Indegene Limited (INDGN) Earnings Call Transcript & Summary
January 31, 2025
Earnings Call Speaker Segments
Operator
operatorLadies and gentlemen, good morning, and welcome to the Indegene Limited Q3 and 9M FY '25 Conference Call. [Operator Instructions] Please note that this conference is being recorded. I now hand the conference over to Mr. [ Abhishek ]. Thank you, and over to you, sir.
Unknown Executive
executiveThank you. A very good morning, and thank you for joining us today for Indegene's earnings conference call for the third quarter and 9 months ended financial year 2025. Today, we have with us Mr. Manish Gupta, Indegene's Chairman and CEO; and Mr. Suhas Prabhu, CFO, to share the highlights of the business and financials of the quarter. I hope you have 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 for 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 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.
Manish Gupta
executiveThank you, [ Abhishek ]. Thank you. Good morning, all. Thank you for joining our Q3 earnings call. Over the last few calls, we have taken time to explain the industry we operate in, business model, growth drivers, et cetera. We believe this was important because of our uniqueness. We are one of its kind in the Indian market, a very specialized company bringing health care and medical expertise along with technology expertise. We use this expertise to help life science companies bring their life-saving products from labs to patients more effectively and efficiently. This is a very large industry and the spend in the areas we operate in are large, and hence, the headroom to grow is immense for us. We have shared details about this. We have spoken about this in many of our meetings with you all in our earlier calls and meetings. Today, apart from our results, I intend to talk about the industry outlook and some commentary on our customer groups. The reason we are bringing this up in our Q3 earnings call is that most of our clients have a January to December fiscal year and planning cycle. Their outlook, key areas for focus and priorities are formed up. And our renewals along with them and the potential future growth areas with existing clients start getting crystallized on the -- during this time of the year. With that, let me get started with the industry. I'll utilize this opportunity to talk about a little bit about the industry macro, covering the year gone by and the future outlook of the industry. Talking about the industry macro, the continued push to cut drug prices will exert pressure on the biopharma business model and margins. Both in the U.S. and the rest of the world, government policies, competitive dynamics, and the very rapidly evolving technology landscape, we believe will force biopharma to reimagine how they do commercialization and RD. This will provide a big impetus to digital-first company services companies like Indegene in the next few years. And we believe this is going to happen irrespective of what administration is in different countries. Although the current administration in the United States stance on this needs to emerge, we believe there will be a continuous pressure on drug pricing. Broadly speaking, while the pace of change may vary, directionally, there is unlikely to be significant change due to different administrations or even the steps taken by any given the administration. The regulatory complexity continues to increase across clinical trials, manufacturing and safety, putting pressure -- increase pressure on in-house regulatory teams and driving data outsourcing as well as adoption of technology. This provides another opportunity for players like Indegene to support the medical and regulatory functions within our customer growth. Overall, we also believe that the integration of technology into both pharma and health care delivery will continue to increase, and we are seeing trends of that happening. And that is good news for us. Now coming to the industry growth. After a weak calendar year of '23, which we have spoken about to you earlier, where there was clear degrowth, calendar year '24 was a period of low to modest growth for the industry. Most players reported a 0% to 10% growth, with industry growing at 4% to 5%. Heading into calendar year '25, this seems to be a year of cautious recovery for the industry. Many of you would have tracked the narrative from the biopharma companies in the JPM Healthcare Conference, which happens every year in the early part of Jan, and this time happen in SFO in mid-Jan. The outlook of most of the top 20 pharma in the many mid-tier and small biopharma companies is encouraging. They are looking forward to a slew of launches and successful new products with an increased optimism and better outlook. There continue to be a few of the top 20 pharma companies, call it 2 to 4, which are still trying to get over a weak pipeline of new products. With the exception of these, we believe there is momentum in the industry as a whole. And we see that in our conversation with our customers as well. Now coming to renewals. All our major client engagements, which were due to renew this quarter have been largely renewed with minor variance without anything being out of line. And we enter the calendar year '25 with a net positive rate of renewal. Outside of the renewals, if I look at our pipeline compared to last year, it is clearly stronger. Again, this is in line with the macro industry outlook and also the fact that I think now after having consolidated companies are stepping back and seeing trying to evolve to the next