Medical Services Tourism

For assignment help please contact at help@hndassignmenthelp.co.uk and

hndassignmenthelp@gmail.com

The medical tourism industry is in a rapid state of growth, both in Singapore and
globally. Growth in consumer demand for health services delivered by foreign medical
professionals continues to grow for a variety of reasons, including insufficient regional
health care systems and the growing expense of performing domestic procedures in
their countries of origin. Sometimes, booking a medical tourism package is simply an
excuse to visit a foreign land whilst also to consolidate their travel interests and save
costs. This growth in medical tourism provides enormous opportunities for launching
Singapore MedTours and ensuring it can grow and be sustained.
Medical Services Tourism is not without many business risks, including high levels of
competition from intermediary companies designed to help consumers plan itineraries
for medical services. There are also risks to the client that must be considered, including
ensuring that they fully understand their own health risks so as to secure liability factors
for the business itself. In terms of strategic objectives, a comprehensive risk
management system must be developed.

However, outside of these risks, profit potential is quite considerable due to the large
customer demand that exists in many different foreign countries. Singapore was chosen
as the country to launch the new Medical Services Tourism Company because of its
award-winning infrastructure, the ability to raise new capital through a variety of means
and even for the education system that can provide quality employment for the business
by skilled professionals. Singapore is ideal for Medical Services Tourism and this
business plan provides a comprehensive plan for the launch of the company.

2.0 Business description

Medical tourism involves availing medical procedure in a foreign country. Westerners

form a large segment of medical tourists who are attracted to quality healthcare and
large savings as compared to the medical costs in their own countries. The patients then
can take a vacation in the host country after receiving their medical treatments. Often
patients can cover their surgery expense, flight and hotel accommodation charges for
quarter of the operation cost they would have paid in their country (Puah, 2008).
The Company would be named Singapore MedTours and it will be a Private Limited
Company (See Appendix 1). The firm will act as an agent that facilitates tourism of
international citizens looking for quality and affordable health care that they might not
be able to achieve in their home country. It will be a start-up company with an onsite
facility for receipt of travellers and to satisfy their inquiries on medical tourism. The
agency will make profit by charging commission on these transfers and any additional
profitability received from supplementary, non-medical tourism that might be booked
through the agents or its online website.

Mission
Our mission is to provide Safe, Affordable and Quality health care options to our
customers through world class health care system of Singapore.
Source: Author

2.2 Industry background

The medical tourism market has nearly doubled in recent years, and is currently valued
at over $20 billion every year (Gaddum, 2010). This makes medical tourism ideal as a
profit-generating business with huge growth potential. "Medical tourism fills a valuable
niche that is desperately needed in countries with bureaucratically flawed or
unaffordable healthcare" (discovermedicaltourism.com, 2008, p.2). One of the reasons
that make foreign travel so appealing to a variety of international tourists is in areas of
cost. For example, in the United States, it might cost approximately $30,000 for a knee
replacement surgery, where in Singapore these costs will be much less at only $18,000
(placidway.com, 2010). It is largely this cost difference, for the same medical expertise,
that is making medical tourism such a booming business not just in Singapore.

Some of the major countries that are offering

Medical Tourism in the world are:
Countries
Medical Inbound Tourists
2002
2004
2005
2006

Thailand
390,000
520,000

Malaysia
210,000
320,000
374,000
410,000

Singapore
117,000
179,000

India

100,000
150,000
Source: http://www.ihf-fih.org/pdf/25-28.pdf
Singapore is among the most attractive destinations for health care travelling. The
country has been awarded as the "Best Medical/Wellness Tourism Destination"in 2007
and will be the "Leading Destination for Health Care Service in Southeast Asia"
(MedTourismReview, n.d).

