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INVENTURUS KNOWLEDGE SOLUTIONS LIMITED — Investor Presentation 2025
Jul 3, 2025
60278_rns_2025-07-03_77c23cf0-9b6a-4df8-a0ab-aee7a1008ed9.pdf
Investor Presentation
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July 3, 2025
BSE Limited
The Listing Department Phiroze Jeejeebhoy Towers 25[th] Floor, Dalal Street Fort, Mumbai 400 001 Maharashtra, India
National Stock Exchange of India Limited
The Listing Department Exchange Plaza, Plot No. C/1, G Block, Bandra Kurla Complex Bandra (East), Mumbai 400051 Maharashtra, India
BSE Scrip Code: 544309
NSE Symbol: IKS
Dear Sir/Ma’am,
Sub: Conference Call Presentation – “IKS - Partnership with and Investment in WWMG”
Pursuant to Regulation 30 of the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015, please find attached herewith Conference Call Presentation – “IKS - Partnership with and Investment in WWMG”.
The said presentation is also being uploaded on the website of the Company at the - https://ikshealth.com/investor relations/
Request you to take it on record and disseminate it on your website.
Thanking you.
Yours sincerely,
For Inventurus Knowledge Solutions Limited
Sameer Digitally signed by Sameer Shashikant Shashikant Chavan Date: 2025.07.03 Chavan 15:31:38 +05'30' Sameer Chavan Company Secretary and Compliance Officer Membership No. F7211
Encl: As above
IKS - Partnership with and Investment in WWMG
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Disclaimer
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This presentation may include opinions and assumptions about future performance which could be considered as forward-looking statements. Forward-looking statements intrinsically cover several risks and uncertainties, which may lead to a material difference between actual results and the statements themselves. Such statements comprise the company’s current visibility on market movements, client discussions, and related factors. Inventurus Knowledge Solutions Limited does not assume an obligation to update or revise any forward-looking statements.
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Physician groups are struggling with declining reimbursement trends
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RISING COST, DECLINING THE IMPACT IS ACROSS ALL
FFS REIMBURSEMENT SPECIALTIES
Anesthesiology, Cardiac Surgery,
MEDICARE Colorectal Surgery, Diagnostic testing
PHYSICIAN PAY 9.8% -3% to - 4% facilities, Emergency medicine,
Interventional radiology
GROWTH [1]
-2% to -3% Nuclear Medicine, Optometry, Oral Surgery,
Pathology, Physical & Occupational Therapy
PRACTICE
OPERATING COSTS 54% -1% to -2% Radiation Oncology, Family Medicine & Internal
INCREASE [2] Medicine, Hemato-Oncology
REIMBURSEMENT V. OPERATING EXPENSE ANNUALIZED IMPACT ON REIMBURSEMENT
GROWTH (2001 - 2024) ACROSS SPECIALTIES [3]
1. CMS DATA’ 3. HFMA - Medicare’s 2025 payment updates: Why hospitals
2. AMA s MEDICARE ECONOMIC INDEX (MEI) THAT
and physicians think the methodologies are fawed
MEASURES PRACTICE COST INFLATION 3
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With current solutions not delivering the right outcomes, the market is ready for a solution that works
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PHYSICIAN AGGREGATION MODELS HAVEN’T DELIVERED
VALUE-BASED CARE IS STRUGGLING
HEALTH IT COSTS WAY MORE THAN IT DELIVERS
% of Physicians employed by hospitals 69% / health systems or other corporate entities (2021)[1]
Impact of investment for physician aggregation on key indicators[2]
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Cost of Care
Utilization
Quality
Operating cost
1. ACQUISITIONS OF PHYSICIAN PRACTICES AND PHYSICIAN EMPLOYMENT, PHYSICIAN ADVOCACY INSTITUTE, 2021 2. EVALUATING TRENDS IN PRIVATE EQUITY OWNERSHIP AND IMPACTS ON HEALTH OUTCOMES, COSTS, AND QUALITY: SYSTEMATIC REVIEW, BMJ 2023
IMPACT ON REIMBURSEMENT IN MEDICARE ADVANTAGE 12 TO (MA) 18% WITH MOVE TO V.28 ACROSS 3 YEARS[3]
MA-FOCUSED FIRMS FILING BANKRUPTCY OR EXITING MA IN THE LAST 2 YEARS[4]
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3. IKS ANALYSIS
4. INDUSTRY NEWS
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Doesn’t have the desired impact 71% Executives haven’t seen cost reduction after deploying technology[5]
Restricted by fragmented tech Of Physicians feel they get critical or <50% timely information on their patients to make the right decisions[6] 5. CIRRUS MD SURVEY 6. HEALTHCARE FRAGMENTATION IS COSTING YOU: HERE'S HOW TO FIX IT
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Consolidation led by PE groups and hospitals hasn’t delivered the desired outcomes
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Often the approach has been focused on driving growth while overlooking holistic care, leading to continued high utilization and costs
Mostly focused on low-hanging fruit of better payer contracts or improved supplier / vendor costs
