Medical Tourism Association™ (MTA) Annual Member Report

2008-2009 January 31st, 2010

www.MedicalTourismAssociation.com info@MedicalTourismAssociation.com

MTA Working on Behalf Of our Members

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Vivian Ho, Chief Development

Officer Medical Tourism

Prem Jagyasi, Chief Marketing Officer

Medical Tourism Association™

Jonathan Edelheit, CEO

Medical Tourism Association™

Renee-Marie Stephano, Esquire, President Medical Tourism

Association™

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TO OUR MEMBERS 2008 and 2009 HAS BEEN AN EXCELLENT YEAR FOR THE MEDICAL TOURISM

ASSOCIATION™, OUR MEMBERS, AND THE MEDICAL TOURISM INDUSTRY. MTA’s growing membership network joined together to focus on transparency of quality and pricing throughout the world. Our primary commitment to upholding and providing best practices involving safety and quality when dealing with patients crossing borders for healthcare was central to our work on this initiative. Together, we worked to create a positive environment to foster growth for our member companies. MTA also expanded the array of educational programs we provide to our members inclusive of up to the minute important information in assisting our member companies in developing, growing and seizing upon market opportunities. The MTA serves as the voice of the Medical Tourism Industry globally throughout the world. In 2008 and 2009 the MTA advocated for better transparency for patients who cross borders for healthcare. We Worked on educating international employers, associations and insurance companies on the opportunities available to them through medical tourism alternatives and reinforced the availability of high quality of healthcare within these global healthcare options. The MTA has worked hard to promote its membership network and to educate the general public, insurance companies, relevant association and private sector employers on the importance of working with MTA members. In September 2008, the MTA held the first ever medical tourism convention in the world referenced as the World Medical Tourism & Global Health Congress, in San Francisco, California. This event was targeted towards international insurance companies, medical tourism facilitators and employers interested in finding international healthcare partners to send patients to. Over 850 attendees gathered from over 45 countries and 53 exhibitors and sponsors highlighted their services at this Congress. In October 2009 the MTA hosted the 2nd World Medical Tourism and Global Health Congress, with approximately 1,500 attendees, 160 speakers and over 120 exhibitors and sponsors from over 60 countries. This was the first-ever event for insurance companies, government agencies, hospitals, facilitators, medical and other associations coming together to openly discuss medical tourism and learn about medical tourism trends while building and networking business relationships. The Congress’s focus on relevant and timely industry issues of quality, legal liability, after care insurance coordination within an international healthcare environment were just some of the major tracks presented at this world-class Congress event. The MTA expanded it’s relationships with a number of strategic international insurance companies, foreign governments, leading medical tourism facilitators and top international hospitals. Through these efforts, the medical tourism industry providers witnessed some of the first greenfield medical tourism programs implemented between health insurance companies and employers. The MTA has been conducting complimentary workshops around the world in its continuing effort to raise awareness and educate providers and governments on the opportunities in medical tourism and the central benefit of continuous improvements in the quality of care at a local level. Simply put, the trend of healthcare globalizing and commoditizing is here to stay in this 21st century. The MTA also has worked diligently in opening regional offices and appointing Strategic Development Officers (SDOs) to build and manage those offices. The MTA currently has offices in United Arab Emirates, Turkey, Israel, Argentina, and Costa Rica. The MTA’s 3rd World Medical Tourism & Global Health Congress will be held on September 22-24th, 2010 in Los Angeles, California, USA, www.MedicalTourismCongress.com. The Medical Tourism Magazine continues to be a huge success both in print and online version www.MedicalTourismMag.com. Distribution extends worldwide, and consumers from over 60 countries read each issue of the magazine. As the only magazine in the world dedicated to medical tourism and cross border healthcare the Medical tourism Magazine assists in educating patients, insurance companies, employers, medical tourism facilitators, hospitals, clinics, associations, individuals and other agencies on the most relevant issues within the growth of medical tourism. Recently the MTA also launched the online Health Tourism Magazine, www.HealthTourismMagazine.com, the only magazine in the world dedicated to health and wellness, inclusive of hot topics such as medical spas, integrative medicine, prevention, and the A-Z of wellness treatments. Looking ahead in 2010, the clarion call for medical tourism and cross border healthcare has never been greater. The recent economic debacle and lingering recessionary pressures worldwide are forcing countries throughout the world, multinational corporations, regional business, insurance companies and all employers to reevaluate how much they spend on healthcare and where they spend those dollars. It is the MTA’s primary goal that every patient crossing borders to engage in medical tourism should have access to the highest quality of care, with access to full transparency, and receive the proper aftercare with patient safety protocols firmly established in place. Since inception the MTA has been committed to aligning our organization with best practices, inclusive of transparency in our management operations.

