NH - Narayana Hrudaya
📢 Recent Corporate Announcements
Narayana Hrudayalaya (NH) has announced the incorporation of Practice Plus Group Property Ltd in the United Kingdom through its step-down subsidiary. The new entity, formed on March 11, 2026, with a nominal capital of GBP 1,000, will focus on managing hospital real estate assets. This follows an Opco/Propco structure, where the property company holds infrastructure for captive use by the group's UK hospitals. This move signifies NH's intent to formalize and potentially expand its asset base in the international healthcare market.
- Incorporation of 100% step-down subsidiary Practice Plus Group Property Ltd in the UK
- Initial paid-up share capital of GBP 1,000 for the new entity
- Strategic implementation of an Opco/Propco structure for hospital infrastructure management
- Entity will acquire, hold, and maintain land and buildings for captive group use
- Move strengthens NH's operational and asset-holding framework in the United Kingdom
Narayana Hrudayalaya has issued a corrigendum regarding its Extra-Ordinary General Meeting (EGM) scheduled for April 02, 2026. The meeting is being held to discuss the Scheme of Arrangement between NH Integrated Care Private Limited and Narayana Hrudayalaya Limited. The company clarified that the cut-off date for e-voting is March 26, 2026, correcting a typographical error that previously stated March 27, 2026. All other details of the original notice dispatched on February 26, 2026, remain unchanged.
- EGM scheduled for April 02, 2026, at 10:00 AM IST via Video Conferencing
- E-voting cut-off date corrected to March 26, 2026, from March 27, 2026
- Meeting pertains to the Scheme of Arrangement with NH Integrated Care Private Limited
- Corrigendum dispatched to equity shareholders on March 11, 2026
- All other terms and conditions of the EGM notice remain valid and unchanged
Narayana Hrudayalaya Ltd. has announced a one-to-one physical meeting with Sumitomo Mitsui DS Asset Management, Hong Kong. The meeting is scheduled for March 10, 2026, at 11:00 A.M. IST. This disclosure is made in compliance with Regulation 30 of the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015. Such meetings are standard practice for listed companies to engage with institutional investors regarding business updates.
- One-to-one physical meeting scheduled with Sumitomo Mitsui DS Asset Management, Hong Kong.
- The meeting is set for Tuesday, March 10, 2026, at 11:00 A.M. IST.
- The interaction is part of routine investor relations activities under SEBI LODR Regulations.
- The schedule is tentative and subject to change based on exigencies.
Narayana Hrudayalaya (NH) has scheduled meetings for its equity shareholders and creditors on April 2, 2026, following directions from the NCLT Bengaluru Bench. The meetings are intended to seek approval for a Scheme of Arrangement involving the demerger of NH Integrated Care Private Limited into Narayana Hrudayalaya Limited. Shareholders can cast their votes via remote e-voting from March 30 to April 1, 2026. This restructuring is a formal step toward consolidating or realigning the company's corporate structure.
- NCLT Bengaluru Bench directed the convening of meetings via an order dated February 13, 2026.
- Equity shareholders meeting is scheduled for April 2, 2026, at 10:00 A.M. through video conferencing.
- Creditor meetings for both the Resulting and Demerged companies are scheduled between 11:30 A.M. and 3:00 P.M. on the same day.
- Remote e-voting for eligible shareholders begins on March 30, 2026, and ends on April 1, 2026.
- The arrangement is being processed under Sections 230 to 232 of the Companies Act, 2013.
Narayana Hrudayalaya (NH) has announced NCLT-convened meetings on April 2, 2026, to seek approval for a Scheme of Arrangement with NH Integrated Care Private Limited. The restructuring involves a demerger from NH Integrated Care into NH as the resulting company. Separate meetings are scheduled for equity shareholders, secured creditors, and unsecured creditors throughout the day. Remote e-voting for eligible stakeholders will be conducted from March 30 to April 1, 2026.
- NCLT-directed meetings for shareholders and creditors scheduled for April 2, 2026, via video conferencing.
- Scheme involves the demerger of business from NH Integrated Care Private Limited into Narayana Hrudayalaya Limited.
- Remote e-voting period is set from March 30, 2026 (9:00 AM) to April 1, 2026 (5:00 PM).
