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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 (Health-Tourism.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 well-developed 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 break-even 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 post-medical 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/singapore-

property/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.j

pg

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