Chang Gung Memorial Hospital,

Linkou, Taiwan

Vice President

Ming-Huei Cheng, MD, MBA, FACS,

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

2008 2009 2010 2012

Thailand

SingaporeIndia

Malaysia

Po

pu

lati

on

Foreign Patients to Asian Countries

Taiwan

South Korea

2

Chang Gung vs. BumrungradChang Gung Memorial Hospital (1978) Bumrungrad International Hospital (1980)

Location Linkou, Taiwan Bangkok, Thailand

Ownership FormLegal foundation

(Chang Gung Medical Foundation, CGMF)

Private hospital

(with 40% Bangkok Bank investment)

JCI Accreditation Yes Yes

Hospital Beds 3,707 beds 580 beds

Medical Staff 6,000 persons 2,100 persons /4,800 working staff

Patients Per YearOutpatients: 3,400,000 persons

Inpatients: 1,000,000 persons

Total: 1,100,000 persons

(Foreign patients: 520,000 persons,

including 6,000 Chinese patients)Papers Published in 2013(PubMed)

1,103 papers 3 papers

Medical Departments and Centers

110 medical departments Around 30 medical centers

Specialties Various leading specialty centers

Fertility & IV Clinic, Heart Center, Joint

Replacement Center, Plastic Surgery Center,

Eye Center, apron areas for relief planes,

hotel discount for outpatients (one room:

NTD 2000/night)

Charges

Lymphedema treatment: USD 20,000

Breast reconstruction: USD 20,000

Microtia: USD 23,000

Joint replacement: USD 10,000-12,000

Open price (about 45 kinds of surgical fees

are listed for search)

Total hip joint replacement: USD 18,000

Knee joint replacement: USD 14,000

IVF treatment: USD 10,000-12,000

Medical Arrangements Medical coordinators Medical coordinators

International Medical Center Yes Yes (16 overseas referral offices)

A SWOT Analysis of Developing Medical Tourism in Taiwan

Strengths (S) Weaknesses (W)

• Fine reputation

• Medical advances

• Affordable and competitive charge

• Asians’ trust in Taiwan’s medical

service

• Lower level of globalization

• Premature marketing channels

• Nationals’ concerns

Opportunities (O) Threats (T)

• Rising number of foreign tourists

• People’s growing needs of health

care

• Shortened travel time (easy-

access geographic location)

• Promising free economic pilot

zones

• Competition from neighboring

countries

• Legal restrictions (difficulty in

amendments)

• Uncertainty of global economy

4

Over 8 million foreign tourists visited Taiwan in 2013, Adding to Medical Needs

Expats (including Chinese)

Foreigners

Source: the Tourism Bureau, Taiwan

5

Testimonials

2013The Richest web, Canada, names Taiwan "The Country

with the Best Healthcare System"

2012 CNN hails Taiwan's Medical Achievements

2012The New York Times gives a full report on Taiwan's

medical advancements

2012National Geographic Channel documents "Taiwan's

Medical Miracle"

2012TIME magazine introduces Taiwan's National Health

Insurance

2012 CNN accredits Taiwan's National Health Insurance

2005Nobel Prize winner Paul Krugman: "Taiwan's Health

Insurance system is the best system on earth."

2000The Economist magazine ranks Taiwan number two,

second only to Switzerland

6

Hails Taiwan's Medical Achievements

"Global lessons: The GPS Road Map for Saving Health Care"

7

Top 10 Best Health Care Systems in the World

Source: The Richest (2013)

Rank Country

1 Taiwan

2 Switzerland

3 China

4 Canada

5 Britain

6 Germany

7 France

8 Japan

9 Italy

10 Cuba

Taiwan is named Top 1 for…

1. Affordable medical insurance aiming to profit all nationals

2. Health IC card (Smart Card) system which provides good quality information of every individual

3. Computerized database

4. Government grants for the elderly and the underprivileged

5. Availability: a comprehensive spectrum of expertise from various fields is available, including diplomates and traditional Chinese physicians

