Competition watchdog CCI on Tuesday cleared healthcare major Manipal Hospitals' proposal to acquire Pune-based Sahyadri Hospitals from global investor Ontario Teachers' Pension Plan Board in a deal estimated at Rs 6,400 crore."The proposed combination involves the acquisition of up to 100% shareholding by the acquirer (Manipal Hospitals Pvt.) in the target (Sahyadri Hospitals Pvt.) in multiple tranches," the Competition Commission of India said in a release.The companies did not share the deal size, but industry sources estimate the transaction to be in the range of Rs 6,200-6,400 crore."CCI approves the proposed combination involving acquisition of up to 100% shareholding by Manipal Hospitals Pvt in Sahyadri Hospitals Pvt," the fair trade regulator said in a post on X.In July, Manipal Hospitals announced that it had inked definitive agreements with Ontario Teachers' for the acquisition.The Bengaluru-based healthcare major said the acquisition of Sahyadri Hospitals will bring Manipal's total bed count to about 12,000, making it one of India's largest hospital networks.The acquisition will add 11 hospitals to Manipal's network across Pune, Nashik, Ahilya Nagar and Karad, increasing its total number of hospitals to 49, it added.Through this acquisition, Manipal said it will expand its presence in western India, in line with its strategy to augment its pan-India footprint.Manipal Education and Medical Group Chairman Ranjan Pai said the acquisition will strengthen Manipal's presence in western India."With this expansion, Manipal Hospitals will have a network of approximately 12,000 beds nationwide, solidifying our position as one of the largest hospital chains in India," he added.Manipal Hospitals is backed by Temasek, a global investment company, headquartered in Singapore, with a net portfolio value of around USD 324 billion as of March 31, 2025.A global investor with net assets of $266.3 billion as of Dec. 31, 2024, Ontario Teachers' Pension Plan Board (Ontario Teachers') acquired a majority stake in Sahyadri in 2022.The Pune-based hospital chain is now one of Maharashtra's largest, with 11 hospitals and over 1,400 beds. The deals beyond a certain threshold require approval from the regulator, which keeps a tab on unfair business practices as well as promotes fair competition in the marketplace.