Life Sciences and Healthcare GCCs in India 2025 Outlook and Road Ahead

1. Life Sciences & Healthcare GCCs in India 2025 Outlook & Road Ahead February 2025

2. “The best way to predict the future is to create it. Technology & innovation in healthcare will redefine how we deliver care, & India is at the center of this transformation.” - Peter Drucker

3. TABLE OF CONTENTS Why India? Unpacking the Strategic Edge of LSHC GCCs in 2025 1 4 Future-proofing LSHC GCCs in India – Building a Next-Gen Ecosystem for Talent & Innovation 2 10 3 20 Emerging Trends for LSHC GCCs in India in 2025 4 27 Future of LSHC GCC Landscape in India LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 0 3

4. 1. Why India? Unpacking the Strategic Edge of LSHC GCCs in 2025

5. 1.1 What makes India the preferred hub for Life Sciences & Healthcare GCCs in 2025? KEY GROWTH DRIVERS FOR LSHC GCCs IN INDIA IN 2025 Tech Talent Pool India’s AI & big data analytics installed talent base will reach ~633K professionals by 2025. And India also aims to have 30 Mn digitally skilled professionals by 2026. With this, India is surely on track to establish itself as a talent hub Ease of doing Business With government initiatives such as Digital India, Make in India, & state-specific investments (for example Telangana's infrastructure & ecosystem), India has emerged as the third-largest startup ecosystem globally, with over 100 unicorns & a thriving digital economy projected to reach $1 trillion by 2030 Innovation and R&D GCCs have the opportunity to leverage India’s engineering research & development sector, 40,000+ start-ups & peer-GCC ecosystem. With over 100,000 patents granted in FY24 — a fourfold rise from FY20 —India’s innovation ecosystem enables GCCs to drive breakthrough innovations Time Zone Advantage Due to difference in time zones between India & western countries, GCCs in India can operate round-the-clock, delivering timely, uninterrupted & efficient services to their global customers Cost Efficiency Companies can achieve up to 60% cost savings by establishing GCCs in India, driven by lower salaries, lower real estate costs, favorable exchange rates, & a highly skilled talent pool —making it a financially strategic choice over other locations India's robust tech talent pool, ease of business reforms, & cost efficiencies position it as the preferred destination for life sciences and healthcare GCCs, driving global healthcare investments LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 0 5

6. 1.2 India’s strategic strengths in LSHC GCCs across the value chain in 2025 Life Sciences Functions GCCs Maturity Level in India Research & Development Business Functions Medical & Regulatory Commercial Manufacturing & Supply Chain Pharmacovigilance Finance & Accounting Enabling Functions IT & Digital Tax & Legal Procurement HR GCC Maturity Low High LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 0 6

7. 1.3 Various initiatives by the Government of India aim to promote the growth of GCCs in the coming years INITIATIVES AT NATIONAL LEVEL DPIIT works on policies related to the ease of doing business, innovation, intellectual property rights, & fostering a conducive environment for businesses, both domestically & internationally Make in India has created an attractive environment for companies to manufacture goods in India by improving regulatory frameworks, infrastructure, & offering competitive incentives Digital India aims at enhancing online services, improving internet connectivity, & promoting digital literacy, including connecting rural areas with high-speed internet, which in turn, supports GCC operations in India Business Reform Action Plan 2024 aims to streamline India’s business regulations, reduce compliance burdens, & improve ease of doing business, focusing on faster approvals to boost economic growth & investor confidence BRAP 2024 INITIATIVES AT STATE LEVEL GOVERNMENT OF TELANGANA GOVERNMENT OF KARNATAKA Hyderabad has become a hub for healthcare & life sciences GCCs, supported by one of India's top state-backed business ecosystems, with initiatives like: Pharma Villages: Decentralized pharmaceutical hubs in rural areas to boost manufacturing Genome Valley: Facilities for biotech research & development Medical Devices Park: Infrastructure for the medical devices sector T-AIM (Telangana AI Mission): Establish the state as a global AI hub The Karnataka government has also introduced various initiatives to support establishment of HC & LS GCCs in the state: Two pharma parks in Yadgir & Raichur An AYUSH biopharma & wellness cluster in Shivamogga ₹50 crore Bio-Ventures Fund for biotech startups Biotech incubation centers in Mysuru & Dharwad to promote research LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 0 7

