure: Foreign Patients by Nationality in Percentage, 2010

                                                                                                 UAE

                                                                                                 Qatar

                                                                                                 Oman

                                                                                                 Japan

                                                                                                 Myanmar

                                                                                                 Bangladesh

                                                                                                 US

                                                                                                 UK

                                                                                                 Others




                                                                                                                         7
Table: Foreign Patients by Nationality in Thousands, 2010

Nationality                                                 Foreign Patients (Thousands), 2010

UAE

Qatar

Oman

Japan

Myanmar

Bangladesh

US

UK

Others




COMPETITIVE LANDSCAPE OF MAJOR HOSPITALS (PIYAVATE,
BUMRUNGRAD HOSPITAL, BANGKOK DUSIT MEDICAL
SERVICES), 2010


MARKET SHARE OF MAJOR THAILAND HOSPITALS BY NUMBER
OF FOREIGN PATIENTS TREATED, 2010


Bumrungrad Hospital is the leader in Thailand in terms of the foreign patients treated with
the market share of ~% in 2010. The hospital treated ~ international patients in 2010 from ~
countries and generated USD ~ million revenues from foreign patients. Bangkok Dusit
                                           Medical Services is the second largest foreign
  Bumrungrad Hospital is the leader in
                                           patients treating hospital in Thailand which served
  Thailand in terms of the foreign
  patients treated with the market         over ~ international patients in 2010 and recorded
  share of ~% in 2010. The hospital        international patients’ revenue of USD ~ million.
  treated ~ international patients in      The group operates with ~ inpatient beds and
  2010 from ~ countries                    specializes     in    endocrinology      (diabetes),
                                           gynecology, nephrology (kidneys), orthopedics,
radiology, urology, cosmetic surgery, eye and LASIK, gastrointestinal tract and liver, and ear,
nose and throat (ENT) treatments.

                                                                                             8
Table 1: Key Performance Indicators of Major Indian Hospitals in Terms of Foreign
Patients Treated, No. of Hospitals and Beds, 2010

                                                                         International Patients
Hospital Chain/Group          Foreign Patients   Number of Beds         Revenue (USD Million)

Bumrungrad Hospital

Bangkok Dusit Medical
Services (BDMS)

Piyavate Hospital

Vejthani Hospital




THAILAND MEDICAL TOURISM FUTURE OUTLOOK AND
PROJECTIONS


…Overall, the long term prospects of the country’s medical tourism industry look promising
with profound healthcare support, developed infrastructure and natural attractions. It is
expected that number of foreign patients in the country will increase at an expected CAGR of
~% to ~ thousand in 2015 from ~ thousand in 2010, given normal business conditions of no
political unrest and travelers’ sustained confidence level in the healthcare sector. The revenue
from foreign patients will also grow to USD ~ million by 2015, registering an expected
CAGR of ~%.




                                                                                              9
EXPECTED FOREIGN PATIENTS AND FOREIGN PATIENTS
REVENUE, 2011-2015


Figure: Expected Foreign Patients in Thousands and Foreign Patients Revenue in USD
Million, 2011-2015

  2,500.0                                                                                      2,000.0
                                                                                               1,800.0
  2,000.0                                                                                      1,600.0
                                                                                               1,400.0




                                                                                                    (USD Million)
  1,500.0                                                                                      1,200.0
(Thousands)




                                                                                               1,000.0
  1,000.0                                                                                      800.0
                                                                                               600.0
              500.0                                                                            400.0
                                                                                               200.0
                0.0                                                                            0.0
                      2011            2012          2013            2014              2015

                      Foreign Patients (Thousand)    Foreign Patients Receipts (USD Million)


DISCLAIMER


No part of this manual or any material appearing may be reproduced, stored in or
transmitted on any other Web site without written permission of AM Mindpower Solutions
and any payments of a specified fee. Requests to republish any material may be sent to us.




