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TABLE OF CONTENTS
1.     Medical Tourism in Singapore – An Overview
2.     Medical Tourism Value Chain in Singapore
3.     Total Foreign Patients Treated and Foreign Patients Revenue in Singapore, 2005-2010
4. Number of Medical Tourists Arrivals and Medical Tourist Receipts in Singapore, 2005-
2010
5.     Medical Tourists Treatment Expenditure by Nationality, 2009
6.     Medical Tourism Treatment Cost Comparison, 2010
7. Competitive Landscape of Major Hospitals (SingHealth, Parkway Health, Raffles
Medical Group, National Healthcare Group), 2010
8.     Major Drivers and Growth Barriers
              Major Drivers
              Growth Barriers
9.     Singapore Medical Tourism Future Outlook and Projections
     9.1.     Expected Foreign Patients and Foreign Patients Revenue, 2011-2015
     9.2.     Expected Medical Tourist Arrivals and Medical Tourist Receipts, 2011-2015
10.         Medical Tourism Industry Factors: Historical and Projections
     10.1.      Total Foreign Tourist Arrivals and Tourism Receipts in Singapore, 2005-2015
     10.2.      Number of Hospitals, Medical Centres and Hospitals Beds, 2005-2015
     10.3.      Inpatients and Outpatients Admissions, 2005-2015
     10.4.      Registered Health Personnel in Singapore, 2005-2015
     10.5.      Healthcare Expenditure in Singapore, 2005-2015
11.         Appendix
     11.1.      Market Definition
     11.2.      Abbreviations
     11.3.      Research Methodology
              Data Collection Methods
              Approach
              Variables (Dependent and Independent)


                                                                                              2
Multi Factor Based Sensitivity Model
      Scenario Analysis
      Final Conclusion
Disclaimer




                                             3
LIST OF FIGURES
Figure 1: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in
Singapore in USD Million, 2005-2010
Figure 2: Number of Total Medical Tourists in Thousands and Medical Tourists Receipts in
Singapore, in USD Million, 2005-2010
Figure 3: Medical Tourists’ Treatment Expenditure by Nationality in Percentage, 2009
Figure 4: Expected Foreign Patients in Thousands and Foreign Patients Revenue in Singapore
in USD Million, 2011-2015
Figure 5: Expected Medical Tourists in Thousands and Medical Tourists Receipts in
Singapore in USD Million, 2011-2015
Figure 6: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Singapore in
USD Billion, 2005-2015
Figure 7: Number of Hospitals, Medical Centres and Clinics and Hospital Beds in Singapore,
2005-2015
Figure 8: Total Patient Admissions in Singapore, 2005-2015
Figure 9: Total Registered Health Personnel in Singapore, 2005-2015
Figure 10: Healthcare Expenditure in Singapore, in USD Million, 2005-2015




                                                                                        4
LIST OF TABLES
Table 1: Medical Tourists’ Treatment Expenditure by Nationality in USD Million, 2009
Table 2: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore,
Malaysia, Mexico and the UK, in USD, 2010
Table 3: Competitive Landscape of Major Hospital Chains/Group in Singapore (SingHealth,
Parkway Health, Raffles Medical Group, National Healthcare Group)
Table 4: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Singapore in USD
Billion, 2005-2015
Table 5: Hospitals, Medical Centres and Clinics in Singapore, 2005-2010
Table 6: Inpatient and Outpatient Admissions in Singapore, 2005-2010
Table 7: Registered Health Personnel by Doctors, Dentists, Pharmacists, Nurses and
Midwives in Singapore, 2005-2010
Table 30: Correlation Matrix
Table 31: Regression Coefficients Output




                                                                                         5
MEDICAL TOURISM IN SINGAPORE


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


Singapore is largely famous for intricate medical procedures such as heart surgeries. The
country possesses highly qualified doctors with updated medical technology in most of the
medical centers. In 2010, ~ thousand foreign patients visited Singapore. The number of
foreign patients increased to ~ thousand in 2010.
Patients visit Singapore from the neighboring countries such as Indonesia and Malaysia.
There has been a constant increase in patients from Middle East and China and also from the
US in order to save cost…

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

      800.0                                                                                       1,800.0

      700.0                                                                                       1,600.0

      600.0                                                                                       1,400.0
                                                                                                  1,200.0




                                                                                                        (USD Million)
      500.0
 (Thousands)




                                                                                                  1,000.0
      400.0
                                                                                                  800.0
      300.0
                                                                                                  600.0
      200.0                                                                                       400.0
      100.0                                                                                       200.0
               0.0                                                                                0.0
                     2005         2006           2007        2008           2009           2010

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

Source: AM Mindpower Solutions




                                                                                                              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


                                                                                             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.




