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  

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(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.

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]