Here are some of the places that I have heard are really amazing, have received great awards and are more medical focus the way that Chiva Som is:
In Switzerland:
Les Bains de Lavey (more medical focus and specialising in weight loss)
http://www.wahanda.com/place/les-bains-de-lavey/Clinique La Prairie
http://www.wahanda.com/place/clinique-la-prairie/In Spain
SHA Wellness Clinic (More Medical and getting A LOT of press -- supposed to be great)
http://www.wahanda.com/place/sha-wellness-clinic/In Italy
Adler Thermae
http://www.wahanda.com/place/adler-thermae-spa-resort/Finally, in Austria there is the famous Lanserhof spa which has a loyal following from around the world and dedicated to real detox and rejuvenation.
http://www.wahanda.com/place/health-centre-lanserhof/If you were looking for a real weight loss, diet and weight loss improvement to your health I would look especially look at Lanserhof and SHA