Ladies and gentlemen, good day and welcome to the Indegene Limited Q1 and FY 2025 Earnings Conference Call. As a reminder, all participant lines will be in listen-only mode, and there will be an opportunity for you to ask questions after the presentation concludes. Should you need assistance during the conference call, please signal an operator by pressing star, then zero on your touch-tone phone. Please note that this conference is being recorded. I now hand the conference over to Mr. Abhishek. Thank you, and over to you, sir.
Thank you, Sejal. A very good morning to all of you, and thank you for joining us today for Indegene's Earnings Conference Call for the first quarter-ending financial year 2025. Today, we have with us Mr. Manish Gupta, Indegene's Chairman and CEO, and Suhas Prabhu, CFO, to share the highlights of the business and financials for the quarter. I hope you've gone through our results release and the quarterly investor presentation, which have been uploaded on our website, as well as the stock exchange website. The transcript of this call will be available in a week's time on the company's website.
Please note that today's discussion may be forward-looking in nature and must be viewed in relation to the risks pertaining to our business. After the end of this call, in case you have any further questions, please feel free to reach out to the investor relations team. I now hand over the call to Manish to make his opening remarks.
Thank you, Abhishek. Good morning, everyone, and thank you so much for joining this call this morning. In our last earnings call, I had mentioned that Indegene is a fairly unique company, unique definitely in the Indian context, and I can confidently say there's no one like us in the market. It's something I'm going to double-click on later again. Our thesis, when we started 25 years back, was that by bringing deep medical expertise and healthcare expertise, along with deep technology expertise, we can solve various problems in the healthcare industry. That remains our thesis today also. We are known in the market as a digital-first commercialization partner to the global life science industry. Now, after the last earnings call, we met a lot of you. We got a bunch of questions, and we also had suggestions. A big thank you to all of you for the same.
Based on the questions and suggestions we got from all of you, here is what I plan to do in my commentary today. First is a double-click on growth drivers. And so I'm going to spend some time talking about those, also describe the nature of our company a bit more, and of course, our Q1 results. So let's start and straight away dive into the growth drivers. Let me start off again with what I had shared in the last call, which is more macro. The global life science industry is north of $1.8 trillion in size. The operation spends in the areas that are addressable to us, as were highlighted in our RHP and presentation, which we uploaded, is more than $135 billion. Now, you might have seen a number of 156.
What we have done is taken out $21 billion, which are essentially the spend on manufacturing, which is not really addressable to us. Now, out of these spends, sales and marketing, where we have our largest footprint, contributes to 40% of the spend. Spending in all the areas we operate in, which is essentially regulatory and medical affairs, your sales and marketing, pharmacovigilance, are increasing at a rate of 6%-7% annually. Outsourcing is growing much faster, around 9%-14%, depending on the segments I just alluded to. Outsourcing on the sales and marketing side is on the higher side. Apart from the increase in spend and outsourcing, there's also a shift to digital, which we, again, had alluded to in our last call and many of the discussions before that.
More and more from the traditional channels of reps or more people-oriented ways of doing things, there's a shift to digital and AI way of doing things, which increases and continues to increase our addressable market. If you think about it, global life science companies spend more than 25% of their revenues on average on SG&A. And by the way, in the SG&A line item, sales and marketing is the predominant spend. More than half of the top 30 pharma companies are spending more than 25% in SG&A. They also spend approximately 15% on R&D. So if you think about the SG&A and R&D spend together, it's around 40%. All this presents an opportunity to use digital solutions to drive better physician and patient engagement at reduced cost by deploying digital rather than physical channels or having an omnichannel approach to engagement rather than some of the traditional channels.
Given that we are a relatively small company in a very large market, when we plan our execution, this large market opportunity which I just spoke about, of course, gives us comfort. But when we plan our execution on the ground, that is planned from the perspective of clients, accounts, customer segments. When I say customer segments, I'm talking about top big pharma, big top 20 pharma, mid-size pharma, biotech, and devices. Our business segments become important because they represent different buying groups and different capability sets in our client organizations. Now, when I speak about growth from a granular perspective, the way we think about it, for simplicity, today, I'm going to just focus on one customer segment, the top 20 pharma companies. That's an important segment because top 20 pharma companies constitute approximately two-thirds or 66% of the global life sciences revenues.
And for Indegene, also, 68% of our revenues comes from these top 20 pharma companies. So if you think about it, again, we are pretty much mirroring the global pharma industry. And even the last call, I had spoken about how 65% of our revenue is coming from Europe, which is very close to the industry spends and split globally. From 65% from U.S., 32% from Europe, that was our spend. And that's broadly how the spend is distributed globally. Now, again, let me go down some of the facts. We report the following numbers and facts. We work with all top 20 global pharma companies. We have 65 active clients, which are a bit more than what we had reported in the last quarter. We have 36 clients more than $1 million in revenue, again, a tad higher than what we had reported last quarter.
