Narayana Hrudayalaya is one of India's largest hospital operators, and its Q2 FY27 print arrives with the consolidated EBITDA margin at 18.8% against management's 'slightly over 22%' normalized guide. The quarter will be the first to reflect the July Cayman insurance repricing and a UK recovery from the Q1 heatwave, set against new wage and power cost pressures in India.
| Results date | October 30, 2026 |
|---|---|
| Quarter | Q2 FY 2026-2027 |
| Previous quarter revenue | Rs. 26,836 Mn |
| Previous quarter PAT | Rs. 2,073 Mn |
| Previous quarter EBITDA margin | 18.8% |
| Net debt (latest quarter) | Rs. 19,671 Mn (Rs. 1,967.10 Cr) |
| Market cap | Rs. 34,983.5 Cr |
| CMP | Rs. 1,711.85 |
The board will meet on October 30, 2026, to approve the Q2/H1 FY27 results for the period ended September 30, 2026.
An earnings conference call is scheduled for November 2, 2026, at 3:00 PM IST, with a webcast available.
The Q2 FY27 print will test whether the consolidated EBITDA margin, at 18.8% in Q1 FY27, begins closing the 320 bps gap to management's 'slightly over 22%' normalized guide as one-time acquisition costs annualize. Two company-flagged recovery levers sit inside the Q2 cycle: the July Cayman insurance repricing, which drew 100% renewal acceptance and follows the US$(3.7) Mn Q1 insurance loss, and a UK recovery from the heatwave that management called a one-off, with HVAC remediation underway. India enters the quarter on +17.0% YoY revenue momentum with ARPOB at Rs. 19.2 Mn (+9.09% YoY), while the CFO has said India net margin expanded 400 bps YoY even after clinic losses and that the margin trajectory will be upward 'in the medium term'. Cost pressures are building, though: Karnataka's ~60% minimum-wage revision lands on the labour-intensive India cost stack, the EPF wage ceiling rose to Rs. 25,000 effective September 17, 2026, and the rupee's slide to 95.93/USD on September 17, 2026 cuts both ways — a translation tailwind on the Cayman/UK revenue base but a revaluation headwind on the US$115 Mn and £150 Mn FX debt. The call is also likely to cover the South-West Bangalore commissioning guided by end of Q2 FY27, the narrowing path for the Rs. 624.61 Mn India insurance segment loss, and the FY27 consolidated capex guidance promised 'closer to the end of this year'.
Margin bridge toward the ~22% normalized guide: Q1 FY27 printed 18.8% consolidated EBITDA margin, a 320 bps gap to the guided normalized level.
Cayman insurance recovery after July repricing: July repricing with 100% renewal acceptance kicks into the Q2 cycle.
UK post-heatwave recovery and integration: Q1 UK losses rose on a heatwave that management called a one-off.
Capex, commissioning and guidance tracking: India capex of ~Rs. 3,000 crores over three years with commissioning FY28-'29.
New asset-light additions and reporting changes: Two asset-light bed additions were announced October 5, 2026.
Management says no. CFO Sandhya J split the answer three ways: India net margin expanded 400 bps YoY even after clinic losses, the Cayman hospital is back to optimal margins, and the UK caused the dilution.
Management attributed the USD 5 Mn Q4 FY26 loss to a faster premium ramp-up to an annualized USD 60 Mn and guided 1–2 more quarters of similar losses. Price increases on 30–35% of accounts in June and purging of unfavorably priced accounts are expected to drive improvement over the next three quarters.
Management is moving away from reporting occupancy, saying 'we are not in the hotel business', and notes it typically operates at 60–65%. It prefers ARPIP (Average Revenue Per In-patient Per Day) and throughput as measures.
An Order-in-Original dated September 24, 2026, under Section 74 of the CGST Act/KGST Act alleged non-payment of GST on corporate guarantee services to subsidiaries (April 2021–October 2023), with a penalty of Rs. 53,15,150 plus GST demand with interest. The company is appealing and states there is no material impact.
Yes — ARPOB rose to Rs. 19.2 Mn in Q1 FY27 from Rs. 17.6 Mn in Q1 FY26, a +9.09% YoY increase, continuing a steady climb from Rs. 17.5 Mn in Q2 FY26.