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Health Catalyst, Inc
May 11, 2026 at 8:05 PM UTC
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Health Catalyst Reports First Quarter 2026 Results

SALT LAKE CITY, May 11, 2026 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. (“Health Catalyst,” Nasdaq: HCAT), a healthcare intelligence company designed to accelerate measurable improvement for health systems, today reported financial results for the quarter ended March 31, 2026.

“We delivered solid first quarter results, with revenue and adjusted EBITDA exceeding expectations,” said Ben Albert, Chief Executive Officer of Health Catalyst. “More importantly, this quarter we took the first decisive step toward transforming our operating model and aligning the company around its highest-conviction technology opportunities. This is not a short-term cost exercise. It is a strategic reset designed to build a more focused, durable Health Catalyst capable of meeting the opportunity in front of us. I am confident in the leadership team and board we have assembled to build the intelligence-driven technology company healthcare needs.”

Financial Highlights for the Three Months Ended March 31, 2026

Key Financial Measures

 

Three Months Ended March 31,

 

Year over Year Change

 

2026

 

2025

 

GAAP Financial Measures:

(in thousands, except percentages, unaudited)

Total revenue

$

70,756

 

 

$

79,413

 

 

(11

)%

Gross profit

$

27,726

 

 

$

28,659

 

 

(3

)%

Gross margin

 

39

%

 

 

36

%

 

 

Net loss

$

(111,026

)

 

$

(23,742

)

 

(368

)%

Non-GAAP Financial Measures:(1)

 

 

 

 

 

Adjusted Gross Profit

$

36,439

 

 

$

39,048

 

 

(7

)%

Adjusted Gross Margin

 

51

%

 

 

49

%

 

 

Adjusted EBITDA

$

9,137

 

 

$

6,279

 

 

46

%

________________________
(1) These measures are not calculated in accordance with generally accepted accounting principles in the United States (GAAP). See the accompanying "Non-GAAP Financial Measures" section below for more information about these financial measures, including the limitations of such measures, and for a reconciliation of each measure to the most directly comparable measure calculated in accordance with GAAP.

Financial Outlook

Health Catalyst provides forward-looking guidance on total revenue, a GAAP measure, and Adjusted EBITDA, a non-GAAP measure.

For the second quarter of 2026, we expect:

  • Total revenue of $68 million to $70 million, and

  • Adjusted EBITDA of $9 million to $10 million.

For the full year of 2026, we expect:

  • Total revenue of $260 million to $265 million, and

  • Adjusted EBITDA of $30 million to $33 million.

We have not provided forward-looking guidance for net loss, the most directly comparable GAAP measure to Adjusted EBITDA, and therefore have not reconciled guidance for Adjusted EBITDA to net loss, because there are items that may impact net loss, including stock-based compensation, that are not within our control or cannot be reasonably forecasted.

Quarterly Conference Call Details

We will host a conference call to review the results today, Wednesday, May 11, 2026, at 5:00 p.m. E.T. The conference call can be accessed by dialing (800) 343-5172 for U.S. participants, or (203) 518-9856 for international participants, and referencing conference ID “HCATQ126.” A live audio webcast will be available online at https://ir.healthcatalyst.com/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

About Health Catalyst

Health Catalyst, Inc. (Nasdaq: HCAT) is a healthcare intelligence company that accelerates measurable improvement for health systems across cost, clinical, and consumer performance. Backed by deep domain expertise, proprietary AI-driven technology, and $2.8 billion in documented outcomes, Health Catalyst helps health systems move from data to confident, measurable action.

Available Information

Our investors and others should note that we announce material information to the public about our company, products and services, and other matters related to our company through a variety of means, including our website (https://www.healthcatalyst.com/), our investor relations website (https://ir.healthcatalyst.com/), press releases, SEC filings, public conference calls, and social media, including our (https://www.linkedin.com/company/healthcatalyst) and our CEO’s social media accounts such as LinkedIn (https://www.linkedin.com/in/ben-albert-0a763b1/), in order to achieve broad, non-exclusionary distribution of information to the public and to comply with our disclosure obligations under Regulation FD.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth, our growth strategies, our strategic priorities, our DOS to Ignite migration expectations, and our financial outlook for the second quarter and full year 2026. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance.

Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market or industry conditions, regulatory environment, and receptivity to our technology and services; (iii) results of litigation or a security incident; (iv) the loss of one or more key clients or partners, clients reducing or eliminating their spend with us, client churn or down-selling in connection with the migration to Ignite or otherwise; (v) fluctuations in our project-based, non-recurring revenue, (vi) macroeconomic challenges (including high inflationary and/or high interest rate environments, tariffs, or market volatility and measures taken in response thereto), natural disasters or any new public health crises, and regional or global conflicts (including in the Middle East); and (vii) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2026, expected to be filed with the SEC on or about May 11, 2026, and the Annual Report on Form 10-K for the year ended December 31, 2025, filed with the SEC on March 12, 2026. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.

 

Condensed Consolidated Balance Sheets
(in thousands, except share and per share data, unaudited)

 

 

 

 

 

As of
March 31,

 

As of
December 31,

 

2026

 

2025

 

(unaudited)

 

 

Assets

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

59,864

 

 

$

50,814

 

Short-term investments

 

48,959

 

 

 

44,918

 

Accounts receivable, net

 

59,146

 

 

 

59,128

 

Prepaid expenses and other assets

 

14,343

 

 

 

14,447

 

Total current assets

 

182,312

 

 

 

169,307

 

Property and equipment, net

 

34,935

 

 

 

33,838

 

Intangible assets, net

 

69,332

 

 

 

77,678

 

Operating lease right-of-use assets

 

6,255

 

 

 

6,640

 

Goodwill

 

113,251

 

 

 

209,073

 

Other assets

 

6,117

 

 

 

6,107

 

Total assets

$

412,202

 

 

$

502,643

 

Liabilities and stockholders’ equity

 

 

 

Current liabilities:

 

 

 

Accounts payable

$

11,694

 

 

$

9,363

 

Accrued liabilities

 

20,825

 

 

 

18,697

 

Deferred revenue

 

69,736

 

 

 

56,107

 

Operating lease liabilities

 

3,731

 

 

 

3,779

 

Current portion of long-term debt

 

1,627

 

 

 

1,627

 

Total current liabilities

 

107,613

 

 

 

89,573

 

Long-term debt, net of current portion

 

151,738

 

 

 

151,624

 

Deferred revenue, net of current portion

 

227

 

 

 

410

 

Operating lease liabilities, net of current portion

 

13,482

 

 

 

14,208

 

Contingent consideration liabilities, net of current portion

 

156

 

 

 

250

 

Other liabilities

 

841

 

 

 

798

 

Total liabilities

 

274,057

 

 

 

256,863

 

 

 

 

 

Stockholders’ equity:

 

 

 

Preferred stock, $0.001 par value per share; 25,000,000 shares authorized and no shares issued and outstanding as of March 31, 2026 and December 31, 2025

 

—

 

 

 

—

 

Common stock, $0.001 par value per share, and additional paid-in capital; 500,000,000 shares authorized as of March 31, 2026 and December 31, 2025; 73,748,666 and 72,027,332 shares issued and outstanding as of March 31, 2026 and December 31, 2025, respectively

 

1,612,808

 

 

 

1,608,840

 

Accumulated deficit

 

(1,475,672

)

 

 

(1,364,646

)

Accumulated other comprehensive income

 

1,009

 

 

 

1,586

 

Total stockholders’ equity

 

138,145

 

 

 

245,780

 

Total liabilities and stockholders’ equity

$

412,202

 

 

$

502,643

 

 

 

 

 

 

 

 

 


 

Condensed Consolidated Statements of Operations
(in thousands, except per share data, unaudited)

 

 

 

Three Months Ended March 31,

 

2026

 

2025

Revenue:

 

 

 

Technology

$

49,468

 

 

$

51,482

 

Professional services

 

21,288

 

 

 

27,931

 

Total revenue

 

70,756

 

 

 

79,413

 

Cost of revenue, excluding depreciation and amortization:

 

 

 

Technology(1)(2)(3)

 

17,283

 

 

 

17,565

 

Professional services(1)(2)(3)

 

18,010

 

 

 

25,613

 

Total cost of revenue, excluding depreciation and amortization

 

35,293

 

 

 

43,178

 

Operating expenses:

 

 

 

Sales and marketing(1)(2)(3)

 

10,585

 

