SAGILITY LIMITED has informed the Exchange about Investor Presentation
Date: March 25, 2026
To,
The Manager Listing Department National Stock Exchange of India Limited (NSE) Exchange Plaza, 5th Floor Plot No. C/1, G-Block Bandra-Kurla Complex Bandra (E), Mumbai - 400 051 Symbol: SAGILITY
The Manager Listing Department BSE Limited (BSE) Phiroze Jeejeebhoy Towers Dalal Street Mumbai - 400 001 Scrip Code:544282
Dear Sir/Ma’am,
Sub: Submission of Investor Presentation pursuant to Regulation 30 read with Schedule III of the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015.
In continuation of our letter dated March 13, 2026, regarding the Investor and Analyst Day scheduled to be held on Wednesday, March 25, 2026, please find enclosed the presentation that will be discussed during the meeting later today.
The details are also being made available on the Company’s website https://sagilityhealth.com/
This is for your information and record.
Thanking You,
For Sagility Limited
Satishkumar Sakharayapattana Seetharamaiah Company Secretary & Compliance Officer M. No. A16008
Encl: a/a
Sagility Limited (Formerly Sagility India Limited, earlier Sagility India Private Limited) Registered Office - No. 23 & 24, AMR Tech Park, Building 2A, First Floor Hongasandara Village, Off Hosur Road, Bommanahalli, Bengaluru – 560068, Karnataka, India Corporate Identification Number: L72900KA2021PLC150054 Tel. No.: 080-71251500, E-mail: investorservices@sagility.com, Website: www.sagilityhealth.com Powering Payers, PBMs, and Providers to operate smarter, faster, and at scale.
Certain statements in this release concerning Sagility’s future growth prospects may be seen as forward-looking statements, which involve a number of risks and uncertainties that could cause the actuals to differ materially from such statements. Sagility does not undertake to update any such statement that may have been made from time to time by or on behalf of the company.
Ramesh Gopalan Group CEO and Managing Director
1:30 PM – 2:15 PM
Registration & Welcome Refreshments
2:15 PM – 3:00 PM
CEO Presentation & Business Overview
3:00 PM – 3:30 PM
U.S. Healthcare, Practice and AI led Solutions
3:30 PM – 4:00 PM
Payer-Provider Ecosystem Expertise (includes demo)
4:30 PM – 5:00 PM
Deep Clinical Expertise and Value Delivery (includes demo)
5:00 PM – 5:45 PM
Technology, AI-led Transformation, and Partnership Ecosystem (includes demo)
5:45 PM – 6:15 PM
GTM Plan
6:15 PM – 7:00 PM
Interactive Q&A with Management
7:00 PM
Dinner & Networking
Broad and Deep Domain Expertise in medical, pharmacy, and dental business segments
Service Portfolio Covers most of the payer value chain inclusive of both administrative and clinical workflows
Tech-led & Transformative AI-led orchestration, BPaaS, platforms, point solutions, RPA, and Analytics
Strong Industry Presence And Client Partnerships
100% US Healthcare focused
25 Years of experience in Healthcare
80+ Healthcare Clients
7 of the top 10 payers served
3 Of top 6 PBMs by claims volume
18 Average Client Tenure in Years
Global Scale of Operations
40,000+ Healthcare Associates
5 Geographies
35 Delivery centers
4100+ Clinicians and Technology Experts
1.37 B+ Transactions
90.6% Offshore & Nearshore
FY25 Revenue from Operations
$572.9 M
$658.3 M
$591.8 M
Robust Growth
$658.3 M
Y-o-Y Growth (%)
14.9%
$518.2 M
$476.5 M
25.5%
15.9%
Adjusted EBITDA margin for 9M FY26
Adjusted PAT margin for 9M FY26
FY23
FY24
FY25
YTD Dec FY25 YTD Dec FY26
Everest PEAK Matrix
Avasant RadarView
• Leaders Quadrant in Intelligent Payer Operations • Leaders Quadrant in Payer Operations • Major Contender in Clinical CCM Services • Major Contender in UM Services • Major Contender in Payment Integrity Services • Major Contender in BPaaS Payer Operations • Major Contender & Star Performer in RCM
HFS Horizon
ISG Provider Lens
Other Accolades
Enterprise Innovator Healthcare Payer Services Capabilities
Disruptor Healthcare Provider Services Capabilities
Everest PEAK Matrix
Leader Generative AI Services
Sagility SmarTec Nurse Assist Winner of Augmented Intelligence award
Sagility Leader in Revenue Cycle Management (RCM)
• Analyst Blog Mention - AI Use Cases for Payment Integrity to Deliver ROI for U.S. Healthcare Payers • Analyst Blog Mention - AI Agents: Use-Case Examples for Health Insurers
Everest PEAK Matrix
Avasant RadarView
• Leaders Quadrant in Intelligent Payer Operations • Leaders Quadrant in Payer Operations • Major Contender in Clinical CCM Services • Major Contender in UM Services • Major Contender in Payment Integrity Services • Major Contender in BPaaS Payer Operations • Major Contender & Star Performer in RCM
HFS Horizon
ISG Provider Lens
Other Accolades
Enterprise Innovator Healthcare Payer Services Capabilities
Disruptor Healthcare Provider Services Capabilities
Everest PEAK Matrix
Leader Generative AI Services
Sagility SmarTec Nurse Assist Winner of Augmented Intelligence award
Sagility Leader in Revenue Cycle Management (RCM)
• Analyst Blog Mention - AI Use Cases for Payment Integrity to Deliver ROI for U.S. Healthcare Payers • Analyst Blog Mention - AI Agents: Use-Case Examples for Health Insurers
Member Lifecycle Management
• Benefit Configuration
• Member Acquisition
• Member Enrollment
• Member engagement
• Premium billing &
reconciliation
Provider Lifecycle Management
• Provider Credentialing/
Re-credentialing
• Provider Enrollment
• Contract Loading
• Fee Schedule management
• Provider Engagement
• Provider Data Management
Payer & PBM Practices
Provider Practice
Claims Management
Clinical UM/CM
Payment Integrity
Provider RCM
• Claims Intake
• Prior Authorization
• Initial Claims
• Clinical Triage
• Utilization
Management
• Prospective (Prepay)
• Retrospective (Post
Pay Audits)
• Rework and repricing
• Case Management
• Financial investigation
• Appeals & Grievances
• Quality, HEDIS/Star
review (SIU)
Rating
• Clinical & Coding Audit
• Disease management
• Health and Wellness
Solution
• Recovery &
Reconciliation
• Benefit verification • DME & Lab Provider
order speciality • Claims & Coding
review
• Zero Balance Accounts • Clinical and Coding
Denials
• AR safety net • Underpayment
recovery
Consulting + Technology Services
• Business Unit Assessments • Cost Containment
• Implementation / Migration support • Gen AI & Agentic AI deployments
• Managed Platform Services • GCC support & services
Managed Services
MLR Reduction Solutions
Synchrony Lifecycle: AI-led Orchestration of Operational Workflows
One Big Beautiful Bill
• Signed in July 2025, this legislation includes significant Medicaid spending reductions and
related policy changes affecting eligibility, financing, and program operations.
