The company claims to operate one of India’s largest private multispecialty hospital networks. As of March 31, 2026, it had 49 hospitals with 13,037 licensed beds across 14 states and Union Territories. According to the CRISIL report, it is the largest pan-India multispecialty hospital network by bed capacity and the second-largest private hospital chain by number of hospitals.
The company claims to have advanced medical infrastructure and a broad range of specialized clinical capabilities. As of March 31, 2026, its network included 18 soft tissue robots, 23 orthopedic and spine surgical robots, 19 linear accelerators (LINACs), 44 MRI scanners, 58 catheterization labs, and other advanced medical equipment. It also performed approximately 5,980 robotic surgeries and 620 organ transplants during Fiscal 2026.
The company has received healthcare quality accreditations across a large part of its network. As of March 31, 2026, 41 of its 49 hospitals were accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH), while 24 hospital laboratories were accredited by the National Accreditation Board for Testing and Calibration Laboratories (NABL).
The company has expanded its network through acquisitions while increasing its scale. Between March 31, 2024, and March 31, 2026, its network grew from 33 hospitals with 9,520 licensed beds to 49 hospitals with 13,037 licensed beds through a combination of acquisitions and organic expansion. During this period, it acquired hospital groups including AMRI, Medica Synergie, and Sahyadri Group.
The company has reported growth in its financial performance over the last three financial years. Revenue from operations increased from Rs 6,171.63 crore in FY24 to Rs 8,242.25 crore in FY25 and Rs 10,335.75 crore in FY26. Profit after tax also increased from Rs 533.20 crore in FY24 to Rs 1,081.67 crore in FY25, then moderated to Rs 916.52 crore in FY26.
The company claims to have a large clinical workforce supported by medical education and training programs. As of March 31, 2026, it had 11,064 doctors, 11,048 nurses, and 6,362 paramedics across its hospitals. It also operated DNB, DrNB, and FNB training programs with 343 seats across 25 hospitals and 42 specialties.
A substantial portion of the company’s revenue is generated from hospitals located in Karnataka. Hospitals in Karnataka contributed Rs 4,795.38 crore (46.40%), Rs 4,248.58 crore (51.55%), and Rs 3,701.84 crore (59.98%) to revenue from operations in FY26, FY25, and FY24, respectively. Any disruption to operations, changes in state government policies, adverse economic or political developments, natural calamities, or lower-than-expected patient volumes in Karnataka could adversely affect the company’s business, financial condition, and profitability.
The company’s business is primarily dependent on inpatient care and hospital occupancy levels. It reported inpatient volumes of 527,227, 439,724, and 330,725 patients in FY26, FY25, and FY24, respectively, while occupancy levels stood at 64.47%, 67.09%, and 65.32% during the same period. Any inability to maintain or improve patient admissions and occupancy rates, particularly as it expands its hospital network, could adversely affect the company’s revenue, profitability, and overall financial performance.
A significant portion of the company’s inpatient revenue is generated by its cardiac sciences, oncology, neurosciences, gastro sciences, orthopaedics, and renal sciences (CONGO-R) specialities. These specialties contributed Rs 5,030.95 crore (64.30%), Rs 3,915.21 crore (62.56%), and Rs 2,839.65 crore (61.55%) of gross inpatient revenue in FY26, FY25, and FY24, respectively. Any decline in demand for these specialties due to increased competition, changing patient preferences, advancements in alternative treatments, or the unavailability of specialist doctors could adversely affect the company’s revenue and financial performance.
The company’s operations are subject to numerous statutory approvals, licenses, permits, and quality accreditations. As of the prospectus date, it had 39 approvals and renewals that were pending or yet to be obtained, including environmental clearances, occupancy certificates, fire safety approvals, transplant licenses, and pollution-related authorisations. Delay in obtaining or renewing these approvals, failure to comply with regulatory requirements, or suspension of licenses or accreditations could disrupt hospital operations, lead to penalties, and adversely affect the company’s business and financial condition.
The company has significant trade receivables, primarily from insurance companies, third-party administrators (TPAs), corporate customers, and government agencies. As of FY26, trade receivables stood at Rs 929.76 crore, compared to Rs 637.30 crore in FY25 and Rs 458.88 crore in FY24. Any delay or failure in collecting these receivables, particularly from non-cash payors and government agencies, could adversely affect the company’s cash flows, liquidity, and financial condition.
The company’s subsidiaries have incurred losses in the past, and it has also recorded impairment charges on certain investments. It recorded a goodwill impairment of Rs 114.07 crore in FY24 relating to HealthMap Diagnostics Private Limited and a Rs 22.23 crore impairment of investment in Medica TS Hospital Private Limited in FY25. Any continued losses by its subsidiaries or similar impairment charges in the future could adversely affect the company’s consolidated financial performance and profitability.
The company, its promoters, directors, subsidiaries, key managerial personnel, and senior management are involved in certain outstanding legal proceedings. Any adverse judgment in any of these matters could negatively impact the company’s business, reputation, financial condition, and future prospects.
Doctors’ professional fees and employee benefits constitute a significant portion of the company’s operating costs. Doctors’ professional fees amounted to Rs 1,758.43 crore (21.33% of revenue) and Rs 1,324.83 crore (21.47% of revenue) in FY25 and FY24, respectively, while employee benefits expense stood at Rs 1,219.41 crore (14.79%) and Rs 857.04 crore (13.89%). If these costs rise more than the increase in revenue, it could adversely affect the company’s profitability and financial performance.
As of May 31, 2026, the company had outstanding financial indebtedness of Rs 11,185.02 crore. Any failure to service or repay these borrowings, or any increase in financing costs, could adversely affect the company’s operations, cash flows, and financial position.