- Separate voting sessions for Secured Creditors (11:30 AM) and Unsecured Creditors (12:30 PM) follow the shareholder meeting.
- The arrangement is subject to final approval from the NCLT Bengaluru Bench and other regulatory bodies.
Narayana Hrudayalaya (NH) has convened a meeting of its equity shareholders and creditors on April 2, 2026, following directions from the NCLT Bengaluru Bench. The primary objective is to seek approval for a Scheme of Arrangement involving the demerger of NH Integrated Care Private Limited into Narayana Hrudayalaya Limited. Shareholders can exercise their voting rights through remote e-voting between March 30 and April 1, 2026. This procedural step is essential for the company's internal corporate restructuring and consolidation efforts.
- Shareholders' meeting scheduled for April 2, 2026, at 10:00 A.M. via video conferencing.
- Scheme involves the demerger of NH Integrated Care Private Limited into Narayana Hrudayalaya Limited.
- Remote e-voting period is set from March 30, 2026 (9:00 A.M.) to April 1, 2026 (5:00 P.M.).
- Separate meetings for Secured Creditors (11:30 A.M.) and Unsecured Creditors (12:30 P.M.) on the same day.
- The restructuring is being conducted under Sections 230 to 232 of the Companies Act, 2013.
Narayana Hrudayalaya (NH) has purchased approximately 3.3 acres of land in Electronic City, Bengaluru, including 36,475.96 square meters of built-up area. The facility is designated for software development and the establishment of a Global Capability Center (GCC) to support business expansion. This move indicates a strategic shift towards strengthening in-house technological infrastructure and operational efficiency. The acquisition is a significant step in the company's long-term growth and digital transformation roadmap.
- Acquisition of 3.3 acres of land in the southern part of Bengaluru (Electronic City).
- Includes existing buildings and structures measuring approximately 36,475.96 square meters.
- Purpose includes software development and setting up a Global Capability Center (GCC).
- Strategic move to support the company's broader business expansion plans.
Narayana Hrudayalaya Ltd. has officially released the audio recording of its earnings conference call held on February 17, 2026. The call focused on the company's financial performance and operational highlights for the quarter ended December 31, 2025. This disclosure is a standard regulatory requirement under SEBI (LODR) Regulations. Investors can now access the full discussion between management and analysts on the company's website.
- Earnings call for the quarter ended December 31, 2025, was conducted on February 17, 2026.
- Audio recording of the session has been uploaded to the company's stakeholder relations portal.
- Management addressed specific queries regarding financial results and operational metrics during the call.
- The filing complies with Regulation 30 of the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015.
Narayana Hrudayalaya reported a massive 61.2% YoY revenue growth in Q3 FY26, driven by the consolidation of the newly acquired Practice Plus Group in the UK and strong performance in the Cayman Islands. While Adjusted EBITDA grew 43.1% YoY to ₹4,662 Mn, reported PAT fell 33.9% to ₹1,281 Mn due to one-time acquisition costs of ₹757 Mn and a ₹509 Mn impact from the new labor code. The India business grew steadily at 11.8% YoY, while the Cayman segment saw a robust 70% YoY revenue jump. Net debt increased to ₹22,321 Mn following international expansion, resulting in a net debt-to-equity ratio of 0.53.
- Consolidated revenue jumped 61.2% YoY to ₹21,512 Mn, including ₹4,902 Mn from the new UK operations consolidated since Nov 6, 2025.
- Adjusted EBITDA stood at ₹4,662 Mn with a margin of 21.7%, though reported margins were diluted by one-time acquisition costs.
- Cayman Islands revenue grew 70% YoY to ₹4,991 Mn, reflecting strong synergy between hospital and insurance businesses.
- India operations maintained steady growth of 11.8% YoY to ₹11,796 Mn, driven by payor mix optimization.
- Reported PAT was impacted by ₹1,266 Mn in total one-time adjustments related to the UK acquisition and new labor code provisions.