 

 

14,738

 

Research and development(1)(2)(3)

 

9,779

 

 

 

15,186

 

General and administrative(1)(2)(3)

 

13,960

 

 

 

14,162

 

Depreciation and amortization

 

12,115

 

 

 

12,320

 

Impairment of goodwill

 

95,501

 

 

 

—

 

Total operating expenses

 

141,940

 

 

 

56,406

 

Loss from operations

 

(106,477

)

 

 

(20,171

)

Interest and other expense, net

 

(4,135

)

 

 

(3,356

)

Loss before income taxes

 

(110,612

)

 

 

(23,527

)

Income tax provision

 

(414

)

 

 

(215

)

Net loss

$

(111,026

)

 

$

(23,742

)

Net loss per share, basic and diluted

$

(1.53

)

 

$

(0.35

)

Weighted-average shares outstanding used in calculating net loss per share, basic and diluted

 

72,593

 

 

 

68,552

 

_______________
(1)   Includes stock-based compensation expense as follows:

 

Three Months Ended March 31,

 

2026

 

2025

Stock-Based Compensation Expense:

(in thousands)

Cost of revenue, excluding depreciation and amortization:

 

 

 

 

 

Technology

$

118

 

 

$

219

 

Professional services

 

549

 

 

 

1,002

 

Sales and marketing

 

796

 

 

 

2,162

 

Research and development

 

590

 

 

 

1,133

 

General and administrative

 

1,717

 

 

 

3,027

 

Total

$

3,770

 

 

$

7,543

 

(2)   Includes acquisition-related costs, net, as follows:

 

Three Months Ended March 31,

 

2026

 

2025

Acquisition-related costs, net:

(in thousands)

Cost of revenue, excluding depreciation and amortization:

 

 

 

 

 

Technology

$

1

 

 

$

74

 

Professional services

 

6

 

 

 

120

 

Sales and marketing

 

3

 

 

 

498

 

Research and development

 

6

 

 

 

167

 

General and administrative

 

2,421

 

 

 

2,170

 

Total

$

2,437

 

 

$

3,029

 

(3)   Includes restructuring costs as follows:

 

Three Months Ended March 31,

 

2026

 

2025

Restructuring costs:

(in thousands)

Cost of revenue, excluding depreciation and amortization:

 

 

 

 

 

Technology

$

—

 

 

$

401

 

Professional services

 

302

 

 

 

997

 

Sales and marketing

 

109

 

 

 

352

 

Research and development

 

100

 

 

 

1,672

 

General and administrative

 

1,280

 

 

 

136

 

Total

$

1,791

 

 

$

3,558

 

 

 

 

 

 

 

 

 


 

Condensed Consolidated Statements of Cash Flows
(in thousands, unaudited)

 

 

 

Three Months Ended
March 31,

 

2026

 

2025

Cash flows from operating activities

 

 

 

Net loss

$

(111,026

)

 

$

(23,742

)

Adjustments to reconcile net loss to net cash provided by operating activities:

 

 

 

Stock-based compensation expense

 

3,770

 

 

 

7,543

 

Depreciation and amortization

 

12,115

 

 

 

12,320

 

Non-cash operating lease expense

 

625

 

 

 

735

 

Amortization of debt discount, issuance costs, and deferred financing costs

 

633

 

 

 

1,208

 

Investment discount and premium accretion

 

(227

)

 

 

(914

)

Provision for expected credit losses

 

555

 

 

 

810

 

Deferred tax provision

 

44

 

 

 

67

 

Impairment of goodwill

 

95,501

 

 

 

—

 

Other

 

229

 

 

 

(292

)

Change in operating assets and liabilities:

 

 

 

Accounts receivable, net

 

(591

)

 

 

(6,067

)

Prepaid expenses and other assets

 

(33

)

 

 

764

 

Accounts payable, accrued liabilities, and other liabilities

 

4,407

 

 

 

(7,196

)

Deferred revenue

 

13,452

 

 

 

15,988

 

Operating lease liabilities

 

(943

)

 

 

(944

)

Net cash provided by operating activities

 

18,511

 

 

 

280

 

 

 

 

 

Cash flows from investing activities

 

 

 

Proceeds from the sale and maturity of short-term investments

 

21,000

 

 

 

143,208

 

