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China Hospital Industry Development and Investment Report, 2012-2015

February 2013 | 120 pages | ID: C68472A620BEN
ResearchInChina

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China hospital industry has maintained stable growth in recent years, thanks to the market demand stimulus and stable influx of national investment. As of late 2011, China had a total of 21,979 hospitals, with the AAGR of 2.7% during 2005-2011. In particular, the proportion of non-public hospitals grew to 39.4%. In 2011, the revenue of China hospital industry totaled RMB1.2451 trillion, with the CAGR as high as 19.7%, while the gross margin was no more than 3.8%.

In recent years, Chinese government has unveiled a series of favorable policies to boost the reform of public hospitals, encourage and guide social capitals to rush into hospital industry. This move resulted in further maturity of investment operation mode of China hospital industry. Since 2010, privately-owned hospitals including Hong Kong Phoenix International Investment Group, YMCI, SL PHARM, Xi'an Kaiyuan Investment Group Company Limited and Jinling Pharmaceutical Company Limited have been restructured through trusteeship and M&A by public hospitals, while foreign enterprises have run their business in China via joint business, joint stock and joint venture, with orientation to Chinese top-grade medical market. Cases in point include United Family Hospital and ParkwayHealth.

At present, the specialized hospitals in China are much favored in the marketization trend and little exposed to policy risk, thus, they are one of highlights when it comes to social capital investment. In 2011, the number of specialized hospitals in China surged from 2,682 in 2005 to 4,283, among which privately-owned ones accounting for 59.4%. And the revenue generated by the specialized hospitals amounted to RMB139.1bilion, with the CAGR in 2005-2011 reached 22.2% while the average gross margin realized 12.1%. In particular, the gross margin generated by ophthalmic hospitals and Cosmetic hospitals claimed 14.7% and 12.8%, respectively. In 2011, the gross margin of Aier Eye Hospital Group, TC Medical, and Mayinglong Pharm, the leading privately-run specialized hospitals in China, reported 55.3%, 47.2% and 39.4%, respectively.

The report highlights the followings:
  • China hospital industry market overview: number of hospitals of all sorts, operation, status quo of medical service, competition pattern, etc.
  • current development of specialized hospitals in China: overall operation, operation of ophthalmic hospitals, stomatological hospitals, plastic surgery hospitals, beauty hospitals, maternity hospitals, Children’s hospitals, and tumour hospitals as well as their development outlook;
  • development prediction of China hospital industry: status quo of China medical security, boosting urbanization’s influence on China healthcare market, supply and demand of medical resources in 2015;
  • investment in China hospital industry: related polices on social capital flowing into the hospital industry, operational efficiency comparison between privately-owned hospitals and public ones;
  • present operation, investment, mergers and development prediction of four major privately-owned specialized hospitals in China, six listed companies that have accessed into the hospital industry, and two foreign hospitals.
1. OVERVIEW OF CHINA HOSPITAL INDUSTRY

1.1 Definition
1.2 Classification
1.3 Industry Chain

2. OVERVIEW OF CHINA HOSPITAL MARKET

2.1 Hospital Quantities
  2.1.1 Number of Hospitals Grows Steadily
  2.1.2 Privately-Owned Hospitals Show Faster Growth Rate
  2.1.3 Distinct Difference in Regional Distribution of Hospitals
2.2 Revenue
  2.2.1 Total Revenue Surges Rapidly
  2.2.2 Revenue of General Hospitals Occupies A Lion’s Share
  2.2.3 Proportion of Revenue from Medicine of General Hospitals On A Slow Decline
2.3 Profit Level
  2.3.1 Average Gross Margin Maintains a Low Level
  2.3.2 Gross Margin of General Hospitals Records the Lowest
2.4 Medical Service
  2.4.1 Short Supply of Medical Resources
  2.4.2 Medical Personal Inadequacy Impacts the Development of Hospital Industry
2.5 Competition Pattern

