Narayana Hrudayalaya Q3FY26 Earnings Call: Strong India Performance and International Expansion Updates
Narayana Hrudayalaya's Q3FY26 earnings call revealed strong India business performance with 150-200 basis points margin expansion, successful UK acquisition integration of Practice Plus Group for £183 million, and continued growth in Cayman operations. The company demonstrated effective transformation programs, increased robotic surgeries, and payor mix optimization while advancing its integrated healthcare model across hospitals, clinics, and insurance services.

*this image is generated using AI for illustrative purposes only.
Narayana Hrudayalaya Limited held its Q3FY26 earnings conference call on February 17, 2026, with management providing comprehensive insights into the company's performance across India, UK, and Cayman Islands operations. The healthcare provider demonstrated strong momentum in its core India business while advancing its international expansion strategy.
Strong India Business Performance
The company reported exceptional performance in its India operations, marking the second consecutive quarter of significant profit growth. Management highlighted substantial margin expansion of 150-200 basis points on a year-on-year basis, driven by successful transformation programs and strategic initiatives.
| Key Performance Drivers | Details |
|---|---|
| Transformation Programs | Technology infusions and operational efficiencies |
| Robotic Surgeries | Increased volume of robotic cardiac surgeries |
| Payor Mix Optimization | Consistent improvement in realization rates |
| Patient Configuration | Higher rate configurations with maintained occupancy |
Venkatesh R, Group Chief Operating Officer, emphasized that patients are increasingly opting for higher rate configurations while maintaining volumes and occupancy levels. The integration of advanced technology and increased robotic cardiac surgeries has meaningfully improved realizations, resulting in higher revenue and better margins.
Bangalore Cluster Excellence
The Bangalore cluster demonstrated particularly strong growth during the quarter, benefiting from the company's flagship hospital strategy. The management attributed this success to several factors:
- Enhanced focus on high-end robotic procedures across specialties
- Emphasis on urban and rural catchment areas in Karnataka
- Consolidation efforts on domestic volumes and revenues
- Advanced procedures including bone marrow transplants
Viren Shetty, Vice Chairman, noted that most business comes from within a 15-kilometer radius, though specialized procedures like bone marrow transplants attract patients from across the country, particularly from eastern India.
International Operations Update
UK Acquisition Integration
The company's acquisition of Practice Plus Group in the UK for £183 million is progressing as planned. The financing structure includes £150 million debt and £45 million equity, with a 2+5 year repayment schedule.
| UK Operations Metrics | Q3FY26 Performance |
|---|---|
| Acquisition Value | £183 million net |
| Debt Component | £150 million |
| Equity Investment | £45 million |
| EBITDA Margin | 8.5-9% (pre-IFRS) |
| Integration Period | 3 months completed |
Dr. Anesh Shetty, Managing Director of Overseas Businesses, indicated that the integration is proceeding without negative surprises, with operational process changes and digital applications being scoped out for implementation.
Cayman Islands Performance
The Cayman operations continue to show steady performance with revenue of $45 million for the hospitals. The management noted opportunities for growth in both local and international markets, with the local government hospital still maintaining larger revenue share due to structural advantages.
Strategic Focus Areas
Integrated Care Expansion
The company is advancing its integrated healthcare model, combining hospitals, clinics, and insurance services. Ravi Vishwanath, CEO of NHIC, reported growth in the insurance business through:
- Expanded retail business productivity
- Geographic expansion to Kolkata, Raipur, and Mysore
- Entry into SME market with comprehensive care packages
- Integration of hospitalization and primary care services
Technology and Specialization
Management outlined plans for significant medical equipment investments, including four DaVinci robots to equip all hospitals with robotic surgery capabilities. The oncology department has emerged as the second-largest specialty and fastest-growing department, with expectations that oncology and cardiac services will account for more than half of future revenue.
Future Outlook and Strategy
The company's five-year vision focuses on building accessible, affordable healthcare while consolidating presence in core markets. Management aims to ensure patients in key markets like Bangalore and Kolkata are never more than 25 minutes away from a Narayana Health facility.
Expansion Plans
| Market | Investment Focus |
|---|---|
| Bangalore | 900 additional beds over four years |
| Kolkata | Flagship health city development |
| Raipur | Existing hospital expansion |
| Equipment | Four DaVinci robots across hospitals |
| Oncology | Enhanced services in all hospitals |
The management expressed confidence in sustaining double-digit revenue growth momentum through like-to-like hospital growth, supported by the company's transformation initiatives and market consolidation strategy.
Source: None/Company/INE410P01011/da3a974f-f29f-47be-b36e-856f2889469f.pdf
Historical Stock Returns for Narayana Hrudayalaya
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| -2.60% | -0.87% | +4.25% | +0.40% | +30.70% | +308.98% |


