• This could potentially result in drop in membership in Medicaid heavy plans.
Rising Medicare Utilization & CMS Rates
• CMS CY 2027 Advance Notice signals near-flat MA rates. If finalized, flat payments amid
rising utilization may squeeze margins.
Growing Adoption of Generative & Agentic AI
• GenAI is gaining ground though adoption is much slower in a highly regulated industry like healthcare. Domain expertise will be a key differentiator to driving meaningful outcomes.
• CMS emphasizes the responsible use of technology and AI by ensuring strong privacy
protections, maintaining human oversight in care decisions, and continuously monitoring tools for accuracy and safety.
ACA Subsidy Expiration
• Premium shock due to increase in out-of-pocket premiums is resulting in decline in total
enrollment.
• As of Jan 2026, there was 29% decline in new consumers and 3.4% decline in total
enrollment in 2026 vs 2025.
Tariffs
H-1B Policy
• With the February 20th US Supreme Court ruling, more uncertainty. No direct impact to our
business.
• H-1B policy changes can materially affect service delivery firms supporting payers by
tightening onshore skilled labor supply and increasing wage pressure. However, Sagility does not rely on the H-1B program.
While some payers will face revenue headwinds, almost all payers face rising utilization- driven medical cost pressure, regulatory complexity, and membership volatility.
Margin protection will require
,
,
, and
focused initiatives
89%
86%
88%
87%
90%
90%
82%
83%
93%
91%
86%
84%
88%
87%
90%
89%
82%
81%
83%
84%
88%
88%
88%
92%
MLRs are continuing to rise for top payers resulting in depressed margins
UHC
Humana
CVS Aetna
Elevance
Cigna HC
Centene
● CY22 ● CY23 ● CY24 ● CY25
Margin recovery, cost discipline, and utilization management are key priorities across payers.
Payer
2026 Management Focus
United HealthCare
Humana
Margin recovery
5-Star focus and exiting unprofitable plans
As part of our efforts to address elevated trend and funding cuts, we planned for some Medicare Advantage membership contraction in 2026. We now expect UHC Medicare Advantage contraction will be in the range of 1.3 million to 1.4 million members for the full year…These are greater losses than originally anticipated, as competitive market dynamics drove higher than expected plan shopping during the intensely competitive Annual Enrollment Period.
CVS Aetna
Improving utilization
- UHC CEO, Q4 2025
As a reminder, we expect the increase between first quarter and fourth quarter MBR to be approximately 850 basis points in 2026, which is slightly steeper than the initial expectations we provided for 2025.
Looking ahead, we expect our broader transformation efforts to increasingly impact results beginning this year. This includes expanding outsourcing capabilities, simplifying and standardizing processes, and leveraging technology and automation.
- Aetna CFO, Q4 2025
- Humana CFO, Q4 2025
Elevance
Realign cost structure, improve margin consistency
Cigna
Focus on PBM business
Centene
Margin improvement
We continue to view 2026 as a trough year. We expect our Medicaid operating margin to be approximately negative 1.75%, with improvement over time as rates incorporate more current experience and our actions take hold.
70% of our portfolio, Cigna Healthcare and Specialty & Care Services, remains well positioned for growth in 2026 and beyond. And to future-proof our company within our Pharmacy Benefit Services, we continue to take significant actions.
Overall, we remain focused on driving margin improvement across the enterprise and delivering EPS growth in 2026… We have incredible runway ahead of us in the form of operational improvements, efficiency gains, and margin expansion.
- Elevance CEO, Q4 2025
- Cigna CEO, Q3 2025
- Centene CEO, Q3 2025
Despite Industry Pressures, Sagility Continues to Execute and Grow
Why and how we are growing
Significant cost pressures for clients
• Look to take advantage of lower cost with partners
• Urgency to look at even lower volume functions
• Our domain expertise and one of the most expansive service
capabilities is a plus
Proven results and credibility at scale
• We have shown results for over 15 years for these clients
• Transition timelines are short as we understand their business and
their systems/processes
Transformation capabilities
• Ability to commit to cost take-out targets with no significant upfront
investment from clients
• Capabilities across process reengineering, automation including the use of GenAI and platform-based point solutions along with deep domain expertise is a differentiator
Open to different business constructs
• Expand scope on existing SOWs or enter into similar SOWs with price
reduction commitments
• Commit to outcome based or variable cost models based on
membership (pmpm) that factors cost reduction goals
Growth is diversified and resilient, driven by sustained YoY expansion in our Top 5 payers*
Top 5 Payer Groups
$148.7M
$130.7M
$125.9M
$134.6M
$135.8M
$115.3M
▲ 13.3%
▲ 6.9%
▲ 9.5%
Q1
Q2
Q3
● FY25 ● FY26
Supported by accelerated growth in the rest of the client base
$500.1M
$549.5M
▲ 9.9%
Top 5
▲ 28.5%
$129.2M
$166.0M
Other Clients*
● TTM Dec 24 ● TTM Dec 25
*indicates Payer client groups **excludes BroadPath clients
Capabilities Powering the Growth
t c a p m
I s s e n i s u B
Process Improvement
Streamlined and optimized business processes
+ Six Sigma
+ SOP redesign
+ Human-led optimization
Digital Enablement
GenAI-Augmented Operations
• Task Automation
• Business Intelligence
• Productivity uplift
• Improved task automation
• Faster Knowledge retrieval
• Automated documentation
+ Point Solutions
+ RPA + Analytics
+ Process Mining
+ Dashboards
+ Healthcare-specific CLMs
+ Guardrails for Conversational AI
+ Agents augmented into workflows
Tools & Capabilities Evolution
Clinical Judgment Embedded in Operations
Complex Stakeholder Relationships
Regulatory Density & Compliance Oversight
Fragmented Data & Legacy Technology Infrastructure
U.S. Healthcare Operations
Regulatory Density & Compliance Oversight
U.S. Healthcare Operations
Healthcare is Governed by Multi-Layer Regulatory Oversight
Key Oversight Agencies
Major Regulatory Frameworks
Centers for Medicare & Medicaid Services (CMS)
Office of Inspector General
State Regulatory Agencies (DOI, DOH, etc.)