8. 1.4 Healthcare & R&D functions make up 43% of the total workforce in LSHC GCCs, highlighting India's prominence as a preferred hub for these strategic operations GROWING NUMBER OF LSHC GCCs 100+ 45+ 2015 160+ 2030F 20+ 2010 2024 WORKFORCE SPLIT BY FUNCTIONS IN GCCs CURRENT TOTAL TALENT POOL IN LSHC GCCs 16% Information Technology (IT) 420K+ 43% Core Healthcare & R&D 280K+ 100K+ 40K+ 41% Business Process Management (BPM) 2010 2015 2024 2030F KEY INSIGHTS 02 Bengaluru, Hyderabad, Mumbai, & Pune contribute to nearly 75% of the total talent for Life Sciences and Healthcare GCCs in India 01 03 Around 20% of these GCCs operate centers in three or more cities across the country India's expertise in research & development, data science, AI, & supply chain is driving global healthcare advancements, attracting GCCs from top pharma MNCs Kindly note that the numbers in the chart are taken from ANSR report LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 0 8

9. 1.5 India has emerged as the premier GCC hub for Forbes Global 2000 companies FORBES GLOBAL 2000 COMPANIES WITH GCCs IN INDIA KEY INSIGHTS 01 Bengaluru is India’s top GCC hub, with 60% of Forbes Global 2000 companies operating 289+ centers and employing 560K+ professionals, driven by deep talent, strong digital infrastructure, and a thriving tech ecosystem 650+ 450+ 340+ 02 Hyderabad is rapidly expanding as a GCC destination, hosting 110+ Forbes Global 2000 centers and 190K+ professionals, supported by world-class infrastructure, skilled talent, and business-friendly policies 2019 2024 2030F Growing number of centers of Forbes global 2000 GCCs in India 610+ 2019 825+ 2024 03 While metro cities account for 94% of Forbes Global 2000 GCCs, tier-2 cities like Ahmedabad, Vizag, Trivandrum, Kolkata, Bhubaneshwar, and Coimbatore are steadily growing as attractive destinations for global enterprises FORBES GLOBAL 2000 GCC TALENT BASE IN INDIA (IN MN) 1.9+ 1.3+ 04 The LSHC sector comprises 11% of Forbes Global 2000 GCCs in India, leveraging strengths in life sciences, R&D, and healthcare technology. Some key players include Evernorth, AstraZeneca, Eli Lilly, Bayer, Novartis, Bristol- Myers Squibb, and GSK 0.8+ 2019 2024 2030F Kindly note that the numbers in the chart are taken from ANSR report LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 0 9

10. 2. Future-proofing LSHC GCCs in India - Building a Next-Gen Ecosystem for Talent & Innovation

11. 2.1 How are LSHC GCCs in India driving operational efficiency? Ensuring Regulatory Compliance Data Security & Privacy Healthcare GCCs are centralizing their compliance functions, ensuring protocol adherence, & reducing the risk of regulatory fines & penalties GCCs safeguard patient data with advanced cybersecurity measures like encryption, multi-factor authentication, & access control, supported by continuous monitoring & threat response Cost Efficiency & Resource Optimization Enabling Innovations & Technological Advancements Companies can achieve cost savings, enabling them to redirect resources toward innovative projects & technologies that improve patient care & safety GCCs leverages expertise in technology adoption, R&D, data analytics, digital transformation, collaborative ecosystems, & compliance management to drive technological innovation & advancement KEY FACTS ON CURRENT HEALTHCARE SCENARIO ON OPERATIONAL EFFICIENCY Neary 81% of GCCs in India prioritize regulatory compliance, with transfer pricing being a key focus Approximately 76% of GCCs in India are investing in cybersecurity enhancements Healthcare companies spend 30-50% higher in their home countries compared to GCC centers About 31% GCCs uses digital solutions like AI & machine learning to speed up drug discovery process LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 1

12. 2.2 Leading global pharmaceutical companies have established GCCs in India, spanning functions from R&D to digital operations Within onset of GCCs, Indian talent is engaged in a wide array of functions, spanning the complete R&D value chain, drug commercialization, manufacturing & supply chain, physician & patient engagement, business strategy, & digital operations PHARMA GCCs CAPABILITIES ACROSS THE PHARMA VALUE CHAIN Clinical Research & Trials Data & Digital Capabilities Drug Commercial Operations Post Market Surveillance Manufacturing Support Development Source: EY Please note that the above mapping of capabilities is solely based on data available in public domain LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 2

