Babylon Investor Day Presentation Deck
Adjusted Claims Expense Ratio Reconciliation and Calculation of
Claims Expense Ratio, Claims Margin and Adjusted Claims Margin
We believe that Adjusted Claims Expense Ratio and Adjusted Claims Margin are useful metrics for investors to understand and evaluate our operating results and ongoing profitability because they permit
investors to evaluate our Claims Expense as a percentage of our Value-based care revenue. We believe that these metrics provide useful measures for period-to-period comparisons of our business.
Babylon's management team uses these measures in assessing Babylon's performance, as well as in planning and forecasting future periods. These non-IFRS financial measures are not computed
according to IFRS, and the methods we use to compute them may differ from the methods used by other companies. Adjusted Claims Expense Ratio and Adjusted Claims Margin have certain limitations,
and you should not consider them in isolation or as a substitute for analysis of our results of operations as reported under IFRS. The following table presents a calculation of our Claims Expense Ratio,
Claims Margin and Adjusted Claims Margin and a reconciliation of Adjusted Claims Expense Ratio from Claims Expense Ratio, the most directly comparable IFRS measure, for the twelve months ended
December 31, 2021 based on information available through April 30, 2022.
66
Value-based care Revenue
Claims Expense
Claims Expense Ratio
Claims Margin
Net Adjustments
Net adjustments to Claims Expense Ratio
Restated (Non-IFRS)
Adjusted Claims Expense Ratio
Adjusted Claims Margin
Adjusted Claims Expense Ratio (Non-IFRS) By LOB
Medicaid
Medicare Adv.
Commercial
Adjusted Claims Margin (Non-IFRS) By LOB
Medicaid
Medicare Adv.
Commercial
2021
$220.9
$219.6
99.4%
0.6%
-2.0%
97.4%
2.6%
100.5%
96.0%
80.4%
-0.5%
4.0%
19.6%
Definitions
Adjusted Claims Expense Ratio
Adjusted Claims Margin
Adjustments
Exclude non-healthplan revenue
Exclude provider incentives
Add estimated reinsurance
recoveries
Prior period developments
The Adjusted Claims Expense Ratio is the Claims Expense divided by the Value-based care Revenue,
adjusted to exclude non-healthplan revenue and provider incentives, add estimated reinsurance
recoveries, and adjust for prior period developments.
Adjusted Claims Margin is 1 less Adjusted Claims Expense Ratio.
In order to arrive at Adjusted Claims Expense Ratio, all non-healthplan revenue including MSO and TPA fees
were excluded.
In order to arrive at Adjusted Claims Expense Ratio, all provider incentive related expenses including
payments for annual wellness visits were excluded.
These adjustments capture expected future reinsurance recoveries that are related to prior periods but
were not yet reflected in SEC reported data. Estimates are based on analysis of claims data and historical
recoveries.
This consists of adjustments booked in the current and prior periods which relate to prior period dates of
service. We map these amounts back to the period in which they belong or were incurred to illustrate the
underlying performance trend.
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