In one of the few analyses of the retail travel industry in the U.S., a new report from First Research states that the average annual revenue generated by each employee at a traditional agency amounts to more than $150,000. The report also states that travel agencies are part of a $40 billion travel services industry in the U.S.

With the enactment of health care reform, “the fundamentals for U.S. outbound medical travel — cost savings and access to quality care — remain in place,” stated Josef Woodman, author of Patients Beyond Borders, in the publication’s summer newsletter.