Health Insurance Portability and Accountability Act
Patient privacy and data protection
Affordable Care Act
Coverage mandates and insurance market rules
False Claims Act
Fraud, waste, and abuse enforcement
Implication
Healthcare decisions must be auditable, explainable, and compliant, limiting fully autonomous AI decision-making.
Clinical Judgment Embedded in Operations
U.S. Healthcare Operations
Healthcare administrative processes require clinical interpretation.
Whole-Person Context
Regulatory Accountability
Experts decode the complex interplay of genetics, social barriers, and personal goals that algorithms inevitably overlook in patient care.
CMS mandates that care decisions remain explainable and reviewable, ensuring that technology cannot legally override human- led medical necessity standards.
Market-Driven Guidance
Strategic Risk Mitigation
Clinicians navigate the friction of modern consumer choice, bridging the gap between patient preference and medical necessity.
Human intervention prevents the automated biases that trigger costly parity violations and ensures equitable access to behavioral health.
Implication
Many healthcare processes depend on clinical judgment and interpretation, requiring augmented (HITL) v/s autonomous AI models.
Complex Stakeholder Relationships
U.S. Healthcare Operations
Healthcare Payments Are Governed by Complex Payer-Provider Contracts
Multiple Stakeholder Incentives
Operational Friction Across Parties
Payer, provider, plan sponsor and member decisions all shape cost, reimbursement and payment outcomes.
Interoperability gaps and handoff issues slow payment decisions and extend issue resolution timelines.
Complex Payer/Provider Contracts
Negotiated terms and benefit-specific variations create thousands of unique payment rules.
Limited System Awareness
Low understanding across the population makes healthcare harder to navigate and resolve.
Implication
Payment decisions rely on contract-specific financial logic, requiring ecosystem level knowledge to precisely deploy AI.
Fragmented Data & Legacy Technology Infrastructure
U.S. Healthcare Operations
Healthcare operations rely on disconnected legacy platforms and fragmented data flows across the ecosystem.
Complex Legacy Platforms
Disparate Systems of Record
Claims, membership, billing and clinical workflows often run on aging systems that are costly and difficult to modernize.
Provider, member, clinical and operational data are maintained across separate systems, requiring constant reconciliation.
Restricted Access and Governance
Data Movement Across Enterprises
HIPAA, consent requirements and data- sharing controls limit access, making orchestration of AI agents more complex.
Information must move across payers, providers, PBMs, labs and other partners, creating additional handoffs and dependencies.
Implication
Fragmented legacy systems limit the impact of advanced AI, requiring deep client ecosystem knowledge and domain expertise to deploy solutions effectively.
Clinical Judgment Embedded in Operations
Complex Stakeholder Relationships
Regulatory Density & Compliance Oversight
Fragmented Data & Legacy Technology Infrastructure
U.S. Healthcare Operations
Clinical Judgment Embedded in Operations
Complex Stakeholder Relationships
Regulatory Density & Compliance Oversight
Fragmented Data & Legacy Technology Infrastructure
Sagility’s Unique Position
Human-Centered, AI-Embedded Operating Model
Deep Clinical and Regulatory Knowledge of Payer + Provider Ecosystems
Flexible Pricing Based on Outcomes
Proprietary Tech & AI Solutions + Curated Partnership Ecosystem
Capabilities Powering the Growth
t c a p m
I s s e n i s u B
Process Improvement
Streamlined and optimized business processes
+ Six Sigma
+ SOP redesign
+ Human-led optimization
GenAI-Augmented Operations
• Improved task automation
• Faster Knowledge retrieval
• Automated documentation
+ Healthcare-specific CLMs
+ Guardrails for Conversational AI
+ Agents augmented into workflows
Digital Enablement
• Task Automation
• Business Intelligence
• Productivity uplift
+ Point Solutions
+ RPA + Analytics
+ Process Mining
+ Dashboards
Tools & Capabilities Evolution
Capability Evolution: Fueling Strategic Market Expansion
Process Improvement
Streamlined and optimized business processes
t c a p m
I s s e n i s u B
Digital Enablement
• Task Automation
• Business Intelligence
• Productivity uplift
+ Six Sigma
+ SOP redesign
+ Human-led optimization
+ Point Solutions
+ RPA + Analytics
+ Process Mining
+ Dashboards
GenAI-Augmented Operations
Agentic AI-Embedded Operations
Rapid process transformation with Human + AI working model.
•
Improved task automation
• SmarTec Assist
Nurse, Appeals etc.
• Faster Knowledge
• SmarTec Agents
retrieval
Benefits, Eligibility etc.
Lifecycle Operations
AI-led Workflow Orchestration delivering Enterprise-wide impact.
• Synchrony Lifecycle
model: Medicare, UM, Claims, PI etc.
• Customized for
client’s ecosystem
• Faster time to market
• Automated
documentation
• SmarTec Workmates
Recruiter, Trainer, Coach etc.
