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Healthcare Outsourcing Market Report: September 2014 – Preview Deck Topic: IT Outsourcing in Life Sciences Industry – Service Provider Profile Compendium 2014 Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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Healthcare Outsourcing Market Report: September 2014 – Preview Deck

Topic: IT Outsourcing in Life Sciences Industry – Service Provider Profile Compendium 2014

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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Our research offerings for global services

Subscription information

The full report is included in the following subscription(s) – Healthcare Outsourcing

In addition to published

research, a subscription may include analyst inquiry, data cuts, and other services

If you want to learn whether your organization has a subscription agreement or request information on pricing and subscription options, please contact us:

Corporate Headquarters Office: +1-214-451-3000 [email protected] European Headquarters Office: +44-207-129-1318 [email protected]

1 Banking, financial services, and insurance

Custom research capabilities Benchmarking | Pricing, delivery model, skill portfolio Peer analysis | Scope, sourcing models, locations Locations | Cost, skills, sustainability, portfolio – plus a tracking tool Tracking services | Service providers, locations, risk Other | Market intelligence, service provider capabilities, technologies, contract

assessment

Finance & accounting

Procurement

Human resources

Recruitment process

PricePointTM

Global sourcing

Locations InsiderTM

Contact center

Transaction Intelligence

Healthcare information technology

Information technology

Cloud VistaTM

BFSI1 business process

BFSI1 information technology

Market VistaTM

Global services tracking across functions, sourcing models, locations, and service providers – industry tracking reports also available

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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Background and scope of the research

Background of the research The healthcare industry is witnessing an unprecedented churn and transformation, leading to a surge in IT and business process outsourcing adoption. Driven by regulatory reforms, tenets of consumerization, market consolidation, and emergence of next-generation digital avenues, outsourcing has accelerated in the space. Service providers across the spectrum have beefed up their capabilities to cater to this growing market. With healthcare companies stepping up adoption of outsourced delivery, there is an uptick in demand for relevant research and market intelligence on demand and supply trends in healthcare outsourcing across the three major market segments – payer, provider, and life sciences. The need is more pronounced for the vertical-specific IT outsourcing function, where business challenges are driving greater adoption. Everest Group’s healthcare outsourcing research program addresses this market requirement by analyzing outsourcing trends and service provider capabilities specific to ITO in the healthcare vertical. In this report, we analyze the capabilities of 18 ITO service providers specific to the global life sciences sector. These service providers are mapped on the Everest Group Performance | Experience | Ability | Knowledge (PEAK) Matrix, which is a composite index of a range of distinct metrics related to a provider’s capability and market success. We focus on: The landscape of service providers for life sciences ITO Assessment of the service providers on a number of capability-related dimensions Characteristics of Leaders, Major Contenders, and Emerging Players on the Everest Group PEAK Matrix Profiles for the 18 life sciences ITO service providers Scope of this report Industry: Life sciences (pharmaceuticals, medical devices, biotechnology, and other life sciences1) Services: Large (TCV > US$25 million), multi-year (>3 years), and annuity-based application outsourcing Geography: Global Sourcing model: Third-party ITO transactions; excludes shared services or Global In-house Centers (GICs)

1 Includes healthcare data & information services and medical products distribution

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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This report examines the service provider landscape for large annuity contracts in the life sciences ITO market

Private health plans Public health plans

Payer

Pharmaceuticals Medical devices Biotechnology Others1

Life sciences

Large health systems Stand-alone hospitals/clinics Pharmacists Physician practices Diagnostic labs

Provider

Healthcare

Services industry

Traditional IO Remote Infrastructure

Management (RIM) Infrastructure Management

Services (IMS) Cloud

IT Infrastructure Outsourcing (IO)

Applications development Applications maintenance Independent testing Package implementation ERP services Business intelligence / data

warehousing

IT Application Outsourcing (AO)

BFSI-specific BPO HRO FAO PO Contact center Knowledge services

Business Process Outsourcing (BPO)