Sincerely, Renee-Marie Stephano, Jonathan Edelheit

President CEO

Jonathan Edelheit

Founder, CEO of the Medical Tourism Association™

Renee-Marie Stephano, Esquire Founder, President of the Medical Tourism Association™

Brad Cook

Secretary, Strategic Development Officer, Latin America

Jim McCormick, MD, MBA Assistant Secretary

Vivian Ho

Chief Development Officer

Prem Jagaysi Chief Marketing Officer, Dubai

Jessica Johnson

Director of Operations

Gabriella Vicuna Global Program Coordinator

Stephanie Falcone

Global Marketing Coordinator

Sarah Martin Global Communications Director

Chelsea D'Ariano

Global Communications Coordinator

Michael Quiros Latin America Marketing Representative, Costa Rica Office

Kyungwon Jang, Ph.D. General Director, MTA Asia James Bae, MHA Strategic Development Officer, MTA Asia Emin Cakmak Chief Executive Officer, MTA Turkey

Moshe Steiner

Chief Executive Officer, MTA Israel

Nathalie Steiner Marketing Representative, MTA Israel

Guillermo Gonzalez-Prieto

Strategic Development Executive, Argentina

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Medical Tourism Association™ Employees and Officers

Medical Tourism Association™ Financial Report 2009

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THE POWER OF MEMBERSHIP MTA is the only global trade association in the Medical Tourism Industry representing the interests of hospitals, healthcare providers medical tourism facilitators, insurance companies and more, by providing educational assistance and networking opportunities to its 300+ members throughout the world. MTA, along with its members, aims to achieve a common goal: providing patients with the highest quality of healthcare and protecting patient safety when patients cross borders for healthcare.

MTA REPRESENTATION AROUND THE WORLD

Voice of the Industry : The MTA has offices located around the world and growing!

US locations ~ Florida, California

International Offices ~ Costa Rica, Argentina, South Korea, Israel, Turkey, United Arab Emirates

MTA ~ maintains key relationships with insurance companies, governments, hospitals and medical tourism facilitators throughout the world

EDUCATION

Familiarization trips

Bi-Weekly MTA Newsletter with up to date news and activities in medical tourism

Bi—Monthly Medical Tourism Magazine both in print and online (www.MedicalTourismMag.com)

Bi-Monthly Health Tourism Magazine online (www.HealthTourismMagazine.com)

Educational webinars

Workshops

MEDICAL TOURISM MAGAZINE www.MedicalTourismMag.com

The only publication in the medical tourism industry

Available in both print and online versions (www.MedicalTourismMag.com)

Promotes MTA members

Educates patients, insurance companies, medical tourism facilitators, hospitals and more…

Addresses issues in quality, accreditation, patient safety & legal issues

Highlights top hospitals and countries

Provides cutting edge news in medical tourism

Addresses future trends in medical tourism

Thousands of print issues delivered around the world

Online version read by over 100,000 in over 60 different countries

Read by insurance companies, governments, medical tourism facilitators, hospitals, healthcare providers and patients

Readership exceeded 100,000 by the end of 2009

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HEALTH TOURISM MAGAZINE www.HealthTourismMagazine.com

Dedicated to education and raised awareness of health, wellness, integrative and medical wellness issues

Focuses on how health tourism can ―complement‖ medical tourism treatments

Available online on a bi-monthly basis

―Sister‖ magazine to Medical Tourism Magazine

Promotes MTA members

Provides cutting edge news in health tourism

Addresses future trends in health tourism

Online version read by thousands in over 40 different countries

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MTA Member Committees:

Moving The Industry Forward & Developing Best Practices

Collectively & Collaboratively

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EVERYONE HAS A VOICE ~ 2009 Membership Committees

Aftercare Committee

The Medical Tourism Association's™ Aftercare Committee met on a bi-monthly basis through

teleconference calls to discuss the top issues in aftercare. Members of this committee met together to

discuss ways to improve aftercare, current advancements in aftercare and patient safety, and how to

provide patients with the best care after surgery and when they return home.

Medical Tourism Facilitator Committee

The Medical Tourism Association’s™ Medical Tourism Facilitator Committee met on a bi-monthly basis to

discuss developing a set of standards for the facilitator side of medical tourism, problems that other

facilitators are facing, and help new members who are just entering the industry. This committee

monitored the development of the certification program and discussed improvements as the industry

developed.

Industry Direction Committee

The Medical Tourism Association’s™ Industry Direction Committee met on a bi-monthly basis through

teleconference calls to discuss the top issues affected in the industry. Members of this committee met

together to discuss how the industry was growing and what can be done to promote the industry in a

positive direction, creating a more solid foundation and protecting the reputation. This committee

discussed ethics and industry drivers.

Membership Committee

The Medical Tourism Association’s™ Membership Committee met on a bi-monthly basis through

teleconference calls to discuss issues affecting the Medical Tourism Association™ generally and the

members specifically. This committee looked to generate increased membership for the MTA as well as

increasing member involvement and improving member benefits.

Legal Committee

The Medical Tourism Association’s™ Legal Committee met on a bi-monthly basis through teleconference

calls to discuss the top issues in the legal field. Members of this committee met together to discuss

reducing the risks and liability in medical tourism, legal forms and documents, and how to network with

the right legal teams in medical tourism. The Committee is chaired by a legal expert in medical tourism.

Quality Indicator Committee/Quality of Care Project

The Medical Tourism Association’s™ Quality Indicator Committee met on a bi-monthly basis through

teleconference calls to discuss the Quality of Care Project. This project sought to create a single set of

quality indicators that may be used universally, a single methodology and validation method. The goal is

to create indicators understandable to the consumer.