2.3 Goals and Potential of the Business

According to Singapore's minister of trade and industry; "Singapore is a good place to
raise funds, both equity and loans, including venture capital." (Satapathy, 2003, p.1745).
Singapore was chosen as the start up location because of the ease of access for funds
related to the launch as well as securing future loans or capital for improvement and
expansion of the business. Because of the quality availability to investment funds and
other loan-generating entities in Singapore, the business has several goals for short term
gain:
Source: Author
A long term goal of Singapore MedTours is to create an internationally-recognised name
in medical tourism that outperforms competition. There is massive potential for
creating a strong marketing presence internationally based not only on growing
consumer demand, but because of the systems already in place in Singapore to assist in
developing a sound advertising programme with higher global exposure.

2.4 Uniqueness of service

Singapore MedTours will have several unique features designed to make it outperform
competitive entities in this industry.
Singapore MedTours would offer a low-risk guarantee to enable the customers in
moving forward with their medical tour with strong faith. In any case if after arriving at
the destination, the conditions of treatment seem unacceptable to the client, we will give

the liberty to cancel the surgery. The only charge the client will be responsible of is the
air fare and accommodation. To our knowledge, we're the only medical tourism
company that offers this type of protection in Singapore.

Also MedTours would be unique in supplementary services related to medical tourism

that will improve profitability and improve the word of mouth reputation for the
business. Offers the founder of Scotland-based Company Globe Health Tours; "This is a
huge word of mouth business" (Crawford, 2006, p.1). Therefore, Singapore MedTours
will be equipped with high quality service dimensions that please the travelling tourist
and also improve customer relationships using advanced CRM systems (Customer
Relationship Management software).

3.0 Marketing
Marketing will be crucial to the success of this new business launch because of the
importance of word of mouth to the company. With high levels of competition in this
industry, an improved and superior marketing presence must be available and the funds
needed to make this a reality will be allocated to this effort.

3.1 Target market identified

There is no one, singular market available to this business because of the ability to
capture the attention of many different consumers hailing from many international
locations. "No two patients are the same, either in their needs or the type of journey they
either want or require" (newsweekshowcase.com, 2010, p.1). This means that it would
be quite difficult for the business to isolate a single target market strategy that would fit
the needs of the majority of travellers who look toward our services.
However, despite these unique consumer needs, medical tourism industry is dominated
by patients from United States. In 2008 alone estimates put that more than 1.3
Americans travelled abroad for the exclusive purpose of seeking medical care (HealthTourism.com, 2008). The marketing strategy should take into consideration the high
volume of customers that will come from this region and use communications strategies
that fit the needs of this high profit-generating customer client. Other international
customers will be measured using software and database tools to determine which

international location brings the highest volume of customers, and ongoing, future
research methods will be used to determine their needs as they arise.

Market Survey
Research Objectives
To analyze the growth potential for the business.
To analyze the consumer needs according to their relative priority.
To analyze the level of favourable consumer expenditure.

Customer Profiling and Characteristics

Customer profiling is important as it aids in identifying and catering to customers in
every possible way (Anderson, 1997, pg 71).
Based on the market survey conducted, most of the respondents show favourable
response for medical tourism. A majority of respondents with negative response towards
medical tourism shifted to 'need more information' aspect when medical tourism
benefits were mentioned.
However the two main factors motivating respondents to be favourable to medical
tourism are cost savings and high quality healthcare from internationally accredited
hospitals.
The most preferred service attribute is high standards of service with considerable
savings indicating that not all consumers bargain hunters. It also indicates that
respondents are not willing to compromise on quality for cost reduction.
Determining the critical factors for success majority of respondents preferred English
speaking population and highly accredited hospitals. The most influential means of
promotion is word of mouth followed by hospital referrals and company website.
In addition, with the various competitors' positioning and competitive comparisons,
most consumers' decisions are influenced by Brand equity and awareness play an
important role.

Target market
Based on the Market Survey conducted, Singapore MedTours will focus on target
markets which are of high growth potential. The market is divided into the following
segments which in turn will provide the company with clear focus to direct its marketing
strategies
Geographic segmentation: North American Citizens.
Demographic segmentation:
Age: 45-65
Income: U.S $24000- $70000
Psychographic segmentation: Customers keen on quality of service and interested in
good savings while not in favour to comprise on safety.