level of progression on their commercial and R&D medical models. Other than the regular renewals and conversion of pipeline in the quarter gone by, I would also like to mention that we won 5 key deals on expansion into new regions, adjacent areas with existing and new customers with deal sizes of 2 million to 4 million ACV each, which will go live in the coming month or 2 and start contributing revenues in the upcoming quarters. Our pursuit for large-scale expansion with a few of our top 10 to 20 customers continue to make progress. So a bit slower than what we originally anticipated. But with the increased momentum in the industry as a whole, and these customers, in particular, we remain optimistic about closing these pursuits in the next few quarters. With this broad commentary about the industry, let me now come to the regular commentary on our performance. Q3 for us -- Q3 FY '25 revenues came in at INR 7,204 million, which is a growth of 4.9% sequentially quarter-on-quarter. Now this is driven by some of the wins we had earlier during the year. Q3 FY '25 EBITDA came in at INR 1,501 million, that's a growth of 18.5% quarter-on-quarter. Total number of active clients grew from 68 to 75 and the USD 1 million clients grew from 37 to 38 in Q3. More than 95% of our revenues continues to come from the U.S. and EU regions. Now let me drill a bit into the customer growth, the revenue breakup. You see our revenue from top 5 accounts has grown 3.1% sequentially. We see continued growth in our largest customer, and we're doing a run rate of a tad below USD 50 million in this account. In the 2 specific accounts, which we had called out issues in the past, we are seeing stabilization of business and revenues. Overall, within this top 5 customer cohort, we are confident we'll continue to grow, and our pipeline and customer conversations reflect this confidence as well, though there might be some quarter-on-quarter and account-specific variability. If I step and look at the outside the top 5 and focus on the next 15 customers, we see good opportunities over here. Basis of our wins earlier in the year and pipeline, we believe we're going to continue to expand in this cohort also. Now if I just step back and articulate our, let's call it, GTM. We pursue 2 predominant tracks for growth on the customer segments, growth in top 20 pharma, which we have spoken about earlier many times. And then growth in the top -- in the 20 to 100 pharma. As we have indicated earlier and I mentioned to many of you in our one-one as that the second track, which is the 20 to 100 is something which we pursued much more deliberately only a few years back. Otherwise, it used to be predominantly a big pharma, top 20 pharma focused company. While we pursued -- started pursuing it more recently, we continue to make investments in this, and we are seeing encouraging results. Now coming back to the top 20. We believe in the mid- to long term, this is a place where we'll continue to grow. And we will build USD 100 million, USD 75 million and USD 50 million plus accounts, something which I have again spoken about earlier in our calls. Our conversations, opportunities we pursue with our clients, their internal initiatives give us a lot of conviction in this direction. However, given that these are large companies and what we do for them is not standard business as usual, but a shift in their operating model, the cycle times might vary. Hence, we are calling out this mid- to long term. On the other hand, we see immediate opportunities for growth in the second track, this is 20 to 100, and our efforts are delivering results here already. This is a large section of the industry, which needs to modernize and drive more effectiveness and efficiency. Hence, there is a need and shorter decision cycle. This track should continue to play out well for us even in the long term. Now if I just translate what it means here, if you see our customers, we are seeing a lot of activity in our active clients, on clients which are in the USD to 1 million to 10 million category. We see more active clients, less than USD 1 million moving to the USD 1 million plus category to clients in the 1 million to 5 million category moving into 5 million to 10 million. Now we don't report 1 to -- we don't break down 1 million to 5 million and 5 million to 10 million. But if I just drill deeper, the 1 million to 5 million are moving more in that category and obviously, moving into the 5 million to 10 million range. We see the 5 million to 10 million customers growing within that range. And this is what has happened in Q3 as well. And there's been -- and will be a likely driver of growth in the near term as well. Extending this trend of big pharma, top 20 and this one into the medium term, we should see our customer pyramid the way we report getting healthier across all levels as customers as we move up in terms of value and we keep adding new customers at the base as well. I will also touch upon margins a bit. Our margins remain stable, we are a very disciplined company and have a stable solid clients, where we deliver higher-value solutions and hence, managing margin for us has been a way of doing things like Indegene. Our cash position remains strong. We now have a tad below -- above INR 1,500 crores in cash and cash equivalents. We continue to actively scout for M&A opportunities and have a good pipeline of M&A opportunities. Here, again, we'll continue to be disciplined. Pretty much that's what I had to cover. With this, I'll pass it on to Suhas for a bit more deep dive on our financials. Suhas?