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MTA Representing Our Members Around the World

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MTA with Minister of Health of United Arab Emirates

MTA with President of KHIDI for opening of Asia MTA Office and Signing of MOU For Asia Conference and partnership between KHIDI and MTA

MTA ~ Leading Medical Tourism Conferences

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Ministerial roundtable discussed the future of Medical Tourism at the first roundtable of Health & Tourism ministerial delegates

~2nd Annual World Medical Tourism & Global Health Congress, October 26th-28th 2009

2009 Annual Conference 2nd Annual World Medical Tourism & Global Health Congress, October 26th -28th, 2009 in Los Angeles, California, USA. Website www.MedicalTourismCongress.com

Approximate Attendees: 1,500

Exhibitors/Sponsors: Up to 120

Number of Speakers: 160

Workshops: Appx. 30

Networking: Thousands of networking meetings 2010 Regional Conferences 1st Global Healthcare & Medical Tourism Conference Korea, April 13th-15th, 2010, Seoul, Korea Website www.AsiaMedicalTourismCongress.com

Expected Attendees: Up to 800

Expected Exhibitors: 75

Expected Number of Speakers: 30

Seminars: 25

Hospital Site Tours Included Upcoming Conferences 2010 Conferences 3rd Annual World Medical Tourism & Global Health Congress, September 22-24, 2010, Los Angeles, CA, USA Website www.MedicalTourismCongress.com

Expected Attendees: Up to 2,000

Expected Exhibitors/Sponsors: Up to 140

Expected Number of Speakers: 160

Workshops: up to 20

Seminars: up to 20

Networking: Up to 10,000 one-on-one private networking sessions

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2009 Conferences: 3rd Annual Conference for Healthcare Policy Makers in the Caribbean Basin and Central America, January 2009

1st MTA Israel Medical Tourism Conference, January 2009

1st MTA Jordan International Medical Tourism Congress, January 2009

18th Annual National Health Benefits Conference & Expo, HBCE Tampa, Florida, Feb 2009

International Health Tourism Congress Feb 27 - March 2nd, 2009, Antalya, Turkey

United States Travel Insurance Association Annual Conference March 2009, Cancun, Mexico

Health International Foundation of Employee Benefit Plans, Health Care Management Conference, March 2009

UITT 2009, Kiev Ukraine, March 2009

US Turkey Medical Tourism Conference, April 2009, Chicago, Illinois

European Congress on Health Tourism, April 2009, Budapest, Hungary

Los Angeles Association of Health Underwriters Sales Conference and Symposium, May 2009

Global Spa Summit, Zurich Switzerland, May 2009

SHRM June 28th - July 1st, New Orleans, LA

South Africa Health Tourism Congress, July 27th-August 2nd, 2009

American Hospital Management Company Conference, Antigua, August 2009

Service Summit, Guatemala, September 2009

22nd Annual Benefits Forum & Expo, Atlanta, Georgia, September 2009

Stem Cell Summit, Baltimore, Maryland, September 2009

SIIA National Conference, Orlando, September 2009

Ohio Human Resources Conference, September 2009

Colombia Workshop, October 2009

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MTA: Speaking, exhibiting, and representing MTA Members Around the World

MTA meeting with Prime Minister of Jordan January 2009

Jonathan Edelheit, CEO of the Medical Tourism Association™, with the Director of Tourism in Israel

Renee-Marie Stephano, President Medical Tourism Association™ and Gabriella Vicuna, Latin America Marketing Associate with Vice President Of El Salvador

2008 Conferences: Global Healthcare Congress 2008 Kuala Lumpur, Malaysia, February 2008

World Medical Tourism & Global Health Congress, September 2008, San Francisco, California

Medical Tourism Asia, 2008, Singapore

Arabian Travel Market, May 2008, Dubai, United Arab Emirates

Midwest Business Group on Health Conference, ANNUAL CONFERENCE, May 1 & 2, 2008

Korea Medical Tourism Conference

21st Annual Benefits Forum & Expo, Sept 21-24, 2008, National Harbor, Maryland

2008 CAHU Sales Conference, Los Angeles, California

June 2008 SIIA International Conference, Barcelona, Spain

SHRM Conference, Chicago, June 2008

National Dental Benefits Conference 2008, Chicago, IL

Addressing Future Economic Challenges, October 2008

National Association of Business Economics Conference, October 2008

European Congress on Health Tourism, April 2008, Munich, Germany

Philippine Health and Wellness Tourism Summit, 2008, Manila, Philippines

Health Tourism Conference, September, 2008, Vienna, Austria

World Health Organization Summit on Medical Tourism Kobe, Japan, February 2008

Medical Tourism - UCLA School of Public Health, April 2008

32nd Miami Conference on the Caribbean and Central America, December 2008

Medical Tourism Workshop, Barcelona Hospitals and Clinics

International Medical Tourism Conference December 2008, Medellin, Colombia

Colombian Medical Tourism Conference December 2008, Bogotá, Colombia

2007 Conferences: Medical Tourism Conference, April 2007, Las Vegas

International Medical Tourism Forum 2007, Goa, India, October 2007

Medical Tourism Conference Manila Philippines, November 2007

Medical Tourism Conference December, 2007, Washington, D.C.

