Quick notes from AR
Medical College ETA
“A couple of years” seems dire. But I suppose the college will start contributing something from next year.
Idhayam Merger
Idhayam merger has gone through completely. We already knew this earlier.
Flat DPR
DPR is more or less the same (~5.60%).
Decrease in Promoter Holding
Marginal decrease in Promoter Holding, largely due to one Dr. P. R. Perumalswami offloading a small stake.
Investment by ChrysCapital
ChrysCapital Investment Advisors India have invested a LOT in KMCH this year via Auburn Limited. Stake has more than doubled from 1.06% to 2.44%
Industry Developments in 2018
I had discussed some of these things in my own PF thread:
Otherwise, pages 51-54 in the AR is a good read too.
Visibility on Medical College
Some more visibility of the Medical College.
Increase in ARPU
ARPU has increase by a decent amount (~8%).
Funny Representation of the Share Price
Somebody doesn’t know how to use an Excel in KMCH. 
At a quick glance, you’d believe that the share was largely flat during the year.
Decrease in FCFE
Stark decrease in FCFE, thanks to the Medical College I suppose.
New Technology for Radiation Oncology
On limited Google research, it looks like the first patient to be treated on this technology in the US was in 2017. Also, the first patient ever to be treated with this technology was also in 2017. So considering this, I’d say KMCH adopting it shows a nimble attitude. Some other healthcare groups in Australia and Korea have also adopted it in 2018.