3.investor Presentation (Q2-FY 25)
3.investor Presentation (Q2-FY 25)
To, To,
The Manager The Manager
Listing Department Listing Department
National Stock Exchange (NSE) Bombay Stock Exchange (BSE)
Exchange Plaza, 5th Floor Phiroze Jeejeebhoy Towers
Plot No. C/1, G-Block Dalal Street Mumbai - 400 001
Bandra-Kurla Complex Scrip Code:544282
Bandra (E), Mumbai - 400 051
Symbol: SAGILITY
Dear Sir/Ma’am,
In continuation to our letter dated November 22, 2024, we are enclosing herewith the presentation to be
made to Investors on the Financial Results of Sagility India Limited for the quarter and half-year ended
September 30, 2024 scheduled on Wednesday, 27th November 2024 at 4:00PM (IST).
The details are also being made available on the Company’s website www.sagilityhealth.com
Thanking You,
Encl: a/a
Certain statements in this release concerning Sagility’ 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..
2
We are one of the largest pure-play Healthcare Services and
Solutions provider
Broad and deep domain expertise Service Portfolio Tech-led & Transformative
in medical, pharmacy, and dental Insurance business Covers payer and provider value chain inclusive of Applications, point solutions, RPA, Analytics and AI
segments both administrative and clinical workflows
5 3 4 17
45 Of The Top 10 Payers Of top 6 PBMs by claims
Large national IDN,
Average tenure in years of
Healthcare Clients Groups Laboratory, DME and
Served volume Top 5 clients
Radiology Provider clients
Revenue in Million
24.64% 12.40% 105M ~ 94%
38000+ 5 87.2%
~ 2000 Geographies 12.7%
Adjusted Adjusted
OCF to EBITDA
Claims processed
Headcount
Employees EBITDA Margin PAT Margin 75M+ Offshore &
Clinicians (32 Sites) (FY24)
(60% women) (FY24) (FY24) Interactions Nearshore
Supported by Talented workforce with expertise in claims, clinical and coding across multiple geographies
► Leader in Healthcare Payer Operations PEAK ► Leader in GenAI Service
Matrix - 2023 ► Leader in Clinical Services
Business Process Provider - 2024
► Major Contender in Clinical and Care Mgmt. Ops Transformation - 2023
Services & RCM Ops PEAK Matrix - 2023
Health expenditure as % of US GDP at current prices Healthcare expenditure per capita vs. GDP per capita Payers form 68.7% & Providers form 31.3% of the overall TAM
(2022)2 (CY23)
US GDP at Current Prices ($tn)
Healthcare Expenditure as % of US GDP CY23
33.6
29.8
28.8
Payer
27.4 17.9% 18.2% $138.2bn 22.0-24.0% ~$32bn+3
of $138.2bn
17.6%
17.0%
17.4%
17.1%
Provider
$62.9bn 19.5-21.5% ~$13bn4
▪ Healthcare forms an integral segment of the US economy, of $62.9bn
▪ US economy is the highest healthcare spender among
contributing 17.1% to the nominal GDP at $4.7tn spend in 2023 leading economies with per capita healthcare
expenditure (PPP Basis) at $12,555.3 in CY22
• +1.6x to the second-highest spender, Switzerland
• India’s healthcare market, in comparison, is underdeveloped
with 2021 estimates for health
$201.1bn ~$45.0bn
Total
spending per capita at $74.0
US Healthcare Outsourcing market growth is faster than the overall market driven by multiple tailwinds
Source: Industry research, OECD, IMF, WHO, CMS.
Note: 1. Currency conversion is based on the exchange rate of US$1 = INR 83.4982 as of 16th April 2024. 2. Current prices and PPP converted.