IT strategy / operations consulting

Business consulting Infrastructure consulting Infrastructure roll-outs

Consulting

This report assesses ITO service providers in the life sciences vertical with a focus on large (TCV > US$25 million), annuity-based, and multi-year (>3 years) relationships

NOT EXHAUSTIVE Focus of report

1 Includes healthcare data & information services and medical products distribution

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Service provider landscape and capability profiles

Each report provides: Mapping of service providers on Everest Group’s PEAK Matrix

for the specific subsegment Capability profiles of service providers capturing their ITO

services experience in specific subsegments. This includes: – Service provider overview: Details of ITO services capabilities,

key investments, proprietary solutions, and technological expertise

– Functional / Line of Business (LoB) focus – Transactions overview for ITO services – Delivery footprint

Annual report

Each report provides an overview of the ITO market for the specific healthcare subsegment

Analysis includes the following content in the specific healthcare subsegment: – Trends in ITO in the overall healthcare industry – Market trends and activity for large ITO relationships – Emerging themes driving ITO – Future outlook for ITO

Payer

Life sciences

Provider

This report is a part of Everest Group’s series of six reports focused on ITO in healthcare in 2014

Focus of report

Payer

Life sciences

Provider

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Everest Group’s healthcare outsourcing research is based on two key sources of proprietary information

Everest Group’s proprietary database of 1,000+ large, multi-year ITO contracts within healthcare (updated annually)

The database tracks the following elements of each large ITO relationship: – Buyer details, including industry, size, and signing region – Contract details, including TCV, ACV, term, start date, service provider

FTEs, and pricing structure – Activity broken down separately for healthcare payer, life sciences, and

provider, and by business subsegment (for example, pharmaceuticals and medical devices)

– Scope coverage of functional activities and buyer geography – Global sourcing leverage, including delivery locations and level of

offshoring

Note: We continually monitor market developments and track additional service providers beyond those included in the analysis Confidentiality: Everest Group takes its confidentiality pledge very seriously. Any information that is contract-specific, will be presented back to the industry only in an

aggregated fashion

Service providers covered in the analysis 1

Everest Group’s proprietary database of operational capability of major healthcare ITO service providers (updated annually)

The database tracks the following capability elements for each service provider: – Overall revenue, total employees, and healthcare employees – Major healthcare ITO clients and recent wins – Recent healthcare-related developments – Healthcare ITO delivery locations – Healthcare ITO service suite – Domain capabilities, proprietary solutions, and intellectual property

investments

2

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Table of contents

Introduction and overview 5 Section I: PEAK Matrix for life sciences ITO 11 Summary of key messages 12 Service provider landscape 14 Life sciences ITO PEAK Matrix 2014 19

Section II: Profiles of life sciences ITO service providers 23 Accenture 24 CGI 30 Cognizant 34 Dell 42 Fujitsu 47 HCL 52 Hexaware 59 HP 63 IBM 67 IGATE 73 Infosys 77 L&T Infotech 84 Syntel 89 TCS 93 Tech Mahindra 101

Topic Page no.

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Table of contents

Section II: Profiles of life sciences ITO service providers (continued) Unisys 107 Virtusa 111 Wipro 114

Appendix 121 Glossary of key terms 122 Healthcare IT outsourcing research calendar 124 References 125

Topic Page no.

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This report provides a comprehensive assessment of the service provider landscape for IT Outsourcing (ITO) services in the life sciences industry, and maps the leading service providers on Everest Group’s PEAK Matrix. It also includes segment-wise analysis incorporating enterprises’ feedback about service providers.

Overview and abbreviated summary of key messages

Some of the findings in this report, among others are:

In 2013, offshore majors outperformed other service provider groups in terms of average ITO revenue accrued from life sciences and FTE strength

However, global majors retained marginally higher revenue productivity per-FTE on account of their solutions-driven portfolio, across applications and infrastructure services

Pharmaceuticals continues to remain a major share of service providers’ life sciences portfolio, with increasing traction in medical devices and biotechnology