Suhas Prabhu
executiveThank you, Manish. Once again, a very good morning to everyone on this call, and we appreciate your participation here today. Let me straightaway dive into the details of the financial performance for the quarter. Our revenues grew 7% year-on-year and 4.9% sequentially to INR 7,204 million. Our Enterprise businesses, which comprise the Enterprise Commercial Solutions and Enterprise Medical Solutions segment grew at a healthy rate of 3.7% sequentially. And most of this came in from growth in the midsized pharma clients, which are beyond the top 20 globally ranked pharma, as Manish already alluded. Our other segments, Omnichannel Activation and others also grew 11.8% sequentially. And as you would recollect, here, there is a higher proportion of project revenue, non-enterprise revenue, and many of those kicking off this quarter has resulted in that growth. Our geographical split based on location of origination remained in line with the previous quarter. North America revenue came in at 69.3%, Europe revenue at 27.9%, both varying by -- just under 1% with the shift from North America to -- in favor of Europe. Coming to the margins. Our EBITDA for the quarter stood at 20.8%, an improvement of 240 basis points sequentially. Continued productivity improvement initiatives through better capacity management and automation helped absorb the impact of the wage bill hike, which was effective July and which you saw reflected in our margins in the last quarter. And that has -- that impact has been negative, and we believe this will continue to play out as we continue these initiatives in the future. I wanted to draw attention to 2 particular items in our income statement, impacting other income and other expenses. In Q3, we entered into a final settlement of the earnout due to an acquisition that we had done in the past of CultHealth. Further, we also paid out the earnout for the first milestone related to the Trilogy acquisition that we had concluded in March of 2024. These payouts cumulatively were lower than the liability that we were carrying in the books. And hence, there is a write-back of USD 1.87 million or INR 157 million, which is recognized in other income. With this, all the payments related to Cult are now settled and also we are not carrying any deferred liability in the books related to any of the past acquisitions. Secondly, on the Trilogy acquisition, as part of that acquisition, we had also invested in an early-stage technology business, which was associated company of Trilogy called TriloDocs through a convertible loan instrument of EUR 1.5 million or INR 135 million. This was a business which complemented our regulatory writing business, which is part of Enterprise Medical Solutions and had certain interesting tech-based solutions that was being worked upon by TriloDocs. 9 months into this investment with a review of the progress made there at, we believe that there hasn't been sufficient progress both on the revenue side, while the technology development is yet to play out in the market. And conservatively, we have decided to take a charge in the books by writing off this loan, which is reflected in the other expenses. The net impact of the write-back, which reflects in other income and write-off, which reflects in other expenses, is a positive impact of INR 22 million, impacting positively both EBITDA and PAT -- sorry, PBT margins. Excluding these items, the EBITDA margin would still be a healthy 20.5%. Coming to the PAT for the quarter stood at INR 1,097 million, an improvement of 19.6% sequentially, and the PAT margins came in at 15.2%, an improvement of 190 basis points sequentially. This is largely in line with the growth of our EBITDA. With that, let me conclude my commentary on the financial performance and move into the questions and queries that either me or Manish can answer for all of you.
Manish Gupta
executiveBrian, we're open to Q&A.
Operator
operator[Operator Instructions] The first question comes from the line of Abhishek Kumar from JM Financial.
Abhishek Kumar
analystOne of the IT services players recently indicated that there is kind of a tug of war between Veeva and Salesforce in the Life Sciences space. I just wanted to pick your brain on what you are seeing. And if either of these end up getting higher share, does that impact us in any way?
Manish Gupta
executiveThat's a great question, Abhishek. We agree with that. I think there is a tug war between Veeva and Salesforce. And from our perspective, we don't see -- actually, there could be a net positive given this development for us because the opportunities play out at 2 levels. On the technology level, if somebody is changing the platform, then, of course, there's a lot of technology implementation work, which requires your tech capabilities and domain experts, which where we could play in. But also after that, if you're changing a platform, there is a lot of work to be done in terms of [ re-aging ] right, getting the content right, operating model, a bunch of things where a company like us comes in, right? So there's a bolus of work which comes our way. So we believe it's going to be net positive for us, and we continue to engage with both these providers Salesforce and Veeva as partners.