Purchase of short-term investments

 

(24,915

)

 

 

—

 

Acquisition of businesses, net of cash acquired

 

—

 

 

 

(41,122

)

Capitalization of internal-use software

 

(4,604

)

 

 

(4,661

)

Purchase of intangible assets

 

(338

)

 

 

(670

)

Purchases of property and equipment

 

(553

)

 

 

—

 

Proceeds from the sale of property and equipment

 

4

 

 

 

7

 

Net cash (used in) provided by investing activities

 

(9,406

)

 

 

96,762

 

 

 

 

 

Cash flows from financing activities

 

 

 

Proceeds from employee stock purchase plan

 

403

 

 

 

695

 

Repurchase of common stock

 

—

 

 

 

(5,000

)

Repayment of debt

 

(407

)

 

 

(407

)

Net cash used in financing activities

 

(4

)

 

 

(4,712

)

Effect of exchange rate changes on cash and cash equivalents

 

(51

)

 

 

(7

)

Net increase in cash and cash equivalents

 

9,050

 

 

 

92,323

 

 

 

 

 

Cash and cash equivalents at beginning of period

 

50,814

 

 

 

249,645

 

Cash and cash equivalents at end of period

$

59,864

 

 

$

341,968

 

 

 

 

 

 

 

 

 

Non-GAAP Financial Measures

To supplement our financial information presented in accordance with GAAP, we believe certain non-GAAP financial measures, including Adjusted Gross Profit, Adjusted Gross Margin, Adjusted EBITDA, Adjusted Cost of Revenue, Adjusted Operating Expenses, Adjusted Net Income, and Adjusted Net Income per share, basic and diluted, are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because it is non-cash in nature and excluding this expense provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies. We use this non-GAAP financial information to evaluate our ongoing operations, as a component in determining employee bonus compensation, and for internal planning and forecasting purposes.

We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP financial measures differently or may use other measures to evaluate their performance, all of which could reduce the usefulness of our non-GAAP financial measures as tools for comparison. A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business.

Adjusted Gross Profit and Adjusted Gross Margin

Gross profit is a GAAP financial measure that is calculated as revenue less cost of revenue, including depreciation and amortization of capitalized software development costs and acquired technology. We calculate gross margin as gross profit divided by our revenue. Adjusted Gross Profit is a non-GAAP financial measure that we define as gross profit, adjusted for (i) depreciation and amortization, (ii) stock-based compensation, (iii) acquisition-related costs, net, and (iv) restructuring costs, as applicable. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue. We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors as they eliminate the impact of certain non-cash expenses and allow a direct comparison of these measures between periods without the impact of non-cash expenses and certain other non-recurring operating expenses.

We present both of these measures for our technology and professional services business. We believe these non-GAAP financial measures are useful in evaluating our operating performance compared to that of other companies in our industry, as these metrics generally eliminate the effects of certain items that may vary from company to company for reasons unrelated to overall profitability.

The following is a reconciliation of our Adjusted Gross Profit and Adjusted Gross Margin, in total and for technology and professional services, to gross profit and gross margin, the most directly comparable financial measures calculated in accordance with GAAP for the three months ended March 31, 2026 and 2025.

 

 

 

Three Months Ended March 31, 2026

 

(in thousands, except percentages)

 

Technology

 

Professional Services

 

Total

Revenue

$

49,468

 

 

$

21,288

 

 

$

70,756

 

Cost of revenue, excluding depreciation and amortization

 

(17,283

)

 

 

(18,010

)

 

 

(35,293

)

Amortization of intangible assets, cost of revenue

 

(4,190

)

 

 

—

 

 

 

(4,190

)

Depreciation of property and equipment, cost of revenue

 

(3,547

)

 

 

—

 

 

 

(3,547

)

Gross profit

 

24,448

 

 

 

3,278

 

 

 

27,726

 

Gross margin

 

49

%

 

 

15

%

 

 

39

%

Add:

 

 

 

 

 

Amortization of intangible assets, cost of revenue

 

4,190

 

 

 

—

 

 

 

4,190

 

Depreciation of property and equipment, cost of revenue

 

3,547

 

 

 

—

 

 

 

3,547

 

Stock-based compensation

 

118

 

 

 

549

 

 

 

667

 