US Medical Tourism Market

According to the Market indicators United States medical tourism has got good
prospects in coming decade and beyond. In the United States, medical surgeries are very
expensive, and every year millions of Americans default to pay for the health care
expenses they require they are either uninsured, uninsurable or underinsured.
According to a study in 2007 50% of personal bankruptcies are related to medical crises
(Star Health Vacations, 2010).

3.2 Market size and trends

In 2006, Singapore drew 410,000 international customers that received medical
services primarily in form of Liver Transplants, Cardiac Surgery, and Joint Replacement
(Hadi, 2009). And this number of inbound patients will exceed 1 million by 2012, with
forecasted value of 3 Billion USD (The Internet Journal of healthcare Administration,
2010). Scotland-based Globe Health Tours experienced a 600 percent increase in
business only after six months of operations (Crawford, 2006). In all, Singapore Medical
Tourism is aiming to become a leading health care destination in all Asia and it
witnessed a steady growth of 11.9% per year from 2004 to 2008 (prlog.org, 2009).

3.3 Competition
Intensive competition exists in medical tourism, both internationally and in Singapore
itself. Therefore, the company must create strong marketing presence and advertising
know-how to make the business outperform competition step by step or service by
service. Within the country, there are currently 29 hospitals that already provide health
services to foreign travellers, with services being performed by over 7,000 physicians
and 15,000 registered nurses (health-tourism.com, 2010). Because these hospitals
already have contracts and/or relationships with other health tourism agents, there is a
great deal of marketing work that needs to be performed by the business to make it
stand out and be the preferred agency for these profitable customer groups. This welldeveloped network of physicians and agencies can be quite risky to the business model
and require competitive focus to ensure improved customer preferences for the
company.
U.S agencies operating in Singapore: There are several U.S based medical tourism
agencies, like Health Base Medical Tourism Agency, Planet Hospital, which are
providing health tourism services in Singapore to patients of America. The companies
are similar to each other only differing in the fact that they are tied up with different
hospitals in different locations.
U.S Agencies operating in other medical tourism countries: These agencies are tied up
with budding medical tourism countries such as India, Thailand, etc. Key players
include World Med Assist, Indus health, Quest Tourism, Med Journeys, Med Retreat

SWOT Analysis of Singapore MedTours

Strength
Well trained staff with heavy focus on building customer relationship before and after
their stay in Singapore.
Creating an easy to use Website and employing advance Customer Relationship
Software to attract and retain clients interested in Medical Tourism.

Singapore is ranked 6th in world for the quality of health care provided by the World
Health Organization (WHO).
Medical tourists should not be able to witness chaotic events during their stay in
comparison to the other Asian countries as Singapore is urbanized and clean country.
JCI-certified hospitals and healthcare facilities are found in abundance throughout
Singapore.
English is one of Singapore's official dialects.
Though the cost of healthcare in Singapore is not as low as India or Thailand but they
are still lower in comparison to Western Europe and the USA.

Weakness
The cost expenses in medical processes and treatments in Singapore are relatively high
when compared to other Asian medical tourism countries like Thailand, Malaysia and
India.
The geographical location of Singapore is such that the climate is rather hot and humid
which maybe a hindrance to the westerners especially during the post procedure and
recovery stages.
Accommodation, transportation and the cost of goods in Singapore is more expensive as
compared to other Asian countries
The travel times to Singapore are considerably very lengthy for the US medical patients.

Opportunities
World-class tourism service industry present in Singapore can help in recruiting best
talent for the Medical Tourism.
High market Growth - Healthcare services from countries with aging population
increasingly seek medical tourism.
U.S. workforce is seen to be increasing more in context to globalization

Low-cost global air travel had made Singapore all the more accessible for inbound
patients.
Employers and health plans targeting commercial populations have become accepting of
the various benefit of medical tourism.