Now, if you double-click a bit more on this, our largest client today is around $42 million. We have two more clients that are more than $25 million in revenue. All three of them, the $42 million and these two other companies, are top three pharma companies. All these companies, we believe, have headroom to grow to $75 million-$100 million in the medium to long term. In our top 20 clients right now, Indegene's top 20 clients, 14 are top 20 pharma companies. So you think about those three, which I just spoke about, which are more than $25 million. There are another five top 20 pharma companies where we have revenues in the $10-$25 million range, which makes it 18 or eight companies.
There are another 10 companies with revenues in the range of $1 million-$10 million, and two of them are less than $1 million. So we are talking about 12 companies of the top 20 pharma companies where revenues are less than $10 million. On one hand, we have a largest client being at $42 million and headroom to become a $100 million account. And on the other hand, you have 12 of the top 20 pharma companies being less than $10 million revenue. Now, this essentially means that just with these 20 customers or 20 clients of ours, we can continue to be quite busy for a pretty long period of time growing these clients.
In the medium term, we believe we can move many of our clients that are in the $1 million-$10 million range or $10 million-$25 million range to be more than $25 million, and the slightly larger ones into more than $50 million in the medium term. If I talk about the medium to long term, to that $75 million-$100 million range which I alluded to earlier. Today, in many of our top 20 clients, we are having some very interesting conversations and pursuing some very interesting opportunities where we have the potential to partner with these companies at the next level of their either consolidation and execution of some of their more upstream marketing and medical activities or increase their digital footprint in a significant way for brands across their life cycle. So that's on the top 20 pharma companies.
Beyond that, we also continue to get more and more traction in the mid-size biopharmaceutical companies. Now, the mid-size we'll define as, let's call it 20-100. Six of these anyway are top 20 clients. This is a very dynamic segment where we continue to invest. These companies view us as end-to-end partners. Towards the end of Q1, we close some interesting deals again with this segment, which I'll allude to later in the discussion. Now, having spoke about opportunities in some of our from a client perspective, let me delve deeper into the segmental view of things. If we dive into our top 20 clients, a significant percentage of revenues comes from Enterprise Commercial segment, indicating a potential for further expansion into other segments like Enterprise Medical. Enterprise Medical itself, the operational spends are approximately $40 billion.
This essentially includes the regulatory and medical affairs and the safety and pharmacovigilance segment, which have been called out in our DRHP earlier. In the Enterprise Medical segment today, we have two clients that are more than $10 million. There are 14 clients in the $1 million-$10 million category, which means of the 36 $1 million-plus clients, which I spoke about earlier and we report in our KPIs, only 16 significant clients are in the Enterprise Medical segment. That presents an opportunity to expand not only 16 clients, but also expand our Enterprise Medical capabilities and offerings to the remaining 20 clients who are sub-$1 million or not even present today. Now, that's one segment. Now, if you look at omnichannel orchestration, which is our third segment, we again have two clients that are more than $10 million.
Outside of that, we have another three clients that are in the $1 million-$10 million range, which essentially means that, again, out of our top 36 clients who are more than $1 million in revenue, our omnichannel orchestration footprint is in five, again presenting the headroom to expand into this segment over the medium to long term. Outside of this, clinical is a very large spend with outsourcing in excess of $50 billion per annum. Our foray here is nascent. Given the impact of technology and pressure of regulation, especially IRA, we believe it presents a large and interesting opportunity for us, and we continue to invest in this. Given our presence across the commercialization value chain, we have poised to increase penetration with each of the accounts by leveraging cross-sell potential. We have seen our land and expand strategy yield results consistently in the past.
So that's a broad kind of a breakdown from ground up. Now, again, let me come back to some of the macro part of the industry. We have spoken about some of this in the last call, but I would like to reiterate that despite facing a challenging last year, which is calendar year 2023, with the top pharma companies seeing a downturn of or a negative growth rate or degrowth of 7.1% for these top 20 pharma companies, the outlook for the industry remains positive now. 2024 is anticipated to be a year of growth, though a modest one, setting the stage for recovering to 2022 levels for the industry. However, by FY 2028, which is essentially FY 2025 to FY 2028, the industry is expected to grow at a CAGR of 5%-8%.
This higher growth rate and the bump in growth rate is mainly attributed to upsurge in drug launches, which is always favorable to outsourcing opportunities. We are well positioned to capitalize on this expansion to increase penetration and market share. Now, that's broadly about the industry. Some of it is what we had spoken about last time. Let me come back to talking about the uniqueness of our company. We are neither a traditional IT company nor a BPO company. We operate in crucial business segments within the life science domain, leveraging our expertise in medical, commercial, and technology areas. We're likely to be one of the first business services companies from India doing this, focused on a very large, specialized, and important industry, helping to solve for problems of future of sales and marketing for the life science industry, which essentially means how do they engage?