Abhishek Kumar
analystGot it. Second question is to Suhas. This earnout reversal, I just wanted to understand, given that we keep looking for new acquisitions, et cetera. How do we ensure that the acquired entities due diligence is done. What is the risk governance framework, et cetera. So that we don't end up acquiring companies who don't perform as per the initial expectations and hence, any earn-out possibilities.
Manish Gupta
executiveSo Abhishek, I'll pass it on to Suhas, but let me take this. As far as the governance framework is concerned, I would say that we have a very strong governance framework, right? We -- the way this works inside the company is the following, that a business will get an M&A opportunity. They've got to built a business case. They got to defend it vis-a-vis Suhas and our strategy team, which is putting a separate independent track, right? Let's say, they are able to defend it internally within this internal committee, then it goes to an investment committee, which has a few independent directors some part people who are on the Board as well. And they have to defend it at that level holistically. And the people on these committees are people who know investing very well. So only after that, we are able to make a nonbinding offer also to get the final offer. So that's how it is structured. Now coming to these particular things, I think one of the things to understand is that the acquisitions we do or have done or companies in service -- I would call it, a smaller size, and these companies operate in a certain way, they're entrepreneurial driven. And hence, the way we structure the deals given their expectations, what is the best way to win the deal, is of a certain order that there are earnouts. And the only way to get out of that is that we pay higher upfront, which doesn't make commercial sense for us. So that's one of the way we structure these deals. Overall, if you take about -- think about these over a 3-year period, I would call it, you realize that all these deals we would have done will be very sensible deals, what we have paid versus what we have got. Interim accounting treatment might be appearing this way. Let's see, let's say, take TriloDocs, the one which you're writing off also right now. You are right, we are very clear that we were having an internal initiative. We saw this thing being developed. We did a holistic deal with Trilogy and TriloDocs, and we thought about the whole deal in totality. Now what we saw is our internal effort on technology, which is much more GenAI-based is yielding better results, and we are convinced about that direction more than what TriloDocs was doing. And that we wanted to have as an option value. So instead of now investing in that, which we could have continued. Over here, we are seeing that it will make sense for us. We'd rather double down on our internal initiatives. So that's a broad approach. So Suhas, do you want to add on anything beyond this?
Suhas Prabhu
executiveYes. And more particularly, Abhishek and the rest, I want to highlight, while there is a write back, that is the nature of this business. We are very happy and satisfied with the performance of the acquisitions and more specifically not the stand-alone performance, but the integrated offering in go-to-market business, which these deferred payouts get calculated and paid out. And this is just a small quantum of write-back in relation to the overall payment. For instance, we're carrying little north of 6 million in deferred liability for Cult and the payout was about USD 5 million, right? We're carrying a little north of EUR 5.5 million for Trilogy and the payout was very close to EUR 5 million. So don't read these write-backs as a significant difference from what the original equipment was, but the nature of deferred payouts with the performance linkage will have minor variation. And I would still look at this as a successful endeavors with minor variation, which has impacted positively because we tend to be a little conservative when it comes to our future assessment.
Operator
operator[Operator Instructions] The next question comes from the line of Shiwani from Monarch Networth Capital.
Shiwani Kumari
analystI have 2 questions. One, with respect to the 7 new clients that we have added what are the nature of these clients? And what is the revenue potential that you can expect going forward?
Suhas Prabhu
executiveSo Shiwani, Manish had mentioned in his script that these customers are largely beyond our what globally are a top 20 customers by revenue. So you could classify them as mid-tier companies, which would have revenues, I would say, north of $2 billion to $4 billion, $5 billion each. And from a potential perspective, while as things stand today, we would -- if we were to look at a top 20 globally ranked customer becoming a $75 million, $100 million account for us over a period, I would say these kind of accounts for the same kind of nature of work would have a potential of becoming the $25 million, $35 million and even $50 million in relative terms. So we believe that's a large potential and which is why over period, we have expanded our coverage we have from a sales perspective. And today, we have a significant part of our sales operations and dollars focused on accounts going beyond the top 20 -- say, the next 50 and 75 and so on.
Shiwani Kumari
analystSure, that was helpful. And secondly, on the segmental mix. I just wanted to understand on the omnichannel, although Q-o-Q, we have seen some 10%, 11% of growth. But year-on-year, the growth has been, I think, minus 3%, minus 4%. So how do we see the segmental mix playing out specifically talking about the omnichannel, which is still premature in my opinion.
