It's all about branding and generating additional income.  As some hospitals are struggling, some of the larger institutions are generating revenue from affiliations over seas.  Below are just a couple examples, but there are many more.  BD

In any given month, Cleveland Clinic Chief Operating Officer David Strand fields dozens of inquiries from countries around the world. They don’t want medical advice--they want to partner up and replicate the clinic's model, which has made it one of the world’s go-to health care providers.

The exact details vary from place to place, but the proposals usually contain a map displaying a red dot over the prospective country’s facility site and concentric circles around it representing areas within two hours of traveling distances, then four, six and so on.

Johns Hopkins Medicine, on the other hand, has been more conservative in its approach. Rather than building new facilities, the institution has focused on international medical projects that involve academic and clinical advisement, including ventures in Turkey, Singapore, China and Panama. In 2006, it entered into an agreement to have a 10-year affiliation with the General Health Authority for Health Services in the United Arab Emirates, giving Johns Hopkins the opportunity to manage the more than 400-bed Tawam Hospital in Abu Dhabi.

America's Top Hospitals Go Global - Forbes.com

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