Mayur Sirdesai and Avinash Kenkare, Partner, Somerset Indus Capital Partners

In India’s private markets, responsible investing is evolving into a more practical and outcome-oriented approach. For a long time, it was largely interpreted through disclosures, policies and reporting frameworks. While these remain relevant, they are no longer sufficient on their own. As capital flows deepen into sectors that directly influence everyday life, particularly healthcare, responsible investing is increasingly being viewed as central to how investments are evaluated, built and scaled.

The healthcare industry in India, which operates within a distinctive mix of structural realities, i.e. fragmented delivery, disparities in access, pricing sensitivities and evolving regulatory oversight makes this evolution especially pertinent. In such an environment, long-term value creation is shaped not just by the capital deployed, but by how businesses are built, governed and scaled. For investors, maintaining quality, managing risk and fostering sustainable growth at scale increasingly depend on operational rigor, regulatory coherence and governance discipline.

There is enormous opportunity for India’s healthcare sector, which is projected to reach $600 billion in the years ahead. Rising demand increased private sector participation, and a more formalized ecosystem are the main drivers of this expansion. At the same time, gaps in access, quality and affordability, especially beyond major urban centres continue to shape the investment landscape.

This context makes investment decisions more nuanced and consequential. Identifying growth prospects is just one aspect of capital allocation in the healthcare industry; another is endorsing platforms that can grow efficiently in a challenging operating environment. Across hospital networks, diagnostics, life sciences services and emerging care delivery models, the ability to standardize quality, ensure compliance and maintain cost discipline becomes increasingly relevant as businesses expand.

In this context, responsible investing is best understood as an underwriting lens rather than a separate overlay. It informs how investors assess risk, diligence opportunities, and support portfolio companies’ post-investment. Governance structures, regulatory clarity and operational discipline are not standalone considerations, they directly shape execution, scalability and long-term performance.

For investors, this also has implications on portfolio construction. Businesses that demonstrate operational consistency, regulatory clarity and execution discipline are often better positioned to scale across markets, attract institutional capital and navigate regulatory complexity. Over time, this can translate into more predictable growth trajectories and improved exit outcomes.

This reflects a broader shift in mandate. The focus is gradually moving beyond identifying sectoral tailwinds to actively shaping how businesses within those sectors evolve. In healthcare, this includes supporting platforms that extend access beyond metropolitan areas, address underserved segments and build systems that are both efficient and reliable.

Also read: AI-Driven Pharmacy Innovation: Transforming Access to Super Speciality Medicines

Responsible investing, in this sense, is integral to value creation. In a sector as complex and essential as healthcare, the ability to combine capital with governance discipline, regulatory alignment and operational execution will increasingly define resilient businesses and sustained investment outcomes.

Views shared by: Mayur Sirdesai, Partner, and Avinash Kenkare, Partner, Somerset Indus Capital Partners


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Disclaimer: The views and opinions expressed in this article are solely those of the author and do not necessarily reflect the official policy or views of any organisation. The content is intended for informational and educational purposes only and should not be construed as medical advice.

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