HCA Healthcare, the hospital operator based in Nashville, Tennessee, has pre-leased 644,670 square feet of office space in Hyderabad, in southern India, to grow its global capability center there. The Economic Times reported the deal, citing lease documents it reviewed through the real estate data platform Propstack. The ten-year lease, signed by the company’s India subsidiary, HCA Global Services, carries total rent estimated at $101 million at current exchange rates. The report called it one of the largest pre-lease commitments by value anywhere in India in 2026.
The space is in Building No. 8 at the Mindspace business park, owned by a company that is part of Mindspace Business Parks REIT, a real estate investment trust. HCA will occupy seven floors: the lower ground floor and the fifteenth through twentieth floors.
The lease starts September 1, 2027. HCA agreed to pay $755,000 a month, or $1.17 per square foot, with rent rising by nearly 5% each year. It also paid a security deposit of $4.5 million, equal to six months of the starting rent.
A center built to support US and UK hospitals
HCA opened the Hyderabad center, its first global capability center, in HITEC City in September 2025. At the time, the company said it planned to invest nearly $75 million by the end of 2025 and to hire 3,000 people by the end of 2026, across information technology, supply chain, procurement, human resources, finance and accounting. The center supports HCA’s operations in the United States and the United Kingdom. The company runs 189 hospitals and approximately 2,600 outpatient sites of care in nineteen states and the United Kingdom.
[GUNJAN’S LINE: your view on what a ten-year commitment of this size says about American healthcare companies building capability centers in India]
Why this matters
Hyderabad has become a leading destination for global capability centers, with large office campuses and a deep pool of technical talent drawing healthcare, technology and financial services companies, according to media reports. HCA signed for the space nearly two years before it moves in, and for a ten-year term. For American executives weighing an India center, that is a sign of how far ahead a large US healthcare company is planning its India operation.
