Narayana Hrudayalaya Ltd. · NSE:NH
Narayana Hrudayalaya — Q4 FY26 Earnings Presentation
28 slides from Narayana Hrudayalaya's earnings presentation, May 22, 2026
Slide 1: Submission letter to stock exchanges
~ ~ ~ Narayana Health Date of submission: May 22, 2026 To, To, The Secretary The Secretary Listing Department Listing Department BSE Limited National Stock Exchange of India Limited Department of Corporate Services Exchange Plaza, Bandra Kurla Complex Phiroze Jeejeebhoy Towers, Mumbai – 400 051 Dala
Slide 2: Earnings Update Q4 FY26 and FY26
.... .. Narayana Health Earnings Update Q4 FY26 and FY26 August 02, 2023
Slide 3: Index
.... .. - - - - - - - - - - - - -- - - - - - Topic Slide No. Our Footprint 03 Narayana Health at a Glance 04 Q4 FY26 and FY26 Highlights 05 Index Capex 22 Digital Transformation Initiatives 23 Narayana Health ESG Vision – “Health For All” 24 Shareholding Pattern 25 2
Slide 4: Our Footprint (as on 1st April 2026)
.. Our Footprint (as on 1st April 2026) United Kingdom India Ophthalmology Centers Hospitals/ Surgical Centers Diagnostic Centers Hospitals/Surgical Centers + Delhi NCR Urgent Treatment Centers Barlborough Jaipur 9 Rochdale Guwahati Lincolnshire Birmingham Buckinghamshire Ahmedabad Jamshedpur Emerso
Slide 5: Narayana Health – At a Glance
Narayana Health – At a Glance Total Capacity Beds 6,244 Facility Details No. of Facilities Operational Beds South (India) Hospitals - 6 | Heart Centres - 2 | Clinics - 14 | Diagnostic Centre - 1 India – Hospitals and Heart Centres 20 5,451 Operational Beds - 2,071 (Hospitals) and 132 (HC) India - Cl
Slide 6: Key Highlights – Operational & Financial Performance (Q4 FY26 and FY26)
.... .. - - - - - - - - - - - - -- - - - - - Key Highlights – Operational & Financial Performance (Q4 FY26 and FY26) ▪ Robotic Cardiac Surgery: • The Group has performed 750+ surgeries in FY26. • Narayana Institute of Cardiac Sciences, Bangalore has performed 247 Robotic Cardiac Surgeries in Q4 FY26
Slide 7: India Operations – Revenue (Q4 FY26)
.. ₹ Mn India Operations – Revenue (Q4 FY26) Total* 12,500 Domestic 15,004 11,945 12,494 12,000 162 11,076 11,780 C 11,500 11,159 10,004 156 6.1% QoQ 11,000 10,661 C 10,500 C 123 H 11,783 5,004 H 11,003 10,000 H 10,537 4 9,500 Q4 FY25 Q3 FY26 Q4 FY26 Q4 FY25 Q3 FY26 Q4 FY26 12.8% YoY H - Hospitals C
Slide 8: India Operations – Revenue (FY26)
.. ₹ Mn India Operations – Revenue (FY26) Total* 47,000 Domestic 45,842 60,004 46,000 C 609 47,920 45,000 50,004 43,469 44,000 40,004 43,000 42,000 41,082 30,004 H 45,233 41,000 C 407 20,004 40,000 10,004 39,000 H 40,675 4 38,000 FY25 FY26 FY25 FY26 10.2% YoY H - Hospitals C - Clinics ~I--- .......>
Slide 9: India Hospital Operations – Revenue Mix (Q4 FY26)
.... .. India Hospital Operations – Revenue Mix (Q4 FY26) Business Mix(4,7,8) Specialty-Profile(4,7,8) Payor-Profile(4,7,8) 5% 18% 24% 34% 18% 4% 44% 8% 2% 74% 9% 0% 12% 33% 14% • Cardiac Sciences • Owned Hospitals (1) • Oncology and GI sciences Medicine • Domestic Walk-in patients • Renal Sciences
Slide 10: India Hospital Operations – Revenue Mix (FY26)