13. 2.3 How are global LSHC companies leveraging GCCs to build technical capabilities & future skill-set in India? EXAMPLES OF SELECT GCCs Supported medical chemistry & biometrics Used digital twin technology for human cell modeling Leveraged AI to shortlist drug candidates Drug Discovery Clinical Research / Trials Built a clinical trial experts' team for core therapeutic areas Collected data for evidence generation Designed clinical programs for data & analytics Handled regulatory & health authority queries Performed commercial content management & marketing analytics Created visualizations for patients & physicians to assess drug effects Commercial Operations Conducted post-marketing safety surveillance Supported safety reporting & license renewals Developed patient risk management strategies & risk studies Post-market Surveillance Supported global IT & digital innovation operations Developed capabilities in visualization, data analytics, automation, & XR/VR Data & Digital Capabilities Global Relevance Indian GCCs supported global organization with IT, R&D & business services KEY 50% 50 of the company’s global IT staff is located at its Indian GCC global brands are supported by GCC in R&D FACTS LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 3

14. EXAMPLES OF SELECT GCCs Supported in research & development & clinical development efforts Drug Discovery Supported in translation research & development Conducted clinical trial management & monitoring Supported in statistical programming & analytics Clinical Research / Trials Conducted clinical data management & clinical trial activities Provided support in commercial planning, corporate affairs, regulatory, & medical affairs Conducted market analytics to support launch go-to strategies Commercial Operations Supported in patient safety & pharmacovigilance studies Supported in patient safety monitoring & safety data assessment Post-market Surveillance Focuses on leveraging advanced analytics & artificial intelligence to drive digital transformation Developed Capabilities in Visualization, Data Analytics, & Automation Data & Digital Capabilities Novartis India expanded research, development, & various global functions Plans to hire 500–700 people annually to grow its presence in India Global Relevance 20% KEY of the company’s global employees are from the Indian GCC FACTS LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 4

15. 2.4 How GCC growth is reshaping India’s commercial real estate market? Global Capability Centers (GCCs) has leased 24.8 million sq ft (MSF) in 2024, almost triple from 9.1 million sq ft in 2022, taking its share in overall leasing to 28% in 2024 against 13% in 2022 GCC SHARE (%) IN OFFICE LEASING 24.8 28% 2024 18 24% 2023 9.1 13% 2022 11.1 22% 2021 8.3 18% 2020 17.7 26% 2019 0.0 5.0 10.0 15.0 20.0 25.0 Leasing by GCCs (MSF) AREA OCCUPIED BY GCCs IN INDIA (MSF) ~13 MSF LSHC 158 MSF Total * The LSHC industry occupies 8% of the total area occupied by GCCs in India Kindly note that the numbers in the chart are taken from ANSR report LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 5

16. KEY DRIVERS OF REAL ESTATE GROWTH FUELED BY GCC EXPANSION IN INDIA Growth of Innovation & Tech Parks Companies are moving towards built-to-suit innovation centers with modern R&D facilities, fostering collaboration between enterprises and startups Expansion of Special Economic Zones Many GCCs are opting for SEZs due to tax incentives, infrastructure support, and regulatory benefits Rise of Engineering R&D Centers Increasing investments in ER&D CoEs for AI, cloud, & predictive analytics are boosting demand for premium office spaces Competitive Office Rentals India’s Grade A office spaces offer lower costs than global markets, attracting GCCs seeking high-quality, cost-efficient real estate GCC-DRIVEN COMMERCIAL REAL ESTATE GROWTH Increased Office Space Demand Rise of Commercial Hubs in Tier-2 cities Long-Term Investment Opportunity GCCs already drive 28-30% of office leasing— set to grow further Infrastructure upgrade is driving the development of new business districts The push for AI and innovation-driven GCCs will sustain demand for high- tech office spaces LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 6