Life sciences ITO service provider landscape

Analytics will be a core lever of operational efficiency going forward Fuelled by consolidation, big data, and next-generation technology imperatives, infrastructure

outsourcing in life sciences represents a US$3 billion opportunity over 2013-2020 Among service providers assessed on the PEAK Matrix, Leaders need to evolve into strategic

partners by bringing through leadership to engagements, Major contenders need to ramp up capabilities in next-generation IT avenues, and Emerging Players need to address staff augmentation issues as well as build domain expertise

Implications for key stakeholders

Analysis of the service provider landscape for life sciences ITO leveraging the Everest Group’s PEAK Matrix reveals three distinct categories of service providers: Leaders, Major Contenders, and Emerging Players

The average revenue and headcount of Leaders is over four times that of Major Contenders Leaders accounted for over three-fifths of the new deal activity over the last three years, with nearly

one-fifth deals based in Europe

PEAK Matrix for life sciences ITO

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Everest Group's Life Sciences ITO PEAK Matrix

Everest Group Performance | Experience | Ability | Knowledge (PEAK) Matrix for large life sciences ITO relationships1

1 PEAK Matrix specific to large (>US$25 million TCV), multi-year (more than three years) application outsourcing relationships within the life sciences sector; the evaluation this year (2014) is weighted more on Application Outsourcing(AO) as a majority of large deals have application outsourcing in scope

Source: Everest Group (2014)

High

Low Low High

Mar

ket s

ucce

ss

(Tra

nsac

tion

activ

ity)

Delivery capability (Scale, scope, domain investments, and delivery footprint)

75th percentile

75th

per

cent

ile

25th

per

cent

ile

25th percentile

Leaders

Major Contenders

Emerging Players Fujitsu

Virtusa

Hexaware Unisys

Wipro

Dell Services

TCS

Cognizant

HP

CGI

HCL Technologies

Syntel L&T Infotech

Tech Mahindra

Infosys

IGATE

Leaders Major Contenders Emerging Players Star Performers

IBM Accenture

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Summary dashboard | Delivery capability assessment of service providers for large life sciences ITO relationships (page 1 of x)

Scale Scope Domain

investments Delivery footprint

Market success

Service provider 4

Measure of capability: High Medium-high Low Medium

Service provider 3

Service provider 1

Service provider 2

Service provider 5

Service provider 6

Source: Everest Group (2014)

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Company description: Company X is a global Information, Communications, and Technology (ICT) company. It offers enterprise solutions, client relationship management, business intelligence, business process quality, operations management, engineering solutions, digital convergence, product lifecycle management, and infrastructure management services Headquarters: xx Website: www.companyx.com

Services offered for the healthcare vertical: IT services across the healthcare payer, provider, and life sciences segments. Offerings for the life sciences segment span drug discovery and development, pharmacovigilance, manufacturing & supply chain, sales and distribution, marketing, regulatory compliance, and general administration, and include application development and maintenance, data analytics, testing, and other IT and BPO services

Major healthcare clients: Pharmaceutical firm A, medical devices company B, biotechnology company C, biopharmaceutical major D

Scale of healthcare subverticals Payer Life sciences Provider

>US$500 million US$100-500 million <US$100 million

Company X | Life sciences ITO profile (page 1 of 6) Corporate and healthcare overview

Geographical mix

FY 2014; US$ million Service mix

FY 2014; US$ million

Key financial parameters Revenue figures in US$ million

Revenue from the healthcare Revenue from other verticals Operating margin

FY 2012 FY 2013 FY 2014

% % %

100% = xx

Europe

Americas

100% = xx

SI/Consulting

AO

IO

BPO LATAM

APAC

Source: Everest Group (2014)

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Headline assessment Life sciences is the largest subsegment within Company X's healthcare portfolio, with a focus on serving ITO requirements of U.S.- and U.K.-based pharmaceutical and biotechnology clients

Scope Demonstrated success in delivering ADM, testing, ERP, DWBI, and

end-user computing services to life sciences clients Large-sized life sciences ITO deals spread across North America and

Europe, with a certain degree of BPO services bundling

Delivery footprint Life sciences ITO clients are served primarily from India, representing a

high offshore leverage Some delivery resources are also based out of client offices in United

