Narayana Hrudayalaya Expands Globally with £183 Million Acquisition of UK's Practice Plus Group

Narayana Hrudayalaya , a prominent Indian healthcare provider, has made a significant move into the UK healthcare market with the acquisition of Practice Plus Group Hospitals for £183 million. This strategic acquisition marks Narayana Hrudayalaya's entry into the mature UK healthcare sector and positions the company for potential growth in the European market.

Key Acquisition Details

Target Company: Practice Plus Group Hospitals Limited
Acquisition Cost: £183 million
Market Position: 5th largest private healthcare network in the UK
NHS Ranking: 4th largest NHS healthcare service provider

Strategic Importance

The acquisition of Practice Plus Group (PPG) Hospitals offers several strategic advantages:

Market Entry: Provides immediate access to the UK healthcare market, which is currently witnessing a shift towards day care procedures and increased private pay penetration.
Asset-Light Model: PPG operates an asset-light model focused on day care procedures, aligning with current market trends.
NHS Contracts: The acquisition includes existing NHS contracts, providing a stable revenue stream and established relationships with the UK's public healthcare system.
Growth Potential: With 50% available capacity, there's significant room for scaling operations and enhancing private-pay presence.

Financial and Operational Highlights

Metric	Value
Enterprise Value	£183.00 million
FY25E EV/EBITDA Multiple	9.20x
Annual Growth Rate (Last 5 Years)	12.00%
Number of Hospitals & Surgical Centers	10
Total IP/OP Beds	330
Operating Theaters	37
Clinical Staff	~1,300

Integration and Future Plans

Narayana Hrudayalaya plans to leverage its digital Athma platform to drive efficiency and growth in the acquired operations. The company will retain all secondary care management and key corporate employees of Practice Plus Group to ensure continuity and facilitate future growth.

Financing

The acquisition is primarily financed through leverage:

Debt Amount: ~£150 million
Tenor: 7 years

Market Outlook

The UK healthcare market presents favorable conditions for this acquisition:

NHS Waiting Lists: Significant increase in NHS waiting lists, from 4.57 million in March 2020 to an estimated 7.42 million by August 2025.
Private Healthcare Growth: The private outpatient and daycare market is expected to grow from £11 billion in 2022 to £15 billion by 2025.
Shift to Private Pay: Increasing contribution from private payors, indicating a growing market for private healthcare services.

This acquisition positions Narayana Hrudayalaya to capitalize on these market trends and potentially become a leading private healthcare provider in the UK, leveraging its existing NHS relationships and expanding its private pay services.

The move represents a significant step in Narayana Hrudayalaya's international expansion strategy, diversifying its revenue streams and applying its healthcare expertise in a new market context.

1 Day	5 Days	1 Month	6 Months	1 Year	5 Years
+1.57%	+2.04%	+1.83%	+0.31%	+47.37%	+437.25%

Narayana Hrudayalaya Limited , a leading healthcare provider in India, has announced a conference call scheduled for November 3, 2025, at 12 noon IST to discuss its recent acquisition of UK-based Practice Plus Group Hospitals Limited. This strategic move marks a significant step in Narayana Health's international expansion plans, following its successful venture in the Caribbean through Health City Cayman Islands.

Acquisition Details

The acquisition, valued at approximately GBP 183 million, involves Narayana Hrudayalaya UK Ltd., a wholly-owned subsidiary of Health City Cayman Islands Limited, purchasing 100% equity shares of Practice Plus Group Hospitals Limited. This transaction positions Narayana Health as a key player in the UK healthcare market.

Practice Plus Group Hospitals Limited: A Snapshot

Aspect	Details
Revenue (FY24)	GBP 229.00 million
Estimated Revenue (FY25)	GBP 250.00 million
Total Beds	330 (in-patient and out-patient)
Workforce	~2,500 Full-Time Equivalents (FTEs)
Clinical Staff	~1,300 doctors and clinical staff
Facilities	7 Hospitals, 3 Surgical Centers, 2 Urgent Treatment Centers, 3 Musculoskeletal/Diagnostic Centers, 1 Ophthalmology Center

Strategic Implications

This acquisition aligns with Narayana Health's strategy to expand its international presence and diversify its revenue streams. Practice Plus Group Hospitals Limited, as the 5th largest private healthcare network in the UK and the 4th largest NHS healthcare service provider, offers Narayana Health a strong foothold in a mature market that is increasingly shifting towards day care procedures and private pay models.

Financial Considerations

The transaction values Practice Plus Group Hospitals at 9.2x FY25E EV/EBITDA multiple.
Financing includes approximately GBP 150.00 million in long-term debt with a 7-year tenor.
The acquisition is expected to be value-accretive, with Practice Plus Group showing a 12% CAGR in revenue over the last 5 years.

Market Outlook

The UK healthcare market presents favorable conditions for Narayana Health's expansion:

Increasing NHS outsourcing
Growing private outpatient and daycare market
Rising contribution from private payors

Conference Call Details

Investors and analysts can join the conference call to discuss the acquisition using the following details:

Date: November 3, 2025
Time: 12 Noon (IST)
Zoom Link: https://narayanahealth-org.zoom.us/meeting/register/iTeDaNkqTJeTyMtVvL-PAg
Meeting ID: 811 5360 6881
Passcode: 577427

This conference call will provide stakeholders with an opportunity to understand the strategic rationale behind the acquisition and its potential impact on Narayana Hrudayalaya Limited's future growth trajectory in the international healthcare market.