Threats
There is seen to be fierce competition posed by other Asian medical tourism countries
like Malaysia, India and Thailand.
Popularity of Medical Tourism may encourage more competition to open business in
Singapore.
New technological breakthroughs can make previously very expensive healthcare
affordable in the client's home country.
Global endemic outbreaks like H1N1, SARS, and Bird-flu etc in western countries can
inhibit travel of foreign travellers to Singapore as government may impose restrictions.
Source: Author

3.4 Estimated Market Share

In order to estimate the market share few of the assumptions has been taken into
account:
That the rate of people seeking foreign medical services continues to grow at the same
pace, with 1 million people entering Singapore in 2012 for this purpose.
Very High volume of competition present in the country.
Based on the above two considerations the firm is taking the minimum target of just
0.1% Market share, i.e., 1000 customers for the 1st year which it plans to grow to 1,500
in 2nd year and by 2013 the target is to reach 2,000 customers. The firm believes that
this extremely low market share can be easily achievable by utilizing good marketing
and promotion strategy and following best practices in the business.

3.5 Market strategy

Positioning
MedTours intends to work on a clear positioning statement of "Quality, You can be
Assured off" which encourages customers to have complete faith in the company. The
company will position itself as a reliable and friendly agency with utmost importance
given to customer safety. The point of difference which separates the company from its
competitors is the Quality Guarantee what the company provides and the idea of
personalization of medical tours. This will help the company stay competitive while
being positioned as a differentiated medical tourism agency.
To be able to live up to the positioning the company will tie up with best in class
hospitals and service providers with highest priority given to details of service
dimensions. The company will purchase advanced CRM systems to improve overall
delivery of customer services.
The business will use, as one, marketing strategy, advanced training for its employees
related to customer service to make the short encounter with the company one that is
remembered and would help in creating good word-of-mouth publicity.

Product
Singapore MedTours will offer best of the medical services present in the Singapore by
getting tie-ups with world-class hospitals of Singapore. Specific focus will be made on
JCI-Accredited (Joint Commission International) hospitals like Alexandra Hospital,
Changi General Hospital, Raffles Hospital, Parkway Group etc; so that inbound patients
from US and other countries are assured that they are getting best quality service in a
very safe environment.

Services Offered By Singapore MedTours

The following are the exact nature of services being offered by Singapore MedTours.
Personal preferences of patients would be given priority to select best hospitals and
doctors.
Source: Author

Place
Singapore MedTours will have a dedicated well-furnished office from where its entire
staff can operate. Also in this office the customers would be received first and will be
given initial briefing about the Medical Services they would be going through as well as
general information about Singapore, its culture, famous tourist attraction etc. The main
purpose of the office would be to make sure customers have one single easily identifiable
and approachable location from where they could satisfy all their queries and solve their
problems during their stay in Singapore.

Promotion
Approximately 78 percent of all medical travellers use the World Wide Web as their first
choice for booking medical tourism (medicaltourism.com, 2010). Because of this high
volume, market strategy will include a strong Internet presence that will require the
expertise of information technology specialists to give the business a colourful,
interactive and engaging online booking experience. The majority of the business will
likely come from Internet exploration, therefore the budget must be allocated to a web
design that outperforms competition and has the necessary information to make
Singapore MedTours their first choice in booking their travel needs.
The first publication of choice to improve visibility and awareness in customer groups
will be the Medical Tourism Magazine, a bi-monthly publication that is distributed in a
variety of international countries. Costs for these ads are $4000 for a full page ad and
$2000 for a half page ad (medicaltourismassociation.com, 2010). This is a respected
and well established advertising publication that will give Singapore MedTours better
marketing presence. The company will purchase half page ads several times yearly to
update its literature based on consumer research and success with other marketing
formats.
Additionally, web-based advertising will be part of the ad strategy that includes links to
visit our business website on partnership or contract agreements with different
hospitals, travel agencies, and physician websites. The goal of this rather inexpensive
advertising method is to simply give the company more ad presence and ensure budget
needs are met. Since most customers will not visit the business location prior to making
their travel needs, web presence is vital to building higher profit and consumer demand.

