Inventurus Knowledge Solutions Limited · NSE:IKS
Inventurus Knowledge Solutions — Merger or Acquisition (April 2026)
28 slides from Inventurus Knowledge Solutions's merger presentation, Apr 23, 2026
Slide 1: Conference Call Presentation filing letter to BSE and NSE
April 23, 2026 BSE Limited National Stock Exchange of India Limited The Listing Department The Listing Department Phiroze Jeejeebhoy Towers Exchange Plaza, Plot No. C/1, G Block, 25th Floor, Dalal Street Bandra Kurla Complex Fort, Mumbai 400 001 Bandra (East), Mumbai 400051 Maharashtra, India Mahara
Slide 2: Strategic acquisition of TruBridge, Inc.
Strategic acquisition of TruBridge, Inc. April 23, 2026 1
Slide 3: Disclaimer
Disclaimer 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
Slide 4: Agenda
1 Strategic rationale 2 Transaction overview Agenda Market overview 3 & TruBridge positioning 4 Value creation 3
Slide 5: AI is the engine, but who will get you home safely?
AI is the engine, but who will get you home safely? Systems of Record vs. Systems of Action Platform Integrated care system of action enablement Point-solution system of action Point-solutions System Electronic Health of record Record (EHR) 4
Slide 6: System of Action + System of Record → Operating System for Healthcare
System of Action + System of Record → Operating System for Healthcare Closed loop operating model Value created Directly linking the System of Record Data feed & capabilities and System of Action enables: needed from EHR Elimination of middleware ● Reduced friction Critical needs for agentic AI orch
Slide 7: From System of Record to System of Intelligence
From System of Record to System of Intelligence Embedding real-time clinical, financial, and access decisioning directly into core workflows Today Future Impact IKS Scribble is embedded in the live Clinical Ambient AI passively generates notes after The system shifts from post-visit encounter, surfa
Slide 8: Repositioning for a post-UI world
Repositioning for a post-UI world System of record + action as the defensible layer in healthcare IT The shift The value The UI layer is no longer the differentiator From UI to Control Plane 1. AI agents and automation abstract away the UI layer Layer What happens ● UI ● Interchangeable, replacement
Slide 9: Benefits of an integrated model - a structural moat
Benefits of an integrated model - a structural moat Un-siloed real-time data ● No lag compared to API-connected systems ● Complete clinical context available in real-time, Cross-network intelligence including orders, labs, meds, notes, history ● Cross-client AI ● A local change in payer behavior upd
Slide 10: Agenda
1 Strategic rationale 2 Transaction overview Agenda Market overview 3 & TruBridge positioning 4 Value creation 9
Slide 11: IKS proposes to acquire 100% of TruBridge Inc. and take the entity private
IKS proposes to acquire 100% of TruBridge Inc. and take the entity private Bid EV Transaction details $557M* IKS Inc to acquire 100% and delist TruBridge Inc (US listed) Initial funding through approx $600M** of debt secured for a 5 year term. Equity Debt 427 130 Initial interest cost is SOFR+275 bp
Slide 12: TruBridge is a fully integrated RCM and EHR vendor serving mid-small hospitals
TruBridge is a fully integrated RCM and EHR vendor serving mid-small hospitals EHR (1979-2013) RCM (2013-now) Full service Patient care Financial health Integrated Clinical + Support Forms & Supplies CBO / EBO Insurance Services Financial Partner Installation Subscription Medical Coding ITMS SaaS Pa
Slide 13: The deal is expected to be PAT and EPS accretive in FY27
The deal is expected to be PAT and EPS accretive in FY27 Incremental EBITDA adequate to Proforma adj. EBITDA at 26% cover interest and amortization Proforma financials Jan- Amt in USD mn Dec 2025 EBITDA 69 Interest cost on Acquisition (36) IKS Trubridge Consol Revenue 351 347 698 Depreciation & Amor
Slide 14: Agenda
1 Strategic rationale 2 Transaction overview Agenda Market overview 3 & TruBridge positioning 4 Value creation 13
Slide 15: RCM service provider market is exceedingly fragmented, presenting opportunities