Acquisition-related costs, net(1)

 

1

 

 

 

6

 

 

 

7

 

Restructuring costs(2)

 

—

 

 

 

302

 

 

 

302

 

Adjusted Gross Profit

$

32,304

 

 

$

4,135

 

 

$

36,439

 

Adjusted Gross Margin

 

65

%

 

 

19

%

 

 

51

%

___________________
(1)   Acquisition-related costs, net include deferred retention expenses attributable to the KPI Ninja acquisition. For additional details refer to Notes 1 and 2 in our condensed consolidated financial statements.
(2)   Restructuring costs include severance and other team member costs from workforce reductions. For additional details, refer to Note 19 in our condensed consolidated financial statements.

 

 

 

Three Months Ended March 31, 2025

 

(in thousands, except percentages)

 

Technology

 

Professional Services

 

Total

Revenue

$

51,482

 

 

$

27,931

 

 

$

79,413

 

Cost of revenue, excluding depreciation and amortization

 

(17,565

)

 

 

(25,613

)

 

 

(43,178

)

Amortization of intangible assets, cost of revenue

 

(4,596

)

 

 

—

 

 

 

(4,596

)

Depreciation of property and equipment, cost of revenue

 

(2,980

)

 

 

—

 

 

 

(2,980

)

Gross profit

 

26,341

 

 

 

2,318

 

 

 

28,659

 

Gross margin

 

51

%

 

 

8

%

 

 

36

%

Add:

 

 

 

 

 

Amortization of intangible assets, cost of revenue

 

4,596

 

 

 

—

 

 

 

4,596

 

Depreciation of property and equipment, cost of revenue

 

2,980

 

 

 

—

 

 

 

2,980

 

Stock-based compensation

 

219

 

 

 

1,002

 

 

 

1,221

 

Acquisition-related costs, net(1)

 

74

 

 

 

120

 

 

 

194

 

Restructuring costs(2)

 

401

 

 

 

997

 

 

 

1,398

 

Adjusted Gross Profit

$

34,611

 

 

$

4,437

 

 

$

39,048

 

Adjusted Gross Margin

 

67

%

 

 

16

%

 

 

49

%

___________________
(1)   Acquisition-related costs, net include deferred retention expenses attributable to the Upfront, Intraprise, ARMUS and KPI Ninja acquisitions. For additional details refer to Notes 1 and 2 in our condensed consolidated financial statements.
(2)   Restructuring costs include severance and other team member costs from workforce reductions. For additional details, refer to Note 19 in our condensed consolidated financial statements.

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other expense, net, (ii) income tax provision, (iii) depreciation and amortization, (iv) stock-based compensation, (v) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities for potential earn-out payments, (vi) restructuring costs, (vii) impairment of goodwill, and (viii) non-recurring lease-related charges, as applicable. We view acquisition-related expenses when applicable, such as transaction costs (including third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations) and changes in the fair value of contingent consideration liabilities that are directly related to business combinations, as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe that excluding restructuring costs, impairment of goodwill and intangible assets, and non-recurring lease-related charges, as applicable, allows for more meaningful comparisons between operating results from period to period as these are separate from the core activities that arise in the ordinary course of our business and are not part of our ongoing operations. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and a comparison with our past financial performance, and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our Adjusted EBITDA to net loss, the most directly comparable financial measure calculated in accordance with GAAP, for the three months ended March 31, 2026 and 2025:

 

Three Months Ended
March 31,

 

2026

 

2025

 

(in thousands)

Net loss

$

(111,026

)

 

$

(23,742

)

Add:

 

 

 

Interest and other expense, net

 

4,135

 

 

 

3,356

 

Income tax provision

 

414

 

 

 

215

 

Depreciation and amortization

 

12,115

 

 

 

12,320

 

Stock-based compensation

 

3,770

 

 

 

7,543

 

Acquisition-related costs, net(1)

 

2,437

 

 

 

3,029

 

Restructuring costs(2)

 

1,791

 

 

 

3,558

 

Impairment of goodwill(3)

 

95,501

 

 

 

—

 

Adjusted EBITDA

$

9,137

 

 

$

6,279

 

__________________
(1)   Acquisition-related costs, net include third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments. For additional details refer to Notes 1, 2 and 7 in our condensed consolidated financial statements.
(2)   Restructuring costs include severance and other team member costs from workforce reductions, as well as legal and advisory fees related to shareholder activism defense costs regarding our former CEO’s retirement and transition in the first quarter of 2026 and significant board of director refreshment that are non-recurring and outside the ordinary course of our business. For additional details, refer to Note 19 in our condensed consolidated financial statements.
(3)   Impairment of goodwill was recognized as a result of impairment indicators and quantitative tests indicating the fair value of the Technology reporting unit was below the carrying value as of March 31, 2026. For additional details, refer to Note 4 in our condensed consolidated financial statements.