How does this industry engage with their end customers, which are physicians, patients, and payers? How to drive better regulatory medical compliance far more efficiently and effectively, and also reducing the time taken for cost involved? These are very important and significant problems the industry is dealing with, and we are helping them get much more effective and efficient in some of these areas. In our business, our engagements with our clients is for work which is of very critical nature and involves a business transformation in some of these very mission-critical and business-critical areas at the end of for the clients. Clients take some time in the initial phases to get their act right and, of course, in our partnership. But once that is set, we see rapid scaling, and that's been the trend in the past.
Now, in that context, we remain bullish about our mid to long-term growth prospects, given the opportunity size I just alluded to and our unique positioning in this industry. We continue to remain committed to executing with a mid to long-term focus aligned with the nature of our industry and business. Again, as I had spoken about in the last earnings call, there will be quarters and years of high growth. There will be quarters and years of low growth, but growth will nevertheless continue to grow. Over a three to five year period, we believe we're going to be a much larger company. And now, in that context, we would believe it's going to be much more appropriate to evaluate our performance over the medium term, let's say, all three years or at least annually, rather than on a quarterly basis.
To support our growth in the medium to long term and the large opportunity size we spoke about earlier, we continue to invest in enhancing our go-to-market capabilities, continue to invest in specialized domain expertise, therapeutic expertise, area expertise in areas such as sales and marketing or pharma commercialization, regulatory affairs, clinical operations, medical affairs, and in developing advanced technology tools and platforms, many of which incorporate GenAI. Now, coming to our results for Q1, we recorded revenues of INR 65 million, which is an 11.4% growth vis-à-vis Q1 last year. Our EBITDA is INR 1.328 million, which is a higher 14.5% growth compared to last year Q1. Our PAT for the quarter is INR 877 million, which is 28.4% higher than Q1 last year. We have fully paid off our loan of $48 million, which was one of the objects of capital raised from the IPO.
This was the largest component of the fund raised from the IPO, and that has been consummated now. From a quarter-on-quarter perspective, the performance will appear a bit underwhelming. However, we continue to remain bullish about growth in the medium term, given not only the market opportunity I just explained, but also some of the market engagement we see right now, which I'll talk about in a bit. But before that, let's just talk about the current quarter. We had a few headwinds from a growth standpoint. One of our top five clients, which faced certain challenges in 2023, continues to make effort in overcoming these challenges, impacting our revenues from the client adversely. We believe, from all the conversations we have with this client, given that we are deeply embedded, this should stabilize and get better towards the end of the calendar year.
On top of that, we had another of our top five clients undergoing restructuring and re-engineering of some of their processes, which impacted us adversely in Q1. We again understand from our conversation with them this is a near-term issue, which is unlikely to continue for more than a few months, and some activity and spend levels are anticipated to back to earlier levels in H2. Now, coming back to medium term, compared to last year, same time, pipeline is much healthier than it was. Quality of conversations with clients much better and much more strategic in nature, which gives us confidence about driving robust growth in the medium term. Towards the end of Q1, we had four strategic wins from mid-size pharma, which provide an impetus for growth in the coming quarter. These are very interesting deals.
We also have some very interesting deals shaping up, which will provide an impetus for growth in the coming quarters. Most of these deals and opportunities are with top 20 pharma companies, where they are looking at the next level of consolidation and aggregation of some of the upstream marketing and medical activities. I spoke about that earlier. And we believe they will get initiated in our H2 as companies start budgeting for these at enhanced scale in the next calendar year, and hence would reflect starting our Q4. With these promising developments, we remain confident of steady growth in FY 2025 and, as mentioned earlier above, in the medium term. With this, I'll pass on the mic to Suhas for more details on the financial performance. Suhas, on to you.
Thank you, Manish. Once again, a very good morning to everyone, and we appreciate your participation on this call today. Let me start by getting into the details of the financial performance for the quarter, more particularly the margins. An important thing to note, we have made a change in the way we report EBITDA versus what we have been doing in the past by excluding interest income. This is relevant as we have more cash on the balance sheet, understandably with the INR 7,600 million of IPO proceeds coming in, which are invested in interest-bearing instruments. Hence, excluding interest income from EBITDA would be a better representation of the operating performance of the business.
This change is also based on the feedback from many of you that we interacted with over the past couple of months and is consistent in the manner EBITDA is computed and disclosed by other companies.
