Inventurus Knowledge Solutions Limited – Investor Presentation Summary

Key Operational Highlights

  • Total Addressable Market (TAM) of US$260bn with outsourced market of US$34bn (CY 2023)
  • TAM growth at 8% CAGR and outsourced market growth at 12% CAGR (2023-2028E)
  • 90%+ revenues from repeat customers
  • Top 10 clients average vintage: 5.99 years; Top 5 clients: 7.61 years (as of September 30, 2026)
  • Total employees: 16,318 globally
  • Technology focused employees: 750
  • Clinical employees: 2,226
  • Sales & marketing employees: 117
  • Women employees: 48%

Key drivers of operational performance: Acquisition and integration of TruBridge business, expansion of AI-driven platform capabilities, and new client acquisitions in healthcare RCM and data migration services.

Financial Highlights

Revenue: ₹15,925 million (Q2 FY27)

EBITDA: ₹4,415 million (28.8% margin)

Adjusted EBITDA (excluding ESOP): ₹4,591 million (28.8% margin)

PAT: ₹2,176 million (13.67% margin)

Adjusted PAT: ₹2,734 million (17.2% margin)

EPS: Not Specified

YoY/QoQ comparison: Revenue grew 103.9% YoY and 78.2% QoQ; Adjusted EBITDA grew 63.2% YoY and 45.0% QoQ; Adjusted PAT grew 36.0% YoY and 20.7% QoQ

Drivers of financial performance: Consolidation of TruBridge business (82 days in quarter), growth in core healthcare enablement services, and expansion of platform capabilities.

Key Risks: Forex volatility (₹86 million gain in Q2 FY27 vs ₹177 million gain in Q2 FY26), increased finance costs (₹1,019 million in Q2 FY27 vs ₹161 million in Q2 FY26), and integration costs from acquisition.

Geographical Revenue Split

Domestic vs Export/Regional Revenue: Not Specified

Regional Breakdown: Not Specified

Balance Sheet Snapshot

Net Debt/Equity: Not Specified

Reserves: Not Specified

Current Assets/Liabilities: Not Specified

Working Capital/Leverage Metrics: Not Specified

Financial Health Insights: Strong cash flow generation with operating cash flow of ₹3,054 million in Q2 FY27, though free cash flow was negative (₹-1,098 million) due to higher tax payments and acquisition-related expenses.

Capex & Cash Flow Health

Capital Expenditure: Not Specified

Free Cash Flow: ₹-1,098 million (Q2 FY27)

Operating Cash Flow: ₹3,054 million (Q2 FY27)

Net Debt Movement: Not Specified

Investment Rationale: Focus on AI platform development, integration of TruBridge operations, and expansion of healthcare enablement capabilities.

Strategic & R&D Initiatives

Investments in Innovation: Developing proprietary AI-driven System of Action with API integration, training proprietary SLM's with 5MM+ longitudinal records, building explainable AI workflows with human-in-the-loop capabilities.

Expected impact on growth: Platform aims to automate clinical and financial workflows, reduce administrative burden, and improve provider productivity across patient journey.

Strategic Rationale: Creating a comprehensive healthcare enablement platform that integrates System of Record (EHR) with System of Action through AI-native substrate, serving both large medical groups and rural/community health systems.

Industry Trends & Business Environment

Macro/Industry Trends: Healthcare providers seeking to optimize revenue cycle management, reduce administrative costs, and improve patient care coordination through technology-enabled solutions.

Impact on Company: Driving demand for IKS Health's comprehensive platform offering RCM, value-based care, patient access, and data migration services across different healthcare provider segments.

Management Commentary & Growth Outlook

Strategic Outlook: Focus on five strategic pillars: proprietary AI models, integrated systems for different market segments, growth through re-stratified levers, margin optimization through operating model transformation, and culture/leadership development.

FY Guidance: Not Specified

Market Share Targets: Not Specified

Risks and Opportunities: Continued integration of TruBridge operations, realization of operating and SG&A synergies, and migration from tech-led/HITL models to autonomous AI-driven workflows.

Additional Business Updates

Key deal wins include: Comprehensive RCM partnership with White-Wilson Medical Center (Florida); Expanded relationship with Augusta Health for EHR data migration and RCM support; End-to-end RCM services with Evolve Orthopedic Partners (New York); Strategic data migration partnership with Central MA's largest not-for-profit system; TruBridge EHR implementation with MISH Hospital (Kansas).