3. CURRENT DEVELOPMENT OF SPECIALIZED HOSPITALS IN CHINA

3.1 Operation
  3.1.1 Proportion of Non-Public Specialized Hospitals Witnesses Steep Increase
  3.1.2 Revenue Generated by Specialized Hospitals Sees Rapid Growth
  3.1.3 Gross Margin of Specialized Hospitals Presents Sharp Rise against Last Year
3.2 Status Quo of Specialized Hospitals of All Kinds
  3.2.1 Ophthalmic Hospital
  3.2.2 Stomatological Hospital
  3.2.3 Plastic Surgery & Cosmetic Hospital
  3.2.4 Maternity Hospital
  3.2.5 Children’s Hospital
  3.2.6 Tumour Hospital

4. DEVELOPMENT FORECAST OF CHINA HOSPITAL INDUSTRY

4.1 Status Quo of China Medical Insurance
  4.1.1 Medical Insurance System
  4.1.2 Medical Insurance Nearly Realizes 100% Coverage
  4.1.3 Medical Insurance for Serious Illness of Urban and Rural Residents
4.2 Urbanization Bolsters Development of the Hospital Industry
  4.2.1 Status Quo of Urbanization in China
  4.2.2 Urbanization Expects to Optimize Medical Insurance System
  4.2.3 Trans-regional Medical Insurance Settlement Is Expected to Realize Initiatively
  4.2.4 Urbanization Incrementation Depends on the Contribution of Medical Insurance System
  4.2.5 Medical Insurance Fund Balance Rate Will See Further Decrease
  4.2.6 Medical Resource Supply of County-Level Hospitals Will Improve
  4.2.7 Urbanization Will Encourage Central Government to Invest in Urban Medical Resources

5. INVESTMENT IN CHINA HOSPITAL INDUSTRY

5.1 Policy Environment Becomes Warm
5.2 Competitiveness of Privately-Owned Hospitals
  5.2.1 Limited Size Effect of Public Hospitals
  5.2.2 Privately-Owned Hospitals See Higher Efficiency of Operation
5.3 Investment Opportunities of Social Capital
  5.3.1 Specialized Medical Field
  5.3.2 General Public Hospitals
5.4 Development Direction and Operation Mode of Foreign Hospitals
  5.4.1 Status Quo of Foreign Hospitals in China
  5.4.2 Development Direction of Foreign Hospitals
  5.4.3 Operation Mode of Foreign Hospitals

