The multi-speciality hospital market in India is expanding rapidly, with an estimated market value of INR6,300 billion in 2024, projected to reach INR9,800 Bn in 2028, reflecting a robust CAGR of around 12 per cent. This growth highlights the sector’s critical role in India’s healthcare ecosystem and its ability to cater to diverse medical needs under one roof.

      Key drivers for this growth include:

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      Increased insurance penetration led by private insurance and government scheme coverage. Growing awareness about health insurance benefits is boosting demand as healthcare affordability improves, enabling more patients to access quality care

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      Expansion in tier two and tier three cities poses an opportunity for multi-speciality hospital chains to tap into a vast and underserved market with increasing disposable incomes and lower operating costs

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      Changing demographics in India are driving demand for premium and quality healthcare services and infrastructure which is leading to growth in Average Revenue per Operating Bed (ARPOB) per day

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      Incumbents adopting new healthcare delivery models as large chains expand into adjacent businesses to diversify their offering. Additionally, the use of digital technologies to deliver healthcare services has picked up pace with real time video platforms (telehealth) taking amongst the largest revenue share

      The industry is also witnessing a strong wave of consolidation, as standalone and single-region players are increasingly being acquired by regional and national chains. This trend is expected to continue as larger chains move to solidify their presence particularly in tier two and three cities, creating an integrated and competitive healthcare landscape. Further, growing interest from private equity (PE) funds including marquee global funds is providing a large capital pool to back scaled up assets and accelerating this trend. The average deal value has gone up significantly, indicating higher appetite of these PE funds to pursue large/control transactions. These funds are also actively pursuing platform approach in India to create larger and more integrated hospital networks. More hospitals are now also exploring public markets to provide exit opportunities to PE funds, further shaping the sector’s evolution.

      The next decade for this sector is also seeing new trends into focus, including evolving differentiated short-stay smaller format chains, senior doctors building large, sizeable practices that will become the next area of focus for acquisitions/investment by large chains and PE funds. Increasing coverage and awareness of government led schemes and visionary regional multi-speciality hospitals operators on track to create large platforms will further transform the industry. With strong fundamentals and investor confidence, India’s multi-speciality hospital sector is poised for sustained growth and innovation.


      Key highlights of the report:

      • Faster adoption of medical insurance and universal health programmes

        Growth in insurance penetration led by government schemes and private insurance adoption, leading to shift in payor mix

      • Consolidation of the sector

        Industry consolidation has picked up pace with standalone and single region players being acquired by regional and national chains

      • PE activity in the space

        Increased interest in the sector from marquee global funds – providing large capital pool and leading to increased consolidation in the sector

      • Emergence of platform-plays

        PE funds are actively pursuing platform approach in India to create larger and more integrated hospital networks

      • Increased valuation multiples

        Strong sector tailwinds and consolidation trend leading to heightened investor interest is translating to high valuation multiples



      Multi-Speciality hospitals in India - Evolution of hospitals deals post COVID


      An in-depth analysis of India’s multi-speciality hospital sector, highlighting key trends, growth drivers and evolving transaction activity

      Key Contact

      Abhishek Aggarwal

      Partner, Corporate Finance

      KPMG in India

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