                                                                                                   10

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THAILAND MEDICAL TOURISM INDUSTRY

  • 1.
  • 2. TABLE OF CONTENTS 1. Medical Tourism in Thailand - Overview Types of Medical Travelers Profile 2. Medical Tourism Value Chain in Thailand 3. Total Foreign Patients Treated and Foreign Patients Revenue in Thailand, 2005-2010 4. Medical Tourism Treatment Cost Comparison, 2010 5. Foreign Patients by Nationality, 2010 6. Competitive Landscape of Major Hospitals (Piyavate, Bumrungrad Hospital, Bangkok Dusit Medical Services), 2010 6.1. Market Share of Major Thailand Hospitals by Number of Foreign Patients Treated, 2010 7. Major Drivers and Growth Barriers Major Drivers Growth Barriers 8. Thailand Medical Tourism Future Outlook and Projections 8.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-2015 9. Medical Tourism Industry Factors: Historical and Projections 9.1. Total Foreign Tourist Arrivals and Tourism Receipts in Thailand, 2005-2015 9.2. Healthcare Expenditure in Thailand, 2005-2015 10. Appendix 10.1. Market Definition 10.2. Abbreviations 10.3. Research Methodology Data Collection Methods Approach Disclaimer 2
  • 3. LIST OF FIGURES Figure 1: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Thailand in USD Million, 2005-2010 Figure 2: Foreign Patients by Nationality in Percentage, 2010 Figure 3: Market Share of Major Hospitals on the Basis of Number of Foreign Patients Treated, in Percentage, 2010 Figure 4: Expected Foreign Patients in Thousands and Foreign Patients Revenue in USD Million, 2011-2015 Figure 5: Total Foreign Tourist Arrivals in Million and Tourism Receipts in USD Billion, 2005-2015 Figure 6: Healthcare Expenditure in Thailand, in USD Billion, 2005-2015 3
  • 4. LIST OF TABLES Table 1: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore, Malaysia, Mexico and the UK, in USD, 2010 Table 2: Foreign Patients by Nationality in Thousands, 2010 Table 3: Competitive Landscape of Major Hospital Chain/Group in Thailand (Piyavate, Bumrungrad Hospital, Bangkok Dusit Medical Services), 2010 Table 4: Key Performance Indicators of Major Indian Hospitals in Terms of Foreign Patients Treated, No. of Hospitals and Beds, 2010 Table 5: Total Foreign Tourist Arrivals in Million and Tourism Receipts in USD Billion, 2005-2015 4
  • 5. MEDICAL TOURISM IN THAILAND TOTAL FOREIGN PATIENTS TREATED AND FOREIGN PATIENTS REVENUE IN THAILAND, 2005-2010 Thailand health tourism industry has witnessed many peaks and troughs in the last decade. The country has witnessed several challenges in terms of political protest, natural disasters and financial turmoil which have disrupted the industry and has caused a huge opportunity loss to the country. However, Thailand has recuperated Bangkok, Chiang Mai, Koh from these challenges and has managed to register a Samui and Phuket are touted considerable average annual growth of ~% in the last 5 as the epicenter of health care years. services in Thailand The total number of foreign patients has increased from ~ thousand in 2005 to ~ thousand in 2010. Factors such as international accreditation, updated technology, highly qualified medical personnel and affordable costs have contributed to the growth of this industry. Bangkok, Chiang Mai, Koh Samui and Phuket are touted as the epicenter of health care services in Thailand and have become the hub for medical tourism. Figure: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Thailand in USD Million, 2005-2010 1,800.0 1,400.0 1,600.0 1,200.0 1,400.0 1,000.0 1,200.0 (USD Million) (Thousand) 1,000.0 800.0 800.0 600.0 600.0 400.0 400.0 200.0 200.0 0.0 0.0 2005 2006 2007 2008 2009 2010 Foreign Patients (Thousand) Foreign Patients Receipts (USD Million) 5
  • 6. MEDICAL TOURISM TREATMENT COST COMPARISON, 2010 There is huge difference in the cost of the treatment being offered in the US and in Asian countries. For instance, Angioplasty treatment will cost USD ~ in the US while it will cost USD ~ in India and Malaysia, USD ~ in Thailand and USD ~ in Singapore. This huge difference in the cost is largely due to the lower labour cost in the countries in Asia region. Even in case of medical diagnostic tests such as MRI scan, there exists a huge gap between the cost charged in the US and in India. Table: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore, Malaysia, Mexico and the UK, in USD, 2010 South Procedure1,2 The US India Thailand Singapore Malaysia Mexico Korea Heart bypass (CABG) Heart Valve replacement Angioplasty Hip replacement Knee replacement Gastric bypass Hip resurfacing Spinal fusion Mastectomy Rhinoplasty Tummy Tuck Breast reduction Breast implants Crown Tooth whitening 6