Exclusion of interest income from EBITDA would result in reduction of margin by approximately 150 bps- 250 bps in each of the quarters of the past period against what we had reported. I would also request you all to refer to slide 12 of the investor presentation that has been filed with the exchanges and is also available on our website for the revised EBITDA workings for the past years and quarters. Going forward, this is the manner in which we would continue to report EBITDA. As Manish already mentioned, our revenue in Q1 is INR 6,765 million, which is an 11.4% year-on-year growth and a 0.5% quarter-on-quarter growth. Our margins came in stronger with EBITDA of INR 1,003.28 million at a 19.6% rate versus 19.1% in the corresponding quarter last year.
This 50 bps increase in EBITDA, combined with the interest income increase from the higher investable cash on the balance sheet and the lower depreciation amortization rate, has further positively impacted our earnings, with the PAT margin coming at 13% versus 11.3% in the corresponding quarter last year. Therefore, PAT of INR 877 million is a growth of 28.3% year-on-year. Manish already alluded to the impact on the sequential revenue growth, with a couple of our top five clients having internal restructuring and other related issues impacting our revenue in our quarter one of the current fiscal. This also impacted the margins as we continue to maintain capacity for higher volumes from these clients. Hence, our sequential EBITDA margin contracted by 230 bps to 19.6% versus 21.9% in Q4 of last year.
As these volumes from these clients ramp up in future, we expect this to get corrected. Further, we continue to strengthen our technology and automation initiatives, which we believe will also have a positive impact on the margin in the future. We anticipate that the EBITDA margin would have a similar trajectory as the past fiscal year, with a stronger H2 compared to H1, with the rate for the full year and even beyond being in the early 20s. We are now a zero-debt company, and the resultant zero-interest cost impacts PAT favorably going forward by approximately 100 bps. To sum up on the margins, our focus on maintaining and growing EBITDA margin continues, and with the imminent interest cost reduction going forward, the PBT and PAT margin should also get impacted positively.
Finally, our return on equity post the primary raise in the IPO continues to be in the 20s at a healthy 21%, and return on capital employed net of cash is a very healthy 48%. With that, let me take a pause and move on to the questions that either me or Manish can answer for all of you.
Cyril, can we open for Q&A?
Sure, sir. Thank you very much. We will now begin the question and answer session. Anyone who wishes to ask a question may press star and one on their touch-tone telephone. If you wish to remove yourself from the question queue, you may press star and two. Participants are requested to use handsets while asking a question. Ladies and gentlemen, we will wait for a moment while the question queue assembles. The first question is from the line of Abhishek Bhandari from Nomura. Please go ahead.
Yeah, thank you for the opportunity. Manish, thank you for the very detailed opening remarks where you spoke in detail about your top accounts and your ambition in the medium to long term. I have one question over there. If you could share, what are the timelines you're looking to grow from this 40 to 100 on your top and the next two from 25 to 100? And in the context of what happened in the history, how long did it take you to scale up these accounts? How do you go about it in terms of cross-selling? And what are the key impediments in achieving that? The place where I'm asking you from is, while we look at the time, it all looks very strong.
But the growth rates what we currently have are just around maybe around 10%-11% year-on-year, while the numbers you're talking about are much, much higher. So if you could give some path over there, that would be helpful.
Sure. So thank you for the question, Abhishek. Now, it's very difficult to call out exactly how many quarters because, as you could imagine, we are talking about 68% of our revenues coming from the top 20 pharma companies, and they have their own pace of doing things. Now, in the past, again, I had spoken about in the last call that if you take a decadal view, right, we had grown in the order of 24%-25%. Now, of course, that was a smaller base. And in the past, also, we have seen that customers would continue to be at a certain level, probably go up, right? Once in a while, a little bit of they can be a bit down, right? We don't see significant downturns.
And then, as soon as they get one of their activities together, right, which is more of an internal transformation, we see a big surge happening, right? And we believe some of that will continue to play out. Now, to get more specific, as I had mentioned in the commentary earlier, today we are seeing a much stronger pipeline, right? In general, if I look at the numbers, including even the Q1 closed deals, the quality of conversations and opportunities we are pursuing are very strategic in nature. We have spoken about how we drive consolidation across a set of marketing activities.
And I remember meeting many of you and saying, "If you think about one to 10 processes, right, we would be doing, let's say, five to eight, five to nine for our customers." Now, for the first time in so many years, now we are also seeing customers talk about processes three, four, which are much more upstream. And the reason they are doing it is that they are gearing up for new launches as have never happened before, right? And they are seeing that, "How can I get more and more budgets lined up for those new launches?" So some of the pause which is happening is also happening because companies are right now trying to get prepared for the imminent launches over the next few years, right, and rejigging their internal processes.