17. 2.5 How India’s 2025-26 union budget fuels GCC growth beyond key cities? KEY BUDGET ANNOUNCEMENT FOR GCC DEVELOPMENT IN 2025-26 The government introduced a National Framework for GCC Development to drive growth beyond Tier-1 cities Focus on Tier-2 cities to decentralize operations & enhance talent access Infrastructure upgrades, regulatory reforms, & public- private partnerships to support GCC expansion KEY FOCUS AREAS OF BUDGET FOR GCCs Real Estate Startup Incentives Streamlining building approvals & easing land-use regulations to accelerate commercial development Tax benefits & credit expansion to boost innovation & office space demand Talent Pipeline IFSC Growth Expansion of IITs & AI Centers of Excellence to strengthen the workforce for GCCs Extended tax exemptions in GIFT City to attract global financial services players Tax Incentives for Data Centers AI & R&D Investments Proposed tax holidays and concessional rates to attract foreign investment and strengthen India’s digital infrastructure Rs 500 crore allocation for AI Centers of Excellence and increased R&D incentives to drive innovation and emerging technology adoption 100% FDI in Insurance National Geospatial Mission Raising the FDI limit from 74% to 100% is set to draw global insurers to India, boosting investment, competition, and sector growth This mission aims to develop geospatial infrastructure and data for urban planning, aiding GCCs in making informed decisions about location and expansion LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 7

18. 2.6 Key challenges typically faced by GCCs in India & how can that be effectively navigated Challenges Proposed Solutions Skilled Workforce Limitations: GCCs have been facing a shortage of talented workforce with key skills like clinical data management, data science, pharmacovigilance, medical writing, biostatistics, cyber security, etc. For instance, India has a tech talent demand supply gap of 25%-27% Developing a skilling program designed specifically for entry-level talent across healthcare & life sciences GCCs to create industry-ready professionals by enhancing core competencies, interdisciplinary abilities, & foundational soft skills Offer Drop-outs: This refers to candidates accepting multiple job offers simultaneously & then reneging on commitments, often at the last minute, to take the offer they perceive as most advantageous leading to significant disruption. GCCs experience offer dropout rates between 30% & 40% Formation of a centralized employee database to address the challenges posed by offer drop-outs & improve hiring efficiency by tracking candidate dropout trends & reasons Rising Accommodation Challenges: Rapid Tier I city expansion has surged demand, causing non- standard rentals, rising costs, & substandard affordable housing. Large GCCs in Bangalore, Hyderabad, & Pune has led to increased residential demand Building an inclusive shared accommodation ecosystem to ensure affordability, & provide other options by collaborating with real estate developers, partnering with accommodation aggregators, & certain policy & regulatory interventions Urban Mobility Challenges: Rapid urbanization in Tier I cities has increased commuting costs, overcrowded public transport, & boosted private vehicle use. Bengaluru, with many GCCs, sees severe congestion, with an average 34-40 minutes travel time for just 10 km during peak office hours Introducing shared transportation initiative to provide a scalable transportation model focusing on reducing commuting challenges through demand aggregation, shared services, & affordable transit options, fostering productivity & sustainability LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 8

19. 2.6 Government of Telangana has enabled one-of-its-kind LSHC GCC Consortium in India to further nurture and accelerate the ecosystem 40 LSHC companies have come together to form LSHC GCC consortium in Nov 2024, with an aim to drive sustainable growth, enhance government-industry collaboration, and enhance Hyderabad’s position as a hub for Life Sciences and Pharma innovation KEY FOCUS AREAS OF THE LSHC GCC CONSORTIUM Talent & Training Branding of Scientific Careers Infrastructure Talent & Training Extensive focus on skilling to nurture the talent and make them industry ready Infrastructure Infrastructure related initiatives to solve the challenges of both employers & employees Initiated industry specific programs in streams such as molecular chemistry, pharmacovigilance, analytical chemistry, etc In process to establish a life sciences university in Hyderabad to attract and nurture talent Future plans to provide tailored training to groom talent for leadership roles (from mid level to senior level) Government sponsored shared transportation for employees of mid sized companies (who are not in the stage to afford full fledged transportation for their employees) Collaborating with industry to standardize quality and bringing price stability in rentals / PG accommodations for ease of employees Collaborating with hotels in the city to increase capacity to pace up with the rapid growth of city and cater to the high volume of conferences and company events inviting people from round the corner Branding of Scientific Careers The consortium is currently working on identifying an array of things which can be done to brand the scientific roles and make it more attractive (similar to top tier MBAs and engineers) among the talent and other masses IMPACT Equips students with skills to meet GCC talent demands Builds next level infrastructure to meet future demands Aligns with the state’s vision to build robust life sciences ecosystem in Hyderabad LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 1 9