States and United Kingdom

Domain investments Proprietary solutions in the life sciences domain include physician

information tools, risk-based clinical trials monitoring, social media solutions, clinical data management, and SCM solutions

Alliances with German, American, and Indian companies across electronic submissions, biostatistics, and integrated clinical systems

Scale Healthcare portfolio exceeds US$XX million in revenue, with more than

YY FTEs for healthcare ITO Life sciences accounts for the majority of healthcare clients, ahead of the

payer and provider subsegments, comprising over ZZ FTEs Around XX active life sciences ITO clients

Transaction success Life sciences ITO deal activity, primarily, with pharmaceutical and

biotechnology clients based in United States and United Kingdom Large life sciences ITO deals exhibit robust characteristics, with an

average TCV of over US$XX million and average deal duration exceeding zz years

Company X | Life sciences ITO profile (page 2 of 6) Life sciences ITO capability assessment and market success

North America EMEA Latin America APAC

Geographic scope Life sciences subsegments Success dashboard1 High Medium Low

Pharma Biotech

Medical devices Others

Everest Group PEAK Matrix for life sciences ITO

High

Low Low High

Mar

ket s

ucce

ss

(Tra

nsac

tion

activ

ity)

Delivery capability (Scale, scope, domain investments, and delivery footprint)

Leaders Major Contenders

Emerging Players

Company X

1 Transaction success for large-sized deals; assessment relative across service providers Source: Everest Group (2014)

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Proprietary solutions (representative list)

Line of business Solutions

Life sciences Clinical services – Solution A: Pre-packaged electronic data capture solution that helps accelerate clinical trials and

improves clinical data management – Risk-based clinical trials monitoring: Service offering based on Oracle CDMS AND CTMS platforms

Discovery – Tool B helps scientists register research entities uniquely, track inventory efficiently, and manage entity

transactions Sales and marketing

– Solution C : A solution to provide complete 360 degree view of physicians to enable best utilization of sales resources

Social media – Framework D: Helps in identifying the right Key Opinion Leaders (KOL) from the industry for specific

areas and provides insight into how industry leaders are perceiving products Cloud

– Cloud solutions helps enterprises build, manage, and govern a unified hybrid cloud environment Compliance

– Drug safety as a service: An integrated IT-BPO offering in the space of pharmacovigilance Supply chain and distribution

– Tool E: A solution in the serialization and ePedigree space to meet regulatory mandates, reduce drug counterfeiting, increase efficacy of recall management, and enhance patient safety. Enables each individual unit of a drug to be tracked and traced along its journey from the manufacturing plant to patients

– Solution F: Integrated IT-BPO offering in the space of pack artwork management and pharmacovigilance

Company X | Life sciences ITO profile (page 3 of 6) ITO domain investments and transaction activity

Source: Everest Group (2014)

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Company X | Life sciences ITO profile (page 4 of 6) ITO domain investments and transaction activity

Key alliances (representative list)

Alliance partner Purpose of alliance

Partner A To develop a dedicated innovation lab for the healthcare and life sciences vertical

Partner B To establish presence in areas such as bioassays, biomarkers, and genomics-based products

Partner C For providing Oracle clinical products integration services

(Several) Alliances with German, American, and Indian companies in the areas of electronic submissions, bio statistics, CDISC standards, integrated clinical systems, discovery informatics, customer experience, artwork & pack management, serialization & ePedigree, and pharmacovigilance

Source: Everest Group (2014)

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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Company X | Life sciences ITO profile (page 5 of 6) ITO domain investments and transaction activity

Recent transaction activity1

Buyer’s name Announcement date

TCV estimate (US$ million)

Duration (years) AO/IO/both Contract details and services

Pharmaceutical firm A

May 2013 XX Y AO Application development, testing, project management, communications, and training to support the design, build, and deployment of IT lifecycle services

Medical devices company B

January 2013 YY Z Both Legacy modernization and implementation of cloud-based infrastructure

Biotechnology organization C

December 2012 ZZ X IO Global infrastructure management services including provisioning, maintenance, and upscaling

1 Publicly-announced life sciences ITO transactions during 2010 to 2014 Source: Everest Group (2014)

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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Company X | Life sciences ITO profile (page 6 of 6) Key ITO delivery locations

India

NOT EXHAUSTIVE

U.S.