• MLR Impact
+ Healthcare-specific
+ Healthcare-specific
+ AI-led orchestration
CLMs
CLMs
+ Multi-Agent orchestration
+ Single Window Accountability
+ HITL structure
+ Outcome based pricing
+ Guardrails for
Conversational AI
+ Agents augmented into workflows
Tools & Capabilities Evolution
Deep Domain Practice & Solutions
Tech-led Transformation & Partnership ecosystem
Strategic Market Expansion
• Managed Services model
• Domain-rich tech solutions
• Continued expansion within top
• Payer-PBM-Provider Synergy
• SmarTec, AI-embedded
• Synchrony Lifecycle Operations
platforms
• MLR Reduction:
Clinical Solutions
• Synchrony, Agentic AI-led orchestration platform
• Curated partnership ecosystem
accounts
• Expand into small & mid-market
• New service offerings across
clients & prospects
Roopam Narayan Executive Vice President, Practice & Solutions
Deep Domain Expertise Driving Growth
Client Outcomes
Sagility Outcomes
Managed Services / Structured Deals
• Committed Savings at Enterprise Level • Speed to Value: Accelerated Outcomes • No-Black-Box: Transparent Models, Often
leverages Sagility’s incumbency
• Scope addition of previously client retained
onshore delivery
• Control over automation projects • Breaks the linearity with FTE costs / price
Synchrony Lifecycle Operations
• Predictable pricing (PMPM) across IT and Ops • Speed to Value: Accelerated Implementation • Future-proof and Compliant (including underlying
platform)
• Transformed mid-market business with AI-Led
Operations Lifecycle model
• Higher wallet share as scope is end-to-end including underlying platform tech services • Highly sticky model – can survive M&A activities
we often see in mid-market
MLR Reduction: Clinical Solutions
• Fixed cost/ PMPM Solutions driving medical cost
• Take market-share from “traditional” contingency
impact, across care continuum
based UM players
• Focus on Member health outcomes – improves
HEDIS Quality measures
• Medicare: Revenue growth with higher stars
• Blend our key assets (Medical policies, Clinical Resources, SmarTec assets, Platforms and Partners) for higher revenue and margins
Example of a current deal: Scope Provider Data, Claims, Provider Calls for a line of business
Client Outcomes • Committed Savings of $25M (5 years)
• Speed to Value: Savings from Day-1
• No-Black-Box: Transparent Model, driven by Sagility as a trusted partner with 10+ years incumbency
Sagility Outcomes • Additional $70M of committed revenue (~3.5x)
• Breaks the linearity with FTE / Transaction
costs
• Leverages “Payer-Provider Synergy” and
precision in AI augmentation for improved margins
25M
20M
$13.5M Client in House
$5.5M Other Vendors(s)
$6.0M Existing Sagility
$20M Sagility Managed Services with a 5yr team
Driver for growth in current year and has a large growth headroom for next 3-5 years:
Rise in Consumerism
Population Complexities
Regulatory Interventions
R L M h g H
i
• GLP-1 drugs • Genetic Testing • Backlash against claims/
procedure denial)
• Elderly population increase • Uptick in Behavior Health services •
Increase in Noise and misinformation (like vaccines)
• UM Process (Augment AI and make
more transparent)
• CMS changes for Star measures • Ongoing regulatory updates
s n o i t u o S
l
Outcome Focused Utilization Management
Care Continuum: Quality, Stars, & Care Coordination
• Committed Medical Impact with Fixed costs for
plan (volume variations by ARCs/RRCs)
• Quality focused offerings for preventative care- coordination and Behavioral Health support
• Leverages partnerships like Availity (digital front-door and Auth AI)
• Differentiated from Traditional Medical Risk based
model
• Examples of highly specialized offerings are:
– Post Acute Care and Aging in Place – Uncontrolled Diabetes and Hypertension
• UM offerings provide similar medical cost impacts as Traditional model companies with more educative approach
s e m o c t u O
•
•
rather than the unpopular punitive control/denial of procedures & claims
Integrated Care Offerings (Care Continuum) break silos in the health-plan organization, delivering better health outcomes at lower care-coordination spend
Improved member and provider engagement: likely to result in better VoC and CMS CAHPS survey
s t n e n o p m o C
AI-led Orchestration
Domain knowledge applied end-to-end workflows
Curated, domain-aligned partner network
Sophisticated contractual arrangements
s n o i t u o S
l
• Synchrony Medicare Advantage Lifecycle (part of E&B)
• Synchrony Payment Integrity
• Synchrony Claims Lifecycle
• Synchrony Appeals and Grievances
• Synchrony Utilization Management
• Synchrony Revenue Cycle Management
• Synchrony SmartStepTM (Aging in Place) / Care-Coordination with stars outcomes
s e m o c t u O
• Speed to value
• Reduced upfront Capex
•
Improved member and provider engagement, transaction quality and compliance
Srikanth Lakshminarayanan Senior Vice President, Healthcare Practice
Delivering Managed Services Through Domain-led Transformation
Our Managed Services framework measures the operational efficiency and maturity at an enterprise level – cutting across different functions and lines of business – to identify gaps and implement state-of-the-art digital solutions to cut down administrative leakage
Payer/Provider Journey
Domain-led Solutions
Contracting
Enrolment
Billing
Claims
Appeals
Care Mgmt
Provider Mgmt
Sagi360 Claims Touch Ratio
SmarTec Appeals Assist
HealthBridge Connect Payer Provider Synergy
Nurse Assist Clinical Decisioning
Command Center Late Payment Interest
Tech and AI-led Solutions
Intelligent Content Processing
AI Knowledge Retrieval & Summarization
Robotic Process Automation
Agentic AI – Claims & Engagement automation
Payer-Provider ecosystem Analytics
Client Benefits
$11.4M Admin Cost Reduction
for Medicare based National Plan for CY2025
~$5M Benefits for Large Commercial & Medicare National Plan
~$4.5M Cost Avoidance
for Large Blue Plan
Lifecycle Operations
Value to Clients
AI-led workflow orchestration of Medicare Advantage Lifecycle Operations that brings together partner ecosystem across MA plan design, CMS filing, launch, member acquisition, enrollment, billing, reconciliation, and member support.
• Faster, credible, scalable plan design, launch to member acquisition for small and mid-market MA plans.
• Unifies fragmented point
solutions into one compliant workflow, for modular or end-to-end adoption by MA plans.
Powered by
Go-to-Market Approach
Strategic Value to Sagility
• Leverage client relationships for modular or end-to-end
• Strategically leading the design and execution of future-state
positioning.
operating models.
• Target small and mid-market MA plans through coordinated sales, marketing campaigns, brand positioning and events.
• Drives MA new-logo and cross-sell growth through
established partner ecosystem relationships.
Krithika Srivats Senior Vice President, Clinical Practice
Abigail DeYoung Age: 67 Location: Santa Monica, CA Language: English
• Severe Low back Pain, Affecting mobilty • Numerous consultations with little to no relief • She s diabetic and has hypertension
• Transportation challenges • Lives alone in a two-story home • Financial issues affecting timely care
• Multiple Prior Auth required for MRI, pain
injections, surgery PT and DME.
• An average of 17 calls to get needed care
Problems + The Numbers
• Typical cases require 2-3 years of ongoing care
• 6-12 weeks average time to getting each episode
• >$43,000-$75,000 for her treatment
• Over 75M of such Abigails needing care
• $1.2T Avg yearly cost of managing Medicare members
Inefficiencies
• 100,000 nursing hours on prior authorization each year
• ~60% of requests are submitted via fax or phone
• <25% of submissions are timely and accurate
• Average time to accurate and needed care is 7 days
MLR reduction from redesigned UM process: Human Expertise Meets Algorithmic Precision to Reduce Waste in Healthcare
Prior Authorization Workflow - MLR Reduction $200 – $300B opportunity
Provider submits prior auth request for L2-L5-Lumbarexctomy
Portal triggers real-time clinical questions
Case is routed for clinical review
Case fails initial criteria and is escalated for physician review -
Downgraded – Approved L4-L5 Deferred L2-L4
• Availity portal request
submission
• Automated Fax Intake
AI-Enabled Decision Making
Nurse Assist streamlines clinical review process, improving efficiency and reducing nurse review time by 10-12 minutes
Agentic AI Summarizes Calls
Automated Notifications
Abigail gets her care approval in 3 days; Reduced unnecessary care and hence medical spend by 10%
Outcomes
UM 360 Ecosystem
Large Enterprise
Mid Market
• Improve timeliness and access to care- 2-3 days
• Enhance provider and member experience
• Reduce unnecessary utilization
• Increase clinical operational efficiency by 25-35%
• Lower overall costs
Sagility Medical Policies
Sagility Analytics
Availity Portal
Availity Authorization
Elligint
Other niche point solutions
-
●
●
●
-
●
●
●
●
-
●
●
After her back surgery, Sagility Gen AI and predictive models identified the right post-operative support, enabling a safe discharge home with appropriate equipment, therapy, follow-up care, and home health services.