20. 3. Emerging Trends for LSHC GCCs in India in 2025

21. 3.1 A large number of LSHC GCCs will be seen adopting Organic & Open Innovation Strategies to create value at a rapid pace GCCs STRATEGIES FOR LSHC INNOVATIONS DEVELOPMENT IN 2025 Organic Innovation Strategy Open Innovation Strategy Description Description Innovation within GCCs is being driven organically or in collaboration with the parent organization GCCs are helping parent companies access the latest innovations by engaging with the extended ecosystem of startups & academic institutions Approach Approach Organic innovation is focusing on developing cutting-edge technologies such as AI, cloud computing, blockchain, & data analytics to forge a transformative path GCCs are focusing on building functional expertise, while ecosystem partners contribute operational excellence & talent to develop technological innovations CASE STUDY CASE STUDY Providence’s Hyderabad GCC is developing cutting-edge solutions, including cloud computing, cybersecurity, digital tools, data analytics, & in-house innovations like GenAI Carelon, Elevance Health’s 18,000-employee GCC with centers in Hyderabad & Bengaluru, is collaborating with Telangana’s T-Hub, enabling close collaboration with startups to harness their innovative solutions & expertise LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 1

22. 3.2 LSHC GCCs will increasingly engage with Indian start-ups to accelerate innovation Vendor for New-Age Solutions Accelerator / Incubator GCCs use startups as suppliers & purchase innovative solutions from them for a price. Example: Pfizer’s engagement with Tempus to leverage AI & machine learning for advancing oncology therapeutic development GGCs collaborates with startups to create breakthrough solutions that enhances GCCs performance. Example: Johnson & Johnson Innovation operating JLABS, collaborating with CureMatch to develop precision medicine solutions Solution Validation / Co-Development Acquisition/ Acqui-Hire GCCs are collaborating with startups to develop solutions for specific challenges within the GCC or parent organization. Example: Pfizer collaborating with BioNTech to co-develop mRNA- based vaccines GCCs are acquiring a controlling interest in startups aiming to gain a competitive edge & expand their market. Example: Roche acquiring Flatiron Health to enhance their oncology research capabilities Investment GCCs are actively collaborating with startups & fostering partnerships to develop specialized expertise. Example: Johnson & Johnson investing in Verana Health, a startup that uses real-world data to improve clinical research & patient care LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 2

23. 3.3 Between 2021 & 2024, 48% of GCCs established in India have been adopting a provider-assisted service model & it will continue to rise The number of provider-supported GCC startups is witnessing significant growth, with assisted & BOT models accounting for approximately 90% of GCC setups established by providers 70% PERCENTAGE OF GCC SETUP IN OFFSHORE-NEARSHORE GEOGRAPHY 53% 48% 30% 2015-2020 2021-2024 Provider Assisted In House DRIVERS FACILITATING PARTNERSHIP BETWEEN PROVIDERS & ENTERPRISE FOR GCC SETUPS Provider Assisted GCC Setup GCCs established with significant involvement or backing from service providers or third-party organizations In-house GCC Setup Accelerated speed to market Lower up-front financial commitment / cost savings GCCs fully established by the parent company itself, without relying on third-party service providers or external partners Access to local expertise & scale Ease of set-up & management 58% PERCENTAGE SHARE OF DIFFERENT MODEL IN PROVIDER ASSISTED GCC CENTER SETUPS 45% 35% 33% 8% 10% 2015-2020 2021-2024 Assisted Joint Venture BOT Kindly note that the numbers in the chart are taken from Everest Group report LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 3