Suhas Prabhu
executiveYes. Your observation is correct and valid, Shiwani. So this is a segment which is growing. But as you would understand, this segment has a higher proportion of non-enterprise or you could say, higher proportion of nonrecurring kind of business, as projects with the finite life, 6 months, 9 months, 12 months. And therefore, quarter-on-quarter, you would see some variability. But having said that, when I look at the new projects that have kicked off, we see that things are evolving and strengthening from a revenue profile perspective of these new projects. So many of them are actually moving from 6-month kind of a life to 12 months with the ability to get transformed over period into enterprise agreements which tend to be a lot more recurring and sticky going beyond 1 year, recurring year on year, and that's the promise, and that's the endeavor as we scale that this proportion over period would keep changing from smaller term projects to longer terms to eventually multiyear constructs, which are enterprise. So some of these may actually move from the Omnichannel Activation segment to be Enterprise Commercial segment as well as the engagements may start as a project in Omnichannel Activation. And as you know, both are addressing the commercial function or the sales and marketing from [ our ] customer. And that could also be a journey that you would see going forward.
Operator
operatorThe next question comes from the line of Nikhil from Kizuna Wealth.
Unknown Analyst
analystLike as we can see, our employ count is reducing and we are expecting a modest recovery in the industry. So how are you planning to add the employees? And what kind of hiring we doing? Like we are hiring freshers or lateral hires. Can you just highlight that?
Suhas Prabhu
executiveSure, Nikhil. So we have been mentioning in the past and even I alluded to briefly in our call earlier today. At Indegene, we continue to have initiatives. We are a digital first new age technology led company while we have significant domain and industry expertise to make contextualize this and make this come to life. And while doing so, even internally, we have initiatives to keep improving on productivity and operating models are contracts also allow us to do that. We typically have hybrid contracts, which are not just time and material or FTE contracts, but also output-based pricing in which enables us to be involved in this in a much more committed manner. And that keeps showing in the increase in output and more importantly, an increase in revenue per employee. Having said that, last quarter, in November, I would say, we have also increased our footprint. We opened a center in Hyderabad in India. We now have close to 200 people in Hyderabad and the vicinity. We registered a presence in Spain and we've started the journey of recruiting people based in Spain. Again, in November, we expanded our office in London, U.K. to 1,800 people capacity office and we actually already have more than those people given it's a hybrid working model right and so on. So we continue to grow our footprint and build on capacity. But at the same time, new technologies, GenAI, RPA, AI, all of that also contribute to the same and we continue to pursue on both these facts.
Unknown Analyst
analystThat's great to hear. Sir, my second question is like as we have added a few clients from the revenue potential of -- their revenue potential is $2 million to $5 million, so are we still looking to add clients in that range or lower than that? And sir, my second set of question is like we are looking at the acquisition, right, so what kind of capabilities are we looking to add on? And what are the valuation we are ready to pay for them?
Suhas Prabhu
executiveYes. On the first one, actually, Manish spoke about, but let me reiterate, Nikhil. We have added clients, right? So that is one track. We will pursue and add clients, most of the new logos that we had given that we already worked with pretty much all our -- all the top 20 globally ranked pharma companies, the addition that you'll see will be in the lift that is beyond the top 20. But having said that, what we will continue to pursue and which will show up likely in the mid to longer term would be us getting more deeper within our existing clients and many of whom are the globally ranked the top 20 customers. But as you would understand, these are large enterprises $40 billion, $50 billion, $60 billion in revenue, 80, 100 country operations, products and the like. The change management to adopt new models to adopt new technology typically takes more time, right, both from a decision-making as well as go-live and implementation and the like. So in the interim, you may see that the earlier track that I mentioned, which is the new customer addition contributing a little more. But over the medium to long term, we believe that both these tracks would continue to have a significant impact on our growth going forward. And Manish, if you would like to take the question on the acquisition.