Integrated Solutions Across the Care Continuum
Preventive Measures (HEDIS)
Integrated UM
Post Discharge
Long Term Resilience
Diabetes & Hypertension Management
Ex- Post Acute Care Utilization Management
Care Management and Complex Case Management
Smart Step - Home safety, functional independence addressing falls, dementia, and caregiver preparedness
Enhanced star ratings across impacted measures
Lower SNF utilization and diagnostic costs with 15%+ medical cost savings
30% Lower re-admissions
5x ROI and 12%–18% lower long-term spend
H B
H B n o N
Utilization Management
Bundled Service (Case Payment)
l i a r F - n o N + H B
+ $ 5.1 Million (15%) 1.1 ($ 24.0K / $ 22.0K) HH Services: $10.6K
l i a r F + H B
+ $ 7.4 Million (34%) 0.5 ($ 63.3K / $ 121.3K) HH Services: $15.4K
3248
756
2912
156
+ $ 24.4 Million (16.7%)
Utilization Management
Aging in Place (CM) Intervention
l i a r f - n o N + H B N
+ $ 9.9 Million (25%) 3.6 ($ 15.7K / $ 4.4K) HH Services: $7.7K
l i a r F + H B N
+ $ 1.9 Million (8%)
0.8 ($ 39.5K / $ 47.3K) HH Services: $12.7K
5135
2007
1800
45
FRAILTY
Case Study | SmarTec Nurse Assist
Impact
25-35% reduction in clinician workload
Issue
Action
80% boost in quality
Care delays tied to prior authorization.
Clinicians were overwhelmed by administrative work.
• Delays in treatment • Resource-intensive manual
reviews
• Compliance risks • Administrative fatigue • Increased Operational Cost
SmarTec Nurse Assist transformed t through an agentic ecosystem of automation and clinical intelligence.
Core features:
• Automated review
assistance
• Clinical documentation
improvement (CDI)
• Resource optimization
Improved Compliance with 96% AI accuracy overall and 100% accuracy with AI-assisted reviews
18 hr faster care delivery
Winner in the 2026 Augmented Intelligence Awards presented by the Business Intelligence Group
A proactive path to maintain independence at home.
Multidisciplinary
Multidomain
Whole Person Care
Whole-Person Risk Profiling
Personalized Care Coordination at Scale
Optimized Utilization Management
Targeted Omni-Channel Interventions
12%
Reduction in ER visits
18%
Reduction in frailty-related claims
10 Direct Star Measures
8 Indirect
Star Measures
22%
98%
Reduction in unnecessary inpatient admissions
of active participants made changes to improve resilience
87%
Member Satisfaction
Madan Moudgal Executive Vice President, Chief Digital Officer
Ram Mohan Natarajan Senior Vice President, Business Transformation
Technology & AI Investment Strategy
Partnering for Enterprise Systems
Where enterprise systems are required, Sagility pursues a partnership-first strategy with trusted vendors.
Modular Solutions Sagility builds domain-rich, reusable, configurable components that enhance enterprise technology and accelerate solution development across use cases.
Years of investment across multiple waves of technology have created a rich portfolio of assets designed for distinct industry needs.
Domain Specific Data Models
• Member data model • Provider data model • Claim data model
Predictive Models & Advanced Analytics
• Propensity Models • Overpayment Prediction • Underpayment Prediction • Risk Scoring Algorithms • Population Stratification
Point Solutions & Platforms
• Member Enrollment • Provider Credentialing • Member Engagement • Payment Integrity • Revenue Cycle Management
Automation Bots
• Claims processing • Benefit configuration • Appeals management • Provider Data Management • Correspondence Generation
GenAI Based Autonomous Agents
• Conversational Agents • Knowledge Retrieval Agents • FWA Identification Agents • Medical Record Summarization
Agents
Business Intelligence Dashboards
• Sagi360 - Provider Interactions
Dashboard
• CX360 - Engagement Services • SensAI - Audit & Analytics • LPI Dashboard - Late Payment
• Claims Adjudication Agents
Interest
Frameworks & Accelerators
• Communications Mgr. • Document Processing Engine • Medical Records Manager • Sagility Agent Execution
Framework - SAGE
Interoperability
• HealthBridge Connect • EDI transactions manager • SFTP manager • FHIR compliant APIs
Developed in an environment governed by controls that are SOC2 and HiTrust compliant.
Years of investment across multiple waves of technology have created a rich portfolio of assets designed for distinct industry needs.
Domain Specific Data Models
• Member data model • •
Predictive Models & Advanced Analytics
• • Overpayment Prediction • • •
GenAI Based Autonomous Agents
• • Knowledge Retrieval Agents • •
•
Business Intelligence Dashboards
•
• • • LPI Dashboard - Late Payment
Interest
Point Solutions & Platforms
• • • Member Engagement • •
Frameworks & Accelerators
• Communications Mgr. • • •
Automation Bots
• Claims processing • • • •
Interoperability
• HealthBridge Connect • • •
Developed in an environment governed by controls that are SOC2 and HiTrust compliant.
Strategic Platform Partners
SI Partners
Capabilities Partners
Hyperscale Partners
Agentic AI and Human Synergy System of Engagement
SmarTec Agent
System of Engagement
Interaction Platforms
Human
Analytics and Monitoring, Insights, Control
System of Record
Value of Synergy
Members and Providers
Health Plan Ops, Leadership, Strategy Teams
• Single point of responsibility
• Choose best of breed components
• Speed of execution with Operations and
Technology teams under one roof
• Total alignment – All focused on NPS and efficiency – no tech for the sake of tech
Deployment Use Cases
Verification of Insurance/Benefits
Claims Status
General Member Info
Appeals Status
Outbound Status Calls
Patient Balance / Collections
UM Intake
UM Status
Health Risk Assessment
Provider Verification
Worker’s Comp Provider Support
Accounts – Recv Follow-up
A Factory or Assembly Line of Agents and Humans working together harmoniously
Orchestrator
Case Extractor
Case Generator
Care Management System
Authorizer
Prior Auth Doc
Faxed in Prior Auth contains: • • Medical Record
Authorization Form
OCR NLP
Summarizer
Eligibility Verifier
Outreach Agent
Medical Records Manager
MR Extractor
Patient Journey Builder
Summarizer
Nurse Review
OCR NLP
Medical Necessity Manager
Clinical Review
Clinical Guidelines
Auth Approval Or Rejection
Annotator
i
g n n o i s i c e D
n o i t a e r C e s a C
d r o c e R
i
l a c d e M
Anatomy of an Agent
• Data Structure • Business Logic • Prompts • Directives • Guardrails
G&A is a significant function for any payer since it can impact a payer in multiple ways – administrative cost leakage, operational inefficiencies but more importantly can directly impact key stakeholder relationship and experience – providers and members.