6. MAJOR PRIVATELY-OWNED HOSPITALS IN CHINA

6.1 Aier Eye Hospital Group
  6.1.1 Profile
  6.1.2 Operation
  6.1.3 Revenue Structure
  6.1.4 Gross Margin
  6.1.5 Medical Business
  6.1.6 Prediction and Outlook
6.2 TC Medical
  6.2.1 Profile
  6.2.2 Operation
  6.2.3 Revenue Structure
  6.2.4 Gross Margin
  6.2.5 Medical Business
  6.2.6 Prediction and Outlook
6.3 Mayinglong Pharm
  6.3.1 Profile
  6.3.2 Operation
  6.3.3 Revenue Structure
  6.3.4 Gross Margin
  6.3.5 Medical Business
  6.3.6 Prediction and Outlook
6.4 Shanghai Fosun Pharmaceutical (Group)
  6.4.1 Profile
  6.4.2 Operation
  6.4.3 Revenue Structure
  6.4.4 Gross Margin
  6.4.5 R&D and Investment
  6.4.6 Medical Business
  6.4.7 Prediction and Outlook
6.5 Jinling Pharmaceutical Company Limited
  6.5.1 Profile
  6.5.2 Operation
  6.5.3 Revenue Structure
  6.5.4 Gross Margin
  6.5.5 Medical Business
  6.5.6 Prediction and Outlook
6.6 Shinva Medical
  6.6.1 Profile
  6.6.2 Operation
  6.6.3 Revenue Structure
  6.6.4 Gross Margin
  6.6.5 Medical Business
  6.6.6 Prediction and Outlook
6.7 Xi'an Kaiyuan Investment Group Company Limited
  6.7.1 Profile
  6.7.2 Operation
  6.7.3 Revenue Structure
  6.7.4 Gross Margin
  6.7.5 Medical Business
  6.7.6 Prediction and Outlook
6.8 Inner Mongolia Free Han & Mongolia Pharmaceutical Co.,Ltd.
  6.8.1 Profile
  6.8.2 Operation
  6.8.3 Revenue Structure
  6.8.4 Gross Margin
  6.8.5 Medical Business
  6.8.6 Prediction and Outlook
6.9 Wuhan Jianmin Pharmaceutical Groups Corp. Ltd
  6.9.1 Profile
  6.9.2 Operation
  6.9.3 Revenue Structure
  6.9.4 Gross Margin
  6.9.5 Medical Business
  6.9.6 Prediction and Outlook
6.10 CMS Holdings Ltd.
  6.10.1 Profile
  6.10.2 Operation
  6.10.3 Gross Margin
  6.10.4 Medical Business
6.11 United Family Hospital
  6.11.1 Profile
  6.11.2 Operation
  6.11.3 Medical Business
6.12 ParkwayHealth
  6.12.1 Profile
  6.12.2 Operation
  6.12.3 Medical Business

