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    Medi Assist Healthcare Services Limited

    MEDIASSIST
    Financial Services·9 Feb 2026
    Management Summary

    Medi Assist Healthcare Services Limited delivered a strong Q3 and 9-month FY26, marked by robust revenue growth and significant margin expansion, particularly from the Paramount acquisition. The company achieved a debt-free balance sheet in January 2026 and saw substantial growth in its technology-led solutions, including fraud prevention. However, reported PAT was affected by one-time exceptional items, and the retail segment experienced a marginal market share dip.

    Highlights

    6

    • Consolidated total income grew 29.9% YoY in Q3 FY26 and 23.5% for 9 months FY26.

    • Consolidated EBITDA for Q3 FY26 was INR44.6 crores, with ex-Paramount margins improving by 51 bps YoY to 21.7%.

    • Achieved debt-free status in January 2026, with a free cash position of INR200 crores as of December 31, 2025.

    • Tech revenues grew 81.5% YoY for the 9-month period, contributing 2.3% to total revenues.

    • MAven Guard prevented INR400 crores in fraud, a 66% YoY increase, with 82% identified by system/AI.

    • Paramount stand-alone margins improved by 557 basis points QoQ, moving from minus 6.4% to minus 0.9%.

    Concerns

    3

    • Reported PAT for Q3 FY26 was INR34.8 crores, impacted by INR14.2 crores in exceptional items.

    • Retail market share saw a marginal dip to 5.6%, with a 4.3% contraction ex-Paramount.

    • Cybersecurity incident at Paramount incurred INR3.7 crores in costs.

    What Changed1

    vs Q4 FY26

    Risks discussed3 → 4 (+1)
    Key financials

    Metrics

    34

    Periods

    10

    Headline

    21
    • Total Income (9 months, consolidated)
      —
      YoY+23.5%
    • Revenue from Contracts (9 months, consolidated)
      —
      YoY+24%
    • EBITDA (9 months, consolidated)
      ₹128.9 Cr
      YoY+13.8%
    • EBITDA (9 months, with Paramount drag)
      ₹126.3 Cr
    • EBITDA Margin (ex Paramount)
      21.7%

    Q3, adjusted

    1
    • Underlying PAT
      ₹76.7 Cr

    Q3, consolidated

    3
    • Revenue from Contracts
      —
      YoY+29.0%
    • EBITDA
      ₹44.6 Cr
    • EBITDA Margin
      18.6%

    Q3, consolidated, ex exceptional

    1
    • Adjusted PAT
      ₹46.3 Cr

    Q3, ex Paramount

    3
    • Total Income
      —
      YoY+9.2%
    • EBITDA
      ₹44.9 Cr
    • EBITDA Margin
      21.8%

    Q3, ex Paramount, ex exceptional

    1
    • Adjusted PAT
      ₹50.3 Cr

    Q3, reported

    1
    • PAT
      ₹34.8 Cr

    Q3, with Paramount

    1
    • Total Income
      —
      YoY+29.9%

    % of revenue, Q2 FY26

    1
    • Employee Benefit Expenditure
      45.4%

    % of revenue, Q3 FY26

    1
    • Employee Benefit Expenditure
      43.1%

    Segment breakdown

    Group Business
    ₹16,377 Cr Premiums Managed (ex Paramount)— Premiums Managed (incl Paramount)32.2% Market Share11,000 count Client Base (Corporates)94% Retention Rate24.2% Private & SAHI Growth₹234 Cr FWA Savings
    Retail Business
    5.6% Market Share-4.3% Growth (ex Paramount)4.6% Growth (incl Paramount)41.9% Private & SAHI Mix (traditional TPA)₹20,000 Cr GWP Covered by Platform (FY25)₹168 Cr FWA Savings
    Government Business
    12.1% Contribution to Revenue46.7% Revenue Growth (9 months)₹33 Cr Members Served₹80.4 Cr Revenue (9 months, consolidated)₹65.8 Cr Revenue (9 months, ex PHS)
    International Benefits Administration
    16.3% Revenue Growth (9 months)4.5% Contribution to Consolidated Revenues3 count New Insurer Relationships98% Customers Migrated to HealthX27 count New Marine Yacht Customers
    Technology
    109.8% Revenue Growth (QoQ)81.5% Revenue Growth (9 months)2.3% Revenue as % of Total Revenues77 lakhs Claims Processed by Platform
    List

    Capital allocation

    3
    high confidence
    CategoryHeadline
    Debt

    Debt disclosed

    M&A

    Paramount TPA

    acquisition · integrated

    Liquidity

    Cash ₹200 crores

    Free cash position as of December 31, 2025.