So in that context, I would say that we expect some of these bump-ups to happen over the medium term. Suhas, you want to add on something?
Yeah. And also, just to probably add there, with some of the larger pharma companies, we also see that the decision-making gets pushed towards the end of the calendar year, which is also a reflection of their planning cycles, which are January to December. And as Manish mentioned, we see typical ramp-ups take about four to six quarters post initiation of new engagement or expansion in the engagement.
Got it. Thank you. So Manish, this was my second and last question. Sorry if I missed it in your opening remark. But if you look at your top five, top 10 account portfolio, top account has done well, whereas the remaining top two to five, or call it two to 10, there is a structural weakness. I think you mentioned that you have some confidence on those growth recovery paths. If you could tell us what kind of projects are these and by when do you think the ramp-up of these will happen in the course of fiscal 2025?
So it's going to be very client-specific, Abhishek. As you said, our largest client is growing, and there's a very strong pipeline even after this growth. The remaining two in the top 25, that's where some of the weakness in the quarter one came in.
One of them, we believe, was a very short-term thing, which is where I said we should believe it should get corrected in a few months. The other company is going through a bit of a churn, so that might take a few quarters, right? Now, if I think about other customers between, let's call it, outside of these three customers, in general, apart from one or two companies which are facing their own challenges, right, they're missing their earning guideline thing and hence restructuring, reorg, and all this stuff, across the board, we see a much stronger pipeline, right? And we are reasonably confident that, again, in the next few quarters, we should start seeing a lot of these companies ramp up.
The whole pyramid of number of customers above $25 million, 10-25 number of million-dollar customers, we believe over the next, let's call it, 18-24 months, we should be in a much better shape from a KPI perspective.
Got it. Thank you, Manish. Thank you, Suhas, and all the best for fiscal 2025.
Thank you, Abhishek.
Thank you. A reminder to all the participants that you may press star and one to ask a question. The next question is from the line of Karan Surana from Monarch Networth Capital. Please go ahead.
Hello, good morning, sir. Thank you for your opening remarks. Am I audible?
Yes, sir.
Yes, you are.
Yes, sir. Sir, I just want to probe a little bit on the demand environment. You said that we've seen some softness in the last couple of quarters, right? So when you're having conversations with them, what conversations are you having on the spend with the top clients? Because as we see on your slide 18, sir, our client three and four, like you already alluded, did see significant rundowns, right? Our client three went from $35 million to $29 million in FY2024, right? So can you just help us understand the spending environment with these clients and what transpired us to see this rundown post three years of very strong growth in these accounts?
Yes. So this is one customer which has its own issues, right? In this customer also, I think we would have alluded that at least in FY 2021 and even FY 2022, we had some bit of COVID-related revenues as well, right? Actually, FY 2022 and FY 2023, there was some bit of COVID-related revenues. Those are one-offs, right, which had to go, and we were very clear of that. We stated that earlier. So that's one impact. Subsequent to that, this is a customer which is going through significant churn, and that's the customer I alluded to in the earlier question, which we believe it's going to take a few more quarters probably for them to stabilize and then for things to pick up. They have their own revenue issues, big client reorganizations, and things like that. Suhas, you want to add on anything?
Yeah. And having said that, Karan, we continue to engage with them on looking at how to shape their commercial activities as they come out of their internal reorg and other priorities in the near future. And we are deeply engaged on being the digital partner for this client. And of course, the priority today for the client is to get their act together, and then we see that opportunity likely to move forward.
Again, I want to just double-click on and probably reiterate some of the stuff which I mentioned earlier. Across these clients and in these top three, right, and many more clients across the board, today we are seeing that after having gone through, let's call it, a wave one of consolidation in digital activities, they are now gearing up for wave two, right, and thinking about reorganizing to drive consolidation across those sets of activities. We believe we are very well positioned to help them do that.
Got it, sir. So, sir, since our Q1 was kind of flat QoQ, for us to kind of replicate last year's growth, the ask rate from Q2 to Q4 on a CAGR was quite high. So just to kind of understand, is it naturally that our Q1 is usually soft and our growth picks up in the later half of the year, or what makes us feel confident that at least we can replicate last year's growth rate, or we might see this year our year-on-year growth on a full-year basis might be a little bit lower than FY 2024? So just getting some sense of post Q1, what could transpire from Q2 to Q4?
I'll let Suhas double-click on some of the things. But again, as I had alluded earlier, that our pipeline, deal closures in Q1, and the quality of opportunities we are pursuing at reasonable stages are much more healthier than what we had in Q1 last year. Q1 last calendar year was a tough year for pharma in general, right? And companies were dealing with that. There was a year of slow growth. It was a year, actually, degrowth for the pharma industry. It was a year of IRA being introduced as a regulation. And I think everybody now realizes what the external landscape is, and things are looking better for them. And from a metric perspective, pipeline deals, all the stuff is much healthier for us. And that's what makes us confident about this year as well. But Suhas, I'll pass it on to you for more details.