8

A Comparison of Costs

Surgery U. S. Thailand Singapore S. Korea TaiwanAverage Price

Range

Hip replacement$33,000 -

57,000$12,700 $12,000 $10,600 $8,800 $10,085 - 12,263

Knee joint

replacement

$30,000 -

53,000$11,500 $9,600 $11,800 $10,000

$10,085 -

12,263

Prostate Surgery$10,000 -

16,000$4,400 $5,300 $3,150 $2,750

$3,003 -

3,703

Laparoscopic Roux-

En-Y Gastric Bypass

(LRYGB)

$35,000 -

52,000$13,000 $16,500 $9,300 $10,200

$7,902 -

9,876

Facelift$10,500 -

16,000$5,000 $7,500 $6,650 $8,500 *

* Not reimbursable. Note: U.S. changes are list prices. Physician and certain other fees are generally

excluded. Prices at non-U.S. hospitals are all-inclusive other than for Panama, which does not include

surgeon’s fee. Medicare amounts represent typical reimbursements to hospitals.

Source：Patients Beyond Borders, Centers for Medicare and Medical Services.

9

Business Model 1

Outside Taiwan Taiwan

Internet / Media

International Patients Hospital

10

Business Model 2

11

Outside Taiwan Taiwan

International Patients Hospital

Travel Agency

Business Model 3

12

Outside Taiwan Taiwan

International Patients Hospital

Medical Tourism Company

or Hospital Resident

Representatives

Business Model 4

13

Outside Taiwan Taiwan

International Patients HospitalHospital / Doctor

Business Model 5

14

Outside Taiwan Taiwan

International Patients Hospital

International

Insurance Company

Chang Gung Memorial Hospital (CGMH)

Non-for-Profit Organization

• Taipei CGMH, Established in 1976

15

• Founder, Mr. Yung-ChingWang in 1974

CGMH at Linkou

1978, Linkou CGMH 2014, Linkou CGMH

16

Keelung Branch

(1985, 1,088 Beds)

Taipei Branch

(1976, 300 Beds)

Chang Gung Memorial Hospital

Linkou Branch

(1978, 3,707 Beds)

Taoyuan Branch

(2003, 691 Beds)

Acute care

(10,050 Beds)

Yunlin Branch

(2009, 132 Beds)

Chiayi Branch

(2001, 1,350 Beds)

Kaohsiung Branch

(1985, 2,764 Beds)

17

Xiamen Chang Gung Hospital

2008, Xiamen, Fu-Jing, China

18

Beijing Tsinghua Chang Gung Hospital

2014, 1,000 beds, Beijing, China

19

Joint Commission International Accreditation

The Largest Academic Medical Center Accredited by JCI

2014 – 2017

Jan. 18, 2014

20

21

Official Staff CompositionReference Date：Dec 31th, 2013

21

Outpatients

3,346,022

3,242,293

3,283,611

3,417,047

3,491,404

3,100,000

3,150,000

3,200,000

3,250,000

3,300,000

3,350,000

3,400,000

3,450,000

3,500,000

3,550,000

2009 2010 2011 2012 2013

Linkou

22

Hospitalization

1,053,970

1,048,150

1,079,030

1,091,110

1,084,100

1,020,000

1,030,000

1,040,000

1,050,000

1,060,000

1,070,000

1,080,000

1,090,000

1,100,000

2009 2010 2011 2012 2013

Linkou

(days)

23

Surgery

81,46480,711

83,960

85,446

90,286

74,000

76,000

78,000

80,000

82,000

84,000

86,000

88,000

90,000

92,000

2009 2010 2011 2012 2013

Linkou

(case)

24

Chang Gung Health and Culture Village

706 Units, since 2005

25

Research

Papers Published in SCI

621 648699

836

945 938

0

100

200

300

400

500

600

700

800

900

1000

2008 2009 2010 2011 2012 2013

Linkou

27

Education

Chang Gung University

Chang Gung University since 1987

Medical students: 120 / year

29

Nursing Schools

Chang Gung Technology University

Taoyuan, since 1988

Chia-yi, since 2004

Nursing Students: 640 / year

30

Visiting Scholars

27 38 44 47 80 92 93

148 149 176

198

588

0

100

200

300

400

500

600

700 Total 1,680 persons (2001-2013)

31

Visiting Scholar’s Map1,680 persons (2001-2013)

32

Outstanding Fellows from CGMH

Former plastic & reconstructive fellows include 31 world-

renowned professors and 28 executive officers in the medical

field.