3.6 Pricing
Cost of Medical Treatment in Singapore
If the procedure would cost $6000 in the U.S. financial savings might not be realized by
the patients even if the same surgery costs $1500 in other country. By the time the
airfare, accommodation and stay charges are covered patients may only realize a breakeven scenario (Med Retreat, 2010). Hence with careful consideration the following
procedures would be offered by Singapore MedTours.

Comparison of cost between Medical procedures

in USA and Singapore
Source: http://www.health-tourism.com/singapore-medical-tourism/
Although the industry standard is 15% (See Appendix X) for each referral to the hospital
by an agency but the firm would initially keep the commission fee at minimum 12% in
order to gain competitive edge while start-up. This also aligns with our market survey
where cost saving has been attributed as most important consideration for the
customers.

People
Since this is highly service-oriented industry and the mission of Singapore MedTours is
to have best customer experience as possible, so Singapore MedTours will make sure
that it will hire competitive employees. Furthermore sufficient training would be given
so as and when needed in order to cope up with market demands and competition.
Lastly special packages and policies will be design to reward and retain the best
employees of the firm.

Process
Process is extremely important part of any Service-oriented industry. Hence Singapore
MedTours will make sure that its process is as efficient and as customer-friendly
possible. Quality Control would be done regularly to identify and improve any
bottlenecks and promote the best practices.

Reviewing and Approving Online Membership Forms: Once an application is filled,

detailed information based on the customer requirement will be provided allowing
customers to make an informed decision.
Assignment of an U.S Consultant to the patient: The consultant would cater to patients
medical needs by designing a health tour plan.
Informing the Medical Doctor: By sending digital copies of client's medical transcripts
to the affiliated doctors for their approval to receive patient.
Arranging for a Facilitating interaction between the Client and Surgeon: The process
will be coordinated via email, teleconference etc. in this stage.
Collection of Expectations Form and Desired `Travel Dates: To plan for exact tour plan.
Checking Hotel Reservation at desired dates: The information will be obtained in this
stage in order to be able to provide price quotations to the clients.
Submitting the final price quotation for the health tour to the client: This is to avoid any
further confusion and also to provide relevant information to the client.

Deposit of necessary funds for health tour by

client into Singapore MedTours bank account.
These next few processes occur simultaneously:
Finalize Client's medical consultation and surgery dates with the preferred doctor and
hospital.
Assisting clients in acquisition Passport/Visa
Book client's Air Travel Itinerary which best suits their preferences.
Reservation of accommodation for client
Sending the booked travel and hospital information back to client: Now the client will
make the trip from his or her own country to host country (Singapore).

Assigning Destination Program Manager (DPM) to the client: Upon arrival of client in
Singapore a DPM will be assigned permanently to client and the person will be their
Personal assistant throughout the visit. This person will accompany the client to all their
doctor's appointments and medical treatments.
Arranging for Pre-Surgery consultation with the surgeon: This process would be
completed within 24 hours of client's arrival. The surgeon would review medical
transcripts and tests to ensure that procedure can be performed on the specified dates.
Assistance to client during surgical procedure and post surgery recuperation: After the
client would be discharged from the hospital they would be accommodated in resort or
hotel to begin recuperation process.
Arranging for Post treatment vacation: After obtaining an authorization letter from
surgeon, an enjoying vacation would be arranged for in Singapore.
Assisting for Safe Return home of the clients: At the end of the tour the client will be
send back to home country and the assigned US consultant would assist in any postmedical needs.

4.0 Operations
Operational aspects of how the business is managed and structured will be key to its
success.

4.1 Identify location

The main requirements of indentifying the location for our business are: Low cost per
square feet, large pedestrian volume and easy access to transportation (Abrams &
Kleiner 2003, pp67-68). Thus, after searching on the internet and checking the reality of
the information with the agent, following address can be an alternative to the location of
our business.
Source:http://www.singaporeexpats.com/housing-in-singapore/singaporeproperty/code4349017-commercial-industrial-buy-FRONTIER.htm

