IPO Preview

Manipal Health Enterprises has filed its Draft Red Herring Prospectus with SEBI — the price band and offer dates aren’t out yet, but the DRHP already lays out an ₹8,000 crore fresh issue, a business that’s now India’s widest-reaching private hospital network by footprint, and a debt-funded acquisition it wants IPO money to help pay down.

₹8,000 Cr
Fresh Issue (Proposed)
4.32 Cr
OFS Shares (Proposed)
₹2
Face Value
38 (48*)
Hospitals
10,761 (12,367*)
Licensed Beds
30.5%
Revenue CAGR FY23–25

*Pro forma, giving effect to the Sahyadri Hospitals acquisition. Price band and offer dates are yet to be determined — this is a Draft Red Herring Prospectus, filed ahead of SEBI review, not a live offer.

01

The Offer at a Glance

IPO TypeMainboard Book-Built Issue (Draft Stage)
StructureFresh Issue + Offer for Sale by existing shareholders
Fresh Issue SizeUp to ₹80,000 million (₹8,000 Cr)
Offer for SaleUp to 4,32,27,668 equity shares
Face Value₹2 per equity share
Pre-IPO Placement OptionUp to ₹16,000 million (₹1,600 Cr, ≤20% of fresh issue)
Price Band / Offer DatesNot yet determined — pending SEBI review of the DRHP
Proposed ListingBSE & NSE

Because this is a draft filing, several figures that would normally anchor a report like this — price band, lot size, exact offer dates — simply don’t exist yet. What follows is built entirely from what the company has disclosed in the DRHP itself.

02

Where the Fresh Issue Money Would Go

Repay / Prepay MHPL Borrowings₹5,378 Cr
Acquire Minority Stake in Sahyadri Hospitals₹574 Cr
General Corporate PurposesBalance, up to 25% of gross proceeds

The two named uses account for roughly ₹5,952 crore of the proposed ₹8,000 crore raise — nearly three-quarters of it — going toward debt tied to Manipal Hospitals Private Limited (MHPL), the company’s key operating subsidiary, and toward buying out the remaining minority stake in a hospital chain it acquired in stages just months before filing.

03

Inside the Business

Manipal Health Enterprises runs a pan-India network of multispecialty hospitals. As of September 30, 2025, that’s 38 hospitals with 10,761 licensed beds across 14 states and union territories — and on a pro forma basis, giving effect to the Sahyadri acquisition, 48 hospitals and 12,367 beds. By CRISIL’s count, that makes it the widest-reaching private hospital chain in India by footprint, the largest by pan-India bed capacity, and the second-largest by number of hospitals. A 49th hospital came online in Bengaluru in November 2025, taking pro forma bed capacity to 12,631 by the end of December 2025.

Multispecialty Hospitals
Cardiac Care
Oncology
Neurosciences
Gastroenterology
Orthopedics
Renal Care

The company holds a leadership position in three metros at once — Bengaluru, Kolkata and Pune — which together account for roughly 5,012 beds on a pro forma basis. Its flagship Manipal Hospital on Old Airport Road, Bengaluru has been rated the city’s #1 hospital for 20 consecutive years (2005–2025) in The Week–Hansa Research survey, and the group was named Healthcare Company of the Year (2023) by VCCircle and Best Hospital Chain – National (2022) by The Economic Times.

04

Footprint: Metro vs. Non-Metro

Metro — 45.11%
Non-Metro — 54.89%
Metro (pro forma)
Non-Metro (pro forma)

The three biggest regional clusters, on a pro forma basis: Karnataka (6,040 beds), Maharashtra & Goa (2,188 beds), and an Eastern India cluster spanning West Bengal, Odisha, Jharkhand and Sikkim (2,887 beds). The complex-care focus shows up in the revenue mix too — Cardiac, Oncology, Neurosciences, Gastro, Orthopedics and Renal care (the “CONGO-R” specialties) together made up 64.08% of gross inpatient revenue in the six months to September 2025, up steadily from 60.25% in FY2023.

05

The Sahyadri Acquisition, in Three Tranches

Tranche Date Stake Acquired Consideration
Tranche 1 3 Oct 2025 78.71% ₹4,596.55 Cr
Tranche 2 1 Dec 2025 9.84% ₹574.44 Cr
Tranche 3 (Proposed) Funded from Net Proceeds ~9.84% ₹574 Cr

Through subsidiary MHPL, the company acquired Sahyadri Hospitals — 10 hospitals and 1,606 licensed beds across Pune, Nashik, Ahilya Nagar and Karad in Western India — in stages starting October 2025. The DRHP proposes to fund the final tranche, and pay down the debt taken on for the first two, using IPO proceeds.

