Penang has strong public health and medical facilities, buttressed by international level private sector establishments. Private sector initiative and partnerships have contributed to medical tourism in Malaysia which, in 2006, brought in USD 59 million, with Penang attracting 70% of this revenue (Kharas et. The Penang Health Association (representing a group of private hospitals) as well as good communication and travel facilities, low cost of services and availability of good accommodation have contributed to the growth of medical tourism.