L. Scott Levin, MD,

FACS

Eduardo D. Rodriguez,

MD, DDS

Samir Mardini, MD

Chair of Orthopaedic

Surgery, University of

Pennsylvania, USA

Chair of Plastic Surgery,

NYU Langone Medical

Center, USA

Professor of Plastic

Surgery at Mayo

Clinic, USA

33

34

International Medical Center

Our Services

Patient-Oriented High-End Medical Support

World-Class Health Care (Provided by Medical Teams Led by Yu-

Shan Scholars)

World-Class Armamentarium

One-to-one case manager for entire medical process

One-price, (Cheaper, Equitable, Affordable)

Multi-Language Services: English, Japanese, Arabic, etc.

Multi-Faith Environment: Prayer rooms and restaurants for

Catholics, Christians, Buddhists, and Muslims

36

Excellent Medical Teams

37

Joint Reconstruction Center Craniofacial Center

Lymphedema Treatment Center Reconstructive Microsurgery

Breast Reconstruction Center Gynecological Laparoscopic Center

Proton and Radiation Therapy Center Cord Blood Transplantation Center

IVF and Reproductive Center Aesthetic Medical Center

Healthcare Center Prostate Health Care Center (PHCC)

Sleep Center Cardiovascualr Center

Macula Center Laser Refractive Surgery Center

Cochlear Implant Center Orthopaedic spine Center

World-Class Yu-Shan Scholars

Yu-Shan Scholars excel in the following areas:

1. Experience and expertise

2. Education

3. Research, scientific paper and book publications

To date, there are 138 Yu-Shan scholars.

38

International Medical Center (IMC)

Coordinators and nurses can speak English and other languages.

Assistance in every aspect of the patient’s medical journey

One-to-one service

39

Communication

and

Accommodation

Trip

Planning

Medical

Procedures

Planning

IMC

Host International Conferences

2009 ~ 2012, 2014

Mayo Clinic / Chang Gung Memorial Hospital Symposium

40

Collaboration withMD Anderson Cancer Center

• President of MDACC– Dr. DePinho

41

Nov.24, 2013

Top Technology and Equipment

Magnetic navigation

cardiac catheterization

system

Hybrid OR with

Transcatheter Aortic Valve

Replacement (TAVR)

42

Top Technology and Equipment

Assisted Reproductive

Techniques (IVF)

3th Da Vinci Robotic surgeries

Trans-umbilical Single-Port Laparoscopy

43

Proton and Radiotherapy Center

Available for clinical cases in October 2014

44

•The first in Taiwan to offer advanced technology and

equipment for diverse tumor treatments.

National Geographic

3 of 4 cases were treated at CGMH

45

Taiwan Medical Miracle in 2013

National Geographic, 2013

46

• 3-year-old girl from Malaysia underwent umbilical cord blood transfusion - Linkou CGMH

47

National Geographic, 2013

• Microsurgery on the palm of the hand performed on Egyptian surgeon - Linkou CGMH

Discovery Documentary, 2014

48

• Discovery spent a

year filming “ Taiwan

Revealed: Body

Reconstructed”,

which featured CGMH

and its prestigious

surgeons.

Discovery

49

World Known Professional Team

Patient from Saudi-Arabia (in 2010)

GYN & Plastic Surgery

50

Press Conference on Successful Treatment

A Malaysian girl with congenital lymphedema had a miraculous recovery after being treated by Dr. Ming-Huei Cheng.

51

Afghanistan Doctor with Hemangioma

Dr. Cheng-Jen Chang, Chief of General Plastic Surgery,

impressively cured the patient of oral hemangioma.

52

Before

After

20 minutes from Taoyuan Airport direct to CGMH Linkou by MRT system

53

Easy Transportation

One of the best hospitals in the world

1. Patient- centered compassion

2. State-of-art profession

3. Competitive expense

4. JCI accredited

54

E-mail: wecare@chang-gung.com

www.chang-gung.com