Admin Cost Benchmarking for Payers
Potential Business Impact
$80 to $100
Avg. blended admin cost to process each appealed claim for payers
~$2.5B
Annual appeals management cost by US payer industry
Administrative Burden Appeals are 3x more expensive to manage than straight- thru claims resulting in significant cost leakage and productivity impact due to rework.
Star Rating Reduction Consistent growth in Appeal volume can lead to compliance and regulatory risks which directly impact a plan’s star ratings.
Provider Abrasion Appeals lead to higher claim processing cycles resulting in increased friction in payer-provider relationship.
Chris Shiffert Executive Vice President, Chief Growth Officer
01
Continued Expansion within Top Accounts
• Build on legacy client
retention rate, accelerate service expansion
• Expansion opportunities
amongst our 7 national plan clients
• Leverage early success
developing new business models with existing clients
02
Expand Small & Mid-Market Accounts Expand current capabilities into small and mid-market clients (Acquired through BroadPath)
• Member & Provider Lifecycle
Management
• Claims Management
• Clinical UM/CM
• Payment Integrity
03
New Service Offerings Across Clients & Prospects Build adjacent healthcare capabilities that extend into new revenue streams.
• Member Acquisition • E2E Payment Integrity • HEDIS Abstraction • Star Ratings • Synchrony, AI-led orchestration
Pipeline Accelerators
Advisors • Analysts • Ecosystem/Solution Partnerships • Consulting-led Deals
01
Continued Expansion within Top Accounts
• Build on legacy client
retention rate, accelerate service expansion
• Expansion opportunities
amongst our 7 national plan clients
• Leverage early success
developing new business models with existing clients
25 Years of Experience in Healthcare
7 of the top 10 payers served
18 Average Client Tenure in Years
97% Client Retention Rate
Top Accounts
Client 1
Client 2
Client 3
Client 4
Client 5
Client 6
Client 7
Member LCM
Provider LCM
Claims Management
Clinical UM/CM
Payment Integrity
○
●
●
●
○
○
●
●
○
○
○
○
○
○
○
○
○
○
Managed Services Workflow Solutions
Captive/GCC Build-Operate-Transfer
MLR Reduction Solutions
02
Expand into Small & Mid-Market Expand current capabilities into small and mid-market clients (Acquired through BroadPath)
• Member & Provider
Lifecycle Management
• Claims Management
• Clinical UM/CM
• Payment Integrity
Existing BP Client Portfolio and New Logo Mid-Market Clients
30 Accounts Through the BP Acquisition
13 New Logos in FY26
Mid-Market Clients
Only 1 Practice
63% (30 Clients)
2 of 5
3 of 5
4 of 5
20% (13 Clients)
7.7% (5 Clients)
4.6% (3 Clients)
All 5 Practices
4.6% (3 Clients)
$166.0M
$129.2M
▲ 28.5%
TTM Dec 24
TTM Dec 25
03
New Services
Build adjacent healthcare capabilities that extend into new revenue streams.
• Member Acquisition • E2E Payment Integrity
(through DCI) • HEDIS Abstraction • Star Ratings • Synchrony, AI-led orchestration
Medicare Acquisition
E2E Payment Integrity
Synchrony
• Medicare Advantage
• Med Sup
• Medicare Part D
• Under 65
HEDIS + Stars
Quality + performance measures that drive top line revenue to payer clients
• Prospective (Prepay)
• Retrospective (Post
Pay Audits)
• Financial
investigation review (SIU)
• Clinical & Coding
Audit
• Recovery &
Reconciliation
• Synchrony Medicare Advantage Lifecycle
• Synchrony Claims
Lifecycle
• Synchrony Payment
Integrity
• Synchrony Utilization
Management
• Synchrony Appeals and Grievances
01
02
Raise hand to ask a question.
Once the microphone has been handed to you, please announce your full name and institution, followed by your question.
Long Term Financial performance snapshot
Revenue ($M)
FY25 YoY%
TTM Dec YoY%
14.9%
22.6%
Adjusted EBITDA* ($M)
FY25 YoY%
TTM Dec YoY%
25.9%
22.2%
Adjusted PAT ($M)
FY25 YoY%
TTM Dec YoY%
34.8%
39.0%
$572.9
$658.3
$630.9
$773.6
$137.8
$173.6
$162.9
$199.2
$71.1
$95.8
$87.9
$122.1
FY24
FY25
TTM Dec 24
TTM Dec 25
FY24
FY25
TTM Dec 24
TTM Dec 25
FY24
FY25
TTM Dec 24
TTM Dec 25
Consistent Revenue & EBITDA growth. Reduction in interest and amortization expense driving higher PAT growth
Revenue (INR Million)
FY25 YoY%
TTM Dec YoY%
17.2%
27.5%
Adjusted EBITDA * (INR Million)
FY25 YoY%
TTM Dec YoY%
28.4%
27.0%
Adjusted PAT (INR Million)
FY25 YoY%
TTM Dec YoY%
37.5%
44.5%
₹47,536
₹55,699
₹52,846
₹67,371
₹14,685
₹13,651
₹11,436
₹17,341
₹10,634
₹8,107
₹7,360
₹5,896
FY24
FY25
TTM Dec 24
TTM Dec 25
FY24
FY25
TTM Dec 24
TTM Dec 25
FY24
FY25
TTM Dec 24
TTM Dec 25
*Adjusted EBITDA represents EBITDA adjusted for earnouts payable under the acquisition agreements (DCI, BirchAI, & BroadPath), share-based payment awards and exclude other income (including forex gain/loss).