06

The Financials

₹ Crore FY2023 FY2024 FY2025 H1 FY2026*
Revenue from Operations 4,839.61 6,171.63 8,242.25 4,713.05
EBITDA (excl. exceptional items) 1,330.76 2,247.07
Profit for the Year 414.20 533.20 1,081.67 571.83
Basic EPS (₹) 3.78 5.27 9.25 4.86

*Six months ended 30 September 2025; not annualised. EPS restated for a 2:1 bonus issue and sub-division of face value from ₹10 to ₹2 during the relevant periods.

Revenue grew at a 30.50% CAGR between FY2023 and FY2025, but profit grew faster still — a 61.60% CAGR over the same stretch, taking the profit margin from roughly 8.6% of revenue to over 13%. Working capital is a genuine strength here: the company ran a negative working capital cycle of 16 days in FY2025 (12 days in H1 FY2026), meaning it collects cash faster than it pays out, unusual for a capital-intensive hospital business.

07

Is It Fairly Priced? (What We Can Tell So Far)

Manipal Health Enterprises Apollo Hospitals Enterprise Ltd
Face Value ₹2 ₹5
Revenue (₹ Cr, FY25) 8,242.25 21,794.00
Basic/Diluted EPS (₹) 9.25 100.56
P/E To be determined 73.23x
RoNW 18.16% 17.61%
NAV per Share (₹) 50.91 571.15

Since there’s no price band yet, there’s no P/E to quote for Manipal — the one number that will matter most once pricing is announced. What can be said now: the DRHP names Apollo Hospitals as its sole listed peer, and the disclosed industry peer P/E range runs from 73.23x to 87.63x, averaging 80.33x. On return on net worth, Manipal’s 18.16% in FY2025 (a three-year weighted average of 16.11%) already runs slightly ahead of Apollo’s 17.61% — a reasonable starting point for investors once the price band lands, but not a substitute for it.

08

Ownership

PromoterDr. Ranjan Ramdas Pai
Promoter Group EntitiesManipal Global Health Services, MEMG International Ltd, Kangto Investments, Imperius Healthcare Investments, Kabru Investments
Combined Promoter Holding (excl. MEMG)69.86% pre-Offer
09

Strengths

Widest private hospital footprint in India48 hospitals and 12,367 beds pro forma across 14 states and UTs — the broadest geographic spread among private hospital chains, per CRISIL.

Leadership in three metros simultaneouslyBengaluru, Kolkata and Pune combined account for roughly 5,012 beds pro forma — a rare multi-metro anchor position.

Profit growing faster than revenuePAT CAGR of 61.60% against a revenue CAGR of 30.50% between FY2023 and FY2025 points to genuine operating leverage, not just top-line growth.

Negative working capital cycleThe business collects cash faster than it pays suppliers — a structurally favourable position for a hospital operator.

Deepening complex-care mixHigh-acuity CONGO-R specialties now drive 64% of gross inpatient revenue, up from 60% three years ago, typically a higher-margin patient mix.
10

Risks Worth Weighing

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No price band yetThis is a Draft Red Herring Prospectus. Until SEBI completes its review and a price band is announced, there’s no way to judge valuation — only the business itself.
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Large debt load tied to a recent acquisitionConsolidated borrowings stood at ₹10,612.78 crore as of end-January 2026, substantially built up around the staged Sahyadri acquisition that IPO proceeds are now meant to help unwind.
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Proceeds are earmarked, not discretionaryNearly three-quarters of the proposed fresh issue is committed to specific debt repayment and a specific stake acquisition, both subject to further regulatory and shareholder approval steps.
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Integration risk on recently acquired hospitalsThe Sahyadri hospitals were acquired in stages as recently as December 2025 — folding new facilities into group-wide systems and margins takes time to prove out.
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Capital-intensive, regulated sectorHospital businesses carry ongoing regulatory, clinical-quality and pricing-policy exposure that can affect margins independent of how well the IPO itself is priced.
11

Anchor Investors

Manipal Health Enterprises is still at the DRHP stage, so anchor bidding hasn’t happened yet. The draft filing marks the Anchor Investor Bid/Offer date as “[●]” — to be finalised once the RHP is filed and the price band is announced. As with any mainboard issue, up to 60% of the QIB Portion may ultimately be reserved for Anchor Investors under SEBI ICDR rules, but there’s no date, price or allocation to report yet. We’ll fill in this section once that information is public.

Our Take

Manipal Health Enterprises is, on the numbers alone, one of the stronger hospital-sector growth stories to file a DRHP recently — profit compounding twice as fast as revenue, a negative working capital cycle, and a footprint that’s now genuinely pan-India rather than concentrated in one or two cities. The catch is timing: this is a draft filing, and the single number that will decide whether it’s a good investment — the price — simply isn’t on the table yet. The debt load built up around the Sahyadri acquisition, and the fact that most of the fresh issue is already earmarked rather than discretionary, are both worth watching once the RHP and price band do arrive. Worth tracking closely as it moves through SEBI review; not yet something to act on.