Narayana Hrudayalaya (NH) reported a massive 61.2% YoY revenue jump in Q3 FY26, reaching ₹21,512 Mn, largely due to the first-time consolidation of its UK operations and 70% growth in the Cayman Islands. While reported PAT declined 33.9% YoY to ₹1,281 Mn, this was impacted by one-time acquisition costs of ₹757 Mn and a ₹509 Mn labor code provision. Adjusted for these items, PAT actually grew 31.6% YoY to ₹2,548 Mn. The company is maintaining an aggressive expansion strategy, targeting over 7,600 beds by FY30 with significant projects underway in Bangalore and Kolkata.
- Consolidated Revenue grew 61.2% YoY to ₹21,512 Mn, including ₹4,902 Mn contribution from newly acquired UK operations.
- Adjusted EBITDA (excluding one-time costs) rose 43.1% YoY to ₹4,662 Mn with a healthy margin of 21.7%.
- India hospital ARPOB improved significantly to ₹18.1 Mn compared to ₹15.8 Mn in the same quarter last year.
- Cayman Islands revenue grew 70% YoY to ₹4,991 Mn, showing strong international momentum.
- Net debt-to-equity remains manageable at 0.53 despite the significant UK acquisition and ongoing capex.
Narayana Hrudayalaya (NH) reported a 12% YoY increase in standalone revenue to ₹9,687.8 million for the quarter ended December 31, 2025. Operational performance was strong, with EBITDA rising 33.4% YoY to ₹2,206.1 million, indicating improved margins. However, net profit fell 4.4% YoY to ₹757.3 million, primarily due to a one-time exceptional charge of ₹452.76 million related to the implementation of new Labour Codes. Excluding this non-recurring item, Profit Before Tax grew by a healthy 42.5% YoY, reflecting robust underlying business growth.
- Standalone Revenue from operations grew 12% YoY to ₹9,687.81 million.
- EBITDA increased by 33.4% YoY to ₹2,206.15 million, showing strong operational leverage.
- Net Profit declined 4.4% YoY to ₹757.37 million due to a ₹452.76 million exceptional charge for Labour Code compliance.
- Profit Before Tax (excluding exceptional items) rose 42.5% YoY to ₹1,445.38 million.
- Ongoing corporate restructuring includes the merger of Meridian Medical and demerger of clinical services from NHIC.
Narayana Hrudayalaya reported a 12% YoY growth in standalone revenue for Q3 FY26, reaching ₹9,687.81 million. However, net profit declined slightly to ₹757.37 million from ₹792.23 million YoY, primarily due to a one-time exceptional charge of ₹452.76 million related to the implementation of new Labour Codes. EBITDA showed strong growth, rising 33.4% YoY to ₹2,206.15 million, reflecting improved operational efficiency despite a sequential dip in revenue compared to Q2 FY26. The company is also progressing with the merger of its subsidiary MMRHL and the demerger of clinical services from NHIC to streamline its corporate structure.
- Standalone Revenue from operations grew 12% YoY to ₹9,687.81 million for the quarter ended December 31, 2025.
- EBITDA increased significantly by 33.4% YoY to ₹2,206.15 million, though it declined 10.4% on a sequential (QoQ) basis.
- Net Profit was impacted by a ₹452.76 million one-time provision for gratuity and leave liabilities arising from the new Labour Codes.
- The merger with subsidiary Meridian Medical Research & Hospital Ltd (MMRHL) has received shareholder approval and is awaiting final NCLT orders.
- Incorporated a new wholly-owned subsidiary, Narayana Healthcare North Private Limited, on January 16, 2026, to expand healthcare services.
Narayana Hrudayalaya Limited has scheduled a conference call for Tuesday, February 17, 2026, at 3:00 PM IST to discuss its financial performance. This follows the Board meeting on February 13, 2026, where the unaudited standalone and consolidated results for the quarter ended December 31, 2025, will be approved. The call will provide management insights into the company's operational metrics and growth strategy for the third quarter. Investors can participate via the provided Zoom link to engage with the leadership team.
- Board meeting to approve Q3 FY26 results scheduled for February 13, 2026
- Earnings conference call confirmed for February 17, 2026, at 15:00 IST
- Focus on unaudited standalone and consolidated results for the quarter ended Dec 31, 2025
- Publicly shared Zoom meeting ID 835 9591 0387 and passcode 704430 for accessibility
Narayana Hrudayalaya (NH) has received near-unanimous approval from its shareholders and creditors for the Scheme of Arrangement to merge its subsidiary, Meridian Medical Research & Hospital Ltd, into the parent company. In the NCLT-convened meeting held on January 19, 2026, 100% of the votes polled by equity shareholders and secured creditors were in favor of the resolution. This merger is a strategic move to consolidate operations and streamline the corporate structure, pending final approval from the NCLT Bengaluru Bench.
