MEDICAL TOURISM COMPLEX & IT RESORT, AHMEDABAD

1. MEDICAL TOURISM COMPLEX &IT RESORT, AHMEDABAD

2. Integrated Multi-Sector Project Health Care + IT + Tourism • IntegratedDigital Hospital • Medical Tourism Clinics (All India) • Medical Tourism SPAs (All India) • Medilife-100 (Medical Insurance) • Tele-Medicine Net • Medical Call Center • Bio-Medical Software • Medical Outsourcing • Theme Holidays • Business Holidays • Pilgrimage Holidays • Time share club

3. Malayala Manorama Dated - 7/12/2008 Time Share Club in Health Care Malayala Manorama Dated - 7/12/2008

4. 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

5. 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

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

7. 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

8. 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 Medical Tourism Scenario , Health Care & Medical Tourism in India ,

10. An overview of world Medical Tourism

11. 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

12. 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

13. 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

14. Achievements in Medical Tourism in India Profile of Countries • Middle East - 40% • South Asia - 35% • US & UK - 25%

15. Potential Medical tourists for Gujarat Not Insured Insured • 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. • NRGs from USA, UK, Africa. • Large Gujarati population settled 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. $250 to $450 $50 to $150

18. Potential Medical tourists for Gujarat • 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

19. Can Gujarat 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

20. How Gujarat can be World’s 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 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 Tourism Obesity Treatments Pilgrimage Tourism (Hindu, Buddhist, Jain, Islam, Parsi) Medical & Dental Check-Ups For best budget Treatment & For Non-health insured To avoid spectacles For Confidential Treatments For European SPA ECO, Agriculture, Wildlife Tourism & Beach Tourism Medical Banks Mumbai Gujaratis & Innovative Circuits Tourist For Non-cured Diseases

21. How Gujarat can be World’s No.1 Destination for Medical Tourism 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 (Ahmedabad) 1. Indian population is 1,128,000,000 2. NRG Ambassadors in 160 countries 3. Cost of treatment is 30% of that of Thailand 4. Ayurveda -5000 years old tresure of India 5. NRI Doctors can work during holidays in India 6. Business visitors of Vibrant Gujarat Projects

22. 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

23. 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

24. 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

25. 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

26. 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

27. Project 2 Acres 2 5 Acres 27 Acres (SEZ) 28 5 MTC + IT Resort + Medical Out Sourcing Medical Tourism Complex (MTC) MTC + IT Resort Medical Tourism Complex (MTC) – MTC consists of Medical Tourism Hospital, Handicrafts Mall, Art & Cultural Village, Multi Cuisine Food Centre, Medical Call Centre, Telemedicine Net.

28. Medical Tourism Hospital Multi Cuisine Food Centre Digital Executive Business Centre Digital NRI Service Centre MEDICAL TOURISM COMPLEX &IT RESORT, AHMEDABAD Telemedicine Net Medical Call Centre Handicrafts Mall Art & Cultural Village

29. 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

30. 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.

31. 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.

33. 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

34. 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.

35. 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 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. Medical Automation

36. Highlights 7. Integrated treatment: Any patient can get integrated treatment of Allopathy, Ayurveda, Homeopathy and CAMTherapies 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 .

37. 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 . 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

38. 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.

39. 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

40. 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 .

41. 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.

42. 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.

43. 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    ----------------------

44. 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

45. 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

46. Project Details Working Results: 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

47. 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.

48. 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

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

50. THANK YOU For your valuable time with us