This location, compared with other places, satisfies the above requirements. The charge
for buying this office is expected at around 570,000 SGD, and by using the yellow line
MRT routine, the dense population of UBI become bigger and bigger. Also two MRT
stations (Tai Seng and Macpherson) are very near to the location (gothere.com). The
business prefers to buy the office instead of renting because in 3-4 years time the
amount of rent paid would be equal to the total value of the office and since Singapore
MedTours is looking for long term viability of the business hence it is buying the office.
Source: http://www.gothere.sg/maps#q:52%20ubi%20avenue%203

4.3 Zoning
Various Districts of Singapore:
Source:
http://www.propertyhub.com.sg/images/M_images/singapore_district_map.jpg
The Zoning of the office was carefully selected while keeping the following
considerations:
The office should have as low as possible per square feet cost.
It should be present in or near the heart of the city.
Also the office should be near the Changi International Airport.
The current identified location of the office is in district 14 which is quite near the
Central Districts 6 - 12 of the Singapore. Simultaneously the location is near the District
17 in which the Changi Airport is located. It is very important for the office to be near
airport as majority of its firm's clients would be international medical tourists who
would be arriving via air-travel.

4.4 Taxes
The low tax rates and positive and encouraging business policies give Singapore a
reputation of attracting FDI. The taxes in Singapore are much lower than most others
developed countries and regions (Asia Biz). What's more, the tax rates have continued to
decline significantly over the years (Appendix 2). Therefore, from the tax perspective,

Singapore is an attractive nation to do the business. Overall, to our service business, the
following kinds of taxes are needed to be considered before starting the business:

Income Tax:
The amount of Income Tax is based on the income of our companies, and according to
Appendix 1, the income tax rate is 17% and as a new start business, some partial tax
exemption will be applicable to us.

Goods & Services Tax

GST, also known as VAT, is a broad-based consumption tax levied on the import of
goods, as well as nearly all supplies of goods and services in Singapore. And the rate of
GST is 7% (IRAS 2008). Only the sales and leases of properties and financial services
need not to pay GST. Therefore, our company needs to pay 7% GST.

Stamp Duties
Stamp duty is a tax on executed documents relating to properties or interest in
properties and shares or interest in shares. Documents such as a lease, sale and
purchase, or mortgage of property need to pay stamp duties (Appendix 3). Thus, our
company needs to pay this kind of tax.

4.5 Proximity to supplies

There will be little concern over supply chain issues because of the quality distribution
system that exists in Singapore. But also, the business will only need access to marketing
literature and internal office/software support systems that can be easily procured with
its renowned infrastructure for these tools. If the need arises for additional supplies,
there are 3,000 logistics and supply chain companies operating in Singapore to assist
with these needs at no risk to the business (worldcustomsjournal.org, 2007). All
supplies needs can be easily satisfied.

4.6 Access of transportation

Singapore has a well developed transportation network consisting of Metro Rail
Transport (MRT) systems, Bus systems and Taxi Services that are all air conditioned.

As it can be found in the location map, the location of our company near to two MRT
stations, which provides convenience to our customers to reach our company. The mass
rapid transit system in place is comprehensive and connects to almost all parts of the
country (Lim, 2008). It is also considered among the best in the world (app.www.sg,
2009). Also with one of the world best airports, Changi International, the access of
transportation to other nations is unobstructed (Changi). Transport is no risk to the
business and can sustain all traveller needs.

5.0 Management
5.1 Management Team and Key Personnel
Singapore MedTours being a private business therefore Management team would
initially be comprises of the primary investors of the organization. The following will be
the structure of the Management Team:
Source: Author
Deep Kamal Agarwal (CEO / Financial Director): Deep Kamal Agarwal is successful
Information Engineer from an Internationally Accredited College in India. His both
parents are respected doctor with over 25 years of experience and hence he has natural
affinity and knowledge about the Medical Service Industry. He posses 2 years industry
experience as an operational manager in Sunrise Naturopathy Health Resort in India.
His forte lies in encountering any business problem and working out prompt solution
for it. He believes in holistic business approach and is critical person for the firm to
provide vision and direction over the years
Tasmiya Farheen (Marketing Manager): Tasmiya hold a bachelor degree which is
specified in marketing area. She also has an international certificate of PR, and also
expected to become a MBA at the same time. She has 1 year working experience as a
marketer for an Indian company in relevant field and acquired necessary know-how
ability to do well in Marketing Department as well as she has potential to manage an
business organization.
Andy Zhu (Operational Manager): He has a bachelor degree of International Business
and Trade as well as he also did a course with specialization in the field of Finance and
had been working for 1 year in China before he joined his MBA course in Singapore. He