RCM service provider market is exceedingly fragmented, presenting opportunities Top 5 market share Low market concentration. Even the largest <20% leaders combined hold a minority of the total addressable market. Top company in the space is R1 RCM with $2B of revenue. Standalone players The U.S. RCM
Slide 16: Rural Hospital RCM Market Overview and TruBridge Positioning
Rural Hospital RCM Market Overview and TruBridge Positioning Overall outsourced RCM Total Spend RCM market in rural hospitals Spend $ 12-13% 5.4T US Healthcare 141 - 190B ~1.8 - 1.9 B ~1.0 - 1.1 B 1.75 - 1.8T Hospitals (acute care) 50 - 60B 25-30% outsourcing penetration 2025 2030 164B Rural hospita
Slide 17: TruBridge has differentiated technology across RCM lifecycle
TruBridge has differentiated technology across RCM lifecycle Patient liability estimates / eligibility Technology Services verification Schedule appt in EMR Patient liability estimates leveraging in-house data 60% Front Liability estimates and eligibility Decrease in Patient no-shows verification en
Slide 18: EHR Market Overview and TruBridge Positioning
EHR Market Overview and TruBridge Positioning Total Spend # of TruBridge is a significant player Facilities in the rural hospital EHR market Presence in <50 US Healthcare 40%+ bed rural hospitals 5.4 T (includes clinics, physician offices, health centers, urgent 270 K+ Present in 25-30% of all rural
Slide 19: TruBridge has a robust suite of proprietary tech across EHR capabilities
TruBridge has a robust suite of proprietary tech across EHR capabilities Clinical Patient RCM Stack Encoder EHR Documentation Engagement Captures clinician- Connects various clinical Seamless integration Building internal AI Real-time Capabilities with EHR data tools for general and dashboard and pa
Slide 20: TruCode Encoder
TruCode Encoder A differentiated product with a $650M market opportunity TruCode functionality and features TruCode differentiators Encoder software Improved accuracy Context-based resources ensure complete and proper ✓ Assists medical coders to choose correct codes to prepresent patient code assign
Slide 21: Agenda
1 Strategic rationale 2 Transaction overview Agenda Market overview 3 & TruBridge positioning 4 Value creation 20
Slide 22: Better together
Better together Highly complementary capabilities Ambulatory care, physician groups, Customer Small to mid sized & rural mid-sized hospitals Segments hospitals(<400 Beds) Ambulatory Revenue Cycle Service Acute Revenue Cycle Management Management, Clinical Solutions & VBC Offerings & Electronic Healt
Slide 23: Value creation: Opportunity
Value creation: Opportunity Value AI-First Growth Scalable, efficient Protection Strategy Opportunity operating platform Diversification into SaaS EHR Specialized AI model for Larger addressable market High value talent pool business healthcare ● Across Physician provider & ● 17,000+ people ● Loyal
Slide 24: Value creation: Opportunity
Value creation: Opportunity Value AI-First Growth Scalable, efficient Protection Strategy Opportunity operating platform IKS Health Vision FY 2030 ₹ Crores LTM December 2025 FY 30 EBITDA ≅ 1000 ≅ 3000 Net Debt ≅ 300 Similar to Dec 2025 23
Slide 25: A Decade of Consistent Profitable Growth
A Decade of Consistent Profitable Growth 27.9% 33.4% Revenue CAGR EBITDA CAGR 24
Slide 26: Acquisition track record - AQuity
Acquisition track record - AQuity Achieved 30%+ Successfully Penetrated hospital Executed multiple combined EBITDA integrated all settings by cross-sell deals from a pro forma functions within three leveraging and including a recent full EBITDA of 24% within 4 quarters building on AQuity's platform
Slide 27: Next steps
Next steps Definitive Transaction Integration agreement close signing Pre-close phase Integration ~90-120 days phase ● BAU: IKS Health and Q2 FY 27 ● Governance & leadership 4 -5 Quarters TruBridge operate as (expected) ● Organization structure Post Closing TODAY independent companies ● Operating /
Slide 28: Thank you
Thank you 27
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