Adjusted Cost of Revenue

Adjusted Cost of Revenue is a non-GAAP financial measure that we define as cost of revenue adjusted for (i) depreciation and amortization, (ii) stock-based compensation, (iii) acquisition-related costs, net, and (iv) restructuring costs, as applicable. We view these adjustments to allow for more meaningful comparisons between operating results from period-to-period as these are separate from the core activities that arise in the ordinary course of our business. Adjusted Cost of Revenue is also computable by subtracting Adjusted Gross Profit from revenue. We believe Adjusted Cost of Revenue provides investors with useful information on period-to-period performance as evaluated by management and a comparison with our past financial performance, and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of Adjusted Cost of Revenue to our cost of revenue, the most directly comparable financial measure calculated in accordance with GAAP, for the three months ended March 31, 2026 and 2025:

 

Three Months Ended
March 31,

 

2026

 

2025

 

(in thousands)

Cost of revenue, excluding depreciation and amortization

$

35,293

 

 

$

43,178

 

Add:

 

 

 

Amortization of intangible assets, cost of revenue

 

4,190

 

 

 

4,596

 

Depreciation of property and equipment, cost of revenue

 

3,547

 

 

 

2,980

 

Cost of revenue

 

43,030

 

 

 

50,754

 

Less:

 

 

 

Amortization of intangible assets, cost of revenue

 

(4,190

)

 

 

(4,596

)

Depreciation of property and equipment, cost of revenue

 

(3,547

)

 

 

(2,980

)

Stock-based compensation

 

(667

)

 

 

(1,221

)

Acquisition-related costs, net(1)

 

(7

)

 

 

(194

)

Restructuring costs(2)

 

(302

)

 

 

(1,398

)

Adjusted Cost of Revenue

$

34,317

 

 

$

40,365

 

__________________
(1)   Acquisition-related costs, net include deferred retention expenses incurred as part of business combinations.
(2)   Restructuring costs include severance and other team member costs from workforce reductions. For additional details, refer to Note 19 in our condensed consolidated financial statements.

Adjusted Operating Expenses

Adjusted Operating Expenses is a non-GAAP financial measure that we define as total operating expenses adjusted for (i) depreciation and amortization, (ii) stock-based compensation, (iii) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities for potential earn-out payments, (iv) impairment of goodwill, and (v) restructuring costs, as applicable. We view these adjustments to allow for more meaningful comparisons between operating results from period-to-period as these are separate from the core activities that arise in the ordinary course of our business. We believe Adjusted Operating Expenses provides investors with useful information on period-to-period performance as evaluated by management and a comparison with our past financial performance, and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of Adjusted Operating Expenses to our total operating expenses, the most directly comparable financial measure calculated in accordance with GAAP, as well as a calculation of total operating expenses and Adjusted Operating Expenses as a percentage of total revenue, for the three months ended March 31, 2026 and 2025:

 

Three Months Ended
March 31,

 

2026

 

2025

 

(in thousands)

Total operating expenses

$

141,940

 

 

$

56,406

 

Less:

 

 

 

Depreciation and amortization

 

(12,115

)

 

 

(12,320

)

Stock-based compensation

 

(3,103

)

 

 

(6,322

)

Acquisition-related costs, net(1)

 

(2,430

)

 

 

(2,835

)

Impairment of goodwill(2)

 

(95,501

)

 

 

—

 

Restructuring costs(3)

 

(1,489

)

 

 

(2,160

)

Adjusted Operating Expenses

$

27,302

 

 

$

32,769

 

Total operating expenses as a % of revenue

 

201

%

 

 

71

%

Adjusted Operating Expenses as a % of revenue

 

39

%

 

 