UK

Confirmed location for life sciences ITO 500-1,000 ITO FTEs

>5,000 ITO FTEs 100-500 ITO FTEs

1,000-5,000 ITO FTEs <100 ITO FTEs

Australia

China

Brazil

Source: Everest Group (2014)

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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2014 healthcare IT outsourcing research calendar

Topic Release date

IT Outsourcing (ITO) in the Life Sciences Industry: Analytics Driving the Innovation Engine – Annual Report 2014 June-2014

Published Current

State of the Healthcare & Life Sciences ITO Market: 2014 January-2014

IT Outsourcing in Healthcare Payer Industry – Annual Report 2014 Q3-2014

IT Outsourcing in Healthcare Payer Industry – Service Provider Landscape with PEAK Matrix™ Assessment 2014 Q3-2014

IT Outsourcing in Healthcare Payer Industry – Service Provider Profile Compendium 2014 Q3-2014

IT Outsourcing in Healthcare Provider Industry – Annual Report 2014 Q4-2014

IT Outsourcing in Healthcare Provider Industry – Service Provider Landscape with PEAK Matrix™ Assessment 2014 Q4-2014

IT Outsourcing in Healthcare Provider Industry – Service Provider Profile Compendium 2014 Q4-2014

IT Outsourcing in Life Sciences – Service Provider Profile Compendium 2014 September-2014

June-2014 Webinar Deck: What’s Driving the Surge in Life Sciences IT Outsourcing?

IT Outsourcing in Life Sciences Industry – Service Provider Landscape with PEAK Matrix™ Assessment 2014 July-2014

Viewpoint: Consumerization strategies in Healthcare Q3-2014

Viewpoint: Opportunities in the focus segments of HLS: Pharmaceutical and Mid-tier payers Q1-2015

State of the Healthcare & Life Sciences ITO Market: 2015 Q1-2015

Copyright © 2014, Everest Global, Inc. EGR-2014-12-PD-1219

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Additional healthcare research references

The following documents are recommended for additional insight on the topic covered in this report. The recommended documents either provide additional details on the topic or complementary content that may be of interest 1. IT Outsourcing in Life Sciences Industry – Service Provider Landscape with PEAK Matrix™ Assessment 2014

(EGR-2014-12-R-1147); 2014. This report provides a comprehensive assessment of the service provider landscape for IT outsourcing (ITO) services in the life sciences industry. It maps 18 leading service providers on the Everest Group PEAK Matrix, which is a composite index of a range of distinct metrics related to a service provider’s capability and market success

2. IT Outsourcing (ITO) in the Life Sciences Industry – Annual Report 2014: Analytics Driving the Innovation Engine (EGR-2014-12-R-1144); 2014. This report provides an overview of the ITO market for the life sciences industry. Analysis includes market size & growth, forecasts (up to 2020), demand drivers, adoption & scope trends, key areas of investment, and implications for key stakeholders. The report focusses specifically on how analytics has emerged as a core enabler of operational efficiency and will be a primary tool for life sciences firms looking to drive key strategic initiatives

3. IT Outsourcing in Life Sciences Industry – Service Provider Landscape with PEAK Matrix™ Assessment and Profile Compendium 2013 (EGR-2013-12-R-0970); 2013. This report provides a comprehensive assessment of the service provider landscape for IT outsourcing (ITO) services in the life sciences industry. It maps 14 leading service providers on the Everest Group PEAK Matrix and includes detailed profiles of these service providers. This evaluation categorizes the service providers into Leaders, Major Contenders, and Emerging Players. It also identifies top three service providers as Star Performers, based on their year on year movement on the Matrix

For more information on this and other research published by Everest Group, please contact us: Jimit Arora, Vice President: Abhishek Singh, Practice Director: Nitish Mittal, Senior Analyst:

Phone: +1-214-451-3110 Email: [email protected]

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