The World Congress Forum on Medical Tourism, November 9, 2007, Arlington, VA

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Renee-Marie Stephano, President Medical Tourism Association™, participating in the WHO Workshop, Kobe Japan

Jonathan Edelheit, CEO, Medical Tourism Association™ with Secretary of Health of Mexico

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Active Medical Tourism Association™

Programs

Medical Tourism Documentary ~ Angels Overseas ~ Costa Rica Edition The Medical Tourism Association™ has released its first medical tourism documentary which was premiered at the 2nd World Medical Tourism and Global Health Congress and will be on the MTA’s website for people to watch. The one hour long documentary shows the entire experience of an American traveling to Costa Rica for a double knee replacement. The documentary provides significant insight into the high quality of care that international hospitals provide to foreign patients. The Medical Tourism Association™ will make a series of documentaries showing foreign patients from the UK, Canada, US, Middle East, and Asia traveling to other countries for healthcare and life saving surgeries. http://www.MedicalTourismAssociation.com/documentary.html Medical Tourism Videos ~ available on MTA site and Magazine site The MTA educates patients, employers, insurance companies, medical tourism facilitators, hospitals and healthcare providers through its educational medical tourism videos found on the MTA website and the Medical Tourism Magazine website. http://www.MedicalTourismAssociation.com/videos.html http://www.MedicalTourismMag.com/video-category.php

Quality Indicator Project

The MTA Quality of Care/Quality Indicator Project will change global healthcare. Currently patients, insurance companies and employers from around the world cannot compare or assess a hospitals quality of care, because each hospital uses a different ―methodology‖ in how they collect and report hospital statistics and quality indicators. The leading hospitals from around the world are working with the Medical Tourism Association™ to create a ―single methodology‖ for reporting. This project will change Global Healthcare as we know it, and will allow, for the first time ever, patients, employers and insurance companies around the world to be able to compare the top international hospitals quality of care. The information gathered from the quality of care project will be posted on the Medical Tourism Association website, which allows people to view the quality of care of international hospitals online in one place. This project should help the growth of medical tourism and help patients to feel more comfortable and confident when going overseas for surgery. This project was launched as part of the Medical Tourism Association’s™ mission to provide ―transparency‖ as to quality of care data in the

medical tourism/global healthcare world.

Accreditation & Quality

The MTA works with governments around the world to focus on accreditation and quality. The MTA believes that local patients as well as foreign patients should receive high quality of care. The MTA works and supports local governments in initiatives to increase quality in their country and to understand and implement accreditation on the local level. Education and Adoption of Medical Tourism by Insurance Companies The MTA has the largest initiative in the world to educate insurance companies around the world about medical tourism and cross border healthcare. The MTA has many active projects, including working closely with insurance companies to initiate better understanding of medical tourism while assisting in the development of initiatives. MTA also aids them in the implementation process, which is a valuable tool. Transparency The Medical Tourism Association™ seeks to provide transparency in both quality of care and pricing. Everyday we see more and more that the globalization of healthcare has created a very flat world. We exchange technology, information, communication, physicians and patients. In order to ensure patient safety, it is our goal to create a transparency about the quality of healthcare that can be found in each country. With this, it is increasingly important to create a transparency in pricing as well as ensuring patients traveling overseas for care can be sure of what they are receiving without hidden costs or un-foreseen expenses. The Medical Tourism Association™ is also working on the Quality of Care Project, which will change the way we look at the reporting of global healthcare statistics and the quality of care available at hospitals around the world.

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Medical Tourism Facilitator Certification™

The Medical Tourism Association™ has launched a certification of

medical tourism facilitators who are involved in the coordination

of patient care for patients traveling from one country to

another. The certification process is a detailed process of

evaluation which may take up to 120 days to

complete. Those Medical Tourism Facilitators who have applied

for certification will be listed on the website as ― In Application

Process.‖ Successful Members will be listed on the website as

―Certified Members.‖ Applying for certification is not a

guarantee of Medical Tourism Certification and certification can

be revoked at any time for any cause.

The medical tourism certification program is a ―living and breathing‖ program so requirements may

change as development and input is received from the medical tourism industry. Successful Members will

receive a two year certification. A reevaluation form is required to be submitted after one year subject

to review. Governmental Projects The MTA is actively working with governments throughout Latin America, Asia, the Middle East and other parts of the world to understand the opportunities of Medical Tourism and assist them in the proper marketing of their country.

Bringing together the Right Players The MTA has brought together all the players involved in the whole patient process from hospitals, doctors, facilitators, governments, insurance companies, travel agents, hotels, airlines, rehabilitation and recovery centers, and others to put together the important processes in place to ensure patient safety when patients travel for healthcare.

Complication & Other Forms of Liability Insurance The MTA is actively developing insurance products with international insurance companies that will protect patients, employers, facilitators and insurance companies. Creating Healthcare Clusters / Medical Clusters The MTA actively works with hospitals, clinics, providers and governments to establish healthcare and medical clusters with the purpose of promoting a certain destination and assisting in increasing the quality of care in that specific city or region.