  • 7. Dental implants Notes: 1. Costs of surgeries around the world. Costs given in USD 2. The price comparisons for surgery take into account hospital and doctor charges, but do not include the costs of flights and hotel bills for the expected length of stay. FOREIGN PATIENTS BY NATIONALITY, 2010 Thailand is one of major health tourism destination for international patients especially for the Middle East with the high class medical technology, low cost treatments and enriching tourist experience. The country has registered the Thailand has registered the largest largest foreign patients’ arrivals from UAE which foreign patients’ arrivals from UAE accounted for ~% of the total foreign patients in 2010. which accounted for ~% of the total This is followed by Qatar and Oman which accounted foreign patients in 2010 for ~% and ~% of the total foreign patients respectively. Japan and Myanmar is the fourth and fifth largest contributor to the total foreign patients’ arrivals. Around ~ thousand Japanese and ~ thousand Myanmar patients were treated in Thailand in 2010… Figure: Foreign Patients by Nationality in Percentage, 2010 UAE Qatar Oman Japan Myanmar Bangladesh US UK Others 7
  • 8. Table: Foreign Patients by Nationality in Thousands, 2010 Nationality Foreign Patients (Thousands), 2010 UAE Qatar Oman Japan Myanmar Bangladesh US UK Others COMPETITIVE LANDSCAPE OF MAJOR HOSPITALS (PIYAVATE, BUMRUNGRAD HOSPITAL, BANGKOK DUSIT MEDICAL SERVICES), 2010 MARKET SHARE OF MAJOR THAILAND HOSPITALS BY NUMBER OF FOREIGN PATIENTS TREATED, 2010 Bumrungrad Hospital is the leader in Thailand in terms of the foreign patients treated with the market share of ~% in 2010. The hospital treated ~ international patients in 2010 from ~ countries and generated USD ~ million revenues from foreign patients. Bangkok Dusit Medical Services is the second largest foreign Bumrungrad Hospital is the leader in patients treating hospital in Thailand which served Thailand in terms of the foreign patients treated with the market over ~ international patients in 2010 and recorded share of ~% in 2010. The hospital international patients’ revenue of USD ~ million. treated ~ international patients in The group operates with ~ inpatient beds and 2010 from ~ countries specializes in endocrinology (diabetes), gynecology, nephrology (kidneys), orthopedics, radiology, urology, cosmetic surgery, eye and LASIK, gastrointestinal tract and liver, and ear, nose and throat (ENT) treatments. 8
  • 9. Table 1: Key Performance Indicators of Major Indian Hospitals in Terms of Foreign Patients Treated, No. of Hospitals and Beds, 2010 International Patients Hospital Chain/Group Foreign Patients Number of Beds Revenue (USD Million) Bumrungrad Hospital Bangkok Dusit Medical Services (BDMS) Piyavate Hospital Vejthani Hospital THAILAND MEDICAL TOURISM FUTURE OUTLOOK AND PROJECTIONS …Overall, the long term prospects of the country’s medical tourism industry look promising with profound healthcare support, developed infrastructure and natural attractions. It is expected that number of foreign patients in the country will increase at an expected CAGR of ~% to ~ thousand in 2015 from ~ thousand in 2010, given normal business conditions of no political unrest and travelers’ sustained confidence level in the healthcare sector. The revenue from foreign patients will also grow to USD ~ million by 2015, registering an expected CAGR of ~%. 9
  • 10. EXPECTED FOREIGN PATIENTS AND FOREIGN PATIENTS REVENUE, 2011-2015 Figure: Expected Foreign Patients in Thousands and Foreign Patients Revenue in USD Million, 2011-2015 2,500.0 2,000.0 1,800.0 2,000.0 1,600.0 1,400.0 (USD Million) 1,500.0 1,200.0 (Thousands) 1,000.0 1,000.0 800.0 600.0 500.0 400.0 200.0 0.0 0.0 2011 2012 2013 2014 2015 Foreign Patients (Thousand) Foreign Patients Receipts (USD Million) DISCLAIMER No part of this manual or any material appearing may be reproduced, stored in or transmitted on any other Web site without written permission of AM Mindpower Solutions and any payments of a specified fee. Requests to republish any material may be sent to us. 10