Image Source: Medical Buyer
India’s healthcare landscape is poised for a major reshaping as Manipal Hospitals, one of the country’s largest healthcare providers, moves forward with plans to acquire a majority stake in Pune-based Sahyadri Hospitals for approximately Rs 6,400 crore. This strategic acquisition is currently awaiting regulatory approval from the Competition Commission of India (CCI) and promises to significantly expand Manipal’s footprint, particularly in western India, enhancing its capacity and service capabilities.
Key Highlights of the Acquisition Deal
The acquisition deal values Sahyadri Hospitals at around Rs 6,400 crore (approximately $700 million), representing one of the largest healthcare sector transactions in India in 2025.
Manipal Hospitals has formally sought the required approval from the Competition Commission of India (CCI) to proceed with the acquisition, underscoring the deal’s scale and regulatory importance.
Sahyadri Hospitals operates 11 hospitals across Maharashtra with a bed capacity of over 1,400, adding significant hospital infrastructure and healthcare delivery capacity to Manipal’s existing network.
Post-acquisition, Manipal’s network will encompass 49 hospitals with close to 12,000 beds, solidifying its position as one of India’s largest hospital chains by both geographic reach and capacity.
Sahyadri’s presence spans key cities including Pune, Nashik, Ahilya Nagar, and Karad, strengthening Manipal’s strategic presence in western India, a region with growing healthcare demand.
Strategic and Market Implications
The acquisition enables Manipal Hospitals to reinforce its leadership in Maharashtra, India’s third most populous state, by absorbing a well-established hospital network with a high brand recall.
Sahyadri Hospitals is known for its “ripple strategy” of growth, gradually expanding from Pune into tier-two cities, thus catering effectively to underserved markets with a broad continuum of care from primary to quaternary services.
The deal adds critical specialties including cancer care, organ transplants, advanced neurology, cardiology, and mother and childcare services, broadening Manipal’s service portfolio.
Pune’s bed density remains relatively low (around 0.5 beds per 1,000 population) compared to other metros, highlighting the room for growth that Manipal can unlock in the region.
The acquisition supports Manipal’s broader pan-India expansion strategy, enhancing its competitive stance against other major players like Apollo Hospitals.
Background and Financial Indicators
Sahyadri Hospitals was founded in 2004 and has steadily grown through organic expansions and acquisitions; Ontario Teachers’ Pension Plan (OTPP) held a majority stake since 2022 before selling to Manipal.
OTPP invested over Rs 275 crore initially and backed Sahyadri’s growth including strategic expansions into smaller cities and technology upgrades.
For the fiscal year 2024, Sahyadri registered a consolidated revenue of Rs 813 crore and net profit of Rs 86 crore, showing an 8.8% growth in revenue and solid profitability.
Sahyadri has invested nearly Rs 900 crore in advanced healthcare technologies, including LINAC (Linear Accelerator), TomoTherapy, and cardiac laser equipment, positioning it as a technologically advanced healthcare provider.
Regulatory and Industry Perspectives
The deal is subject to CCI clearance to assess competition implications, given the enlarged market presence Manipal would command post-merger.
Healthcare experts note that regional healthcare chains like Sahyadri are vital for local access to quality tertiary and quaternary care and that Manipal’s acquisition could spur further investment in infrastructure and services.
Industry analysts view this merger as part of a growing trend of consolidation in India's healthcare sector, driven by demand for scale, capital, and technology integration to meet rising private healthcare consumption.
The acquisition comes as Manipal itself prepares for potential public listing ambitions, with this expanded scale boosting its market valuation prospects.
Future Growth and Outlook
Manipal’s acquisition of Sahyadri increases operational synergies, enabling cost efficiencies, shared clinical talent, and enhanced patient referral networks.
The expanded presence in Maharashtra provides Manipal with a strategic base to harness regional growth, particularly as demand for specialty services and advanced healthcare rises.
This transaction is expected to catalyze further consolidation in fragmented regional markets where patient volumes and infrastructure are unevenly distributed.
Manipal Hospitals aims to leverage Sahyadri’s established network and brand while infusing its operational expertise to enhance service delivery and patient outcomes.
In Summary
The planned Rs 6,400 crore acquisition of Sahyadri Hospitals by Manipal Hospitals marks a significant milestone in the Indian healthcare sector’s consolidation wave. Combining Manipal’s extensive pan-India presence with Sahyadri’s strong regional footprint enhances capabilities to deliver high-quality, accessible healthcare at scale. As the deal awaits the Competition Commission of India’s approval, it underscores deeper industry trends toward strategic partnerships and investments designed to strengthen healthcare infrastructure in rapidly growing but underserved markets.
Sources: VCCircle, Bloomberg, Healthcare Asia Magazine
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