.... .. India Hospital Operations – Revenue Mix (FY26) Business Mix(4,7,8) Specialty-Profile(4,7,8) Payor-Profile(4,7,8) 5% 17% 25% 33% 18% 4% 45% 8% 1% 73% 9% 0% 13% 32% 15% • Cardiac Sciences • Medicine and GI sciences • Owned Hospitals (1) • Oncology • Domestic Walk-in patients • Operated Hospita
Slide 11: Operational Review – India Hospitals (Q4 FY26)
.... .. - - - - - - - - - - - - -- - - - - - Operational Review – India Hospitals (Q4 FY26) Average Revenue Per Patient (IP & OP) (1,2) ALOS ₹ ‘000 Days 164 4.7 154 157 4.5 4.5 4.4 4.4 •OP 4.3 • IP 4.1 3.9 4.8 Q4 FY25 4.9 Q3 FY26 - 5.0 Q4 FY26 3.7 Q4 FY25 Q3 FY26 Q4 FY26 Patient Footfalls (IP & OP)(
Slide 12: Operational Review – India Hospitals (FY26)
.... .. - - - - - - - - - - - - -- - - - - - Operational Review – India Hospitals (FY26) Average Revenue Per Patient (IP & OP) (1,2) ALOS ₹ ‘000 Days 4.7 155 4.5 142 4.5 4.3 • OP 4.3 • IP 4.1 3.9 4.6 4.9 3.7 FY25 FY26 FY25 FY26 Patient Footfalls (IP & OP)(1,3) 430 ICU Occupied Bed Days(4) ‘000 2,517
Slide 13: Cluster Split – India Hospitals (Q4 FY26)
.... .. Cluster Split – India Hospitals (Q4 FY26) - - - - - - -- Southern This considers owned/operated hospitals & heart centers in India Eastern Western - - Bangalore Kolkata Northern Peripheral Peripheral • NICS • Mysore • RTIICS • Jamshedpur • Mumbai • Gurugram Regions • MSMC • Shimoga • Barasat
Slide 14: Cluster Split – India Hospitals (FY26)
.... .. Cluster Split – India Hospitals (FY26) - - - - - - -- Southern This considers owned/operated hospitals & heart centers in India Eastern Western - - Bangalore Kolkata Northern Peripheral Peripheral • NICS • Mysore • RTIICS • Jamshedpur • Mumbai • Gurugram Regions • MSMC • Shimoga • Barasat •
Slide 15: Profitability Snapshot – India Hospitals (Q4 FY26)
.... .. - - - - - - - - - - - - -- - - - - - Profitability Snapshot – India Hospitals (Q4 FY26) Excludes Jammu, NHIC, NHIL, ATHMA & MEDHA (2) EBITDA and EBITDA Margin (1) Cost Structure ₹ ‘Mn 25.1% % of Operating Revenues Chart Title Share Rental / Revenue (6) 2,700 22.7% 26.0% 2% 2% 2% 2,500 25.0%
Slide 16: Profitability Snapshot – India Hospitals (FY26)
.... .. - - - - - - - - - - - - -- - - - - - Profitability Snapshot – India Hospitals (FY26) EBITDA and EBITDA Margin Cost Structure Excludes Jammu, NHIC, NHIL, ATHMA & MEDHA (2) ₹ ‘Mn % of Operating Revenues 12,000 Rental / Revenue Share (6) 23.1% (2) 2% 2% 10,000 21.1% 20.7% 100% (3) (2) 19.4% 90%
Slide 17: Integrated Care Clinics Snapshot – (Q4 FY26 and FY26)
.... .. - - - - - - - - - - - - -- - - - - - Integrated Care Clinics Snapshot – (Q4 FY26 and FY26) Points of Presence No. of Patient Transactions ‘000 12 11 11 200 10 150 10 145 150 129 8 100 6 4 50 2 0 Q4 FY25 Q3 FY26 Q4 FY26 Q4 FY25 Q3 FY26 Q4 FY26 ·················································
Slide 18: Operational Review – Cayman Islands (Q4 FY26)
.... .. - - - - - - - - - - - -- - - - - Operational Review – Cayman Islands (Q4 FY26) Hospital Revenues Insurance Revenues (CIHL) US$ Mn US$ Mn 54.0 49.6 20.0 49.0 44.0 44.8 14.3 15.0 12.9 44.0 39.0 10.0 10.6% QoQ 11.0% QoQ 34.0 5.0 2.1 29.0 24.0 0.0 Q4 FY25 Q3 FY26 Q4 FY26 Q4 FY25 Q3 FY26 Q4 FY26
Slide 19: Operational Review – Cayman Islands (FY26)