Yes. Karan, Manish already mentioned in his opening remarks about four opportunities that got converted, and this is what we are looking forward to from a future perspective, given that those have already been bagged by Indegene. Of course, the pipeline and the kind of conversations, the quality of the conversations that we are having, we see that impacting us positively. The other thing that I would like to also highlight is that while our top five client concentration, if you look at, got impacted adversely, actually, when you extend that to top 20, you'll see that that has not been impacted as adversely, which indicates that there is growth in the rest of the clients in our top 20.
So it's business as usual in many of our accounts, more specifically outside of the two that Manish mentioned. That also gives a fair indication of why we continue to remain bullish on our current year and beyond.
Sir, just to probe a little bit, however, it's encouraging that the deal pipeline or the pipeline that you guys are seeing is very strong. But just from a CAGR basis, I just didn't really get a sense whether we feel confident that in the 2H or post Q2 that our growth trajectory could replicate last year's or we could even do better than last year's.
Again, Karan, I would say we have demonstrated in the past an ability to grow at significant rates, whether you look at it on a yearly basis or even on a medium-term basis. We therefore continue to emphasize that it's something that we have done in the past. Given the quality of conversations, pipeline, and even deal closures that we are seeing, we remain bullish about the current year and future.
Okay, sir. Just squeezing in last one, sir.
I'll interrupt you, sir. May I request you to rejoin the queue for your follow-up question?
Okay. Okay. I'll rejoin the queue.
Thank you. Thank you. The next question is from the line of Abhishek Kumar from JM Financial. Please go ahead.
Yeah. Hi. Good morning. Thanks for taking my question. First, when I see the segmental performance this quarter.
Sorry to interrupt you, sir. May I request you to please use your hand, sir?
Yeah. Sure. One moment. Hi. Is this better?
Yes, sir. Much better.
Yeah. So my question is, if I look at the segmental performance on a sequential basis, apart from Enterprise Medical Solutions, which has grown by 17%, every other segment has declined. I was just curious if Enterprise Medical Solution has any contribution from Trilogy acquisition, which we closed towards the end of Q4.
Yeah. So thanks, Abhishek. So from a segmental performance perspective, yes, Trilogy has contributed to the, because Trilogy, being a regulatory writing business, rolls up into our medical segment. But having said that, it's a very non-material acquisition. And the two client engagements that Manish spoke about, where we had a decline in volumes, has adversely impacted the commercial segment, more specifically the Enterprise Commercial segment. And that showcases the decline quarter-on-quarter in the commercial segment. The other two segments, again, while it shows a decline, it's also on a very small base where we also have project-by-project kind of business being a little more significant than the two enterprise segments, which contribute 82%-83% of our revenues. And therefore, on a quarter basis, there might be some impact, sometimes positive, negative. But I wouldn't read too much into that.
The recurring business and the longer-run business proportions are higher in the Enterprise segments, which is Enterprise Commercial and Enterprise Medical. Your observation on Trilogy is accurate, but it's not a material contribute.
Sure. Next question, maybe to Manish. See, from what I understand, the work we do is a very non-discretionary sort of work, something which pharmacovigilance or even SNM for drugs, which are already in the market, they are very critical for all the pharma companies for their operation. So in that context, such sharp decline by few clients, what are they cutting? I mean, because if this is non-discretionary important, is this kind of rate cuts that we are seeing or some closures of the program? Just explain what kind of impact we are seeing in terms of our engagements with them.
So let me, and that's a good question, Abhishek. And if I explain client by client, right, one of our clients where I said they face problems in 2023 and continue to face problems, it's going to take some time. There, they're having a combination of a few things. One is, in general, given the pressure they have on their financials across the board, cuts, right, and significant reorganizations, which has resulted in general volumes dipping, right? So there are many things contributing to this client. Whereas the other one where we said it's a monthly, it looks like that it's a very temporary thing. There is a model shift. What happens is a lot of our business, at least in the Enterprise Commercial segment, as I explained to many of you, that there were agencies across the world doing work for them for the brand teams.
Now, they consolidated these activities, right, and said some of these activities will be done in a centralized way, get executed by Indegene. Now, in some reorgs and all that stuff which has happened for this client, there has been leakage, and local markets go on ahead and spend more on their own, right, which is not a traditional thing. And of course, this company is committed to more centralized ways of doing things, is not only strengthening that again, right, plugging the leakages, but also saying there are a bunch of other things which we had left to the markets will also be centralized globally. And that's a thing which hit. Activities continued, of course.
