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← CockpitCompetitor Analysis › MANIPALHOS.NS Manipal Health Enterprises LimitedOpen in the cockpit ↗

Manipal Health Enterprises LimitedMANIPALHOS.NSCompetitor analysis, valuation and peers

India · INR·Pharma & Healthcare›Hospital/Nursing Management

Bengaluru-based hospital chain with 49 hospitals across India, part of the Manipal education/medical group.

≈ A regional HCA Healthcare tied to a university-hospital system
Mkt cap
$9.01B
US dollars, full cap
Free float
11%
of shares outstanding
$/day
$6.07M
20-day average traded
Fwd P/E
63.1×
forward earnings
ROIC−WACC
+6.0 pp
WACC 10.5%
Hurdle
+1 pp
Req g minus delivered
Next earnings
26 days
2 Dec 2026
Close · INR₹646.70
1D-1.6%
1W-3.4%
1M-7.5%
3M-0.6%
6Mn/a
YTDn/a
1Yn/a
ATR %4.1%
52w lowhigh20.6% off high

What Manipal Health Enterprises does

Bengaluru-based hospital chain with 49 hospitals across India, part of the Manipal education/medical group.

Earns from patients' treatment bills, paid out of pocket, by insurers or under corporate and government schemes. It has grown largely by buying other hospital groups, such as Columbia Asia's India hospitals in 2018 and AMRI in eastern India in 2021. Singapore's Temasek is a significant investor.

In one line: A regional HCA Healthcare tied to a university-hospital system.

Products and services

  • Hospital / tertiary care services
  • Outpatient & diagnostics
  • Home-care services

Customers

  • Patients across South, West and North India
  • Corporate/insurance-covered patients
  • Medical tourists

Where it sits in the supply chain

  • Private healthcare delivery
  • Multi-city hospital network
  • Tertiary-care hospitals across ~24…

What could go right

  • India private-healthcare demand growth
  • Bed-capacity and city expansion

What could go wrong

  • Capital-intensive bed expansion
  • Regulatory price controls on treatments

Moat: narrow (brand, scale, installed base). Manipal Group's decades-old medical/education brand and a large multi-city bed network.

Headquarters: Bengaluru, India · Founded: 1991 · Employees: 24,240

Named competitors

Manipal Health Enterprises at a glance

Size Manipal Health Enterprises (MANIPALHOS.NS) is an India Health Care company (Hospital/Nursing Management) with a market value of $9.01B, the 134th largest of 1,058 India companies the cockpit tracks. Shares closed at ₹646.70 on 6 Nov 2026.

Growth Revenue grew 25.4% over the last twelve months (peer median +8.0%); the operating margin is 18.8% (peer median 12.7%).

Valuation It trades at 63.1× forward earnings against a peer median of 34.5× (2nd most expensive of 17).

Price implies For today's price to make sense, revenue must grow about 30% a year for seven years (Req g). Recent delivered growth is +29%, so the hurdle is +1 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.

Capital Return on invested capital runs 6.0 points above its cost of capital (10.5% WACC).

Next results Next results expected around 2 Dec 2026 (exchange calendar; dates can move).

Manipal Health Enterprises financials

Reported figures in INR; fiscal year ends 2026-03-31. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenuen/a₹103B₹82.3B₹61.7B₹48.4B
Revenue growth—+25%+34%+27%—
Gross profitn/a₹54.0B₹44.2B₹33.4B₹25.7B
EBITDAn/a₹26.2B₹21.3B₹16.9B₹12.8B
Net incomen/a₹8.92B₹10.7B₹5.94B₹4.22B
Free cash flown/a₹4.58B₹1.88B₹7.97B₹6.73B
Capital expendituren/a₹13.2B₹10.5B₹3.32B₹3.30B
Total debtn/a₹129B₹63.9B₹51.3B₹32.5B

Quarterly statements and history in the cockpit →

Manipal Health Enterprises competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Fundamentals: revenue growth against valuation

0%+20%+40%+60%20×40×60×RHCMAXHEALTHPACSUHSCHEASTERDMFORTISNHMEDANTAKIMSSGRY600763MANIPALHOS.NSRevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. Manipal Health Enterprises is the large dot.

Capital: growth delivered against growth the price implies

0%+20%+40%0%20%40%RHCMAXHEALTHPACSUHSCHEASTERDMAPOLLOHOSPFORTISNHTHCNHCFREMANIPALHOS.NSGrowth delivered (Del g) →Growth the price implies (Req g, 7 yrs) →
Above the diagonal = the price needs more growth than the company has been delivering; below = the price already allows for a slowdown. Manipal Health Enterprises is the large dot.