.... .. - - - - - - - - - - - -- - - - - - Operational Review – Cayman Islands (FY26) Hospital Revenues Insurance Revenues (CIHL) US$ Mn US$ Mn 224.0 50.0 41.8 178.7 174.0 40.0 140.7 30.0 124.0 20.0 74.0 10.0 3.6 24.0 0.0 FY25 FY26 FY25 FY26 27.0% YoY 1073% YoY ······································
Slide 20: United Kingdom – Consolidated (Q4 FY26 and FY26)
.... .. - - - - - - - - - - - - -- - - - - - United Kingdom – Consolidated (Q4 FY26 and FY26) Profit and Loss PAT Impact GBP Mn Q3 FY26 (1) Q4 FY26 FY26 (1) GBP Mn Q3 FY26 Q4 FY26 FY26 Revenue 42 68 110 Hospital PAT 0.5 2.2 2.7 EBITDA (Pre IFRS) 2.8 5.9 8.7 Int. on Loan for Acquisition (1.1) (1.8) (
Slide 21: Consolidated Financial Performance (Q4 FY26)
.... .. - - - - - - - - - - - - -- - - - - - Consolidated Financial Performance (Q4 FY26) Profit and Loss Statement(1) Figures in ₹ Mn, unless stated otherwise Key Balance Sheet Items(1) Particulars (₹ Mn) Q4 FY25 Q4 FY26 Particulars 31st Mar 2026 Total Operating Revenue 14,754 25,938 Consumption 3,
Slide 22: Consolidated Financial Performance (FY26)
.... .. - - - - - - - - - - - - -- - - - - - Consolidated Financial Performance (FY26) Profit and Loss Statement(1) Particulars (₹ Mn) FY25 FY26 (W/o UK) FY26 Total Operating Revenue 54,830 65,968 78,960 Consumption 11,364 12,508 15,161 Doctors Expenses 9,324 10,316 10,987 Employee (Excluding Doctor
Slide 23: Expansion: Progress Status & Capex Strategy
.... .. - - - - - - - - - - - - -- - - - - - Expansion: Progress Status & Capex Strategy Building to strengthen our presence in flagship regions Capex Head FY26 (P) FY26 (A) FY27 (P) I Current Bed Capacity I Bed Capacity Addition I Bed Capacity Target (INR Mn) 400 7,600+ 7,685 300 100 350 350 220 5,
Slide 24: Digital Transformation Initiatives
.... •Incident Management achieved 50% reduction in patient incidents. .. Digital Transformation Initiatives - - - - - - - - -- ---- Impact | Mobile Apps Launch | New Products Initiatives | Business GTM | ATHMA •• • Quality Video Consultation update • Outreach Consultation Program is l] • ATHMA now
Slide 25: NH ESG Vision – “Health For All”
.... .. - - - - - - - - - - - - -- - - - - - NH ESG Vision – “Health For All” Actuals FY 25~26 (T – Target FY 25~26) A Healthy Planet By being conscious about impact on the environment, prioritizing consumption efficiency and resource optimization <::::..f'i)~ .......................................
Slide 26: Shareholding Pattern
.... .. - - - - - - - - - - - - -- - - - - - Shareholding Pattern As on 31st Mar 2026(1) ESOP Trust DIIs 0.7% Total Number of Shares 10.7% 204,360,804 FIIs 10.0% Key DIIs Key FIIs Mirae Asset Management Vanguard Index Funds Parag Parikh Asset Management Franklin Templeton Investment Funds Nippon Lif
Slide 27: Disclaimer and Contact Details
.... .. - - - - - - - - - - - - -- - - - - - Disclaimer and Contact Details No representation or warranty, express or implied is made as to, and no reliance should be placed on, the fairness, accuracy, completeness or correctness of such information or opinions contained herein. The information cont
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