Manish Gupta
executiveAbsolutely. So from an acquisition perspective, we continue to pursue a few tracks, one of them -- actually, I would say it's across the board. We are trying to expand our footprint from, let's call it omnichannel perspective, capability perspective, right? We have some geographical presence. We are trying to expand that globally. That's been driven by the need that as Suhas said, that by December, omnichannel capabilities, combined with enterprise commercial capabilities is what customers are looking for in terms of transformational stuff they are trying to do, right? And we're seeing some very good traction over there with our customers to accelerate our build-out in multiple geographies and the capabilities, right? We are looking at doing acquisitions in this space. Now these are not going to be very large acquisitions, it's more of capabilities and need for doing this fast as what is driving us, but that's 1 category. We continue to look at technology, business technology I would say, somebody -- we had just answered the question about Veeva versus Salesforce as the classic example, one of the capabilities, right? This migration and bunch of things like that, right, where we continue to get pulled in by our customers opportunistically where they call us and say, listen, they are working with these [ SIs]. They don't understand the domain for this piece, anyway doing all the value-added work on top of the technology platforms, can you do the technology part as well, right? We believe more strategically, we can build out that capability at adjacent area. We look at analytics, we look at some areas on the regulatory and medical side, right? So also those are broadly the areas we look at from an acquisition perspective, right? We -- as far as size of these concerned, what we have right now in the pipeline, right, are, I would call all of them being top $50 million, $60 million revenue, right, all the way from [ $20 ] million to $50 million type of revenue range right now, right? And we will be always disciplined in what we pay, right, for these kind of companies.
Suhas Prabhu
executiveIf I may add there, size is not actually the primary criteria. It's not a financial bulk up that we are attempting, it's more acquiring the right credibility and capability in market in areas that are adjacent or upstream, downstream in what we do. And in some cases, this would even end up being very small, what you would typically categorize as actually higher kind of a transaction also.
Unknown Analyst
analystOkay. That's great to hear, sir. And so my last question is like, can you just provide like how is the ACV, TCV growing? You said that our omnichannel is getting better orders. So can you highlight the portion of orders on omnichannel, like how has it been growing quarter-on-quarter Y-on-Y if you...
Suhas Prabhu
executiveSo Nikhil, what I would want to highlight is that today, the customer -- the number of logos that we are working with for the same value of -- if I were to index it at, say, 100, right? We're working -- getting the same 100 from fewer customers with longer duration projects, right? Today, we have, I would say, 6 to 7 logos in omnichannel activation, which is getting us give or take, a little -- between 70% to 80% of the revenues in that segment. And if I dial back there would have been -- this would have been lower in that 55%-ish range, which means that we are getting entrenched more and more with customers, with higher value and longer duration engagement. So that's how I would measure and that's what we are tracking on this one.
Operator
operator[Operator Instructions] The next question comes from the line of Puneet Pujara from Helios Capital.
Unknown Analyst
analystSo I needed one clarification in the trend that I've been observing over the last few quarters, which is that the overall employees in delivery function have been coming down. At the same time, the absolute number of delivery employees with health care expertise is going up. And this is not like a quarter or 2 phenomenon, it's been persisting. So could you just throw some more light on this trend? That's my first question.
Suhas Prabhu
executiveSure. So at this point in time, Puneet, and maybe I'll take a small example to help visualize this better. So say it, initiative on automation using the GenAI platforms, right, which we have made significant progress in is HTML code automation, right? And over period, the need for this skill set has reduced in the delivery function, right, but use of this technology, given the maturity curve that we see on the domain side, which is medical and pharma specific, is likely to take longer, right? The low hanging fruit, I would say, in this example is the code automation versus, say, something much more complex from a technology maturity perspective, which is say, medical writing or more specifically, say, regulatory dossier preparation or safety case processing and stuff like that. And therefore, if you would see that the proportion of people with the domain knowledge would be increasing, but it's not a significant change, right? We've been in that 21.5% to 22.5% with slight mix changes itself given the nature of projects. With the 23 point, whatever is not a significant shift there.
Manish Gupta
executiveIf I may just add on beyond the numbers, some slightly more long term -- bit long-term commentary on this. If you think about it, as GenAI and AI-based technologies will progress, right, what are customers -- how are customers thinking about it. Obviously, they want to drive automation, but they are worried about the risk, right, especially in the industry like ours. And risk mitigation happens by domain experts right, who are in charge of these technologies, right, and can drive as far as automation in non-domains stuff, right? So across the board, more and more non-domain stuff getting automated with the domain people operating these. And that's something we are excited about. On the other hand, Suhas spoke about things like medical writing, regulatory writing, bunch of things like that, right, to build and drive automation over there from a GenAI perspective requires very -- if you want to create Agentic model, right? It just requires so much more expertise, like the experiences, a company like ours, which has spent 18, 20 years, right, and figuring out what is good medical writing looks like? What is a good entry point, right? How do you train people? What are the kind of mistakes we make, right? All those things going into the Agentic model, right, and create driving automation. But still adding that layer of a strong reviewer, right, make sure that you're not 95% correct, but 100% correct, is what the proposition is. And we believe more and more, as you see AI automation happening, the domain expert companies, us and any other people and other domains will be the guys who are driving -- who are to drive that agenda.