24. 3.4.1 LSHC GCCs are increasingly leveraging advanced technologies to help parent organizations maintain a competitive edge in 2025 (1/2) Companies are increasingly focusing on the rapid proliferation of data to develop strategies & make informed decisions, strengthening their competitive edge & establishing key differentiators. This trend is particularly prominent in life sciences, where the use of new data sources—such as EMR, HEOR, payor records, wearables, medical devices, & social media—has fueled transformational growth KEY TECHNOLOGIES FOCUSED BY LS GCCs FOR TECHNOLOGICAL ADVANCEMENT Big Data & Analytics Automation Focusing on enhancing target identification & improving predictive modeling for drug interactions Offering scalable storage & computational power, facilitating the integration of various data sources while enabling global collaboration Enabling real-time monitoring of patient data, allowing for early detection of health issues & timely interventions Identifying patterns, predicting health risks, & improving treatment plans by analyzing large volumes of patient data from various sources such as EMRs, wearables, medical devices, & social media AI/ML & Health IT Cybersecurity Ensuring compliance with regulations such as the Health Insurance Portability & Accountability Act (HIPAA) while safeguarding intellectual property Used to analyze vast datasets, predict drug interactions, & identify promising drug candidates to speed up drug discovery & development Protecting against unauthorized access to critical systems & sensitive information, preventing data breaches Analyzing patient data to develop personalized treatment plans, improving patient outcomes by leveraging genetic, environmental, & lifestyle factors Due to the limited adoption of IoT & blockchain in life sciences, GCCs are prioritizing other high-impact technologies over these LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 4

25. 3.4.2 LSHC GCCs are increasingly leveraging advanced technologies to help parent organizations maintain a competitive edge in 2025 (2/2) Big Data & Analytics Automation Bayer has set up a Data Sciences & Analytics (DS&A) Centre in Hyderabad to support clinical research operations (CRO) & drug development of innovative therapies The center also specializes in Oncology Data Analytics (ODA), enabling it to deliver advanced insights & analytical methodologies for its parent organization Siemens’ Innovation Hub in Bengaluru is leveraging GenAI through initiatives like Healthineers GPT to automate documentation & enhance efficiency in quality & regulatory processes This enables streamlined workflows, allowing teams to focus on higher- value tasks AI/ML & Health IT Cybersecurity U.S. hospital chain Providence Health plans to more than double its workforce in India by 2025 through the expansion of its GCC in Hyderabad The expansion aims to support hospital operators with services such as strengthening cybersecurity measures & helping doctors streamline their paperwork AstraZeneca's Global Innovation and Technology Centre (GITC) in Chennai uses AI in 70% of small molecule chemistry projects to identify the best molecules & speed up drug development The center applies AI-powered image analysis & machine learning to analyze patient heterogeneity & combine clinical trial & real-world data for identifying disease progression & therapy response patterns LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 5

26. 3.5 Parent companies are Using a variety of operational frameworks to set up GCCs Transaction Service Centers Providing business function support globally, including finance, IT, HR, procurement Employing higher number of full-time employees (FTEs) without specialized knowledge or experience Capability Development Centers Providing niche capabilities to parent organization Employing smaller number of FTEs qualified/trained in niche capabilities including analytics, IoT & AI/ML Business Operations Centers Focusing on delivery of core business functions including pricing, promotions & sales acceleration Number of FTEs employed are moderate, with business knowledge in multiple domains including finance, sales & marketing R&D Centers These centers are developing & enhancing various product & services by creating new market or tapping existing markets R&D centers employes lower number of highly skilled FTEs such as scientist, biotechnologist & platform engineers LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 6

27. 4. Future of LSHC GCC Landscape in India

28. 4.1 India's GCC sector is projected to surpass $100Bn by 2030, expanding to 2,500 centers with 4.5Mn employees GCCs IN INDIA BY 2030 US $ 110 Bn 2500 115/Year 4.5 Mn US $ 37,760 Total # of GCCs in India New GCC Set-ups Total Head Count GCC Market Size Overall Cost/FTE* KEY GCC TRENDS UNTIL 2030 Enhancing Employee Value Proposition (EVP) by focusing on organizational culture, nature of work, career growth, rewards & compensation Centers of Excellence (CoEs) leading product development & innovation in areas such as AI, cloud, engineering, data analytics, & cybersecurity Shifting from a ‘cost’ to a ‘profit’ center by generating new revenue streams through external client services for the parent organization Expanding functions in legal, marketing, & procurement with increased investments to enhance capabilities & serve external clients LSHC GCCs are emerging as innovation hubs, accelerating R&D, drug discovery, commercialization, and digital transformation Compact GCCs are growing rapidly, driven by the country’s talent pool, innovative culture, & cost efficiencies LSHC GCCs will increasingly partner with academia and research institutions to drive innovation, accelerate R&D, & develop a skilled workforce *FTE consists of Production, Support & Contract staff and Overall cost per FTE includes workforce, travel, facility, and IT & communications costs LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 8