- Equity shareholders approved the merger with 100% of votes in favor, representing 16.23 crore shares.
- Secured creditors representing debt worth ₹461.20 crore gave unanimous 100% approval for the scheme.
- Unsecured trade creditors with an aggregate debt of ₹85.08 crore also voted 100% in favor of the merger.
- The scheme involves the amalgamation of Meridian Medical Research & Hospital Ltd (Transferor) into Narayana Hrudayalaya Ltd (Transferee).
- The voting was conducted via remote e-voting and electronic voting during the NCLT-convened meetings.
Narayana Hrudayalaya (NH) has received near-unanimous approval from its stakeholders for the Scheme of Arrangement with Meridian Medical Research & Hospital Ltd. In the NCLT-convened meeting held on January 19, 2026, equity shareholders representing 16.23 crore votes (100% of votes polled) supported the merger. Secured creditors with debt worth ₹461.20 crore and unsecured trade creditors with debt of ₹85.08 crore also voted 100% in favor of the resolution. This approval marks a critical milestone in the legal consolidation process under the Companies Act.
- Equity shareholders approved the merger with 100% of votes in favor (16,23,30,045 votes).
- Secured creditors representing ₹461.20 crore of debt gave unanimous approval for the scheme.
- Unsecured trade creditors representing ₹85.08 crore also voted 100% in favor of the arrangement.
- The meeting was conducted via Video Conferencing following the NCLT Bengaluru order dated December 2, 2025.
- The scheme involves the merger of Meridian Medical Research & Hospital Ltd (Transferor) into Narayana Hrudayalaya Ltd (Transferee).
Financial Performance
Revenue Growth by Segment
The core hospital segment saw a significant jump in revenue following the commissioning of the Camana Bay hospital, with revenue increasing from $25 million to $40 million (60% growth). Cayman operations registered a 12.8% YoY revenue growth in FY2024. Insurance revenue reached approximately $9 million per quarter, though it remains volatile due to its nascent stage.
Geographic Revenue Split
Cayman Islands operations contributed significantly to growth with a 12.8% increase in FY2024, though H1 FY2025 was flat due to hospital transitioning. The remaining revenue is primarily driven by India operations, with major upcoming expansions in Kolkata and Bengaluru.
Profitability Margins
Operating Profit Margin (OPM) improved to 23.0% in FY2024 from 21.6% in FY2023. Net profit for the year ended March 31, 2025, was INR 790.63 Cr, compared to INR 789.62 Cr in the previous year, representing a marginal growth of 0.13% despite heavy investment phases.
EBITDA Margin
Consolidated EBITDA margin for Q2 FY26 stood at 22.0% (INR 271.2 Cr). The core hospital EBITDA margin was higher at 23.8% (INR 290.3 Cr), up from 21.7% in Q2 FY25, reflecting improved operational efficiency in the hospital business.
Capital Expenditure
NH has planned a consolidated capital expenditure of INR 3,000 Cr over the next three years (FY25-FY27) for India operations. Additionally, the company spends INR 25-30 Cr annually on each of its new initiatives, NHIC and NHIL, with a total cash burn of ~INR 50 Cr recorded in H1 FY2025.
Credit Rating & Borrowing
The company maintains a 'Stable' outlook from ICRA. Total non-current borrowings stood at INR 1,966.48 Cr as of March 31, 2025, up from INR 1,195.06 Cr in 2024. The group has a working capital facility of INR 168 Cr to support liquidity.
Operational Drivers
Raw Materials
Consumable expenses (medical supplies/medicines) represent 23% of revenue. Manpower costs for Doctors and Nurses represent 27%, while other manpower costs account for 11% of revenue.
Import Sources
Not specifically disclosed in available documents; however, medical consumables are typically sourced through a mix of domestic and international medical device suppliers.
Key Suppliers
Not specifically named in the documents, but the company manages a large-scale procurement network for hospital consumables and pharmacy items.