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The Medical Tourism Association™ hosting the 1st MTA Workshop in Jordan, and meeting with Prime Minister of Jordan,

January 2009

Public Private Partnerships Public Private Partnerships (PPP), cooperative ventures that leverage the expertise of public and private entities to optimally meet project objectives, have been applied to many healthcare projects around the globe. Properly executed, PPP arrangements can help ensure that resources and capital are appropriately allocated and that risks are sufficiently managed. Public Private Partnerships can take many forms and the models continue to evolve to support particular situations and different scales of projects. For situations where medical tourism has been identified as a strategic priority, PPP could offer a way for the government to stimulate the development of new facilities efficiently and effectively. Highly complex to establish and execute, the performance record in healthcare mixed. Further complicating success is the limited number of firms with the experience and expertise to contribute from the private sector. Countries that have the most experience in PPP applied to healthcare development are the United Kingdom and Canada. As a result, many case studies, lessons learned and templates are available to help other organizations considering or pursuing partnerships. Successful Public Private Partnerships are achievable given the right setting, the right partners, the right preparation and the right execution. Medical Cities Increasingly, people are living in urban settings. When coupled with the strong population and economic growth of many developing nations, the need for new cities and new approaches to their development is expanding at a tremendous rate. Paramount to the long term sustainability and success to these cities is the proper integration and distribution of healthcare. While traditionally a medical city has taken on the appearance of a medical cluster – a centralization of services, not necessarily coordinated, the medical city of the future will be oriented much more strongly along the continuum of care, emphasize wellness and, in many ways, be integrated much more strongly to its surrounding community. In essence, the boundaries of the medical city would extend to the boundaries of the community. Care would be comprehensive and coordinated. The destination aspect of the development extends beyond healthcare components and extends to the entire city itself. The medical city is instrumental to the overall economic growth of new developments, helping to attract foreign expertise and investment while serving the basic needs of the community.

Medical Tourism City ~ First Online Social Network in Global Healthcare & Medical Tourism

The Medical Tourism Association™ has launched the first online social network in Medical Tourism and

Global Healthcare. Currently as of October 2009 the social network had over 600 members from over 50

countries. Members of the social network represent international insurance companies, health

insurance agents, medical tourism facilitators, hospitals, clinics, governments, doctors, healthcare

providers, consulting firms, pharmaceutical companies, medical supply companies and more. Medical

Tourism City is an initiative of the MTA to allow people from all over the world to come to one place to

share ideas, become educated, and to network. The social network is also a ―think tank‖ where people

from different countries share and debate ideas and concepts.

The online social network and community allows users to:

1) Create their own private blog

2) Create forums and post messages

3) Share photos and videos

5) Create private online networking groups and allow people to join them to discuss ideas

6) Create a private network of business contacts (―friends‖)

7) Privately email people and connect with potential business partners

―The MTA launched the social network as a way for people to find a common place to communicate and

grow the medical tourism and global healthcare industry in a positive direction,‖ said Renee-Marie

Stephano, editor of the Medical Tourism Magazine, and President of the Medical Tourism Association™.

To set up your own free account go to http://www.MedicalTourismCity.com

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A History & Timeline of Milestones and Achievements of

the Medical Tourism Association™

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July 2008 Opened Germany

Office

February 2008 Opened Costa Rica

Office

A History & Timeline of Milestones and Achievements of the Medical Tourism Association™

May 1, 2007 MTA founded by industry leaders

December 2007 First Issue of the Medical

Tourism Magazine

May 2007 Opened International

Headquarters, West Palm Beach

Florida, USA August 2007

Launch Quality Indicator Project

February 2008 Jonathan Edelheit

featured as a visionary in Managed Healthcare

Executive Magazine for Medical Tourism

October 2007 Established the Medical Tourism

Association™ Advisory Board

July 15, 2008 Launched Certification

Program for Medical Tourism Facilitators

August 2008 Opened Argentina Office

September 2008 Started Medical

Tourism Documentary Project

November 2008 Launch of online version of MTM,

www.MedicalTourismMag.com The official website of the Medical Tourism Magazine

January 2009 Opened Israel Office

August 2008 Opened Dubai

Office

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April 2008 Argentina Workshop

July 2008 Organized 1st FAM Trip

to Korea

September 9-12, 2008 1st Annual World Medical

Tourism & Global Health Congress.

July 2008 El Salvador Workshop

January 2009 Partnership with Center for

Medical Tourism research and University of the Incarnate

Word

January 2009 Launch of MTA Committees

February 2009 1st FAM Trip to

El Salvador

January 2009 MTA signs Agreement

with the UAE Ministry of Health

January 2009 MTA holds 1st Medical Tourism

International Conference & Workshop initiated by the Jordan government. With a public and

private initiative.

January 2009 Opened Monterrey

Mexico Office

February 2009 MTA participates in WHO workshop on Medical Tourism

A History & Timeline of Milestones and Achievements of the Medical Tourism Association™

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October 2009 Release of

1st Medical Tourism Documentary

October 2009 2nd Annual World Medical Tourism & Global Health

Congress, Los Angeles California. Featuring 1,500 attendees, 125 exhibitors, 200 expert speakers, from

over 60 countries

April 13-15th 2010 Global Healthcare &

Medical Tourism Conference Korea, featuring up to 1,000

attendees, 30 exhibitors

June 2009 Launch of Medical

Tourism City www.MedicalTourismCity.com

July 2009 Jordan FAM Trip

July 2009 Launch of Health Tourism Magazine

www.HealthTourismMagazine.com

September 2009 Guatemala FAM Trip

October2009 Malaysia FAM Trip

October 2009 OECD & WHO Roundtable

March 2010 Launch of

Facilitator Handbook

December 2009 Colombia FAM Trip

January 2010 Chihuahua FAM Trip

January 2010 MBA Program

March 2010 Launch of International

Patient Department Handbook

March 2009 MTA Featured or

mentioned in over 1,000 media

publications, since May 2007

March 2009 Guatemala Workshop

March 2009 Opened Turkey

Office

June 2009 Launch of First Free Educational Webinar

June 2009 Panama Workshop

Future Milestones …

Medical Tourism Destination Guides

Jordan Congress 2011

3rd Annual World Medical Tourism & Global

Health Congress, September 22-24th 2010

www.MedicalTourismCongress.com

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Medical Tourism Association™ PAST, PRESENT & FUTURE Our membership doubled from 2007 to 2008 and again from 2008 to 2009 and we look forward to our members continuing to grow.

