Investor presentation for the quarter ended June 30, 2026.

Date of submission: July 31, 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 Dalal Street, Mumbai – 400 001 Scrip Code –539551(EQ), 975516 & 976418 Scrip Code- NH Dear Sir/Madam, Sub: Investor Presentation for the quarter ended June 30, 2026 With reference to the subject, please find enclosed the Investor Presentation for the quarter ended June 30, 2026. Kindly take the above information on record. Thanking you Yours faithfully For Narayana Hrudayalaya Limited Sridhar S. Group Company Secretary, Legal & Compliance Officer Encl.: as above Earnings Update Q1 FY27 August 02, 2023 Topic Slide No. Our Footprint 03 Narayana Health at a Glance 04 Q1 FY27 Highlights 05 Index Capex 15 Digital Transformation Initiatives 16 Narayana Health ESG Vision – “Health For All” 17 Shareholding Pattern 18 Our Footprint (as on 1st July 2026) United Kingdom India Ophthalmology Centers Hospitals/ Surgical Centers Diagnostic Centers Hospitals/Surgical Centers + Delhi NCR Urgent Treatment Centers Barlborough Jaipur Rochdale Guwahati Lincolnshire Birmingham Buckinghamshire Ahmedabad Jamshedpur Emersons Devizes Ilford Raipur Kolkata Green Gillingham Shepton Mallet Southampton Mumbai Portsmouth Plymouth Davanagere Cayman Islands Shimoga Bengaluru Mysore Health City Camana Bay Health City Cayman Islands Narayana Health – At a Glance Total Capacity Beds 6,269 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 5,461 Operational Beds - 2,043 (Hospitals) and 132 (HC) East (India) India - Clinics and Dialysis Centres (1) 20 0 Hospitals - 7 | Clinics - 4| Dialysis Centre - 1 Operational beds - 2,074 Cayman Islands 2 164 North (India) Hospitals – 3 United Kingdom 13 330 Operational beds: 838 West (India) Healthcare Facilities 55 5,955 Hospitals - 2 Operational beds - 374 Total Staff ~20,950 (1)This includes 11 (Eleven) Integrated Care Clinics as on 30th June 2026. Clinical : ~ 12,900 Non-clinical : ~ 8,050 Key Highlights – Operational & Financial Performance (Q1 FY27) ▪ Narayana Institute of Cardiac Sciences, Bengaluru has performed: • 2,137 cardiac surgeries in Q1 FY27. • 19 Pulse Field Ablation procedures in June 2026 for Atrial Fibrillation since launch in India. ▪ Narayana Hospital, Gurugram operationalized - • CUVIS Ortho Robotic System in Q1 FY27. • Thulium Laser System (enabling advanced minimally invasive urological procedures). ▪ Wide spectrum of Robotic Surgery performed across our units in Q1 FY27- Clinical & • Robotic CBD Exploration Operational • Robot-assisted Hiatus & Ventral Hernia Repair + Paraumbilical Lump Excision. • Robotic Simple Prostatectomy • Robotic Cytoreductive Surgery ▪ Consolidated operating revenues of ₹ 26,836 Mn in Q1 FY27, a change of +78.0% YoY and +3.5% QoQ ▪ Consolidated EBITDA of ₹ 5,052 Mn in Q1 FY27 at a margin of 18.8%. Consolidated PAT of ₹ 2,073 Mn for Q1 FY27 at a margin of 7.7%. Financial ▪ Consolidated Total Borrowings less Cash & Bank Balance and Investments of ₹ 19,671 Mn as on 30th June Performance 2026, i.e., net debt to equity ratio of 0.42 (Out of which, debt worth US $115 Mn and GBP £150 Mn are foreign currency denominated). India Operations – Revenue (Q1 FY27) ₹ Mn Total* Domestic 13,000 12,552 15,004 12,494 13,196 12,500 C 171 11,316 11,945 12,000 C 162 10,004 11,500 5.6% QoQ 10,961 11,000 C 136 H 12,381 H 11,783 5,004 10,500 H 10,825 10,000 4 9,500 Q1 FY26 Q4 FY26 Q1 FY27 Q1 FY26 Q4 FY26 Q1 FY27 16.6% YoY H - Hospitals C - Clinics International YTD Gross Written Premium** 600 438 500 403 405 305 262 10.2% QoQ 100 105 Q1 FY26 Q4 FY26 Q1 FY27 FY26 FY27 58.3% YoY *Total revenue is excluding ATHMA, Medha and adjusted with Inter Company eliminations 6 ** Gross written premium of NH Insurance. The YTD numbers are starting from 1st April of the financial year to the reporting quarters. 