    Guidance & targets

    5
    CategoryTargetPriority
    Integration
    Paramount TPA Business Integration
    Complete structural aspects, disciplined execution
    		High
    Technology Adoption
    MAtrix Platform Volume
    100% run rate
    		Medium
    Technology Revenue
    AI-led Products Revenue Model
    Outcome-based pricing
    		Low
    Technology Revenue
    Tech Revenues as % of Total Revenues
    Margin accretive at a faster clip
    		High
    Retail Business
    Retail Growth
    Hybrid growth
    		Medium

    Paramount Integration Completion & Margin Impact

    next 2-3 quarters
    CurrentStructural aspects complete, execution ongoing
    TargetCore EBITDA margins restored

    Why it matters

    Full integration of Paramount is key to realizing expected margin benefits and operational synergies.

    It's now about disciplined execution over the next 2 to 3 quarters and really sort of get back to our core EBITDA margins.

    How to verify

    key_financials.metrics[label='EBITDA Margin']

    Risks & concerns

    4
    RiskSeverity

    Cybersecurity Incident

    Paramount TPA experienced a cybersecurity incident, incurring INR3.7 crores in costs, though contained and an insurance claim has been filed. — Management acknowledged

    medium

    Impact of New Labor Codes

    New labor codes resulted in an incremental provision of INR3.3 crores for past service benefits. — Management acknowledged

    low

    Disallowed Claims Provision

    A provision of INR7.1 crores was made for disallowed claims from an insurer, with the company confident of recovery and pursuing an insurance claim. — Management acknowledged

    medium

    Negative Customer Feedback (Google Ratings)

    Analyst noted negative Google ratings regarding slow claim processing, which management acknowledged and committed to improving. — Analyst acknowledged

    low

    Q&A highlights

    6

    “I think one can't take a unilateral view that it's only a quality or a profitability or retention. We are a very significant player in the market. We work with almost all of the insurers that offer health insurance today in some form or fashion. So I think first thing first for us is to be able to work with the entire universe of insurers or players who are participating in improving health insurance and access because this country will see a substantial growth in health insurance penetration.”

    Addresses the core strategic dilemma for a TPA in a growing market, emphasizing a multi-faceted approach rather than a single focus.

    asked by Sucrit Patil

    2 min read6 chapters

    Detailed Narrative

    01

    Q3 & 9 Months FY26 Performance Overview

    Medi Assist reported a strong Q3 and 9-month FY26, with consolidated total income growing 29.9% YoY in Q3 and 23.5% for the 9-month period. Consolidated EBITDA for Q3 stood at INR44.6 crores, and ex-Paramount margins improved by 51 bps YoY to 21.7%. The company achieved a debt-free status in January 2026, having paid back INR39.4 crores of debt reported as of December 31, 2025, and maintained a free cash position of INR200 crores.

    02

    Paramount Integration Progress

    The integration of Paramount TPA is on track, with the slump transfer of its business to Medi Assist TPA effective February 1, 2026, accelerating structural integration. This has already shown positive financial impact, with Paramount stand-alone margins improving by 557 basis points QoQ, moving from minus 6.4% to minus 0.9% in EBITDA. Management expects disciplined execution over the next 2-3 quarters to fully restore core EBITDA margins.

    03

    Technology-led Solutions & AI

    The company's tech revenues grew significantly by 81.5% YoY for the 9-month period, now contributing 2.3% to total revenues. The MAtrix platform processed over 77 lakh claims, and the MAven Guard AI solution prevented INR400 crores in fraud, marking a 66% YoY increase, with 82% of this fraud detected by system/AI. The Raksha Prime initiative, which improves cashless experience, has expanded to over 35,000 patients per month across 6,000 hospitals.

    04

    Segmental Performance

    The group business saw premiums managed (including Paramount) grow by 24.4%, with group market share reaching 32.2%. The retail segment, however, experienced a 4.3% contraction ex-Paramount, though it grew 4.6% including Paramount. Government business revenue grew 46.7% for the 9-month period, and international benefits administration revenue increased by 16.3% YoY.

    05

    Exceptional Items Impacting PAT

    The reported PAT for Q3 FY26 was INR34.8 crores, which was impacted by INR14.2 crores in exceptional items📎. These included INR3.7 crores for cybersecurity incident costs at Paramount, INR3.3 crores due to new labor codes, and a INR7.1 crores provision for disallowed claims from an insurer. Management clarified that the underlying PAT, adjusted for these one-time📎 aberrations, would be INR76.7 crores.

    06

    Strategic Focus and Outlook

    Management emphasized a balanced strategy focusing on expanding insurer partnerships, improving service delivery, and protecting profits, driven by technology and AI. They aim to achieve a 100% run rate for volumes on the MAtrix platform within 2-3 quarters and anticipate that AI-led products will eventually transition to an outcome-based revenue model. The strengthened balance sheet provides an opportunity to accelerate tech initiatives and explore new customer acquisitions in the tech business both in India and internationally.

    This is an AI-generated summary of a publicly available earnings call transcript. It is for informational purposes only and does not constitute investment advice, a recommendation, or an endorsement. inve.money is not a SEBI-registered investment advisor. Please consult a qualified financial advisor before making any investment decisions.