Monday, June 10, 2013

Kovai Medical - MDA over the years

2012
COMPREHENSIVE CANCER CENTER
The Comprehensive Cancer Center was inaugurated by his Excellency Dr.K.Rosaiah, Governor of Tamil Nadu on 07.11.2011.The center has a well knit team across radiation oncology, surgical oncology, medical oncology and nuclear medicine. Don't know what is the most advanced form of cancer treatment available at other places!

2011
The new cancer facility embarked by our Hospital will be equipped with the state-of-the-art equipments like Triology High Energy Linear Accelerator, PET Scan, SPECT Nuclear Scan and other imaging equipments. PET/CT is purely non-invasive diagnostic tool which provides best results than any other imaging technique.

Radiology Department has been equipped with latest 3T MRI equipment, Digital Mammography, Ultrasound and latest X-ray units making it as one of the most sophisticated ultra modern radiology facilities in the country.

Neuro interventions and Neuro surgeries are complemented by world class facilities. Biplan Cathlab, Sterotactic and functional Neuro equipments recently installed in our Hospital will aid in advancement of neurological procedures.

The additional Medical ICU, Neuro ICU and Surgical ICU facilities which are equipped with latest equipments and supported by highly competent Doctors proficient in intensive care has tremendously improved the critical care services in our Hospital.

  • Aren't all these pretty standard across normal hospitals? should ask doc!


Since the Company is fundamentally strong, the required finance for the expansion / modernization programmes can be mobilised from Banks / Financial Institutions/internal sources. - nice

2010
In the light of these developments Rs.200 crores expansion programme at our main hospital seems to be very appropriate and need of the hour. As a part of this expansion program 170 beds have been to be added and have started yielding revenue. The new radiotherapy facility and upgrading of the existing Radiology services will be completed by January 2011. Work for building of 7 state of the art operation theaters is also in progress and will be operational by January 2011. Highly sophisticated procedures like Liver Transplant and Bone Marrow Transplant are expected to be done in the new complex. Three new Cardio Thoracic theaters and 18 beds Neonatal ICU are also being built which will be operational by September 2010

  • Bed expansion on track - as was stated in 2010, although original plan of 2008 was bit too optimistic


2009

In light of the above and as reported earlier the Rs. 200 crore expansion plan for adding 250 beds and 7 operation theaters along with a cancer therapy unit covering an estimated 4 lac square feet is on course and the construction activity is making steady progress. However in order to meet the urgent demand we added 35 beds during January 2009. 
The next phase of 110 beds is expected to be ready by September 2009. The cancer unit is expected to be ready by April 2010. It is also planned to have exclusive outpatient block to house all the consultant rooms and service areas like reception .outpatient pharmacy with about 80000 Sq.ft area in the final phase by end 2010.

  • interesting to see capex remaining the same, beds scaled down (for a general purpose hospi, what is the capex per bed at a place like coimbo?);
  • By Dec 08 - 200 beds were supposed to be complete - 35 were delivered; would have been happy if atleast 50% of the target was delivered - clearly there were issues either with doc ramp-up or facility ramp-up - would expect the former
  • Cancer unit got delayed by a year - Kudos!



Your hospital has acquired 5000 square feet of land adjacent to the Speciality Hospital at Erode. It is planned to merge the existing Hospital at Erode with Speciality Hospital to optimize the resources and to exploit the synergy to provide improved services to patients. There has been persistent requests from the patients in Coimbatore city to expand the facilities at our City Center in Coimbatore Ramnagar area. Therefore we have planned to build a good outpatient clinic facility with the state of the art radiology and laboratory investigation equipments with good outpatient consultant rooms. This new facility will be ready during the year 2010.

2008

We had reported during the last year that your hospital has embarked on an massive 100 crore expansion plan to add patient beds and also provide cancer treatment facilities, organ transplant facilities. We are all aware that Coimbatore has become the central hub of industrial activity in the state of Tamil Nadu.