29. WHAT WILL INFLUENCE THE FUTURE LANDSCAPE OF GCCs OVER THE NEXT DECADE? Increasing software export services, offshoring, digital transformation, & innovation is expected to make India a prime destination for MNC to set-up their GCCs in India Enhanced infrastructure, favorable policies, and cost benefits in Tier-II cities like Ahmedabad, Chandigarh, Jaipur, Kochi, Visakhapatnam and Vadodara will drive the rise of new GCC hubs in India Growing GCC-startup collaborations will drive innovation, giving start-ups market access & funding while GCCs gain advanced technology, faster go- to-market, & skilled talent LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 2 9

30. 4.2 Despite opportunities for strategic refinement, how are GCCs transforming India’s future of work? GCC hiring demand jumped 46% in Q1 FY25, reflecting GCCs' growing reliance on India's skilled tech talent & their expansion into Indian economy SCOPE FOR STRATEGIC ENHANCEMENTS IN INDIA'S GCC ECOSYSTEM Need for balanced regional development to mitigate rising real estate costs & urban congestion faced by GCCs Tier-2 cities need robust infrastructure in transportation, power, & office spaces to drive GCC expansion Need for a unified policy as varying state incentives & regulations complicate GCC setups HOW GCCs ARE REBUILDING OPERATING MODELS & LONG-TERM STRATEGIES IN INDIA? Demand for niche skills like AI/ML, Cloud, OpenStack, BI, & Cybersecurity is set to surge as GCCs accelerate digital transformation initiatives Increased Demand for Niche Skill Sets GCCs will be scaling operations through niche hiring, reskilling, third-party services, OSP partnerships, gig models, & startup collaborations Higher Focus on Operations Scaling GCCs will be focused on driving the future of work by adopting digital collaboration & learning tools, fostering Diversity, Equity & Inclusion, promoting innovation, implementing hybrid work models & enhancing borderless security Rising Future of Work Initiatives Adoption Growing Emphasis on Cultural Transformation GCCs will be prioritizing on cultural transformation by emphasizing a digital mindset, workplace flexibility, diversity & inclusion, & innovation Driving Digital-first Healthcare LSHC GCCs are driving AI, analytics, & automation to enhance care & efficiency LSHC GCCs will require specialized skills in AI diagnostics, clinical analytics, health informatics, telehealth, pharmacovigilance, genomics, regulatory compliance, & RWE generation Emerging Demand for LSHC GCC Skills LIFE SCIENCES & HEALTHCARE GCCs IN INDIA – 2025 OUTLOOK & ROAD AHEAD 3 0

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32. Authors DR. PURAV GANDHI FOUNDER & CEO SUDEEP KRISHNA CO-FOUNDER & PRESIDENT RITU BALIYA ENGAGEMENT MANAGER ADITI CHANDARANA SENIOR CONSULTANT ABOUT HEALTHARK Healthark is a global management consulting firm, founded in 2015, specializing in the healthcare and life sciences industry. We are a team that blends deep domain expertise, scientific rigor, and a diverse skill set to address complex challenges for our clients. Our comprehensive range of services includes Growth Advisory, Market Eminence, AI & Analytics, Digital Transformation, and Real-World Evidence (RWE). We support Life Sciences & Healthcare Global Capability Centers (GCCs) through strategy formulation, execution, and BOT (Build, Operate, Transfer) solutions. We assist with location selection, entity setup, integration of key functions, and outsourced operations like financial, regulatory, and tax compliance while providing managed teams to reduce overheads. With a global presence in India, the United States, UAE, and Australia, we’ve executed projects across 70+ countries. Our expertise empowers clients to make informed, strategic decisions, and we work alongside them to implement solutions and achieve long-term success. At Healthark, we don’t just deliver insights—we ensure the successful execution of strategies that create lasting value. www.healtharkinsights.com Copyright © 2025 HEALTHARK. All rights reserved.