Birational geometry of singular Fano hypersurfaces of index two

For a Zariski general (regular) hypersurface $V$ of degree $M$ in the $(M+1)$-dimensional projective space, where $M$ is at least 16, with at most quadratic singularities of rank at least 13, we give a complete description of the structures of rationally connected (or Fano-Mori) fibre space: every such structure over a positive-dimensional base is a pencil of hyperplane sections. This implies, in particular, that $V$ is non-rational and its groups of birational and biregular automorphisms coincide. The set of non-regular hypersurfaces has codimension at least $\frac12(M-11)(M-10)-10$ in the natural parameter space.