China Hospital Industry Development and Investment Report, 2011-2012
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Stimulated by market demand and stable national investments, the hospital industry of China has long maintained steady progression in recent years. Up to the end of October 2011, the number of hospitals in China grew from 19,246 in 2006 to 21,415 including 1,353 first-level hospitals, 6,507 secondary-level hospitals, 5,367 third-level hospitals and 8,188 undetermined-level hospitals. From 2005 to 2010, the industry revenue saw a substantial rise from RMB423.8 billion to RMB1.0284 trillion, with a CARG of 19.4%.

As the government has introduced a series of favorable policies that promote the reform of public hospitals, encourage and guide the inrush of social capital to enter hospital industry, etc., numbers of non-public hospitals and profitable hospitals in China surged to 7,739 and 5,096 respectively in 2010, with CARGs of 14.6% and 11.4% during 2006-2010, towering above that of public and non-profit hospitals.

In terms of hospital classification, specialized hospital has long been a concern of social capital due to smaller funding and higher profit margin, presenting a strong momentum of development. In 2010, there were a total of 3,956 specialized hospitals around China, of which, non-public specialized hospitals occupied 55.3% (merely 37.2% in 2005). Moving to the operating performance, ophthalmology hospital, plastic surgery hospital, stomatological hospital and other specialized hospitals all scored gross margin of over 10% in 2010, outclassing 4.4% of the hospital industry. Nowadays in China, Aier Eye Hospital, Topchoice Medical, etc. are the successful private specialized hospitals.

In recent years, a variety of social capital has successively tapped into Chinese hospital industry with more and more policy incentives; wherein, venture capital is more inclined to invest specialized hospital chains with higher profit, e.g., in May 2011, Tiantu Capital, Legend Capital, etc. jointly invested nearly RMB200 million in EverCare Cosmetic Surgery Hospital; and pharmaceutical corporations have in succession accessed to hospital industry with the intention of breaking through the whole industry chain of medical and health industry, for instance, Beijing SL Pharmaceutical projected RMB160 million for joint establishment of Xinxiang Municipal Central Hospital; while foreign capital operates in China by means of cooperative management, share holding as well as joint construction and operation of new hospitals (led by foreign side), primarily targeting Chinese high-end medical market, such as Chindex United Family Hospital, etc..

Some Investment Cases in China Hospital Industry by end of 2011

China Hospital Industry Development and Investment Report, 2011-2012 mainly covers the followings:
20120114.gifStatus quo of Chinese hospital industry, including operation, supply & demand, competitive pattern, development prospects, etc.;

20120114.gifDevelopment environment of Chinese hospital industry, containing medical reform policies, status quo, direction, as well as government investment, etc.;

20120114.gifDevelopment of Chinese private hospitals, covering status quo, development environment, development direction, and specific cases of private capital integration into the hospital industry, etc.;

20120114.gifDevelopment of Chinese specialized hospitals, referring to operation, development prospects and other aspects of eye hospital, stomatological hospital, plastic surgery hospital, beauty hospital, women’s hospital, children’s hospital, cancer hospital, etc.;

20120114.gifDevelopment of foreign hospitals in China, comprising policy environment, operation situation, operation mode, etc.;

20120114.gifCurrent operation, investment & acquisitions, trend prediction, etc. of 15 major private specialized hospitals and foreign hospitals (including Aier Eye Hospital, Topchoice Medical, CMS Holdings, Chindex United Family Hospital, etc.) in China.
1. Overview of China Hospital Industry
1.1 Definition and Classification
1.2 Industry Chain
1.3 Development Overview
1.4 Regional Development

2. Overview of Chinese Hospital Market
2.1 American Hospital Market
2.1.1 Growing Medical Expenses
2.1.2 Strong Market Demand
2.1.3 Hospital Management and Revenue
2.2 Chinese Hospital Market
2.2.1 Fast-growing Medical Expenses
2.2.2 Increasing Government Investment
2.2.3 Market Growth Driven by an Aging Population
2.2.4 Rapid Income Growth Supported by Medicine Business of Hospitals
2.2.5 Obvious Contradiction between Supply and Demand
2.2.6 State-owned Hospital-dominated Competition Pattern

3. Chinese Hospital Policies
3.1 New Medical Reform Stimulates Market Demand
3.2 Reform of Public Hospitals
3.2.1 Direction
3.2.2 Reform of County Hospitals
3.3 Many Policies Encourage Social Capital to Enter Hospital Industry

4. Development of Private Hospitals in China
4.1 Status Quo
4.2 Environment
4.2.1 Tax Burden is Higher than the Non-profit Hospitals
4.2.2 Non-public Hospitals and Public Hospital Treatment will Gradually Equal
4.3 Development Direction
4.4 Private Capital into the Hospital Industry
4.5 Private Hospital Groups
4.5.1 Beijing Phoenix Hospital Group
4.5.2 Shenzhen BOAI Medical Group
4.5.3 Renai Hospital of Guangzhou
4.6 Private Medical and Health Care Management Industry
4.6.1 Ciming Checkup
4.6.2 iKang Guobin