      COMPETITIVE LANDSCAPE OF MAJOR HOSPITALS
      (SINGHEALTH, PARKWAY HEALTH, RAFFLES MEDICAL
      GROUP, NATIONAL HEALTHCARE GROUP), 2010


      Table: Competitive Landscape of Major Hospital Chains/Group in Singapore
      (SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group)

                                                                                              Financial/
Major                                           Key Medical Treatments and                   Operational                International
Players            Group Overview                    Hospital Brands                         Performance               Patients Reach

                                                                                                                   




                                                                                                                   
Parkway
Health

                                                                                                                    
Raffles
Medical
Group

                                                                                                                    




                                                                                                                               8
SINGAPORE MEDICAL TOURISM FUTURE OUTLOOK AND
PROJECTIONS


EXPECTED MEDICAL TOURIST ARRIVALS AND MEDICAL TOURIST
RECEIPTS, 2011-2015


Out of the total expected foreign patients treated in 2011, nearly ~ thousand will be medical
tourists who will yield USD ~ million. It is expected that medical tourist arrivals will grow
tremendously in the country as the number of JCI accredited medical centers and hospitals
will increase in the future.
By 2015, total medical tourist arrivals will grow by more than ~% from the current level of ~
thousand medical tourists. The total medical tourist arrivals will increase to ~ thousand by
2015, registering an expected CAGR of ~%...

Figure: Expected Medical Tourists in Thousands and Medical Tourists Receipts in
Singapore in USD Million, 2011-2015

              700.0                                                                           900.0

              600.0                                                                           800.0
                                                                                              700.0
              500.0
                                                                                              600.0




                                                                                                    (USD Million)
(Thousands)




              400.0                                                                           500.0
              300.0                                                                           400.0
                                                                                              300.0
              200.0
                                                                                              200.0
              100.0                                                                           100.0
                0.0                                                                           0.0
                      2011             2012         2013            2014             2015


                      Medical Tourists (Thousand)   Medical Tourists 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.


                                                                                                            9

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Singapore Medical Tourism Industry Outlook to 2015