3.Calculated by multiplying outsourcing payer penetration average rate (%) of 22.0-24.0% to overall payer TAM ($) of $138.2bn for CY23. 4
4.Calculated by multiplying outsourcing provider penetration average rate (%) of 19.5-21.5% to overall provider TAM ($) of $62.9bn for CY23
Sagility exhibits end-to-end coverage across Payer and Provider
space…
Claims Payment Clinical Revenue Cycle
Management Integrity Management Others Management
Adjudication Post-Pay Utilization Management Plan Building Claims and Coding Services
Population Health
Post Adjudication Premium Billing Revenue Management
Management
Payer: Provider:
89.2% revenues1 10.8% revenues1
ISO 9001:2000 ISO 27001 HIPAA NCQA SISA PCI DSS SOC1 SOC2 URAC
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Note: DME: Durable Medical Equipment. 1. For H1 FY25.
…Offering domain-led and digitally-enabled solutions
Healthcare Domain-Led Solutions Digitally-Enabled Solutions
1 2 3 4 5
Specialized High-Impact Functional Products & Process Optimization Integrated Tech-Led
Digital Services
End-to-End Program Services & Transformation Solutions (BPaaS)
✓ Building holistic, end-to-end in- ✓ Providing end-to-end workflow ✓ Leveraging best-of-breed tools to ✓ Utilizing data, analytics and AI ✓ Working with partners to
house programs and service solutions: provide operational value- add to services capabilities to deliver deliver integrated, tech+
platforms: clients: increased efficiencies: service offerings:
Provider data management*
Utilization Management RPA Intelligent Content Contact center as-a-service
Objectives
Credentialing*
Aging-in-place* Process Mining Processing (ICP)* Claims BPaaS
LPI*
Payment integrity* Intelligent Interaction Digital Intake
Concierge services Analytics Platform (IIAP)*
RCM as-a-service
Patient self-pay Business intelligence
Speech Analytics*
✓ Providing care management ✓ Transformed provider data ✓ Delivered process optimization ✓ Use AI-based solutions to ✓ Deliver a digital document
services to LTC insurance management operation at a across multiple functions for a optimize inbound document management solutions for a
policy holders at a National mid-sized Blues Plan National payer management top 5 National payer
LTC carrier
Case Studies
✓ Created an intelligent workflow ✓ Built a smart and interactive ✓ Deliver RCM services for top 5
✓ Perform payment integrity for a Top-10 Health Plan to reduce speech analytics solution for National health system
audits for case completion, their late payment interest member and provider contact
correctness and clinical / center for a leading Blue Plan
financial findings
Note: LPI: Late Payment Interest, RPA: Robotic Process Automation, BPaaS: Business Process-as-a-Service, TAT: Turn Around Time, TPA: Third Party administrator, RCM: Revenue Cycle Management, LTC: Long Term Care.
* In-house / Home-grown Technology. 6
Multiple GenAI Case studies across the enterprise
BirchAI’s proprietary technology uses Healthcare specific models from Speech-To-Text to LLMs
• After Call (Wrap time): Automate ENGAGEMENT BACK OFFICE • Optimize Knowledge Retrieval & Searching:
documentation and classification Helps agents resolve customer queries faster
Front Office Claims, PI, RCM •
• Audit & Analysis: Identify customer trends Fraud, Waste & Abuse Identification: Helps save
real-time, improve agent performance cost for clients
SagilityAI team will leverage BirchAI’s expertise to drive client transformation use cases
Note: AHT: Average Handle Time, PI: Payment Integrity, RCM: Revenue Cycle Management, EOB: Explanation Of Benefits, EOR: Explanation Of Review, UM: Utilization Management, G&A: Grievance and Appeals.
