
Zerodha CEO Nithin Kamath has drawn attention to a significant valuation gap between hospitals and brokerages, questioning why life-saving institutions are valued less than trading platforms. According to reports from The Economic Times, Kamath recently had dinner with Dr Devi Shetty, the renowned Indian cardiac surgeon who founded Narayana Health. He noted that while Narayana Health has 18,000 beds across India and is highly regarded by middle-class people in Bangalore, the hospital chain's market cap of around ₹38,000 crore is dwarfed by financial services businesses. As reported by Mint, Kamath emphasized that this thought stayed with him after meeting Dr Shetty, particularly noting his achievement of figuring out how to perform open heart surgery for a few hundred dollars when the same procedure costs significantly more in the US.
As reported by The Economic Times, Kamath pointed out that Narayana Health's market value is significantly lower than most half-decent financial services businesses in India, including Zerodha. He emphasized that this creates an odd situation where a hospital chain that has probably saved hundreds of thousands of lives is worth less than a platform for buying and selling stocks. According to Mint, Kamath further mentioned that "Narayana's market cap is around ₹38,000 crore. Now compare that to pretty much any half-decent financial services business in India, and it'll be valued more than that, including Zerodha. A brokerage, worth more than a hospital chain, that has probably saved hundreds of thousands of lives." The CEO acknowledged that several metrics, including margins, capex, asset-light vs asset-heavy models, explain this valuation gap but expressed discomfort with the current market dynamics.
According to The Economic Times, Kamath highlighted the challenges faced by essential service providers, noting that hospitals carry physical infrastructure, enormous liability, thin margins, and the actual weight of keeping people alive. He described this as a 'strange world' where businesses closest to money get valued the highest, while those doing hard and essential things get priced like 'boring' utilities. As reported by Mint, Kamath emphasized that "it's still a strange world we've built, where the businesses closest to money get valued the highest, and the ones doing the hard and essential things get priced like boring utilities." The Zerodha CEO acknowledged that he doesn't have a clean take on this situation, calling it all 'odd' given the societal impact of both sectors.
As reported by The Economic Times, Dr Devi Shetty founded Narayana Health (formerly Narayana Hrudayalaya) in Bangalore in 2000. He has conducted over 1.2 lakh heart surgeries, with a significant focus on pediatric cases. The cardiac surgeon was awarded the Padma Shri in 2004 and the Padma Bhushan in 2012 for his contribution to affordable healthcare. He is particularly known for figuring out how to perform open heart surgery for a few hundred dollars when the same procedure costs significantly more in the US. According to Mint, Kamath specifically highlighted Dr Shetty's achievement, stating that "for those who don't know him, he's the guy who figured out how to do open heart surgery for a few hundred dollars when the same procedure costs a bomb in the US."