41

%

__________________
(1)   Acquisition-related costs, net include third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments.
(2)   Impairment of goodwill was recognized as a result of impairment indicators and quantitative tests indicating the fair values of the Technology reporting unit was below the carrying values as of March 31, 2026. For additional details, refer to Note 4 in our condensed consolidated financial statements.
(3)   Restructuring costs include severance and other team member costs from workforce reductions, as well as legal and advisory fees related to shareholder activism defense costs regarding our former CEO’s retirement and transition in the first quarter of 2026 and significant board of director refreshment that are non-recurring and outside the ordinary course of our business. For additional details, refer to Note 19 in our condensed consolidated financial statements.

Adjusted Net Income and Adjusted Net Income Per Share

Adjusted Net Income is a non-GAAP financial measure that we define as net loss adjusted for (i) stock-based compensation, (ii) amortization of acquired intangibles, (iii) restructuring costs, (iv) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities, (v) impairment of goodwill, and (vi) non-cash interest expense related to debt facilities, as applicable. We believe Adjusted Net Income provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of Adjusted Net Income to our net loss, the most directly comparable financial measure calculated in accordance with GAAP, for the three months ended March 31, 2026 and 2025:

 

Three Months Ended
March 31,

 

2026

 

2025

Numerator:

(in thousands, except share and per share amounts)

Net loss

$

(111,026

)

 

$

(23,742

)

Add:

 

 

 

Stock-based compensation

 

3,770

 

 

 

7,543

 

Amortization of acquired intangibles

 

8,113

 

 

 

8,732

 

Restructuring costs(1)

 

1,791

 

 

 

3,558

 

Acquisition-related costs, net(2)

 

2,437

 

 

 

3,029

 

Impairment of goodwill(3)

 

95,501

 

 

 

—

 

Non-cash interest expense related to debt facilities

 

633

 

 

 

1,208

 

Adjusted Net Income

$

1,219

 

 

$

328

 

Denominator:

 

 

 

Weighted-average shares outstanding used in calculating net loss per share, basic and diluted, and Adjusted Net Income per share, basic

 

72,593,210

 

 

 

68,552,084

 

Non-GAAP dilutive effect of stock-based awards

 

622,525

 

 

 

225,507

 

Non-GAAP weighted-average shares outstanding used in calculating Adjusted Net Income per share, diluted

 

73,215,735

 

 

 

68,777,591

 

 

 

 

 

Net loss per share, basic and diluted

$

(1.53

)

 

$

(0.35

)

Adjusted Net Income per share, basic and diluted

$

0.02

 

 

$

0.01

 

______________
(1)   Restructuring costs include severance and other team member costs from workforce reductions, as well as legal and advisory fees related to shareholder activism defense costs regarding our former CEO’s retirement and transition in the first quarter of 2026 and significant board of director refreshment that are non-recurring and outside the ordinary course of our business. For additional details, refer to Note 19 in our condensed consolidated financial statements.
(2)   Acquisition-related costs, net includes third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments.
(3)   Impairment of goodwill and intangible assets was recognized as a result of impairment indicators and quantitative tests indicating the fair values of the Technology reporting unit was below the carrying values as of March 31, 2026. For additional details, refer to Note 4 in our condensed consolidated financial statements.

DOS to Ignite Migration Potential Churn Analysis

The graphic below outlines our current expectations regarding annual recurring revenue (ARR) potentially at risk in connection with DOS to Ignite migration, as well as details regarding clients that have provided notice regarding churn or down-sell in connection with DOS to Ignite migration that will negatively impact ARR in 2026 and 2027. As described below, our current expectation is that we retain a portion of the potentially at-risk ARR and we expect a portion of the potentially at-risk ARR may churn or down-sell in 2026 and 2027, despite our efforts to retain those relationships. We view certain portions of this ARR to be likely to churn or down-sell; however, we have strategies and initiatives in place that aim to retain this ARR.

Health Catalyst, Inc.

A graphic accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/30a46956-a31b-4842-970b-df68aca246d2

Health Catalyst Investor Relations Contact:
Stephanie St. Clair
Finance and Investor Relations, SVP
+1 (855)-309-6800
[email protected]

Health Catalyst Media Contact:
Kathryn Larson
Director, Public Relations and Communications
[email protected]