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Focused growth strategy anchored on deepening existing relationships, winning new
clients, expanding tech capabilities and acquisitions
Strategic
Enhance Acquisitions and
Technology Tools Collaborations
New Clients
Existing Clients & Platforms
Addition
Growth
► Revenue in Q2 at ₹13,250 million, grew by ₹2,309 million Y-o-Y ► Revenue in H1 at ₹ 25,484 million grew by ₹3,382 million Y-o-Y
(corresponding to 21.1% growth Y-o-Y ) (corresponding to 15.3% growth Y-o-Y )
► Adjusted EBITDA at ₹3,378 million, grew by ₹615 million Y-o-Y ► Adjusted EBITDA at ₹6,538 million, grew by ₹741 million Y-o-Y
(corresponding to 22.2% growth Y-o-Y ) (corresponding to 12.8% growth Y-o-Y )
► Adjusted PAT at ₹1,636 million, grew by ₹ 383 million Y-o-Y ► Adjusted PAT at ₹3083 million, grew by ₹405 million Y-o-Y
(corresponding to 30.5% growth Y-o-Y ) (corresponding to 15.1% growth Y-o-Y )
► Robust expansion among existing clients driven by deep client relationships demonstrated by Client NPS of 53
► Strategic focus on small and mid-market segment payers and in widening presence with provider clients.
► Expansion in tech use-cases with multiple GenAI initiatives gathering momentum and pilots/ deployments underway; significant
enhancement in Automation and Analytics footprint.
Revenue from Operation (in INR Million) 13,250 12,233 10,941 21.1% 25,484 22,102 15.3%
Adjusted EBITDA (in INR Million) 3,378 3.160 2,763 22.2% 6,538 5,797 12.8%
Adjusted EBITDA % 25.5% 25.8% 25.3% 25.7% 26.2%
Adjusted PAT (in INR Million) 1,636 1,447 1,254 30.5% 3,083 2,678 15.1%
Adjusted PAT % 12.3% 11.8% 11.5% 12.1% 12.1%
Total Number of Employees 38,380 35,858 36,525 5.1% 38,380 36,525 5.1%
Voluntary attrition rate* (%) 25.8% 27.3% 26.1% 26.2% 26.7%
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*considering employees who were employees for more than 90 days (%) on an annualized basis
Financial Highlights
Highlights
► Q2 FY25 revenue stood at ₹13,250 Million ($157.9 M) ► H1 FY25 revenue stood at ₹25,484 Million ($304.5 M)
► 21.1% growth Y-o-Y (19.8% at constant currency ) ► 15.3% growth Y-o-Y (13.8% at constant currency )
► 8.3% growth Q-o-Q (7.7% at constant currency)
► Adjusted EBITDA at ₹ 3,378 Million ($40.3 M) ► Adjusted EBITDA at ₹ 6,538 Million ($78.1 M)
► Adjusted EBITDA Margin : 25.5% ► Adjusted EBITDA Margin : 25.7%
► 22.2% growth Y-o-Y; 6.9% growth Q-o-Q ► 12.8% growth Y-o-Y
► Adjusted PAT at ₹1,636 Million ($19.5 M) ► Adjusted PAT at ₹3,083 Million ($36.8 M)
► Adjusted PAT Margin: 12.3% ► Adjusted PAT Margin : 12.1 %
► 30.5% growth Y-o-Y; 13.1% growth Q-o-Q ► 15.1% growth Y-o-Y
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Financial performance snapshot – Q2 FY25
Revenue Y-o-Y Q-o-Q Adjusted EBITDA Y-o-Y Q-o-Q Adjusted PAT Y-o-Y Q-o-Q
(INR Million) 21.1% 8.3% (INR Million) 22.2% 6.9% (INR Million) 30.5% 13.1%
Y-o-Y Q-o-Q Adjusted EBITDA Y-o-Y Q-o-Q Adjusted PAT Y-o-Y Q-o-Q
Revenue ($M) ($M)
19.8% 7.7% 20.9% 6.3% ($M) 29.1% 12.5%
$157.9
$37.9 $40.3 $19.5
$146.6
$33.3 $17.3
$15.1
$131.9
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Financial performance snapshot – Long Term