Manipal Health Enterprises competitors and peer comparison

Head to head with its named competitors (MANIPALHOS.NS vs APOLLOHOSP.NS vs MAXHEALTH.NS vs FORTIS.NS)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
Manipal Health Enterprises MANIPALHOS.NS$9.01Bn/a+25%19%63.1×29.7%
Apollo Hospitals Enterprise APOLLOHOSP.NS$12.8B+8%+19%12%49.3×32.2%
Max Healthcare Institute MAXHEALTH.NS$9.61B-8%+15%21%49.7×43.2%
Fortis Healthcare FORTIS.NS$6.13B-19%+18%17%45.0×41.0%
Narayana Hrudayalaya NH.NS$4.11B+3%+71%13%36.5×31.1%

How Manipal Health Enterprises compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

Manipal Health Enterprises against its 17 peers (data as of 6 Nov 2026)
MeasureMANIPALHOS.NSPeer medianRank in peer set
1-month return-7.5%+7.2%lowest of 18
Distance from 52-week high-20.6%-9.1%4th lowest of 18
Revenue growth (TTM)+25.4%+8.0%4th highest of 18
Operating margin18.8%12.7%3rd highest of 18
Forward P/E63.1×34.5×2nd most expensive of 17
Growth the price implies (Req g, 7 yrs)29.7%13.6%6th most demanding of 16
Growth delivered (Del g)+28.8%+8.7%2nd highest of 16
Hurdle (Req g minus delivered)+1.0 pp+6.0 pp7th least demanding of 16
ROIC minus cost of capital+6.0 pp-1.1 pp2nd highest of 18
EV / EBITDA32.5×22.2×5th most expensive of 15
Net debt / EBITDA3.8×1.9×5th most indebted of 15

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
Manipal Health Enterprises MANIPALHOS.NSIndia$9.01Bn/a+25%19%63.1×29.7%+28.8%
Ramsay Health Care RHC.AXAustralia$8.87B+52%+4%5%32.4×14.3%+8.3%
Max Healthcare Institute MAXHEALTH.NSIndia$9.61B-8%+15%21%49.7×43.2%+27.2%
PACS PACSUnited States$7.87B+48%+11%8%19.2×7.6%+29.7%
Universal Health Services UHSUnited States$11.5B+15%+8%11%8.7×-1.2%+8.5%
Chemed CHEUnited States$6.87B+24%+5%14%19.5×2.4%+4.0%
Aster DM Quality Care ASTERDM.NSIndia$6.57B-3%+16%14%49.6×55.3%-11.6%
Apollo Hospitals Enterprise APOLLOHOSP.NSIndia$12.8B+8%+19%12%49.3×32.2%+19.0%
Fortis Healthcare FORTIS.NSIndia$6.13B-19%+18%17%45.0×41.0%+17.9%
Narayana Hrudayalaya NH.NSIndia$4.11B+3%+71%13%36.5×31.1%+25.0%
Global Health MEDANTA.NSIndia$3.95B+15%+26%17%51.1×n/an/a
Tenet Healthcare THCUnited States$22.5B+49%+6%17%14.0×-1.2%+3.9%
National HealthCare NHCUnited States$3.27B+11%+7%-8%n/a7.9%+9.7%
Krishna Institute of Medical Sciences KIMS.NSIndia$3.21B+2%+31%12%70.0×n/an/a
Surgery Partners SGRYUnited States$2.99B+61%+4%14%62.5×13.8%+12.2%
Topchoice Medical 600763.SSChina$2.51B-11%+7%26%26.7×13.6%+6.9%
Fresenius SE & Co. KGaA FRE.DEGermany$32.8B+34%+6%10%14.5×8.0%-8.8%
Ardent Health ARDTUnited States$2.44B+71%+3%4%14.5×4.0%+8.7%

Questions

Who are Manipal Health Enterprises's main competitors?
Named competitors: Apollo Hospitals Enterprise (APOLLOHOSP.NS), Max Healthcare Institute (MAXHEALTH.NS), Fortis Healthcare (FORTIS.NS), Narayana Hrudayalaya (NH.NS). The cockpit's measured peer set (industry) also includes Ramsay Health Care (RHC.AX), Max Healthcare Institute (MAXHEALTH.NS), PACS (PACS), Universal Health Services (UHS), Chemed (CHE), Aster DM Quality Care (ASTERDM.NS).
Is Manipal Health Enterprises expensive compared with its peers?
On forward p/e it trades at 63.1× against a peer median of 34.5×, 2nd most expensive of 17 in its peer set. For today's price to make sense, revenue must grow about 30% a year for seven years (Req g). Recent delivered growth is +29%, so the hurdle is +1 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.