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The Medical Tourism Association™ Has Accomplished Many Milestones in 2009~

Value Added Accomplishments ~

The Global Voice

The Medical Tourism Association™ has offices worldwide and growing:

Florida, United States of America ~ Seoul, South Korea ~ San Jose, Costa Rica

United Arab Emirates, Dubai ~ Tel Aviv, Israel ~ Istanbul, Turkey ~ Buenos Aires, Argentina

Familiarization Trips

The Medical Tourism Association™ has completed 6 successful ―FAM‖ Trips during the past year. The goal of

a Medical Tourism Familiarization Tour is to highlight the quality of care within the specific region. One of

the main reasons is to introduce the region as a destination for medical tourism and to generate an interest

from ―buyers‖ to send patients to the hospitals and clinics visited on the tour. During the trip, buyers will

visit hospitals and clinics, and also engage in tourism activities, similar to what a potential patient may

enjoy. The idea is for the buyer to ―walk in the footsteps of a patient‖ while they are in your country or

destination. The trips are fully funded by the providers or government organizing the tour and so the

delegation participating in the tour has no out of pocket costs.

Membership Committees The MTA held teleconferences on a monthly basis for its 6 MTA member committees to help move the indus-try forward in a positive direction and help develop best practices. The committees included After Care, Facilitator, Industry Direction, Membership, Legal and the Quality Indicator/Quality of Care Project committee. Medical Tourism Magazine and the Launch of Health Tourism Magazine The Medical Tourism Magazine provides a comprehensive & cost effective way to reach buyers of healthcare and those involved in the Medical Tourism Industry on a bi-monthly basis. With the largest readership in the world in both its print edition and online edition, MTM is the only magazine dedicated to bringing those involved or interested in the industry the most cutting edge information. The circulation of the MTM, on average, for its printed version ranges over 90 countries around the world in all 5 regions. The magazine’s readership is over 120,000 per year, its printed distribution goes to International Hospitals, International Health Insurance Carriers in the Middle East, US, UK and Canada, healthcare providers throughout the world, the travel industry, directly to potential medical tourism patients considering going overseas for surgery, and anyone interested in the industry. The magazine also is distributed to a majority of the health plans which administer Self Funded Employer health plans in the U.S. Medical Tourism Magazine offers advertisers a direct line of communication to both ―buyers of healthcare‖ and ―sellers of healthcare‖ from around the world. It also offers the opportunity to advertise to your target market, generate inquiries and sales leads from healthcare professionals, buyers and sellers, increase your ―Brand Name‖ reputation in your region and in the world, educate the world on the solutions your organization provides and why your organization is unique and use our online and print editions to maximize readership. Medical Tourism Magazine is launched at http://www.MedicalTourismMag.com/. Health Tourism Magazine is a bi-monthly online publication, 100 % dedicated to the education and raised awareness of health, wellness, alternative and medical wellness issues. With our business to consumer approach to the promotion of each issue of our magazine, Health Tourism Magazine will focus on all areas of health and wellness which may not only compliment the treatment plans for patients receiving surgical procedures, but also provide the opportunity for an improvement of the quality of life for both the patients and their companions. This "Sister" magazine to Medical Tourism Magazine covers topics such as integrative, alternative, homeopathic and preventative medicine together with overall spa and wellness topics. Health Tourism Magazine is launched at http://www.HealthTourismMagazine.com

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What the MTA is Working On: Key Challenges and Issues~

Healthcare Clusters~ Forming a healthcare cluster or medical cluster is probably the single most important step in establishing a medical tourism destination and enhancing the location’s chances of success as a destination for medical tourists, thereby increasing patient flow. All the medical tourism stakeholders, such as hospitals, doctors, Ministries of Health, Tourism, and Economic Development, tourism operators, hotels and more must work together to promote this image of high quality healthcare to establish a ―Brand‖ name for the location throughout the world. A healthcare cluster is generally an independent organization of hospitals, clinics, medical professionals and the government in a specific city, state, or region. A healthcare cluster is funded by all the participants in the healthcare cluster and represents the interests of all the members and may also be supported by government funding. The purpose of a Healthcare Cluster is to promote the members of the healthcare cluster and build a reputation of providing extremely high quality healthcare. Carefully targeted collective action by the members of the healthcare cluster often produces results that individual members are incapable of obtaining by or for themselves. Also, before patients travel to these destinations, the reputation established must be one of quality, and include infrastructure support and governmental sponsorship. No one individual member can do this. A healthcare cluster can adopt and promote high stan-dards of ethical and professional medical care. These standards will need to be developed based upon the existing medical requirements and licensure standards for the country, state, city or region. Marketing standards and goals for the cluster need to be evaluated and designated to the appropriate entity or groups. Advertising budgets need to be developed as well and tie in with the Department of Tourism and Department of Health for governmental support. Finally, appropriate aftercare systems need to be created to appropriately handle patients. This means that tourism organizations, hotels and/or recovery centers need to be incorporated into the cluster for the purpose of creating safe and reliable aftercare networks. In this way, the healthcare cluster can create self-regulation within the location to achieve its goals of being established as an independent arm of the healthcare and tourism sectors. Ministerial Roundtable Meeting~ The MTA held its first roundtable of Health and Tourism as ministerial delegates came together to outline the future of medical tourism and the steps required to give it the necessary thrust. The high-powered congregation of senior ministers and policy makers discussed the opportunities and requests for assistance in medical tourism from international organizations, including the World Health Organization (WHO - PAHO) and Organization for Economic Co-Operation and Development (OECD). The focus of the meeting was on increas-ing the quality of healthcare worldwide, patient safety, policy relations and possible collaborative roles of global agencies in fostering medical tourism development worldwide. This inaugural edition was convened during the 2nd annual World Medical Tourism and Global Health Congress, October 27th, 2009 in Los Angeles, California. The second edition of the ministers' roundtable on medical tourism will be held at the 3rd World Medical Tourism and Global Health Congress in Los Angeles, September 22-24th, 2010. http://www.MedicalTourismCongress.com