Unknown Analyst
analystSure. And the second question is, what has been the trend in the subcontracting cost, especially in this quarter? And does it -- is it the main driver for the higher OpEx in the quarter?
Suhas Prabhu
executiveSo Puneet, right observation. The subcontracting cost has gone up a fair bit. But that is also reflective of the growth. I mentioned one of the contributing factors there is we registered our office in Spain, but people that we took on board have been taken on board ahead of when the registration could be concluded right through a third-party service provider. And therefore, there is a marginal uptick in the subcontracting cost but this would get regularized as those people are moved into our payroll as the -- not just the registration but the office setup, the payroll setup and all are concluded in due course, right? It's not going to be a major movement, but there will be some costs that move from subcontracting to payroll and maybe 10, 12 people getting added to the employee count, but nothing material. And that's one of the main contributors.
Unknown Analyst
analystSure. And out of 4,500 employees, how many would be stationed in the U.S.?
Suhas Prabhu
executiveU.S. employee count is in the region of 500 people, right. We have about 83 -- between 83% and 84% of our workforce in India and the balance outside India, U.S. being the largest, followed by Europe and then China and Japan.
Operator
operatorThe next question comes from the line of Abhishek Bhandari from Nomura.
Abhishek Bhandari
analystManish, I have just only one question. So there's a lot of anxiety around the drug pricing under the Trump administration because apparently, the new secretary is going after the big pharma in terms of lowering the very high prices of drugs. You mentioned at the start that drug pricing is actually on a downward trend. Maybe you could elaborate how do you think this will play out in terms of the S&M spending of the big pharma companies? And how it will benefit us or be against us in the near to medium term?
Manish Gupta
executiveAbhishek, first of all, good to hear from you. I think our point is we still are waiting for clarity on the administration's stance on drug pricing, right? But nevertheless, outside of that, we believe that drug pricing will be on a downward pressure, right? There will be downward pressure because the numbers just don't add up, right, at a higher level. Intensity might vary here or there depending on the government, right, the stance and these are complex issues, but the pressure will be downward. The reality is that our business, given that we do offer more effectiveness, efficiency, right? And if you call it, the inertia of companies, right, to move to these new models is what kind of delays are ramp-ups with them, right, over here. With more pressure on drug pricing, right, typically, you don't have an option, right? You just have to become more efficient, do things more effectively rather than having so many reps on the ground, doing things that are not adding value, right? You have to drive more efficiency ad effectiveness. We typically end up benefiting from that, right? And if I just go way back into history, right, we used to be a INR 35 crore company -- revenue company in 2010, then the whole so-called massive pipeline, the patent expiries happened and pharma was forced to become more efficient than we had a surge, right? So we believe that with more pricing pressure on drugs, right, they need to get more efficient will increase, and we will benefit from that. The pace is what needs to be defined by the intensity of the regulation.
Abhishek Bhandari
analystGot it. My second and last question, Suhas, is to you. I think a lot of questions were asked to you around this movement in the net headcount. My question is if -- I think Manish also said, we are going to use more automation to lower the dependence on non-core tech stuff. So should we think this to be a margin tailwind for us going forward? And a related point is if I look at your metrics, what you report, your offshore mix is actually on a downward trend. It has almost dropped by 300 basis points in the last 7 to 8 quarters, whereas on-site is going up. So are you letting go more people in India while the on-site addition is as per the ramp-up?