5. Development of Private Specialized Hospitals in China
5.1 High-speed Development
5.2 Operation
5.3 Eye Hospitals
5.3.1 Overview
5.3.2 Aier Eye Hospital Group
5.4 Stomatological Hospitals
5.4.1 Overview
5.4.2 Private Oral Health Care Market
5.4.3 Topchoice
5.4.4 Arrail
5.5 Plastic Surgery and Cosmetic Hospitals
5.5.1 Overview
5.5.2 EverCare Cosmetic Hospital
5.6 Maternity Hospitals
5.6.1 Overview
5.6.2 Beijing Bosheng Medical Group
5.7 Children’s Hospitals
5.7.1 Overview
5.7.2 Beijing New Century International Children’s Hospital
5.8 Cancer Hospitals
5.8.1 Overview
5.8.2 Concord Medical Services Holdings Limited (CMS)

6. Development of Foreign Hospitals in China
6.1 Status Quo
6.2 Development Direction
6.3 Operating Model
6.4 United Family Hospitals, Chindex
6.5 Singapore Parkway Group Healthcare
6.6 Xiamen Chang Gung Memorial Hospital

7. Investment in China Hospital Industry
7.1 Scale
7.2 Cases
7.2.1 Tiantu Capital, Legend Capital, etc Invest in EverCare
7.2.2 Qiming Venture Partners Invests in Arrail Dental
7.2.3 CCB International Invests in Bosheng Medical
7.2.4 CEL Partners Invests in VAV Dentistry
7.2.5 CDHfund Invests in Angel Group(China)
7.3 IPO in China Hospital Industry