All right. And this is the client where you think in a couple of months, things can come?
Yeah. Absolutely. Yeah.
Yeah. Absolutely. Yeah. Okay. Great. Great. That's very helpful. Thank you and all the best.
Thank you. Ladies and gentlemen, in order to ensure that the management is able to address questions from all the participants, please limit your question to two per participant. If you have a follow-up question, I request you to rejoin the queue. The next question is from the line of V.P. Rajesh from Banyan Capital. Please go ahead.
Hi. Thanks for the opportunity. Just trying to understand your pricing model.
Sorry to interrupt you, sir.
It's a little complicated.
May I request you to please use your handset, sir?
Yeah. Is it better now?
No, sir. Can you come nearer to the mic and speak?
Yeah. I am close to the mic right now. So can you hear me okay now?
Yeah. We are okay. We can get the question, please.
Awesome.
Yeah. So my question was, I'm new to the company, so I'm just trying to understand your pricing model. Are you selling a product where you have a SaaS model, or is it typical IT service type of model? Just if you can comment on that.
Suhas. Yeah. Thanks, Rajesh. So we are not a SaaS product, or our engagement models are not similar to the SaaS and subscription or licensing kind of companies. It would be closer to the IT services kind of model with a bit of nuance. We typically engage with our customers on multi-year framework agreements or master service agreements with the rates contracted for the entire tenor. This could be two years, three years, even five year tenors. The rate cards tend to be a combination of both time and material or FTE kind of billing, and therefore per hour or per day or per month kind of rates, but also a set of predefined deliverables wherein there is a unit price which is already defined. And even these could be having multi-level complexities or tiering, right?
And therefore, when we design an SOW, which is typically on an annual basis, where these rates and the volumes that are estimated get aggregated and converted into a value, there is a combination of time and material and fixed price construct in the SOW when we contract. And this is typical for both Enterprise Commercial and Enterprise Medical, which is about 82%-83% of our business. So that's our typical engagement and pricing model.
Great. Appreciate that. And my second question is that given what we are seeing in the U.S. market, there could be a potential recession or definitely a slowdown that the market is anticipating over there. So in that context, as you know, it pans out. How do you see the sales and marketing piece of the business that you talked about getting impacted, meaning your customers, which are the top pharma companies, especially your top clients, pulling back on some of that spend? So any thoughts on how are you thinking about that?
So from our perspective, and I think I've alluded to that in the last call, Sales, we don't see healthcare and definitely pharma sector being correlated to economic cycles, right? This is a sector which is much more resilient, right, compared to other sectors in a downturn. This sector has its own innovation cycles, right? There are a bunch, for example, I spoke about a bunch of launches which are coming up, and hence growth will be stronger. Sometimes we have a bunch of patent expiries, right, which could cause slowness. Or like last year, what happened was a bit of a decline. But those declines are, by the way, really once in a while. 2023, they happened.
Before that, they had happened in 2012 or so, right? Typically, it's a long secular growth followed by one year of patent expiries coming together and impacting things. But it's reasonably immune or resilient vis-à-vis economic cycles.
Okay. Thank you. That's all for now.
Thank you. The next question is from the line of Rohan Vora from Envision Capital. Please go ahead.
Hi. Thank you for the opportunity. Am I audible?
Yes, you are.
Yeah. So first question was on the competitive landscape that you see today. So basically, as I understand, we also compete with the IT companies of the world in some part of the business. And with the advancement of AI, they are offerings on AI to the clients. How do you see that shaping up? Also, another aspect of this is that the pharma companies' own AI advancements impacting the business that we can garner from them. So how do you see that shaping up is the first question. And then probably I can ask the second one.
Sure. So before I—I think I would again want to reiterate, we are a very different company. You got to not think about us as an IT services company. We are a business services company. We are helping pharma companies do sales and marketing more effectively, managing their regulatory compliances more effectively, right, or helping in clinical trials. It's an area which we continue to invest in. These are super critical areas, business areas. 21% of our people are medical doctors, PhDs, pharmacologists, right, working with data engineers, data scientists on one hand, omnichannel orchestrators, digital experts, right, therapeutic area experts, oncology experts, a bunch of those kind of profiles on the other hand. As you can imagine, that's a very different profile set from any of the IT services companies.
Now, coming back from a competitive landscape perspective, the few large categories or the incumbents in this space servicing the areas I spoke about are: one is CROs, right, the clinical research companies, especially on the medical side of the business. There are agencies, specialized healthcare agencies, and what is called contract sales organizations, right, servicing the remaining two segments, right, which is Enterprise Commercial and Omnichannel Activation. Those are the incumbents. Significant market share still remains with them. And as a factor of more and more shift towards digital, shift towards centralization driven by the needs of better compliance, better cost, and obviously doing digital in a much more effective way, right, a company like us has the right to exist and win. Now, so to that extent, those are the competitive sets.
