Key Financial Figures

Q2 FY27 Performance (Quarter Ended September 30, 2026)

  • Revenue: INR 20,321 million ($212.6 million), representing year-on-year growth of 22.5% in INR terms and 12.2% in constant currency.
  • Organic Revenue Growth (excluding CareSeed acquisition): 22.2% in INR terms and 11.9% in constant currency.
  • Adjusted EBITDA: INR 5,353 million ($56 million), growing 23% year-on-year with margin of 26.3%.
  • Adjusted PAT: INR 3,254 million ($34 million), up 8.1% year-on-year with margin of 16%.
  • Operating Cash Flow: INR 3,182 million
  • Free Cash Flow: INR 2,760 million
  • Days Sales Outstanding (DSO): Improved to 78 days from 80 days in Q1 FY27

H1 FY27 Performance (Half Year Ended September 30, 2026)

  • Revenue: INR 39,956 million ($420.4 million), representing year-on-year growth of 25% in INR terms and 13.7% in constant currency.
  • Adjusted EBITDA: INR 10,069 million ($105.9 million), growing 25.2% year-on-year with margin of 25.2%.
  • Adjusted PAT: INR 5,951 million ($62.6 million), growing 18.9% year-on-year with margin of 14.9%.
  • Operating Cash Flow: INR 6,343 million
  • Free Cash Flow: INR 5,176 million
  • OCF to Reported EBITDA Conversion: 64.9%

Trailing 12-Month Performance (Through September 2026)

  • Revenue: INR 79,910 million
  • Adjusted EBITDA: INR 20,229 million
  • Adjusted PAT: INR 12,250 million
  • Adjusted EPS: INR 2.62
  • Adjusted ROCE: 55.4%

Operational and Business Metrics

  • Employee Strength: 51,486 at end of Q2 FY27
  • Voluntary Attrition: Improved to 25.7% from 28.6% in Q1 FY27
  • Active Client Groups: 105
  • Revenue Mix: Payers 89.9%, Providers 10.1%
  • Deal ACV: Increased 18.2% year-on-year to $40.2 million
  • Deal Wins: Across 31 existing clients and 1 new client
  • Top Clients: All top 10 client groups now exceed $20 million in trailing 12-month revenue

Strategic Developments and Acquisitions

Chirok Health LLC Acquisition (Closed October 21, 2026)

  • Consideration: $20 million paid upfront, with potential earnout of up to $12.35 million subject to achievement of revenue targets over CY27 and CY28
  • Financials: Trailing 12-month revenue of $13 million with adjusted EBITDA margin of 35.8%
  • Net Revenue Retention Rate: Over 115%
  • Employees: 750+ employees, mostly in India with few in US
  • Business Focus: Specialized provider of clinical documentation improvement solutions, medical coding, risk adjustment, and HEDIS and quality services
  • Strategic Rationale: Complements Sagility's front-end and back-end revenue cycle offerings, enhancing end-to-end capability in RCM

CareSeed Acquisition

  • Now integrated into clinical practice
  • Strengthens healthcare quality capabilities, particularly in Medicare Advantage market

AI and Technology Initiatives

  • Progressing from narrow AI use cases to end-to-end workflow transformation using agentic AI
  • Key solutions: SmarTec Appeals Assist, Nurse Assist, Claims Assist
  • Implementing Synchrony Claims Lifecycle (agentic workflow for claims adjudication) and Synchrony RCM Lifecycle (agentic solution for denials management)
  • AI helping develop solutions faster and align with client priorities

Capital Allocation and Balance Sheet

  • Net Cash Position: INR 1,127 million as of September 2026 (improved from net debt of INR 1,962 million at FY26 end)
  • Interim Dividend: Board approved INR 0.15 per share to be paid in Q3
  • Debt Repayment: On track to fully repay outstanding debt during FY27
  • Fixed Asset Additions: INR 1,168 million in H1 FY27
  • Acquisition Spending: INR 1,338 million in H1 FY27

Cost Impacts

  • Statutory Wage Revisions: Q2 reflected full quarter impact of approximately INR 148 million compared to INR 70 million in Q1
  • Annual Compensation Increases: Implemented as planned

Guidance Update

  • Organic Revenue Growth: Maintaining low double-digit constant currency growth guidance for FY27
  • Adjusted EBITDA Margin: Raising guidance to 25-26% from previous 24-25%
  • AEP/Open Enrollment Impact: Expected to be slightly lower than last year (approximately 100 basis points lower than previous 6% of revenue)

External Recognition

  • Everest Group Elevate Honor for Voice of the Customer in Healthcare and Life Sciences Service Specialist
  • Avasant Leader in healthcare payer business process transformation
  • SmarTec Nurse Assist Solution won Stratus Awards for Cloud Computing
  • Ranked 57th in 100 Best Large Workplaces in Asia 2026 by Great Place to Work
  • Top 10 India's Best Places for Women in 2026
  • Great Place to Work certification for second consecutive year
  • Bronze Stevie Award for AI adoption with headcount growth in US
  • Golden Peacock Award for ESG