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NARAYANAHRUDAYALAYA Diversified 10 Feb 2026

Narayana Hrudayalaya Ltd — Q3 FY26

Narayana Hrudayalaya reported a strong Q3 FY26, driven by India business margin expansion of 150-200 bps YoY from payor mix optimization, robotic surgeries, and technology infusion.

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Revenue ₹2,151 Cr
EBITDA
PAT ₹127 Cr
EBITDA Margin
Duration 66 min
Read Time 1 min read

✓ Verified against BSE filing

2-Minute Summary

✦ AI-Generated from Full Transcript

Narayana Hrudayalaya reported a strong Q3 FY26, driven by India business margin expansion of 150-200 bps YoY from payor mix optimization, robotic surgeries, and technology infusion. Bangalore cluster led growth, while North faced softness due to scheme payer caps and competition. Cayman insurance losses widened despite revenue growth, but management expects underwriting focus from Q4. UK acquisition (Practice Plus) contributed 2 months, with EBITDA margins at 8.5-9% pre-IFRS; Birmingham hospital losses are expected to narrow within 4 quarters. India like-to-like growth is sustainable until new hospitals (900 beds in Bangalore, Kolkata health city) come online. Key risk: increased competition in Gurgaon and North Bangalore may pressure occupancy and realizations.

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Increased competition in North Bangalore and Gurgaon

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Quarter Snapshot

India EBITDA margin expansion 150-200 bps
+150-200 bps YoY

Second consecutive quarter of margin expansion from payor mix and robotic surgeries.

UK EBITDA margin (pre-IFRS) 8.5-9%
flat

Practice Plus base business margin; Birmingham losses are dilutive but expected to reduce.

Cayman hospital revenue $45M
flat

Revenue run-rate; local market share still below government hospital.

UK acquisition debt £150M
flat

Debt at SONIA+200bps; 2-year interest-only then 5-year equal principal repayment.

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Guidance and risk preview

Top guidance India like-to-like revenue growth sustainable

Management expects double-digit revenue growth from existing hospitals to continue until new hospitals are commissioned, barring major adverse events.

Top risk Increased competition in North Bangalore and Gurgaon

New hospitals coming up in these regions may pressure occupancy and realizations, especially in Gurgaon where competition is already intense.

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