Narayana Hrudayalaya's stock has surged 57% year-to-date, with a recent 14% jump driven by strong September quarter results and a significant acquisition of UK's Practice Plus Group Hospitals for GBP 183 million. The company's overseas presence, particularly in the Cayman Islands contributing over 25% of Q2 revenue, sets it apart. Despite trading at a P/E discount to peers, its international operations and integration of the UK acquisition are key for future gains.