Aster DM Healthcare Ltd. is nearing an agreement to combine with closely held Quality Care India Ltd., people familiar with the matter said, in a deal that will create one of India’s largest hospital chains.

The merger between Aster DM Healthcare and Blackstone-backed Quality Care India Limited (QCIL), in a deal that will value the combined entity at $5.08 billion (Rs 43,000 crore), represents a significant development for India’s healthcare industry.

Aster DM Healthcare's board is set to meet today to potentially finalize a reverse merger with Care Hospitals, which is backed by private equity firm Blackstone, according to sources. Aster DM's shares rose 2.

The merger between Aster DM Healthcare and QCIL, valued at $5.08 billion, forms Aster DM Quality Care, the third-largest hospital chain in India. The entity will operate 38 hospitals with plans to increase bed capacity significantly over the next two years.

The merged entity, Aster DM Quality Care Limited, will have a combined portfolio of four leading brands: Aster DM, CARE Hospitals, KIMSHEALTH and Evercare. It will have a of network of 38 hospitals and 10,

In the merged entity, Aster promoters and Blackstone will hold 24% and 30.7% stakes, respectively, while the balance 45.3% will be owned by other shareholders.

The merged entity will be jointly controlled by Aster promoters and Blackstone, holding 24% and 30.7% ownership respectively.

Aster DM Healthcare and Blackstone-owned QCIL have agreed to merge, forming Aster DM Quality Care Limited. Blackstone will hold roughly 30.7% of the merged entity, valued at ₹42,000 crore. The deal, expected to close by Q3 FY26,

Aster DM Healthcare, one of India's largest integrated healthcare service providers, has entered into definitive agreement with Quality Care India (QCIL), backed by Blackstone and TPG, to merge, creating one of the country's top three hospital chains.

Aster DM Healthcare acquires Quality Care India, forming Aster DM Quality Care Ltd with 38 hospitals and ₹7,300 crore revenue.