Suhas Prabhu
executiveYes. So Abhishek, let me take the second one, first. So 2 parts. One is, if you look at it over a fourth quarter period, you would also recollect. We acquired a small business Trilogy entirely on-site. So that would have created a bit of movement in the on-site ratio going up. The other is, as we also ramp up in the new engagements, whether with the existing customers, but a new buying group, as well as new logos that we add, the start of the project that it tends to be more on-site heavy, right, because there is -- as Manish also mentioned earlier, when you're changing the ways of doing work is challenging the status quo and standard, right? There needs to be a more intense involvement in the client offices in various markets. And you start with the on-site layer being a lot more significant and as things stabilize and you move from the exchange management and transformation phase to the execution phase, that is when the offshore work tends to scale up at a pace faster than the on-site work. So I would put -- use that light to say that while it is changing over period, you'll also see some of that shifting back to the offshore side. We're not looking at moving the work that's Trilogy small business, getting offshore, right? It's more capability in markets that we have acquired but the joint and integrated go-to-market with larger deals, which includes global scale and offshoring would mean that even that would start contributing to higher offshoring numbers, right, as things progress, right? And we are already seeing some of that playing out already. Coming to the absolute numbers itself, again, it's a function of the productivity initiative, it contributes positively to our margins. We had a wage bill impact and as you would recollect from our last quarter's call, it was a little north of 2%, 2.2% impact from wage bill, right? And these kind of automation and productivity initiatives help us offset that, right? And these are continual, right? It's not a onetime intervention. We see that benefit coming in progressively. Wage bill is an offset, right? In the longer run, would also have to pass on some of these benefits to the customers, right, to remain ahead of the curve in the market and be competitive. So that would be the offset, but certainly a net positive to our margins.
Operator
operatorThe next question comes from the line of Sathishkumar from Kotak.
Sathishkumar S.
analystI have a couple of questions. One is the growth in the top 20 to 100 cohort. Is it more driven by first-time outsourcing? Or is it from market share gains, some other players? And second is, are we continuing to see market share gains in the top, let's say, 10 customers? And let's say, is it more broad-based against the set of competition? Or is it more focused on, let's say, marketing agencies or broad-based [ night ] bpo providers?
Manish Gupta
executiveSatish, 2 things, if I see the 20 to 100 customers, right? It's a combination of both. It's first time outsourcing, right, things they are doing internally, they're figuring out more efficient models. It's also taking share from the others. Some of these models, which were done by big pharma of centralization, right, and more efficient operating models are implementing those, right? And now we have created solutions that are much more effective for mid-tier kind of companies as in the larger companies, right? So that's essentially what is helping in this segment, right? So it's a combination of both these things you alluded to. If you go to top 20 customers, right, what we are seeing is, on one hand, some of the customers which are subscale for us in the top 20, we continue to engage with them on pretty much the first set of operating models, right? Whereas our existing large customers, now the discussions with them are about taking the model to the next level, right? I'm going to go back to my initial explanation of processes steps 1 to 10. And we said, you know what we have done steps 5 to 10 centralization, let's say. Now these discussions are about centralizing steps 3 to 5, right, which are much more high value-added right? And companies are looking at centralizing those sets, especially on the commercial side. Most of them today sit with agencies, right? And there is a lot of spend can be done effectively and efficiently. And our customers are having discussions about that. Suhas spoke about alluded to in the earlier discussion about the change management, initial presence being their transformation. That is what is going on with these customers, right? And at some point in time, we believe we will start scaling up.
Sathishkumar S.
analystGot that...
Suhas Prabhu
executiveYes. If I may add that, just if I take a segmental view, Sathish, in enterprise medical, especially the mid-tier, the non-top 20 pharma, maybe the skew is a little more towards first-time outsourcing right and rather than doing it internally. If I go to the top 20 pharma, most of the discussions and forays are to expand into adjacent upstream or downstream areas where it would tantamount to taking market share from others, right, largely agencies because agencies are the large players in the commercial for the enterprise commercial segment. Hopefully, that helps, make it real in terms of market share versus outsourcing.
Operator
operatorThank you. Ladies and gentlemen, in the interest of time, that concludes the question-and-answer session. I now hand the conference over to the management for their closing comments.
Suhas Prabhu
executiveThank you, everyone, for your participation on this call today and continued interest in Indegene. We have had an exciting quarter. And we are hopeful that the financial performance and growth that we have delivered is something that we continue from a momentum perspective into new calendar year as well. With that, we conclude this call and thank everyone for your participation and look forward to the next earnings call next quarter.
Manish Gupta
executiveThank you, everyone.
Operator
operatorOn behalf of Indegene Limited, that concludes this conference. Thank you for joining us, and you may now disconnect your lines.
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