  • 1.
  • 2. TABLE OF CONTENTS 1. Medical Tourism in Singapore – An Overview 2. Medical Tourism Value Chain in Singapore 3. Total Foreign Patients Treated and Foreign Patients Revenue in Singapore, 2005-2010 4. Number of Medical Tourists Arrivals and Medical Tourist Receipts in Singapore, 2005- 2010 5. Medical Tourists Treatment Expenditure by Nationality, 2009 6. Medical Tourism Treatment Cost Comparison, 2010 7. Competitive Landscape of Major Hospitals (SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group), 2010 8. Major Drivers and Growth Barriers Major Drivers Growth Barriers 9. Singapore Medical Tourism Future Outlook and Projections 9.1. Expected Foreign Patients and Foreign Patients Revenue, 2011-2015 9.2. Expected Medical Tourist Arrivals and Medical Tourist Receipts, 2011-2015 10. Medical Tourism Industry Factors: Historical and Projections 10.1. Total Foreign Tourist Arrivals and Tourism Receipts in Singapore, 2005-2015 10.2. Number of Hospitals, Medical Centres and Hospitals Beds, 2005-2015 10.3. Inpatients and Outpatients Admissions, 2005-2015 10.4. Registered Health Personnel in Singapore, 2005-2015 10.5. Healthcare Expenditure in Singapore, 2005-2015 11. Appendix 11.1. Market Definition 11.2. Abbreviations 11.3. Research Methodology Data Collection Methods Approach Variables (Dependent and Independent) 2
  • 3. Multi Factor Based Sensitivity Model Scenario Analysis Final Conclusion Disclaimer 3
  • 4. LIST OF FIGURES Figure 1: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Singapore in USD Million, 2005-2010 Figure 2: Number of Total Medical Tourists in Thousands and Medical Tourists Receipts in Singapore, in USD Million, 2005-2010 Figure 3: Medical Tourists’ Treatment Expenditure by Nationality in Percentage, 2009 Figure 4: Expected Foreign Patients in Thousands and Foreign Patients Revenue in Singapore in USD Million, 2011-2015 Figure 5: Expected Medical Tourists in Thousands and Medical Tourists Receipts in Singapore in USD Million, 2011-2015 Figure 6: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Singapore in USD Billion, 2005-2015 Figure 7: Number of Hospitals, Medical Centres and Clinics and Hospital Beds in Singapore, 2005-2015 Figure 8: Total Patient Admissions in Singapore, 2005-2015 Figure 9: Total Registered Health Personnel in Singapore, 2005-2015 Figure 10: Healthcare Expenditure in Singapore, in USD Million, 2005-2015 4
  • 5. LIST OF TABLES Table 1: Medical Tourists’ Treatment Expenditure by Nationality in USD Million, 2009 Table 2: Medical Treatment Cost Comparison among the US, India, Thailand, Singapore, Malaysia, Mexico and the UK, in USD, 2010 Table 3: Competitive Landscape of Major Hospital Chains/Group in Singapore (SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group) Table 4: Total Foreign Tourist Arrivals in Million and Tourism Receipts in Singapore in USD Billion, 2005-2015 Table 5: Hospitals, Medical Centres and Clinics in Singapore, 2005-2010 Table 6: Inpatient and Outpatient Admissions in Singapore, 2005-2010 Table 7: Registered Health Personnel by Doctors, Dentists, Pharmacists, Nurses and Midwives in Singapore, 2005-2010 Table 30: Correlation Matrix Table 31: Regression Coefficients Output 5
  • 6. MEDICAL TOURISM IN SINGAPORE TOTAL FOREIGN PATIENTS TREATED AND FOREIGN PATIENTS REVENUE IN SINGAPORE, 2005-2010 Singapore is largely famous for intricate medical procedures such as heart surgeries. The country possesses highly qualified doctors with updated medical technology in most of the medical centers. In 2010, ~ thousand foreign patients visited Singapore. The number of foreign patients increased to ~ thousand in 2010. Patients visit Singapore from the neighboring countries such as Indonesia and Malaysia. There has been a constant increase in patients from Middle East and China and also from the US in order to save cost… Figure: Number of Total Foreign Patients in Thousands and Foreign Patients Revenue in Singapore in USD Million, 2005-2010 800.0 1,800.0 700.0 1,600.0 600.0 1,400.0 1,200.0 (USD Million) 500.0 (Thousands) 1,000.0 400.0 800.0 300.0 600.0 200.0 400.0 100.0 200.0 0.0 0.0 2005 2006 2007 2008 2009 2010 Foreign Patients (Thousand) Foreign Patients Receipts (USD Million) Source: AM Mindpower Solutions 6
  • 7. 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 7
  • 8. 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. COMPETITIVE LANDSCAPE OF MAJOR HOSPITALS (SINGHEALTH, PARKWAY HEALTH, RAFFLES MEDICAL GROUP, NATIONAL HEALTHCARE GROUP), 2010 Table: Competitive Landscape of Major Hospital Chains/Group in Singapore (SingHealth, Parkway Health, Raffles Medical Group, National Healthcare Group) Financial/ Major Key Medical Treatments and Operational International Players Group Overview Hospital Brands Performance Patients Reach         Parkway Health    Raffles Medical Group    8
  • 9. SINGAPORE MEDICAL TOURISM FUTURE OUTLOOK AND PROJECTIONS EXPECTED MEDICAL TOURIST ARRIVALS AND MEDICAL TOURIST RECEIPTS, 2011-2015 Out of the total expected foreign patients treated in 2011, nearly ~ thousand will be medical tourists who will yield USD ~ million. It is expected that medical tourist arrivals will grow tremendously in the country as the number of JCI accredited medical centers and hospitals will increase in the future. By 2015, total medical tourist arrivals will grow by more than ~% from the current level of ~ thousand medical tourists. The total medical tourist arrivals will increase to ~ thousand by 2015, registering an expected CAGR of ~%... Figure: Expected Medical Tourists in Thousands and Medical Tourists Receipts in Singapore in USD Million, 2011-2015 700.0 900.0 600.0 800.0 700.0 500.0 600.0 (USD Million) (Thousands) 400.0 500.0 300.0 400.0 300.0 200.0 200.0 100.0 100.0 0.0 0.0 2011 2012 2013 2014 2015 Medical Tourists (Thousand) Medical Tourists 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. 9