6 India Hospital – Revenue Mix (Q1 FY27) Business Mix(4,7) Specialty-Profile(4,7) Payor-Profile(4,7) 25% 33% 18% 0% 9% Cardiac Sciences Medicine and GI sciences Owned Hospitals(1) Oncology Domestic Walk-in patients Operated Hospitals Renal Sciences Insured Patients (5) Neuro Sciences Heart Centres Schemes (6) Orthopaedics Clinic Business Others International patients (1) NH owns on freehold basis and operates with the P&L responsibility (5) Insured Patients include Insurance-covered patients, corporate patients (including PSU’s on hospital tariff) (2) NH operates the hospitals on rental/revenue sharing basis and owns the P&L responsibility (6) Schemes include CGHS, ESIS, other state government schemes (3) Includes clinics and dialysis centres excl. NHIC (7) Percentages might not add up to 100% due to rounding off (4) As percentage of operating revenue, excluding NHIC India Hospitals – Operations Review (Q1 FY27) ALOS Average Revenue Per Patient (IP & OP) (1,2) Days ₹ ‘000 4.5 4.4 164 163 149 4.3 4.3 4.8 5.0 5.1 Q1 FY26 Q4 FY26 Q1 FY27 Q1 FY26 Q4 FY26 Q1 FY27 Patient Footfalls (IP & OP)(1,3) ICU Occupied Bed Days ‘000 700 67 ‘000 51 70 100 95 96 90 85 300 617 621 80 53 53 57 Q1 FY26 Q4 FY26 Q1 FY27 Q1 FY26 Q4 FY26 Q1 FY27 Hospitals OP Clinics OP IP (1) OP figures include day-care business. Clinics OP pertains to footfalls related to NHIC. (2) ARPOB for the period Q1 FY27 was ₹ 19.2 Mn as against ₹ 17.6 Mn in Q1 FY26. 8 (3) Footfalls for IP correspond to Discharges. 8 India Hospitals – Cluster Split (Q1 FY27) This considers owned/operated hospitals & heart centers in India Southern Eastern Bangalore Kolkata Western Northern Peripheral Peripheral Regions • NICS • Mysore • RTIICS • Jamshedpur • Mumbai • Gurugram • MSMC • Shimoga • Barasat • Guwahati • Ahmedabad • New Delhi • HSR • Davangere • NMH • Raipur • Jaipur • Dharwad • NSH • Kolar Capacity Beds 1490 800 1453 745 405 882 % of Hospital Operating 37% 9% 25% 10% 5% 14% Revenues YoY Revenue Growth 20% 14% 14% 18% -1 26 %% 13% YoY Hospital 10% 7% 5% 10% 44%% 6% Discharges 2% OP ARPP(1) 6.0 4.4 4.7 4.5 4.5 5.2 (₹ ‘000) 5.0 3.7 4.5 4.1 4.3 4.6 IP ARPP 254 85 164 141 133 134 (₹ ‘000) 198.3 67.9 121.4 114.7 128.3 (1) OP ARPP includes day care. 9 India Hospitals – Profitability Snapshot (Q1 FY27) Includes NH India Hospitals EBITDA and EBITDA Margin (1) Cost Structure ₹ ‘Mn % of Operating Revenues Chart Title 25.1% 24.8% 2,700 30.0% Rental / Revenue Share (7) 23.9% (2) 23.4% (2) 2% 2% 2% 2,500 25.0% 100% 11% 10% 10% 20.6% 90% (1) 3,229 2,300 3,106 20.0% 80% 18% (5) 17% 17% 19.2% (2) 70% 2,100 15.0% 60% 50% 24% (3) 23% 23% 1,900 2,309 10.0% 40% 1,700 5.0% 20% 28% 28% 28% 1,500 0.0% Q1 FY26 Q4 FY26 Q1 FY27 Q1 FY26 Q4 FY26 Q1 FY27 Doctors and Nurses(4) Consumable Expenses(5) Other Expenses(6) Other Manpower Cost 1) Denotes EBITDA and EBITDA% of India Hospitals 4) Doctors and Nurses = Employee benefits + Professional fees to doctors 2) Denotes EBITDA% of India Hospitals and NHIC Clinics together. 5) Consumable Expenses = Purchase of medical consumables, drugs and surgical equipment 3) EBITDA of NH India for Q1 FY27 stood at ₹ 2,901 Mn (21.9%). net of changes in inventories of medical consumables, drugs and surgical equipment 6) Other Expenses = Overhead expenses + All other expenses 7) Effect of IND AS benefits is not considered India Insurance – Key Financial Summary ₹ Mn Financial Parameters Q1 FY27 Q1 FY26 Gross Written Premium 262 17 Reinsurance Premium -10 -1 Net Written Premium 252 16 Change in Reserve -151 -8 Net Earned Premium 101 8 Net Incurred Claims 220 6 Net Commission 2 0 Total Operating Expenses 100 75 Investment Income 20 12 Profit After Tax -201 -60 Key Ratios Q1 FY27 Q1 FY26 Expense Ratio /NWP 41% 454% Claims Ratio / NEP 219% 72% Combined Operating Ratio 259% 526% Solvency Ratio 167% 162% Cayman Islands (Q1 FY27) Hospital Revenues Insurance Revenues (CIHL) US$ Mn US$ Mn 54 [Showing first 8,000 characters — download PDF for full document]