Lack of focus on true care transformation that can help lower cost, expand access and improve quality Limited clinician’s ability or agency and curtailed their earning potential
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IKS’ approach is different
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IKS is the right partner for Physician groups in driving better clinical, financial and operational outcomes
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REDUCTION IN OVERALL COST OF OPERATIONS
With a pragmatic combination of technology and globalized human capital that delivers significant
operating synergies and compounding value
ENABLING BETTER QUALITY OF CARE IMPROVED
With clinically rigorously tested solutions that improve capture of quality of care metrics reduce FINANCIAL
variation in care and drive more proactive chronic condition identification
OUTCOMES
With more efficient
FACILITATING EXPANDED CAPACITY & ACCESS operations, expanded
By eliminating administrative distractions; giving clinicians and clinic teams the tools and time to focus access and lower
on direct patient care total cost of care
REDUCING COST OF CARE
Through proactive management of chronic conditions with evidence-based disease management,
combined with risk stratification based on clinical disease progression
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This approach delivers tremendous value, the whole delivering more than the sum of its parts
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Value from components of When combined create While also delivering additive
platform… accretive synergies… compounding effect
Better
revenue
capture
8.9% 11.1% 11.7%
Improved
Reduced clinician
operating efficiency -
costs more visits
2.2% 0.6%
Accretive efficiency gains Additive compounding
through improving parts of effect as a result of
All numbers calculated as care delivery through IKS improved outcomes
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All numbers calculated as net EBITDA gain as % of revenue
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We are now making the leap from being a platform provider to a transformation partner
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IKS 2.0
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Building the platform
IKS is a high cash generating business With extremely positive unit economics and low SG&A costs
With a capital-light model Giving us the liberty to find different ways to deploy cash
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IKS 3.0
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Becoming a Transformation partner
WHY WE NEED EVOLUTION?
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Still perceived as an enabling solution, where features can be commoditized
Majority of burden to recognize ROI from the platform is still incumbent on the client
EHR vendors trying to exercise their leverage to prevent us from creating value
Limited debt and strong fundamentals
Gives us the ability to conservatively leverage our balance sheet and drive deeper alignment with customers
Demand in the market to create aligned incentives
Significantly increases our stickiness with customers and a platform install creates a moat that is harder to replicate
Offering:
A comprehensive solution that brings capital, capacity & capabilities and takes ownership of outcomes from organizational transformation
Differentiator / Moat:
Fully invested in client’s strategic transformation
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Engaging in 3 models of combining our capabilities with our capital to create deeper alignment with our customers
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LAUNCHING A JV TO DRIVE GROWTH IN VERTICAL MARKETS
UNDERWRITING PERFORMANCE OUTCOMES
INVESTING IN MEDICAL GROUP GROWTH
Level of capital requirement* LOW TO MODERATE
Level of capital requirement* MODERATE
Level of capital requirement* HIGHER
*For similar deal size, scope and revenue potential
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An investment in Western Washington Medical Group (WWMG) presents an opportunity to manifest IKS 3.0
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INVESTING IN MEDICAL GROUP GROWTH
WWMG as a multi-specialty group; presents an opportunity to invest in enabling Medical Group growth through the MSO
Level of capital requirement*
This would create a “proof-point” for the IKS 3.0 model where IKS can enable and participate in medical group growth
HIGHER
Jointly, the two teams can partner to enable WWMG to grow it’s physician base and to drive success in fee-for-service and value-based care
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Western Washington Medical Group at-a-glance
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$91M 30+ 31
Primary Care Providers
Annual patient revenue Years of Experience
(Including APPs)
90+ 20 40%
Clinicians Specialties Owned by physicians
49 6
Physicians are shareholders; Primary Care Locations $18.4M
reflective of a strong physician