is an enthusiastic and hardworking person, with strategic approach for day to day
operations and problems solving. His working experience may be not very suitable for
Operational position, but Andy is very adaptive and will be able to work well.
Frank (Legal Advisor): Frank has a bachelor degree of International Business, which
contains International Legislation and also a diploma from the Law University of
Vietnam. He has worked as legal consultant for a company for 1 year that usually deals
with global business. Since he has been in Singapore for 1 year, Frank has acquired
relevant information about the law system of this country, and will to do well in his
position
Tapan Ghadge (HR Manager): He holds a bachelor degree in Business Administration
(BBA) with specialization in Human Resource Management area. He also has done a
government certified course in Human resource management as a specialization subject.
He also enjoyed 1 year working experience for a garment company called 'Frisson' in
India.
Source: Author

5.2 Legal Structure

Singapore MedTours will be register in Singapore as a Private Company, 'Limited by
Shares'. Ownership of the company will be according to the shares issued to the
company's investors. Since this is Private Company its shares will not be open to be
traded on stock market. The company would maintain its own separate legal identity
and as such all the liabilities would only be settled through assets of the company and
not private assets of shareholders.

Company Ownership:
Singapore MedTours Pte Ltd. will be incorporated with five Partners. The Partnership
would be registered under the Singapore Partnership Act.
No.
Singapore MedTours Pvt. Ltd. Partners

(1)
Deep Kamal Agarwal
(2)
Andy Zhu
(3)
Tasmiya Farheen
(4)
Frank
(5)
Tapan Ghadge
Source: Author

5.3 Board of Directors

Board of Directors initially would comprise of 3 persons: Deep Kamal Agarwal, Andy
Zhu and Tasmiya Farheen. Their duties would comprise of: Evaluating performance of
the company, Review of company Operations, Evaluation of Financial statements. Based
on their review the Board will give recommendations on Marketing Plans, Operational
Procedures and Cost-Control measures. The Board of director would meet every 3
months to decide on Business Policies.

5.4 Organizational Structure

Personnel Plan
The following is the personnel plan that Singapore MedTours intends to follow over next
3 years:

2010

2011
2012
Financial Director
0
1
1
Chief Executive officer
1
1
1
Marketing Manager
1
1
1
Operational Manager
1
1
1
Legal Advisor
1

1
1
Human Resource Manager
1
1
1
Information Specialist
1
1
2
Medical Consultants
5
7
9
Cleaning Staff
1
1
2

Total
12

15
19
Source: Author

7. Critical Risk
7.1 Potential Problems:
According to DR Jason Yap, director of Health Care Services in the Singapore Tourism
Board, Singapore is "The combination of health care services, a safe and reliable
infrastructure and a welcoming community"( Yap, 2007), which encourage oversea
patients to come over. Moreover, the stability in political, economic and environmental
factors is another advantage. However, they are always some potential difficulties for
the business, such as:
Singapore government is about to impose higher medical fee for non-native citizens
(TypePad, 2010).
Hospitals in Singapore raise their own representatives in their targeted countries (Yap,
2007).
The possibility of other countries, like Taiwan or Hong Kong, to bolster their medical
travel industry (Yap, 2007).
Effectiveness of cost management might be unpredictable due to the changes of various
input of the business like salary, advertisement fees etc.
The success of the company largely depends on the good relationship with local hospital
and must be maintained carefully.
7.2 Obstacles and Risks:
In addition, the company and the Medical Tourism industry, in general, is facing some
existing problems as listed below:

Medical procedures and treatment in Singapore are lower than some countries like the
U.S or Canada, but still higher than most of other Asian countries like China or Thailand
(Health-Tourism, 2008).
Other basic cost for customers in Singapore, like food, transportation and
accommodation are also relatively higher in compare to other nearby countries.
The natural climate in Singapore is hot and humid, which is not comfortable for
customer from other regions or those who are in the post treatment or recovery period.
As our main target market is in far away countries in Europe and North America, there
would be a hesitation of travelling distance and times.