8. Investment Risks in China Hospital Industry
8.1 Policy and Regulation
8.2 Litigation and Compensation for Medical Malpractice
8.3 Social Awareness
Property Rights and Operating Model of Hospitals in China
Classification of Hospitals in China
Hospital Industry Chain
Total Number and Growth Rate of Hospitals in China, 2006-Oct. 2011
Hierarchical Structure of Hospitals in China, 2006-Oct. 2011
Number of State-owned and Non-state-owned Hospitals in China, 2006-Oct. 2011
Growth Comparison between State-owned and Non-state-owned Hospitals in China, 2006-Oct. 2011
Number of Profit and Nonprofit Hospitals in China, 2006-2010
Incremental Contribution of Profit and Nonprofit Hospitals in China, 2006-2010
Number of General Hospitals, TCM Hospitals and Specialized Hospitals in China, 2006-2010
Number of Hospitals in China by Region, 2010
Number of Doctors Per 1,000 People in China by Region, 2010
Hospital Bed Utilization Rate in China by Region, 2010
Proportion of Medical Expenses to GDP in USA, 2000-2010
Number and Proportion of People Aged 65 and Above in USA, 1980-2050
Comparison between European Hospitals and American Hospitals by Operating Model, 2008
Comparison between Chinese Hospitals and American Hospitals by Revenue Structure, 2008
Health Care Expenditure and Its Proportion in GDP in China, 2001-2011
Per Capita Health Care Expenditure and Growth Rate in China, 2001-2011
Per Capita Health Care Expenditure in Major Countries, 2009
Government, Social and Personal Health Care Expenditure in China, 2001-2010
Number and Growth Rate of Urban Health Insurance Participants in China, 2005-2010
Number and Proportion of New Rural Cooperative Medical Insurance Participants in China, 2004-2010
Urban and Rural Health Care Expenditure and Proportion in China, 2000-2009
Number and Proportion of People Aged 65 and Above in China, 1982-2009
Revenue and Expenditure in China Hospital Industry, 2005-2010
Revenue and Growth Rate of General Hospitals in China, 2003-2010
Average Revenue of General Hospitals in China by Business, 2003-2010
Average Medicine Revenue & Expenditure and Mark-up Rate of General Hospitals in China, 2003-2010
“Separation of Pharmacy from Hospital” Reform in Wuhu
Number and Growth Rate of Patients of Hospitals in China, 2005-2010
Number and Utilization of Beds of Hospitals in China, 2005-2010
Number of Practicing Doctors and Registered Nurses of Hospitals in China, 2005-2010
Number and Growth Rate of Medical Graduates in China, 2005-2010
Proportion of Medical Staff Salary to Hospitals’ Total Expenditure by Country, 2006
Proportion of State-owned and Non-state-owned Hospitals in China by Field, 2010
Major Policies on New Medical Reform, 2009-2012
Major Polices on the County-level Hospitals Reform in China, 2009-2012
Comparison of Sample Ideas of the County-level Hospitals Reform in China
Drug Procurement Proportion of Public Hospitals at All Levels in China, 2010
Average Revenue and Profit of County - level Hospitals in China, 2010
Hospital Payment in China, Other Countries or Regions
Major Polices of DRGs in China, 2004-2010
Chinese Policies Encouraging Investment of Social Capital in Hospital Industry, 2009-2012
Proportion of State-owned and Non-state-owned Hospitals in China by Specialty, 2010
Comparison between Profit and Nonprofit Hospitals by Taxation
Part of Pharmaceutical Companies Involved into the Hospital Industry by the end of 2011
Six Operating Models of Beijing Phoenix Hospital Group
Raised Funds and Transferred Shares in Three Rounds of Financing of Ciming Checkup
Number and Growth Rate of Specialized Hospitals in China, 2005-2010
Revenue and Growth Rate of Specialized Hospitals in China, 2005-2010
Proportion of State-owned and Non-state-owned Specialized Hospitals in China, 2005-2010
Number and Revenue of Chinese Specialized Hospitals, 2010
Average Revenue of Chinese Specialized Hospitals, 2010
Profit Margin of Chinese Specialized Hospitals, 2010
Number of Eye Hospitals in China, 2006-2010
Revenue and Profit of Chinese Eye Hospitals, 2006-2010
Bed Utilization and Efficiency of Doctor Services of Chinese Eye Hospitals, 2006-2010
Operating Revenue and Net Income of Aier Eye Hospital Group, 2006-2011
Operating Revenue of Aier Eye Hospital Group by Businesses, 2006-2011
Operating Revenue of Aier Eye Hospital Group Medical Services, 2006-2011
Gross Margin of Aier Eye Hospital Group, 2006-2011
Eye Hospitals, Outpatient Volume of Aier Eye Hospital Group and Its Proportion in China’s Hospital Ophthalmology, 2006-2010
Operating Revenue and Net Income of Aier Eye Hospital Group, 2010-2013E
Number of Chinese Dental Hospitals, 2006-2010
Revenue and Profit of Chinese Dental Hospitals, 2006-2010
Bed Utilization and Efficiency of Doctor Services of Chinese Dental Hospitals, 2006-2010
Top 10 Oral Chain Brands and Major Operating Regions in China, 2010
Competitive Comparison of Topchoice Medical, Jiamei Dental and Arrail Dental
Operating Revenue and Net Income of Topchoice Medical,2006-Jan.-Sep.2011
Gross Margin of Topchoice Medical,2006-Jan.-Sep.2011
Operating Revenue of Topchoice Medical by Region, 2006-2010
Operating Revenue and Net Profit Margin of Ningbo Dental Hospital, 2008- H1 2011
Equity Ratio and Operaton of Topchoice Medical Subsidiary Hospitals, 2006-2011
Operating Revenue and Net Income of Topchoice Medical, 2010-2013E
Number of Chinese Plastic Surgery and Cosmetic Hospitals, 2006-2010
Revenue and Profit of Chinese Plastic Surgery and Cosmetic Hospitals, 2006-2010
Number of Chinese Maternity Hospitals, 2006-2010
Revenue and Profit of Chinese Maternity Hospitals, 2006-2010
Bed Utilization and Efficiency of Doctor Services of Chinese Maternity Hospitals, 2006-2010
Number of Chinese Children’s Hospitals, 2006-2010
Revenue and Profit of Chinese Children’s Hospitals, 2006-2010
Bed Utilization and Efficiency of Doctor Services of Chinese Children’s Hospitals, 2006-2010
Number of Chinese Cancer Hospitals, 2006-2010
Revenue and Profit of Chinese Cancer Hospitals, 2006-2010
Bed Utilization and Efficiency of Doctor Services of Chinese Cancer Hospitals, 2006-2010
Operating Revenue and YoY of CMS Holdings Ltd, 2006- Jan-Sep.2011
Gross Margin of CMS Holdings Ltd, 2006- Jan-Sep-2011
Some Joint Venture Hospitals and Major Medical Services
Some Joint Venture Hospitals Dominated by Foreign Capital
Operating Revenue and Growth Rate of United Family Hospital, 2007- H1 2011
Gross Margin of United Family Hospital, 2007- H1 2011
Number of Hospitals, Clinics, Beds of United Family Hospital by Region, 2011
Medical Care Centers and Services of Parkway Group Healthcare in China
Capital Expenditure of Parkway Group Healthcare in China, 2006-2009
Total Revenue and Total Assets of Parkway Group Healthcare in China, 2007-2009
Total Investment, Average Investment and Number of Investment Cases in China Hospital Industry, 2006-2011
IPO in China Hospital Industry, 2006-2011

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