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Questions and Answers~

1. Tell me a little more about MTA’s mini-conferences and workshops? The Medical Tourism Association™ (Global Healthcare Association) organizes and provides workshops throughout the world. The Medical Tourism Workshops fulfill one of the MTA’s main tenets of ―Education.‖ The MTA provides workshops that range from half-day medical tourism workshops, full-day and multi-day workshops. The MTA Provides Medical Tourism Workshops to the following organizations:

Governments Hospitals, Clinics, and Healthcare Providers Doctors (continuing education) Medical Tourism Facilitators Insurance Companies, Employers and Health Insurance Agents Other Interested Parties

2. Why was the 2009 Latin American Medical Tourism Conference in Monterrey Mexico

canceled? In April 2009 Monterrey Healthcare City cancelled the 1st Latin America Medical Tourism and Health Tourism Congress in Monterrey based upon information provided by the CDC, WHO and US State Department and the recommendations of the Governor of the State of Nuevo Leon. This decision was made to take preventative measures and assure the safety of all delegates. Unfortunately, Monterrey Healthcare City opted not to pay the balance of the contract with MTA in order to provide 100% refunds to the exhibitors and delegates. MTA paid from their own funds, 50% refunds. Unfortunately, no cancellation insurance policies cover incidents of communicable diseases like H1N1. 3. What happened in the litigation between IMTA, IMTAA and MTA? The Medical Tourism Association™ has invested a tremendous amount of time and effort in developing an international brand as well as developing a trademark in the United States recognizable to insurance companies, employers and patients. In 2009, IMTA financed and created a US division called IMTAA with the specific purpose of duplicating the efforts of MTA, thereby violating MTA’s trademark and creating confusion between the organizations. Under legal advice from MTA’s legal committee, MTA attempted an amicable resolution to this trademark infringement. When counsel for IMTA and IMTAA, Dale Vandemark, Esquire terminated settlement discussion, MTA’s legal counsel filed suit against both IMTA and IMTAA to protect our brand. Since that time, IMTAA has dissolved, having never performed any business activities. IMTA has also dissolved and settled with MTA amicably, with a letter from former IMTA President, Ruben Toral, in support of MTA’s activities forthcoming.

MTA Representation in the Media

Exposure for MTA Members

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NOVEMBER 2009

The New York Times

“Looking Abroad for Health Savings” - by Katharine Q. Seelye

HotelierMiddleEast.com/travel

“Regions Tourism Sectors can Attract More Patients” - by Ben Watts

Travel + Leisure

“Worst Medical Tourism Disasters”- by Adam H. Graham

SEPTEMBER 2009

USA Today

"Globalizing Health Care Through Medical Tourism" - by Steve Riczo and Sarah Riczo

Business Wire

"Stephen Weiner Named by Nightingale's to 2009 List of Outstanding Hospital Lawyers"

AUGUST 2009

Associated Press

"U.S. Patients Travel Overseas For Savings" - by Tom Murphy

JULY 2009

El Vocero de Puerto Rico

“Prospera el turismo medico”

WSOC-TV

“9 Investigates: Patients Going Outside U.S. for Cheaper Medical Treatments “

American College of Surgeons

“Medical and Surgical Tourism “- by James A. Unti, MD, FACS

CNBC

"Jordan Eyes Lucrative US Health Care Market"

Managed Care Magazine

"Liability Concern Balances Medical Tourism's Cost Appeal" - by Richard Mark Kirkner

JUNE 2009

Houston News - KIAH

"More Americans Are Headed Overseas For Medical Treatments" - by Leticia Juarez

IdahoStatesman.com

"High Healthcare Costs Lead Idaho Falls Woman to New Zealand"

amednews.com

"Surgeons Group: Medical Tourists Should Check Doctors' Qualifications"

Victoria Advocate

"High Health Care Costs Lead to 'Medical Tourism'"

The Arizona Republic

"Globe-Trotting to Cut Down on Medical Costs" -by Ginger Rough

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MTA Mentioned or Featured in Hundreds of Media Publications and News