SELECTED CHARTS

Types and Brief Introduction of Hospitals in China
China Hospital Industry Chain
Number of Hospitals in China, 2005-2011
Number of Hospitals in China by Level, 2006-2011
Number of Hospitals in China by Economic Type, 2006-2011
Number of Hospitals in China by Management Mode, 2006-2011
Number of Hospitals in China by Institution Nature, 2006-2011
Number of Hospitals in China by Region, 2011
Total Revenue of China Hospital Industry, 2005-2011
Revenue Structure in China Hospital Industry by Source of Revenue, 2011
Structure of Total Revenue of China Hospital Industry by Institution Nature, 2011
Average Total Revenue of Each General Hospital in China, 2005-2011
Average Revenue of Each General Hospital in China by Business, 2005-2011
Average Net Income from Drugs of Each General Hospital in China and Makeup Percentage of Drugs, 2005-2011
Average Gross Margin of China’s Hospitals, 2005-2011
Average Gross Margin of China’s Hospitals by Institution Nature, 2011
Outpatient Visits of China’s Hospitals, 2005-2011
Number of Hospital Beds of China’s Hospitals, 2005-2011
Utilization of Beds in China’s Hospitals, 2005-2011
Number of Certified Doctors and Registered Nurses of China’s Hospitals, 2005-2011
Number of Medical Graduates of China’s Hospitals, 2005-2011
Proportion of Public and Non-Public Hospitals in Various Medical Fields of China, 2011
Number of Specialized Hospitals in China, 2005-2011
Number of Specialized Hospitals in China by Economic Type, 2005-2011
Number of Specialized Hospitals in China by Classification, 2010-2011
Total Revenue of Specialized Hospitals in China, 2005-2011
Total Revenue of Specialized Hospitals in China by Classification, 2010-2011
Gross Margin of Specialized Hospitals in China by Classification, 2011
Number of Ophthalmic Hospitals in China, 2006-2011
Revenue and Profit of Ophthalmic Hospitals in China, 2006-2011
Utilization of Hospital Beds and Service Efficiency of Doctors of China’s Ophthalmic Hospitals, 2006-2011
Number of Stomatological Hospitals in China, 2006-2011
Revenue and Profit of Stomatological Hospitals in China, 2006-2011
Utilization of Hospital Beds and Service Efficiency of Doctors of China’s Stomatological Hospitals, 2006-2011
Competition Comparison: TC Medical vs. Jiamei Stomatological vs. ARRAIL Dental
Number of Plastic Surgery and Cosmetic Hospitals in China, 2006-2011
Revenue and Profit of Plastic Surgery and Cosmetic Hospitals in China, 2006-2011
Number of Maternity Hospitals in China, 2006-2011
Revenue and Profit of Maternity Hospitals in China, 2006-2011
Utilization of Hospital Beds and Service Efficiency of Doctors of China’s Maternity Hospitals, 2006-2011
Number of Children’s Hospitals in China, 2006-2011
Revenue and Profit of Children’s Hospitals in China, 2006-2011
Utilization of Hospital Beds and Service Efficiency of Doctors of China’s Children’s Hospitals, 2006-2011
Number of Tumour Hospitals in China, 2006-2011
Revenue and Profit of Tumour Hospitals in China, 2006-2011
Utilization of Hospital Beds and Service Efficiency of Doctors of China’s Tumour Hospitals, 2006-2011
Composition of China Medical Insurance System
Population Coverage of Medical Insurance System in China, 2005-2011
Coverage of China Medical Insurance System, 2005-2011
Per Capita Expenditure of Three Kinds of Medical Insurances in China, 2009-2011
Urbanization Rate of China, 2000-2011
Healthcare Expenditure Structure of China, 2005-2011
Basic Insurances of China’s Urban Workers and Average Per Capita Fundraising of New Rural Cooperative Medical System, 2005-2011
Medical Insurances of China’s Urban Workers and Balance Rate of New Rural Cooperative Medical System, 2005-2011
Favorable Polices on the Construction of County-Level Hospitals, 2009-2012
Influence of In-Depth Urbanization to Medical Service, 2015
Landmark Cases on Social Capitals Flowing to Medical Service Field in China, 1985-2012
Policies Regarding Social Capitals Flowing to Medical Service Field in China, 2009-2012
Policy Differences between Privately-owned Hospitals and Public Hospitals
Entrustment Chain of Public Hospitals in China
Average Per Capita Treatment Expenditure of Privately-owned Hospitals and Public Hospitals, 2012
Brief Introduction to Medical Treatment in Northern Suzhou and Shenmu County, 2011
Major Specialized Medical Services
Marketization Trend of China Medical Service System
Reform Mode of Established Property Rights System of Public Hospitals