Revenue FY24 Y-o-Y H1’25 Y-o-Y Adjusted EBITDA FY24 Y-o-Y H1’25 Y-o-Y Adjusted PAT FY24 Y-o-Y H1’25 Y-o-Y
(INR Million) 12.7% 15.3% (INR Million) 12.1% 12.8% (INR Million) 29.4% 15.1%
₹47,536
₹42,184
₹11,715 ₹5,896
₹10,449
₹4,556
₹25,484
₹22,102 ₹6,538
₹5,797 ₹2,678 ₹3,083
FY23 FY24 H1 FY24 H1 FY25 FY23 FY24 H1 FY24 H1 FY25 FY23 FY24 H1 FY24 H1 FY25
FY24 Y-o-Y H1’25 Y-o-Y Adjusted EBITDA FY24 Y-o-Y H1’25 Y-o-Y Adjusted PAT FY24 Y-o-Y H1’25 Y-o-Y
Revenue ($M)
10.5% 13.8% ($M) 10.0% 11.3% ($M) 26.9% 13.6%
$141.2 $71.1
$128.4
$572.9 $56.0
$518.2
$70.2 $78.1
$36.8
$267.6 $304.5 $32.4
FY23 FY24 H1 FY24 H1 FY25 FY23 FY24 H1 FY24 H1 FY25 FY23 FY24 H1 FY24 H1 FY25
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Financial Indicators
Adjusted EPS (in INR) Adjusted ROCE
1.38 1.43 47.0%
1.06 45.1%
41.6%
Net Debt
Cash Conversion (%)
113.8% ₹22,863 ₹21,678
101.1%
82.0% 87.2% 2.19x
68.2% 70.8% 1.85x
₹9,736
0.78x
OCF FCF Net Debt (INR million) Net Debt to Adjusted EBITDA
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 less current liabilities)
Net Debt is Borrowing plus lease liabilities less Cash and Cash equivalent. Borrowing doesn’t include accrued interest
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Q2 & H1 FY25 Consolidated Financials
Amt in INR M
Revenue from Operation 13,250 12,233 10,941 8.3% 21.1% 25,484 22,102 15.3%
Reported EBITDA 3,165 2,184 2,632 44.9% 20.3% 5,349 5,383 -0.6%
Adjusted EBITDA 3,378 3,160 2,763 6.9% 22.2% 6,538 5,797 12.8%
Profit Before Tax 1,604 710 434 125.9% 269.8% 2,314 1,053 119.8%
Reported Profit After Tax 1,173 223 350 426.3% 235.6% 1,396 775 80.3%
Adjusted PAT 1,636 1,447 1,254 13.1% 30.5% 3,083 2,678 15.1%
Adjusted EPS (Basic and Diluted) (Rs) 0.35 0.33 0.29 6.9% 19.5% 0.64 0.62 2.3%
* Financials for Q2FY25, H1’25 and H1’24 are unaudited. Financials for Q1’25 are audited
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Adjustments on EBITDA and PAT
Adj EBITDA Bridge: Q2 FY25 Adj EBITDA Bridge: H1 FY25
INR Million INR Million
Reported Adj A Adj B Adj C Adjusted Reported Adj A Adj B Adj C Adjusted
PAT PAT PAT PAT
Adj A - Earnouts under acquisition agreements and for PAT it is adjusted for tax
Adj B - Share based payment awards and for PAT it is adjusted for tax
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Adj C - Intangible assets Amortization is amortization of intangible assets acquired pursuant to business combinations and for PAT it is adjusted of tax
Go Forward Positions
* Numbers are based on the current visibility of management and are subject to change. Factors such as new loans, acquisitions, foreign exchange rate or changes in our share-based payment
award plan could impact the final figures
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Balance Sheet
Amt in INR Million
• Financials for Sept’24 are unaudited. Financials for Mar’24 are Audited
• Others in investing activities include Proceeds from sale of property, plant and equipment and other intangible assets and Proceeds from
maturity of derivative assets/liabilities, (net) and Interest received 20
Thank You