Like big players Pragmatic Compliance Consultants London, regional chains such as Care Hospitals of Hyderabad (11 hospitals), Manipal Hospitals (more than 15 hospitals), Vaatsalya of Bangalore (11 hospitals in two states) are also expanding to small towns. Vaatsalya claims to be India’s first hospital network focused on Tier-2 and Tier-3 towns. It has 11 secondary-care hospitals in Hubli, Gadag, Bijapur, Mandya, Raichur, Hassan, Mysore, Gulbarga and Shimoga in Karnataka and at Vizianagaram, Narasannapeta and Ongole in Andhra Pradesh.