Pilot Cases of China’s Social Capitals Contributing to Public Hospital Restructuring, 1999-2012
Partners and Major Medical Treatment Services of Sino-Foreign Joint Ventures in China Hospital Industry
Partners and Major Services of Sino-Foreign Joint Ventures in China Hospital Industry
Revenue and Net Income of Aier Eye Hospital Group, 2008-2012
Revenue of Aier Eye Hospital Group by Product, 2008-2012
Revenue of Aier Eye Hospital Group by Region, 2008-2012
Gross Margin of Aier Eye Hospital Group by Product, 2008-2012
Revenue and Net Income of Aier Eye Hospital Group, 2011-2015E
Revenue and Net Income of TC Medical, 2008-2012
Revenue of TC Medical by Product, 2008-2012
Revenue of TC Medical by Region, 2008-2012
Gross Margin of TC Medical by Product, 2008-2012
Client Orientation of TC Medical
Status Quo of Subsidiaries under TC Medical
Revenue and Net Income of TC Medical, 2011-2015E
Revenue and Net Income of Mayinglong Pharm, 2008-2012
Revenue of Mayinglong Pharm by Product, 2008-2012
Revenue of Mayinglong Pharm by Region, 2008-2012
Gross Margin of Mayinglong Pharm by Product, 2008-2012
Development History of Mayinglong Pharm Anorectum Chain Hospitals
Establishment Mode and Equity Structure of Anorectum Hospitals under Mayinglong Pharm
Net Income of Anorectum Hospitals under Mayinglong Pharm, 2011
Comparison: Anorectum Hospitals under Mayinglong Pharm vs. Aier Eye Hospital Group vs. TC Medical
Revenue and Net Income of Mayinglong Pharm, 2011-2015
Revenue and Net Income of Shanghai Fosun Pharmaceutical (Group), 2008-2012
Revenue of Shanghai Fosun Pharmaceutical (Group)by Product, 2008-2012
Revenue of Shanghai Fosun Pharmaceutical (Group)by Region, 2008-2012
Gross Margin of Shanghai Fosun Pharmaceutical (Group) by Product, 2008-2011
R&D Costs and % of Total Revenue of Shanghai Fosun Pharmaceutical (Group), 2008-2012
Established Regions and Expected Expansion of United Family Hospital, 2012
Revenue and Net Income of Shanghai Fosun Pharmaceutical (Group), 2011-2014
Revenue and Net Income of Jinling Pharmaceutical Company Limited, 2008-2012
Revenue of Jinling Pharmaceutical Company Limited by Product, 2008-2012
Revenue of Jinling Pharmaceutical Company Limited by Region, 2008-2012
Gross Margin of Jinling Pharmaceutical Company Limited by Product, 2008-2012
Revenue and Net Income of Jinling Pharmaceutical Company Limited, 2011-2015E
Revenue and Net Income of Shinva Medical, 2008-2012
Revenue of Shinva Medical by Product, 2008-2012
Revenue of Shinva Medical by Region, 2008-2012
Gross Margin of Shinva Medical by Product, 2008-2012
Revenue and Net Income of Shinva Medical, 2011-2014E
Revenue and Net Income of Xi'an Kaiyuan Investment Group Company Limited, 2008-2012
Revenue of Xi'an Kaiyuan Investment Group Company Limited by Sector, 2008-2012
Revenue of Xi'an Kaiyuan Investment Group Company Limited by Region, 2008-2012
Gross Margin of Xi'an Kaiyuan Investment Group Company Limited by Product, 2008-2012
Revenue and Net Income of Xi'an Kaiyuan Investment Group Company Limited, 2011-2015
Revenue and Net Income of Inner Mongolia Free Han & Mongolia Pharmaceutical Co.,Ltd., 2008-2012
Revenue of Inner Mongolia Free Han & Mongolia Pharmaceutical Co.,Ltd.by Product, 2010-2012
Revenue of Inner Mongolia Free Han & Mongolia Pharmaceutical Co.,Ltd.by Region, 2009-2012
Gross Margin of Inner Mongolia Free Han & Mongolia Pharmaceutical Co.,Ltd. by Product, 2008-2012
Investment and Operation Date of Inner Mongolia Free Han & Mongolia Pharmaceutical’s Chain Hospitals
Revenue and Net Income of Inner Mongolia Free Han & Mongolia Pharmaceutical Co.,Ltd., 2011-2015E
Revenue and Net Income of Wuhan Jianmin Pharmaceutical Groups Corp. Ltd, 2008-2012
Revenue of Wuhan Jianmin Pharmaceutical Groups Corp. Ltd by Product, 2008-2012
Revenue of Wuhan Jianmin Pharmaceutical Groups Corp. Ltd by Region, 2008-2012
Gross Margin of Wuhan Jianmin Pharmaceutical Groups Corp. Ltd by Product, 2008-2012
Revenue and Net Income of Wuhan Jianmin Pharmaceutical Groups Corp. Ltd, 2011-2015E
Revenue and Net Income of CMS, 2008-2012
Gross Margin of CMS by Product, 2008-2012
Service Network Coverage Regions of CMS, 2012
Revenue of United Family Hospital, 2008-2012
Number of United Family Hospital’s Outlets by Region, 2013
Revenue of ParkwayHealth, 2006-2010
Revenue of ParkwayHealth in China, 2006-2010
Total Assets of ParkwayHealth in China, 2006-2009
Medical Treatment Centers and Services of ParkwayHealth in China


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