Now, of course, we see IT companies playing in some of these things, right, and not so many—not so much Indian IT companies, but I would say some of the global ones, which are more credible. Outside of that, as far as AI is concerned, our strategy as Indegene in many of the areas for a long period of time has been bringing expertise, specialized expertise in various areas and technology tools and platforms to deliver better outcomes. We started investing in these AI-based tools way back in 2016, 2017, when GenAI was not launched, but we were using traditional machine learning, computer vision, NLP type of technologies and techniques to build tools which are delivering differentiated outcomes. That enabled us to grow and win much more, right?
Now, with GenAI coming in, we see that as an opportunity that a lot of processes which are being done in a traditional way, the level of accuracy and the benefit which can be driven by incorporating GenAI in the solutions becomes much more. So net-net, we believe in the medium to long term that's going to be an opportunity for us.
Got it. And on the other piece about companies doing it themselves, basically, so reducing our share in the wallet, does that worry you?
Not really. So some of the things which we do, especially specialize in, these are very complex, multi-skills, multi-geography, right, type of engagements, right? We will have people sitting in Bangalore, and those are not going to be one set of skill sets. They will be digital experts. They will be technology experts. They'll be content experts, right? And just think about multiplying this complexity in 40 countries, right, where we'll be executing these things and technology changing every day. That's not a pharma company kind of thing. Skill sets which are very homogeneous, right? And I would say so those are the things which companies are trying to internalize with the advent of GenAI. But ours is operationally much more complex.
Got it. Understood. And my second question was on the four new wins that you said, mid-sized companies. So a bit more color on that would be helpful, the size of the companies, the area of offering probably. And just one thing on the debt part, so the interest outlay going forward will be negligible? Thank you.
Yes. The interest outflow, let me take the second question. Interest outflow is going to be zero. We repaid the debt pretty much just before the end of the quarter. So from Q2 onwards, interest outflow would be zero. And a bit more color on the wins that Manish mentioned, there are three of them are in the commercial area and one in the medical area. One is out of the four is actually an expansion of an existing engagement in a significant way. And these companies tend to be of a size, give or take a little, around $5 billion in revenue, right? Some might be a billion lower. Some would be in the range of $5 billion-$10 billion. So while these are mid-sized companies in the industry context, these are fairly large organizations, global operations, and multiple products.
Understood. Thank you. I'll get back in the queue.
Thank you. The next question is from the line of Harsh Chaurasia from Vallum Capital. Please go ahead.
Hello. Good morning, sir. Thanks for giving me this opportunity. I have one question. Basically, last two to three months, we have seen the healthcare and/or pharma GCC getting set up in India. Wanted to know what can be the potential revenue impact of healthcare GCC getting set up in India on us? And secondly, could you please help us understand what is the kind of work, what is getting done in GCC, and what we are doing? Can you differentiate between two of them? That's it.
Sure. Sure. So that's a good question. And now let me start with the one. Every GCC is pursuing different strategies over here. There are a few GCCs which are doing a lot of IT work, right? They realize they don't want to do, they want to take some of the external IT spend and do it internally given it's a very homogeneous skill set required, right? We have seen some of those. Some of the high-value, very high-value-added medical stuff which was being done, we see some of them doing this part.
But net-net, one of the big challenges we as Indegene have faced over the last 10- 15 years that we are going and selling to companies that, you know what, we could do a lot of your very high-end, super critical work of helping you reach out to your physicians, patients, regulators, payers, right, develop all the material required, run the analytics, campaigns, build technology, right, in an integrated way with a significant portion of our teams being in India. That was not very, customers were slightly, I would say, skeptical about that, right? While their IT services or IT being done out of India was accepted, but some of these business services, they were always worried about.
The establishment of GCCs at one level, actually, from our perspective, is an indication that customers are buying the ability that a lot of this work can be done out of India. So net-net, from our perspective, we believe it's a very positive thing, right? We don't have to sell India anymore, which we had to do a lot earlier. All the GCCs that are getting set up, all of them are our customers. And while they are setting up some capabilities on their own, we are having conversations with them what are the capabilities they would like to run with us.
Thank you. Ladies and gentlemen, due to time constraint, we will take that as the last question. I would now like to hand the conference over to the management for closing comments.
Thank you so much for joining this call and for a lot of questions. I know we couldn't answer all the questions. Happy to please reach out to our Investor Relations team, and we would be happy to answer those questions offline to us. We look forward to meeting you all in the next earnings call as well. Thanks again for your participation. Have a good day.
On behalf of Envision Capital, that concludes this conference. Thank you for joining us, and you may now disconnect your line.