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Narayana Hrudayalaya's (NH) has expanded into a multi-specialty health city in Bangalore, and has grown to twelve locations across India. The hospital plans to build 300-bed secondary-care hospitals in smaller cities across India, with a goal to operate 30,000 beds in seven years, which will make it comparable with the world's largest hospital chains. NH operates the world's largest tele-cardiology network, which provides consultations to people in 800 locations across the world, including 53 African countries. Management also plans to open a 2,000-bed hospital in the Cayman Islands to provide underinsured Americans with tertiary care procedures at 40% below US prices, thereby bringing Dr Shetty's model of compassionate care at affordable prices to the developed world.