Other Financial Indicators
Adjusted EPS (in INR)
2.27
Adjusted ROCE %
54.9%
53.5%
1.38
1.76
47.0%
FY24
FY25
TTM Dec 25
FY24
FY25
TTM Dec 25
Cash Conversion (%)
87.2%
70.8%
89.7%
80.5%
49.7%
39.7%
₹21,678 $260.0 M
1.9x
₹25,000
₹20,000
₹15,000
₹10,000
₹5,000
₹0
FY24
FY25
9M FY 26
FY24
Net Debt
$122.0 M ₹10,433
0.71x
FY25
2.50
2.00
1.50
1.00
0.50
-
₹6,426 $71.5 M
0.37x
TTM Dec 25
OCF % FCF %
Net Debt (in INR Million)
Net Debt in $M
Net Debt to Adjusted EBITDA
Steady Increase in Adjusted EPS. Adjusted ROCE consistent at 50%. Lower cash conversion in YTD Dec’25 due to higher DSO, Non cash gains & taxes
Adjusted EPS is Adjusted PAT divided by weighted average number of equity shares Adjusted ROCE is Adjusted PAT plus Interest cost divided by capital employed (Assets excluding goodwill and intangibles assets less current liabilities) Net Debt is Borrowing plus lease liabilities less Cash and Cash equivalent including investment in Mutual Fund and Deposits . Borrowing doesn’t include accrued interest
Amt in USD M
Particulars
Revenue from Operation
Employee benefits expense
Other expenses^
Adjusted EBITDA**
Adjusted EBITDA %
Adjustments:
M&A Earnouts
SAR (stock appreciation right) – NonCash
Other Income (excl. Forex gain)^^
Forex Gain / (Loss)
Reported EBITDA
Finance costs
Depreciation and amortisation expenses
Profit before Exceptional Items
Statutory impact of new labour code in India
Profit Before Tax
Tax Expenses
Reported Profit After Tax
EPS
Adjusted PAT
Adjusted PAT %
Adjusted EPS (Rs)
Q3 FY26
Q2 FY26
Q3 FY25
222.0
137.5
26.7
57.7
189.4
115.0
24.7
49.8
172.0
99.5
23.5
48.9
26.0%
26.2%
28.4%
YoY%
29.1%
QoQ%
17.2%
18.1%
16.0%
0.4
-0.7
1.0
-0.4
58.5
2.8
13.9
41.9
3.8
38.1
8.0
30.2
0.57
36.4
1.4
0.8
0.7
6.0
54.2
2.8
13.9
37.5
37.5
8.7
28.8
0.54
34.5
1.4
1.0
1.2
4.1
51.7
3.6
13.7
34.4
34.4
8.6
25.8
0.46
31.2
16.4%
0.69
18.2%
0.64
18.1%
0.56
13.1%
8.0%
21.7%
11.8%
10.8%
1.8%
17.0%
23.7%
16.8%
4.9%
6.7%
5.5%
23.0%
7.3%
9M FY26
9M FY25
591.8
365.6
75.5
150.7
25.5%
3.7
1.0
2.3
6.1
154.4
8.8
41.6
104.0
3.8
100.3
23.9
76.4
1.42
94.3
15.9%
1.76
YoY%
24.2%
20.5%
476.5
284.0
67.3
125.1
26.3%
4.3
12.3
3.4
3.7
115.6
33.6%
11.6
42.0
62.1
62.1
19.6
42.5
0.78
68.0
14.3%
1.24
67.6%
61.6%
79.9%
83.7%
38.7%
41.7%
*Employee benefits expense excludes M&A earnout and SAR (shown separately under adjustments), ^ Other expenses exclude forex loss. ^^ Other income excludes forex gain. Forex Gain and Forex Loss clubbed together and shown separately. ** Adjusted EBITDA represents EBITDA adjusted for earnouts payable under the acquisition agreements (DCI, BirchAI & BroadPath), share-based payment awards and exclude other income (including forex gain/loss).
New Labour Code in India effective 21Nov 2025:
► Prescribes uniform definition of
wages based on which employee benefits like gratuity, leave encashment & statutory bonus are computed.
► Past service costs of INR
294.7M towards Gratuity and INR 33.5M towards Compensated absence reported as exceptional items in Q3.
► Ongoing impact on overall
Margins is likely to be 0.2% of Revenues.
Adjusted EBITDA
Adjusted PAT
(USD M)
FY2023
FY2024
FY2025
9M FY26
(USD M)
Revenue from operations
518.2 (INR 42,184 M)
572.9 (INR 47,536 M)
658.3 (INR 55,699 M)
591.8 (INR 51,686 M)
Revenue from operations
126.2 (INR 10,272 M)
131.1 (INR 10,881 M)
153.4 (INR 12,979 M)
146.1 (INR 12,756 M)
PAT
Adjustments:
FY2023
FY2024
FY2025
9M FY26
518.2 (INR 42,184 M)
572.9 (INR 47,536 M)
658.3 (INR 55,699 M)
591.8 (INR 51,686 M)
17.6 (INR 1,436 M)
27.5 (INR 2,283 M)
63.7 (INR 5,391 M)
76.4 (INR 6,670 M)
EBITDA3
Adjustments:
Earnouts under acquisition agreements
Share based payment awards
Adjusted EBITDA1
-
-
126.2 (INR 10,272 M)
6.7
6.8
-
13.4
3.7
1.0
Earnouts under acquisition agreements (net of tax impact)
Share based payment awards
Statutory impact of new labour code in India Amortization of other intangible assets acquired pursuant to business combinations (net of tax impact)
-
-
-
4.9
-
-
4.9
13.4
-
2.7
1.0
2.7
38.3
38.6
13.7
11.5
137.8 (INR 11,436 M)
173.6 (INR 14,685 M)
150.7 (INR 13,164 M)
Adjusted PAT2
56.0 (INR 4,556 M)
71.1 (INR 5,896 M)
95.8 (INR 8,107 M)
94.3 (INR 8,236 M)
% revenue from operations
24.4%
24.1%
26.4%
25.5%
% revenue from operations
10.8%
12.4%
14.6%
15.9%
% growth
9.2% (11.3% in INR)
25.9% (28.4% in INR)
20.5% (25.3% in INR)
% growth
27.0% (29.4% in INR)
34.8% (37.5% in INR)
38.7% (44.3% in INR)
Note: 1. Adjusted EBITDA represents EBITDA adjusted for post-combination expenses in relation to earnouts payable under the acquisition agreements (DCI, BirchAI & BroadPath), and adjusted for post- combination expenses in relation to earnouts payable under the acquisition agreements and equity classified share-based payment awards exclude other income 2. Adjusted PAT represents restated profit/(loss) adjusted for amortization of other intangible assets acquired pursuant to business combinations incl. DCI, BirchAI & BroadPath (customer relationships in relation to for healthcare business carveout is valued at $265 M and amortized over 16 years; amortization ends by Dec 2037), and for the tax impact of the above two EBITDA adjustments 3.. EBITDA excludes other Income and forex gain/(loss)