Keeping these developments in view we have revised our expansion programme outlay to 200 crores with an addition of 300 beds and 7 additional operation theaters for organ transplantation, cancer and cardiac surgeries.The programme will also include a nursing college and nursing hostel. Work for building infrastructure consisting of 5 lakh square feet in progress. Expansion programme is planned in three phases. The first phase of the programme with 200 beds is expected to be completed December 2008. The second phase with the 7 operation theaters and 100 beds is expected to be completed by the end of the year 2009. However the third phase will be completed during the year 2010 which will consist of the new outpatient block to be built for housing the consultants and supporting facilities at the hospital.

You'll be happy to know that in the new expansion project we are planning for about 50 beds exclusively dedicated to the medical tourism patients from foreign countries US, UK, Saudi Arabia, Sudan, Nigeria. In order to ensure quality and also to instill confidence in the medical tourism patients, it has become absolutely essential to get hospital accreditation from the recognized national or international accrediting agencies. Towards this end, your hospital has already applied for the Indian National quality accreditation from the National Accreditation Board for Hospitals (NABH) affiliated to the Quality Council of India which is a government of India certified institution. We expect to get the accreditation by March 2009.

How many international patients are actually landing up at the hospital?

2007

Ongoing Expansion Programme
At present we are embarking on a 100 crore expansion project comprising of establishing additional 200 patient beds, a speciality centre to provide cancer treatment facilities, organ transplant facilities for Kidney, Liver and Bone Marrow have already commenced and is progressing.

Acquisitions and mergers and strategic alliances
In a globalised economy, economies of scale, technology management and innovations are essential for sustenance and growth. In order to expand our operations we need to look at both organic and inorganic growth in our company.
Acquisitions and strategic alliances are essential for rapid growth and in this regard, we have entered into an MOU with a speciality Hospital in Erode, which is expected to be in operation by July 2007. We are also on the look out for more strategic alliances to capitalize on our strengths and core competence in heathcare industry.

Quality Management initiatives
Your hospital has always been on the forefront to promote quality in the health-care delivery system. As reported last year, the work on getting both national and international accreditations like National Accreditation Board for Hospitals (NABH) and Joint Commission International (JCl) and - Australian Council on Healthcare Standards (ACHS) - is in progress and we hope that we will be able to get these accreditations by the end of the year 2009.
The driver for these accreditations is not only our quest for quality but also the prequalification requirement for getting the affiliation to the various national and international insurance companies and multinational companies who are providing medical treatment to their customers and employees.



PROPOSED ACQUISITION OF IDHAYAM HOSPITALS ERODE LIMITED, ERODE
During the year the Company has entered into an MoU with M/s.ldhayam Hospitals Erode Limited to acquire its 100% share capital of the Company. The entire Share capital of Idhayam Hospitals Erode Limited was acquired on 23.04.2007 and in view of this Idhayam Hospitals Erode Limited has become wholly owned subsidiary of our Hospital effective from the above date.

More details:

Kovai Medical Center & Hospital Ltd has announced that the Company has entered into a Memorandum of Understanding (MOU) with Idhayam Hospitals Erode Ltd on February 27, 2007 at Erode, Tamil Nadu.

Idhayam Hospitals Erode Ltd has been incorporated as a Public Limited Company in the year 2001 and its Registered Office is situated at 181 Perundurai Road, Erode, Tamil Nadu. It is proposed to acquire 100% stake of the transferor Company and make it as the Company's wholly owned subsidiary.

It is a closely held Company with a paid-up capital of Rs 372 Lacs. At present the Transferor Company is running a 50 bedded Hospital at Erode which is exclusively for Cardio-thoracic patients.

The agreed purchase consideration is Rs 925 Lacs which involves discharge of unsecured loans, one time settlement with Indian Overseas Bank, Main Branch, Erode, Cost of Medical Equipments and payment to shareholders.

The whole process is expected to be completed within a period of two months.

  • 9 crores for a 50 bed hospital (cardio) - seems like a decent deal without knowing profitability and doc strength etc. 
  • Overall impression: Decent track record of execution

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