Capacity Expansion
The new Camana Bay hospital in Cayman saw a 50% increase in discharges and a higher increase in outpatients/daycare post-commissioning. Planned greenfield projects are underway in Kolkata and Bengaluru to expand the India footprint by FY2029.
Raw Material Costs
Consumable expenses were maintained at 23% of revenue in Q2 FY26. The company uses digitization and better case mix management to optimize these costs and improve throughput.
Manufacturing Efficiency
Efficiency is driven by increasing Average Revenue Per Occupied Bed (ARPOB) and improving occupancy rates. Cayman operations saw a volume jump of 50% in discharges following the operationalization of new blocks.
Logistics & Distribution
Distribution costs are primarily related to the pharmacy and integrated care segments, where NHIC provides end-to-end primary care experiences.
Strategic Growth
Expected Growth Rate
8-9%
Growth Strategy
Growth will be achieved through a 50% increase in patient volumes at new facilities, the commissioning of 90% of departments in new hospitals, and a INR 3,000 Cr investment in Greenfield and Brownfield projects in India. The company is also scaling its insurance (NHIL) and integrated care (NHIC) arms to create a captive patient ecosystem.
Products & Services
Hospital services (surgeries, discharges, outpatients), health insurance policies, radiation oncology, primary healthcare subscriptions, and pharmacy services.
Brand Portfolio
Narayana Health, NH Integrated Care (NHIC), Narayana Health Insurance (NHIL), ATHMA, MEDHA.
New Products/Services
New radiation oncology block (operationalized May 2023) and integrated health insurance plans combined with primary care programs.
Market Expansion
Expansion is focused on the Cayman Islands (Camana Bay) and major Indian metros including Kolkata and Bengaluru with a timeline extending to FY2029.
Market Share & Ranking
NH is a leading healthcare provider in India with a strong established market position in cardiac and oncology care.
Strategic Alliances
The company operates through several subsidiaries including NH Integrated Care and Narayana Health Insurance, maintaining 100% control to ensure operational synergy.
External Factors
Industry Trends
The industry is shifting toward integrated 'payor-provider' models. NH is positioning itself by launching its own insurance arm to capture the entire patient value chain and improve long-term margins.
Competitive Landscape
Faces stiff competition from other large hospital chains like Apollo and Fortis, as well as regional players in Kolkata and Bengaluru.
Competitive Moat
NH's moat is built on cost leadership and a strong clinical brand. The integration of insurance with hospital services creates high switching costs for patients and a sustainable referral pipeline.
Macro Economic Sensitivity
Sensitive to healthcare inflation and government spending on healthcare schemes. Regulatory pricing caps are a primary macro risk.
Consumer Behavior
Increasing demand for 'end-to-end' integrated healthcare and subscription-based primary care models.
Geopolitical Risks
Cayman operations are subject to local market slowdowns and regulatory changes in the Caribbean healthcare landscape.
Regulatory & Governance
Industry Regulations
Subject to Section 143(3)(i) of the Companies Act regarding internal financial controls and restrictive pricing regulations by Central and State governments.
Environmental Compliance
Not specifically disclosed in INR, but the company adheres to medical waste management and hospital safety standards.
Taxation Policy Impact
The effective tax rate for FY2025 was approximately 15.5% (INR 1,457.19 Cr tax on INR 9,355.38 Cr profit before tax).
Legal Contingencies
The company monitors contingent liabilities related to tax and legal claims (Note 30), though specific aggregate values for pending court cases were not detailed in the provided snippets.
Risk Analysis
Key Uncertainties
The insurance business (NHIL) is in a nascent stage with high volatility in loss ratios, potentially impacting consolidated profitability by INR 50-100 Cr annually during the burn phase.
Geographic Concentration Risk
Significant revenue concentration in the Cayman Islands and the Karnataka/West Bengal regions of India.
Third Party Dependencies
Dependency on other auditors for seven subsidiaries representing assets of INR 1,248.88 Million.
Technology Obsolescence Risk
Risk is mitigated by ongoing investments in the ATHMA and MEDHA platforms to digitize patient records and hospital workflows.
Credit & Counterparty Risk
Trade receivables stood at INR 1,852.07 Cr (change in FY25), reflecting exposure to insurance companies and government health schemes.