Company Profile

Health Catalyst Address

Company Profile Analysis

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Health Catalyst Address - Company showcase

Year Founded & Workforce

2011

1,200 Employees

Industry

Services

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Health Catalyst Address Overview

Health Catalyst, Inc. is a healthcare data-and-analytics technology and services company headquartered in the Salt Lake City metropolitan area. It was incorporated in Delaware in September 2011 under the name HQC Holdings, Inc., and adopted its current name in March 2017, though the operating business traces to 2008 — a lineage the current CEO references directly, describing "eighteen years working with health systems" on the Q2 2026 earnings call (Q2 2026 earnings release, 6 Aug 2026). The company completed its initial public offering in July 2019.

Positioning statement (150 words). Health Catalyst occupies the healthcare-specific layer of the provider data stack: it ingests, normalises and governs clinical, claims, financial and operational data for health systems, then sells analytics applications and human expertise on top of it. Its distinctive asset is not infrastructure — management now openly concedes the data-platform layer has commoditised against Databricks, Snowflake and Microsoft — but a proprietary corpus of measured improvement outcomes accumulated over 18 years and more than 2,000 documented, client-verified improvements. The 2026 strategy under new CEO Ben Albert reframes the company as a "healthcare intelligence" business: an AI-enabled improvement layer that quantifies, prioritises and sequences cost, clinical-quality, ambulatory-growth and consumer interventions. Execution risk is acute. The company is simultaneously migrating clients off its legacy DOS platform, restructuring its cost base, having divested its most profitable software unit, and carrying an accumulated deficit above USD 1.5 billion against a market capitalisation near USD 135 million.


2.1 The company's own description

The FY2025 Form 10-K opens with an unchanged framing: "We are a leading provider of data and analytics technology and services to healthcare organizations. Our Solution comprises our cloud-based data and analytics platform, software applications, and expertise. Our clients, which are primarily healthcare providers, use our Solution to manage their data, derive analytical insights to operate their organization, and produce measurable clinical, financial, and operational improvements. We envision a future where all healthcare decisions are data-informed."

The company organises its self-description around three components: (i) the Ignite Data & Analytics Platform, a healthcare-specific, cloud-based, open and self-service ecosystem for analytics, application development and interoperability; (ii) Applications, software analytics products built on Ignite across five focus areas — Clinical Improvement, Revenue & Cost Improvement, Ambulatory Operations, Measures & Registries, and Data & Analytics; and (iii) Expertise, a services organisation of data engineers, data scientists, clinicians and healthcare administrators delivering implementation, analytics, abstraction, cost-accounting and Tech-Enabled Managed Services (TEMS).

The company describes its operating philosophy through the "Health Catalyst Flywheel": team-member engagement drives quality of work, which drives measurable client improvement, which drives client trust, renewal, expansion and referral, which drives predictable financial performance. This construct is not decorative — it is referenced in the executive compensation design disclosed in the 10-K/A, where annual bonus outcomes for all team members are tied to client outcomes, growth and Adjusted EBITDA.

By August 2026 the company's boilerplate had been rewritten materially. The Q2 2026 release describes Health Catalyst as "a healthcare intelligence company designed to accelerate 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." The shift from "data and analytics technology and services" to "healthcare intelligence" is the clearest single marker of the strategy reset.

2.2 Independent characterisation

Health Catalyst is, in economic terms, a hybrid of three businesses that have historically been bundled and are now being deliberately unbundled.

The first is a healthcare data-platform business (formerly DOS, now Ignite) sold on multi-year subscription. This is the anchor relationship: it creates switching costs, it is the surface on which applications are sold, and it is the layer under most competitive pressure. Management's Q1 2026 admission that "healthcare data infrastructure has increasingly commoditized" is a significant concession from a company whose original thesis was that healthcare data warehousing required purpose-built architecture.

The second is a portfolio of point-solution applications, largely assembled through twelve acquisitions since 2018 — patient engagement (Twistle, Upfront), care orchestration (Lumeon), oncology (Carevive), registries (ARMUS, CRStar/ERS), measures (MeasureAble/Able Health), cost accounting (PowerCosting), labour management (PowerLabor), interoperability (Ninja Universe/KPI Ninja), cybersecurity (Intraprise), and — until 31 July 2026 — mid-revenue-cycle (Vitalware). These applications carry higher gross margins than services and are the intended vehicle for AI monetisation.

The third is a professional services and managed-services organisation. This is the structurally problematic segment: FY2025 adjusted gross margin of 18.3% and GAAP gross margin of 12.8%, on revenue that declined 8% year over year. Management now guides this business to roughly USD 55 million annually exiting 2026, versus USD 111.7 million in FY2024 — a deliberate contraction of nearly half.

Revenue model mix. The company reports two revenue lines only:

Technology revenue is predominantly recurring subscription; professional services is a mix of recurring managed services (TEMS) and project-based, non-recurring engagement revenue. The company explicitly flags fluctuation in "project-based, non-recurring revenue" as a principal risk in every earnings release reviewed.

Value-chain position. Health Catalyst sits between the EHR system of record (Epic, Oracle Health) and the health system's executive decision-making layer. It does not own the transactional workflow; it owns the analytic abstraction of it. This is simultaneously its defensibility (EHR vendors historically underinvested in cross-source analytics) and its vulnerability (EHR vendors are now investing heavily, and the 10-K names "the increasing market share of EHR companies in data analytic services, patient engagement and other parts of our Solution" as a specific cause of contract termination risk).