7.3 Alternative courses of action

The following alternative course of action that firm will take for the sustenance of the
business if any obstacle or risk becomes great threat for the business:
Hire external professional consultant to find flaws and offer advice on the business
model.
Conduct yearly market survey to keep abreast of the requirements of the customers.
If it can be properly justified that a particular obstacle can be overcome with more
investment and will profit business in long run then this investment prospects will be
pursued. This investment can be from Initial investors, other investors or bank loans.
If the need arise the business would first pursue the route of cost control by scaling
down its activities and focusing only on critical parts until business has sufficient
solvency to expand again.

8. Harvest strategy
8.1 Transfer of Asset
According to the particularity of the medical tourism and our business, the company can
utilize the harvest strategies as described as follows:

Sell the business

If the business is not performing well against the competition and generating sustained
losses, then the company can transfer the whole business, including operation, staff,
etc., to other businessman at a good price. If there is no such a businessman who wants
to take over the business, then the company will end the business by satisfying all
liabilities and then selling all the assets to those who can offer better price.

Go Public
If the business goes on well and the expectation of the public is good, then the company
will think about the strategy of going public, which will provide the company
opportunity to expand the business to new market, and even to new business areas.

8.2 Continuity of Business Strategy

The following strategies the company can follow in order to maintain healthy growth in
the industry:
Expand the Business into new potential markets like India, Malaysian, and Thailand etc.
in order to gain global exposure, offer more variety of products (i.e. medical tours in
different countries) and spread the risk.
Develop new Product or Services related to Medical Tourism like opening its own Health
Spa, Gymnasium to offer customers in-house recuperation. Also it can feasible to open
its own small hotel to provide customer accommodations in order to bring cost down
and increase the profits.
Singapore MedTours can acquire other companies offering the same type of services in
order to expand quickly and effectively.

8.3 Identify Successor

Singapore MedTours since is being owned by investors according to their share holdings
hence individual investors can sell their share to anyone even to each other. But in order
for any new person to be appointed in any official position in the company they would
have to qualify the needs of the company like proper educational background, relevant

business experience etc as well as they need to show their competency in the field of
Medical Tourism or Management.

9.0 Milestone Schedule

The milestones schedule shows the important achievements that our company needs to
complete for short and long-term business objectives. It is one of the most important
parts in the business plan. It would help the company have an idea about practical
budgets, deadlines, management responsibilities and relationship with events.

9.1 Timing and objectives

Short term:
Milestone
Start Date
End Date
Manager
Business Plan & Market Research
1/8/2010
30/8/2010
All Founders
Contracts with Major Hospitals
1/9/2010
30/9/2010
All Founders

Apply for Licenses & Fund Procurements

1/10/2010
31/10/2010
Frank, Deep Kamal
Purchase and Renovation of Assets and other issues.
1/11/2010
31/11/2010
Andy
Employment Hiring & Business Start
1/12/2010
31/12/2010
Tapan Ghadge
Advertising and Market Promotion
1/12/2010
31/12/2010
Tasmiya Farheen
The first batch of patients comes to Singapore
1/1/2011
31/1/2011
Tasmiya, Andy

Source: Author

Long Term:
Year
Objectives
Year 1
Attain break-even situation for the Business.
To increase the employees to 15 people.
Enter and expand the local market to enhance the sales.
Increase the number of partners to enrich the service category
Start building the brand of our company.

Year 2
Increase the Net profit by 20% and to get more market share.
Continue building the brand towards a trustful medical tourism agency

Year 3
Open agency branches in other countries to do marketing by ourselves.
Source: Author