Amt in USD M
Particulars
Closing Debt position
Debt Repayment
Interest Payment
Share based Payment awards
Earnouts Cost - DCI / Birch/ BroadPath
Intangibles Amortisation (A)
Intangibles Amortisation (B)
FY25
93.8
29.4
8.9
13.4
6.8
16.5
2.2
FY26
63.1
26.7
6.1
1.3
5.8
16.5
4.4
FY27
FY28
FY29
FY30
63.1
3.2
1.5
0.1
16.5
4.3
0.8
0.4
16.5
4.2
16.5
3.3
16.5
2.8
• •
Intangibles Amortisation (A) - Amortization of intangible assets that got created due to carveout of healthcare business from HGS Intangibles Amortisation (B) - Amortisation for intangible assets acquired in relation to acquisitions (DCI, Birch and BroadPath) – Ends by FY33
Amt in USD M
Particulars
Revenue from Operation
Employee benefits expense*
Other expenses^
Adjusted EBITDA**
Adjusted EBITDA %
Adjustments:
M&A Earnouts
SAR (stock appreciation right)
Other Income^^
Forex Gain / (Loss)
Reported EBITDA
Finance costs
Depreciation and amortisation
PBT before exceptional item
Exceptional item
Profit before tax
Tax Expenses
Reported Profit After Tax
EPS (Rs)
Adjusted PAT
Adjusted PAT %
Adjusted EPS(Rs)
Q1 FY24
Q2 FY24
Q3 FY24
Q4 FY24
Q1 FY25
Q2 FY25
Q3 FY25
Q4 FY25
Q1 FY26
Q2 FY26
Q3 FY26
135.8
131.9
150.8
154.4
146.6
157.9
171.9
77.4
22.9
35.5
80.5
21.6
29.8
94.7
21.4
34.7
95.4
21.2
37.8
90.2
21.5
34.9
94.3
22.3
41.3
99.5
23.5
48.9
26.2%
22.6%
23.0%
24.5%
23.8%
26.2%
28.4%
3.4
0.0
0.2
1.2
33.5
5.7
20.2
7.5
7.5
2.4
5.2
0.10
17.3
1.6
0.0
1.2
2.3
31.7
5.8
20.7
5.2
5.2
1.0
4.2
0.08
15.1
0.8
0.0
-0.1
-2.0
31.8
5.6
21.0
5.2
5.2
-3.3
8.5
0.16
18.8
0.8
0.0
0.1
0.5
37.5
5.2
21.2
11.2
11.2
1.5
9.7
0.19
19.9
1.5
10.2
0.4
2.5
26.2
4.5
13.2
8.5
8.5
5.8
2.7
0.05
17.3
1.4
1.1
1.8
-2.9
37.7
3.5
15.1
19.1
19.1
5.1
14.0
0.25
19.5
1.4
1.0
1.2
4.1
51.7
3.6
13.7
34.4
34.4
8.6
25.8
0.46
31.1
181.8
109.3
24.1
48.4
26.6%
2.4
1.1
1.1
-1.6
44.4
3.4
13.2
27.8
27.8
6.5
21.3
0.39
27.8
180.4
113.1
24.1
43.2
24.0%
1.8
0.8
0.6
0.6
41.7
3.2
13.9
24.7
24.7
7.2
17.4
0.32
23.4
189.4
115.0
24.7
49.8
222.0
137.5
26.7
57.7
26.3%
26.0%
1.4
0.8
0.7
6.0
54.2
2.8
13.9
37.5
37.5
8.7
28.8
0.54
34.5
0.4
-0.7
1.0
-0.4
58.5
2.8
13.9
41.9
3.8
38.1
8.0
30.2
0.57
36.4
12.8%
0.32
11.5%
0.29
12.4%
0.37
12.9%
0.39
11.8%
0.33
12.3%
0.35
18.1%
0.56
15.3%
0.51
13.0%
0.43
18.2%
0.64
16.4%
0.69
*Employee benefits expense excludes M&A earnout and SAR (shown separately under adjustments), ^ Other expenses exclude forex loss. ^^ Other income excludes forex gain. Forex Gain and Forex Loss clubbed together and shown separately. ** Adjusted EBITDA represents EBITDA adjusted for earnouts payable for acquisitions (DCI, BirchAI & BroadPath), share-based payment awards and exclude other income / forex gain or loss).
72
Amt in USD M
Particulars
Property, plant and equipment
Capital-work-in-progress
Right-of-use assets
Goodwill
Other intangible assets
Trade receivables and Unbilled
Cash and cash equivalents
Deferred tax assets (net)
Other Assets
Total Assets
Equity
Borrowings
Lease liabilities
Trade payables
Deferred tax liabilities (net)
Other Liabilities
Total Liabilities
Dec 25
Mar 25
46.7
0.0
55.4
691.1
221.3
184.3
64,4
16.4
39.1
1,318.8
1,022.7
76.8
60.5
22.7
43.9
92.2
43.3
0.0
64.6
706.0
238.1
148.1
40.2
15.6
36.1
1,292.0
974.6
95.5
68.4
25.0
50.0
78.5
1,318.8
1,292.0
73
Amt in USD M
Particulars
Profit before tax for the period/ year
Adjustment for Non-Operating and Non-Cash items
Adjustment for working capital
Income taxes paid (net of refunds)
Net cash flows generated from operating activities (A) - OCF
Addition to Fixed Assets
Free Cash flow (FCF)
Cash paid for M&A
Pending Purchase consideration paid for healthcare business carveout
Investment in Mutual fund and Fixed Deposit
Others
Net cash flows (used in) investing activities (B)
Capital infused by promoter
Share Issue expense (paid)/ reimbursed
Dividend Paid
Repayment of Promoter borrowings (include Interest)
Repaymentof lease liabilities (include Interest)
Net cash flows (used in) financing activities (C)
Net increase/ (decrease) in cash and cash equivalents (A+B+C)
Cash and cash equivalents at the beginning of the year/period
Effect of movement in exchange rates on cash and cash equivalents
Cash and cash equivalents at the end of the year/ period
Net cash flows generated from operating activities % (OCF on Reported EBITDA)
Free Cash flow % (FCF on Reported EBITDA)
9M FY26
99.8
45.4
(30.5)
(37.9)
76.8
(15.4)
61.4
-
-
(46.1)
1.7
(59.8)
-
-
(2.7)
(19.4)
(15.7)
(37.8)
(20.9)
40.2
(0.4)
18.9
49.7%
39.7%
FY25
89.8
82.5
-8.4
-20.5
143.5
-14.7
128.8
-57.0
-44.4
-
2.2
-114.0
43.8
0.9
-54.0
-21.0
-30.3
-0.7
41.3
-0.3
40.2
89.7%
80.5%
74