owned, physician-led culture Pre-money Valuation of MSO
25
Total Medical Offices
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Through proven revenue enhancement solutions, cost reductions, clinician additions, and new VBC business, MSO EBITDA should increase substantially
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Revenue Upsides Cost Reduction Adding Clinicians Value Based Care Reduce leakages across the CBO solution reduces revenue IKS platform reduces the IKS platform helps the group take Revenue Cycle - 2% upside cycle costs - 30% to 40% administrative burden on on full-risk contracts, adding 124 clinicians, reduces clinician patients per PCP. Referral Management and Patient Virtual Clinical Assistant solution burnout, increases clinician Access solutions drive 1.5% to 2% reduces MA costs - 20% satisfaction, and reduces Increase RAF scores by 8%. more visits operating costs, allowing the Medical records cost reduction - medical group to hire better and Reduce Medical Cost Ratio (MCR) Clinical documentation increases 10% retain more clinicians. by 6%. productivity by 10% Virtual Clinical Assistant solution increases productivity by 1%
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Transaction Structure
37.4% Revenue Share
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100%
Shareholding
Shareholders/
Collections
Providers
52%
62.6% Shareholding
Revenue Share
MSO
48% shareholding
IKS will capture 48% of the value
from EBITDA improvement in the
MSO
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Transaction Structure - Genesis of the MSO
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Due to Corporate Practice of Medicine regulations in Washington, IKS cannot directly invest in WWMG
A Managed Services Organization (MSO) is being established to handle all non-clinical operations of WWMG
WWMG will split into a dual structure Professional Corporation (the Practice) for clinical staff and the MSO for non-clinical aspects.
The Practice will pay the MSO a management fee equal to 62.6% of collections for non-clinical services, retaining 37.4% for provider compensation
IKS will initially invest $17M into the MSO.The initial investment proceeds will be a low-interest, long-term loan from the MSO to WWMG to fund organic and inorganic growth in physicians
The MSO will oversee all non-clinical operations of WWMG, including revenue cycle management, clinical documentation, HR, IT, and finance. The Clinical operations will continue to reside within a separate Professional Corporation (the “Practice”), allowing for a clear separation of clinical and administrative functions.
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This is a strategic investment to elevate our market position, deepen our influence and drive future growth
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Positions IKS to lead strategic transformation amid evolving healthcare market dynamics
Advances IKS up the value chain, differentiating from commoditized point solution providers; and creates a path for unlimited capital light growth
Enables the creation of a sustainable model for Physician aggregation that delivers the quadruple aim
Leverages IKS’s strong fundamentals to deliver two pools of economic value
Creates a moat and sustained stickiness for our core Care Enablement Platform business model
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IKS is uniquely positioned to make a difference in the market this investment in WWMG is a great starting point
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1
The large, $1.5Tn physician market presents a significant untapped efficiency potential
2
Consolidation, led by Private Equity or Hospitals, has not meaningfully impacted cost of care, quality of care or margins for physician groups
3
IKS, with our proven Care Enablement Platform with broad capabilities, is uniquely positioned to unlock operational and financial synergies
4
This investment in the MSO creates 2 pools of economics for IKS - enables IKS to participate in the long-term value created in the medical group and the MSO; economics from the IKS platform enabling the MSO and WWMG
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Solid track record of Return on our Strategic Investments so far
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| Strategic Investments |
Status | Investment | Sale price/ Current Value |
Total ROE | Investment CAGR |
||
|---|---|---|---|---|---|---|---|
| Lightbeam Health | Invested | 100,000 | 1,300,000 | 1200% | 33% | ||
| Sift Medical Data Inc | Sold | 2,000,000 | 4,097,463 | 105% | 94% | ||
| Abridge AI Inc | Invested | 1,249,998 | 22,686,240 | 1715% | 325% | ||
| Abridge AI Inc | Sold | 3,750,002 | 14,092,144 | 276% | 255% | ||
| The current valuation of | securities is | an estimate derived from recent fundraising valuations |
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Join the Movement Grow, Scale, Thrive
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