Narayana Hrudayalaya Ltd (NH) Q2 FY27 Results Analysis: Revenue Jumps 73%, EBITDA Margin Recovers 246 bps

Cofacto Research Published October 30, 2026 4 min read
Positive

Narayana Hrudayalaya Ltd's Q2 FY27 numbers came in strong, with revenue of Rs. 2,843.99 Cr (+73.01% YoY) and PAT growth of +16.51% YoY. Here's a quick read of what worked, what to watch, and what management said.

Quick Details
Results dateOctober 30, 2026
Revenue (Q2)Rs. 2,843.99 Cr (+73.01% YoY)
PAT (Q2)Rs. 301.15 Cr (+16.51% YoY)
EBITDA margin21.29% (-466 bps YoY)
EPS (Q2)Rs. 14.82 (+16.60% YoY)

Quarter Snapshot

Q2 FY27 consolidated revenue grew 73.01% YoY (predominantly the Practice Plus Group UK acquisition plus FX) with EBITDA margin recovering 246 bps QoQ to 21.29%, tracking management's ~22% normalized guidance. The insurance segment loss narrowed 42.7% QoQ and standalone India margins expanded 154 bps YoY, while acquisition-driven finance costs (+128.87% YoY) keep consolidated PAT growth at 16.51% versus EBITDA growth of 41.95%. Cash conversion (CFO/PAT 1.91x) and deleveraging (net debt ~1.28x EBITDA) support the path to the margin guide, with UK-only P&L and insurance geography splits open for the 2-Nov-2026 call.

Q2 FY27 Expectations vs Results

DriverExpected before resultsWhat happenedVerdict
Revenue"likely ahead" — FX tailwind, UK recovery, India momentum, NHS backlogRevenue +73.01% YoY, +5.98% QoQPlayed out
Consolidated margin"tug-of-war" between wage/power inflation and guided recovery levers21.29%: +246 bps QoQ, −466 bps YoY, still short of the ~22% normalized guidePartially
Cayman insuranceJuly repricing narrows the US$(3.7) Mn Q1 lossInsurance segment loss narrowed to Rs.(35.77) Cr from Rs.(62.46) Cr — direction; no geography split in filingPlayed out
India insurance drag"couple more quarters" — narrowing, not closedSame segment: narrowed but still loss-makingPlayed out
FXWeaker rupee aids revenue, pressures FX-debt revaluationFinance costs +128.87% YoY; translation OCI +Rs.34.48 CrPlayed out
GST appeal update / South-West Bengaluru startWatch itemsFiling silent on both — open for the callNot observable
Wage/power cost-stack pressure"Other expenses biased upward"QoQ cost ratios improved; India-specific push not isolable in the filingNot observable cleanly

Read our full results preview.

Management Guidance vs Delivery

What management saidWhereWhat happenedVerdict
Normalized consolidated EBITDA margin "slightly over 22%"Q4 FY26 earnings call21.29% reported EBITDA margin (Reg-52 operating-margin basis 19.48%); Q1 FY27 was 18.82% — +246 bps QoQ; ~70 bps reported-basis gap to 22%On Track
Margin trajectory "upward" in the medium termQ1 FY27 earnings call+246 bps QoQ to 21.29% (still −466 bps YoY)On Track
India insurance drag "potentially a couple more quarters"Q1 FY27 earnings callInsurance segment loss narrowed to Rs.(35.77) Cr from Rs.(62.46) CrOn Track
Cayman insurance improvement in Q2 barring abnormal claimsQ4 FY26 earnings callCombined insurance segment loss narrowed 42.7% QoQ (no geography split in filing)On Track
Net Debt/EBITDA below 2.5xQ3 FY26 earnings call≈1.28× on my derived proxy (basis stated in §4)On Track
FY27 consolidated capex guidance "closer to the end of this year"Q2 FY26 earnings callH1 capex Rs.379.21 Cr booked; no FY27 guide in filingToo Early
Rs.3,000 Cr deployment into committed projects over two yearsQ1 FY27 earnings callH1 capex Rs.379.21 Cr; CWIP Rs.327.99 Cr vs Rs.266.84 Cr at Mar-26Too Early

Key Investment Insights

Key Positives

  • Consolidated revenue grew 73.01% YoY to Rs.2,843.99 Cr and 5.98% QoQ; standalone revenue grew 16.31% YoY
  • EBITDA margin recovered 246 bps QoQ to 21.29%, tracking management's ~22% normalized guidance
  • Standalone EBITDA margin expanded 154 bps YoY to 25.69%, confirming India margin expansion
  • Insurance segment loss narrowed 42.7% QoQ to Rs.(35.77) Cr from Rs.(62.46) Cr after the July repricing cycle
  • CFO/PAT of 1.91x in H1 with free cash flow of Rs.593.61 Cr after Rs.379.21 Cr capex
  • Net debt proxy fell Rs.223.61 Cr over H1 to Rs.3,090.43 Cr (~1.28x annualized Q2 EBITDA), within the sub-2.5x guidance
  • Debt-equity ratio improved to 1.21 from 1.29 at Mar-26; standalone PAT grew 27.38% YoY

Risk Factors

  • Consolidated EBITDA margin remains 466 bps below the prior-year 25.95% due to UK consolidation mix
  • Finance costs rose 128.87% YoY to Rs.96.72 Cr on FX-denominated acquisition debt, with a Rs.20.20 Cr unrealised FX loss in H1
  • Insurance segment loss of Rs.(35.77) Cr remains wider than the Rs.(16.48) Cr loss a year ago
  • Consolidated PAT growth of 16.51% lags EBITDA growth of 41.95% due to acquisition finance costs and depreciation
  • Trade receivables rose to Rs.961.87 Cr from Rs.655.66 Cr at Mar-26
  • GST Section 74 order dated 24-Sep-2026 with penalty of Rs.53,15,150 plus tax and interest; company appealing
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Disclaimer: This results analysis is published for educational and informational purposes only. It is not investment advice, not a recommendation to buy, sell or hold any security.

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