MAY 2009

National Geographic Traveler

"Medical Tourism Takes Off" -Edited by Norie Quintos

APRIL 2009

Hotel News Resource

"Medical Tourism: Vaccinated Against the Recession?"-Lorenza Alessie

MSN Health & Fitness

"Traveling For Treatment"-Amanda Gardner

MARCH 2009

The New York Times

"Going Abroad to Find Affordable Health Care" -Walecia Konrad

FEBRUARY 2009 Timesunion.com "Save Money By Bargaining for Health Care"-Lynda Shrager

Human Resource Executive "Medical Tourism Closer to Home" -Jared Shelly

AME Info "The First Jordan International Medical Tourism Congress to Enhance Medical Services with USAID Support"

Employee Benefit News "Spurred by Economy, Medical Tourism Poised for Breakout in '09" -Kathleen Koster JANUARY 2009 The National "US-Based Group to Back Medical Tourism in UAE"-Roland Hughes MENAFN.COM "Jordan- Rapid Population Growth Main Challenge Facing Medical Sector"-Jordan Times

C-SPAN, one of the nation's largest cable networks, discusses Medical Tourism. Representatives of U.S. Insurance Companies and others talk about Medical Tourism, the practice of traveling to another country for healthcare, at the Medical Tourism Association's 1st Annual World Medical Tourism & Global Health Congress in San Francisco. NOVEMBER 2008 Nurse.com "Medical Tourism- Patients jet to foreign locales for surgical procedures and return home for follow-up care" -Marcia Frellick

93.1 WIBC Indianapolis Indy's Newscenter Radio Katu.com "Research Key for Medical Treatment Overseas" - Dan Tilkin

Human Resource Executive Online "Transformation Vacation" - Jared Shelly

Los Angeles Times "A guide for Americans seeking affordable medical treatment abroad" - Marla Dickerson

National Underwriter Life & Health "Medical Tourism Providers Want To Show Your Clients The World" - Allison Bell

Amednews.com "Medical Travel doesn't have to be overseas" - Pamela Lewis Dolan

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MTA Mentioned or Featured in Hundreds of Media Publications and News

OCTOBER 2008

Insure.com "The doctor is in...9,000 miles away: Insurance for Medical Tourism"

JULY 2008 Khaleej Times "Medical Tourism to Get Fillip" - Asma Ali Zain

The Heartland Institute "New Study Sparks Debate on Medical Travel" - Aricka Flowers

HealthLeaders "What's the Word?" - Rick Johnson

Washington Post "Doing Your Homework" - Suz Redfearn

JUNE 2008 Benefit News "' Medical Tourism' Emerging as Unique Benefit" Private Healthcare News "Healthcare Star Shines Brightly"

MAY 2008 San Francisco Chronicle "More Who Need Major Surgery are Leaving US. Overseas treatments sometimes carry extra risks, but can came at fraction of the expense." - Victoria Colliver

APRIL 2008 AME Info - United Arab Emirates "Mid East can capitalize on lucrative global medical tourism market." Khaleej Times "ME to become top medical tourism destination."

MARCH 2008 Pacific Business News "Medical Tourism Finds Hawaii Connection." - Linda Chiem

Florida Health News "Florida-Based Magazine Aims to Make Medical Tourism Safer" - Nancy McVicar Businessweek "Outsourcing the Patients" - Bruce Einhorn

Kaiser Network "Florida-Based Magazine Aims to Make Medical Tourism Safer" - Nancy McVicar HealthLeaders Interstudy "Employers Eye Medical Tourism as Cost Relief" Employee Benefit Adviser "The money and interest are there, but will employers and patients follow?" - Molly Bernhart

Florida Health News "Florida-Based Magazine Aims to Make Medical Tourism Safer" - Nancy McVicar

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MTA Mentioned or Featured in Hundreds of Media Publications and News

FEBRUARY 2008 The New York Times "More Fun than Root Canals? It's the Dental Vacation." - Camille Sweeney

Managed Healthcare Executive Magazine "President of Medical Tourism Association Featured as a Visionary in US Healthcare." Tracey Walker JANUARY 2008 Globe and Mail - Canada "Sun, Sand and Surgery" - Dave McGinn

NPR "Employers, Insurers Consider Overseas Healthcare" - Greg Allen

2007 Memphis Business Journal "Medical Tourism: Tummy tucks and swanky vacations go hand in hand." - Toby Sells

Iran Daily - Panorama "MTA Launching Magazine"

Rough Notes "Medical Tourism - Employers can save significant healthcare dollars by having employees seek overseas options" - Michael J. Moody, MBA, ARM

Entrepreneur.com "Healthy Travels - Thing Going Abroad for Cheaper Medical Procedures is Scary? These Businesses are Here to Help." - Geoff Williams

Employee Benefit Adviser "Adviser interest in medical tourism likely to grow as industry strengthens." - Molly Bernhart Miami Herald "Seeking Healthcare Abroad" - John Dorschner

Kiplinger's "Adventures in Travel - Americans Head Overseas for Five Star Care at Motel 6 Prices." - Jessica L. Anderson

Modern Healthcare "International Ambitions - Group Wants to Assist Patients Seeking Care Overseas." - Shawn Rhea South Florida Sun Sentinel "Uninsured Americans traveling to Panama for health care." - Doreen Hemlock National Underwriter "Florida Broker Helps Form Medical Tourism Group" Healthcare Finance News "Medical Tourism Trade Group Forms" - Molly Merrill

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MTA Mentioned or Featured in Hundreds of Media Publications and News

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