Customer types and end-markets. Academic medical centres, integrated delivery networks, community hospitals, large physician practices, Accountable Care Organizations, health information exchanges, health insurers, life-science organisations, healthcare technology vendors (for cybersecurity) and other risk-bearing entities. Named clients in the FY2025 10-K: Allina Health, AlohaCare, Baylor Scott & White Health, Carle Health, Children's Hospital of Orange County, Community Health Network, Contexture, INTEGRIS Health, Lifepoint Health, Mass General Brigham, MultiCare, Queen's Health System, Temple University Health System, UnityPoint Health, UPMC. No client represented more than 10% of total revenue in FY2025, FY2024 or FY2023 (10-K FY2025).


Strategy

10.1 Stated strategy — verbatim themes from the FY2025 Form 10-K

The 10-K sets out five growth strategies:

  1. "Grow our overall client base." The company estimates its total core addressable market at more than 1,200 healthcare organizations, including health systems and risk-bearing entities, plus life-science organisations, payers, and — for cybersecurity — healthcare technology companies.
  2. "Expand within our current client base." Land-and-expand from a single measurable improvement to broader engagement, including through TEMS.
  3. "Add new applications and offerings." Continued investment at the analytics-applications layer, leveraging the open Ignite platform.
  4. "Grow our addressable market through additional healthcare business segment adjacencies." International markets, life sciences, health insurers, health information exchanges.
  5. "Selectively pursue partnerships and maximize return on acquisitions." Critically, the FY2025 10-K states: "While we do not expect to acquire new entities in the near term... In the near-term our focus is on maximizing the return on our past acquisitions." This is a formal end to the acquisition programme that defined 2018–2025.

10.2 The 2026 strategy reset (CEO Ben Albert)

The strategic logic articulated across the Q1 and Q2 2026 calls represents a genuine repositioning rather than a restatement:

  • Diagnosis of the core problem. Management identified "the direct connection between our previous migration strategy and the revenue pressure we are managing this year." Setting a rigid DOS-to-Ignite timeline over two years "created a churn dynamic that is heavily impacting 2026." The prior approach forced "clients into an accelerated decision point on the migration before we had the right retention program and client-facing structure in place."
  • Remediation. Abandonment of the one-size-fits-all migration in favour of a line-by-line review of every remaining client with tailored plans, including extended DOS availability.
  • The commoditisation thesis. "Healthcare data infrastructure has increasingly commoditized. Durable advantage lives in the intelligence built on top of it." Named commoditising forces: Databricks and Snowflake.
  • The moat claim. "Our advantage rests on something no one else has: our wealth of improvement data — the link between an intervention, its cost, and its measured outcome. Eighteen years and thousands of improvement engagements later, our proprietary dataset compounds... A new entrant cannot manufacture this dataset retrospectively."
  • The AI product thesis. A growing suite of AgenTeq AI models across cost management, clinical quality, consumer experience and ambulatory growth, embedded in domain-specific applications, combining machine-learning layers and LLMs to surface opportunities, quantify impact and guide execution — "recalculat[ing] daily as conditions change."
  • Structural simplification. "One company, one commercial approach, one client-facing team, and one set of standards."
  • Investor posture. "We recognize that our performance has not been where we want it, and that we will be judged by the performance that we create." And in Q2: "We are prioritizing the foundation for what we believe is durable long-term transformation rather than chasing short-term results."

10.3 Announced strategic initiatives, last 24 months

10.4 Medium-term financial targets and guidance

Additional FY2026 targets: full-year adjusted gross margin below 50%; adjusted technology gross margin finishing in the low 60s; adjusted professional services gross margin in the low-to-mid teens; new bookings USD 22–26 million; stock-based compensation in mid-single digits as a percentage of revenue. Management expects to be "generally through the strains of the migration by 2027" and migration-related churn headwinds resolved "by the end of 2027." No formal multi-year revenue, margin or EBITDA target has been published under the current CEO — a material gap in the investment case that management has not yet filled.

ESG commitments: the company maintains an ESG section on its investor relations site. Quantified emissions targets are not publicly disclosed in the sources reviewed. See §20.


Products & Services

The FY2025 10-K organises the applications portfolio into five focus areas beneath the Ignite platform. Pricing is disclosed at the model level only: the company states it "serve[s] the majority of our clients through a subscription-based contract model." No product-level list pricing is publicly disclosed for any offering.

5.1 Platform layer — Health Catalyst Ignite (Technology segment)

Health Catalyst Ignite Data & Analytics. A healthcare-specific, cloud-based, open, flexible, scalable and self-service ecosystem for analytics, application development and interoperability, providing a single environment to integrate and organise data from disparate source systems. Ignite adapts industry-agnostic technologies (the company runs on Microsoft Azure and integrates Databricks and Azure Data Factory job scheduling) to healthcare-specific requirements. Target customer: enterprise health systems, IDNs, academic medical centres. Latest-generation platform succeeding the legacy DOS (Data Operating System). Disclosed capability set:

  • Healthcare source templates — library of source starter sets for EMR, claims, financial and operational data.
  • Integrated job scheduling and monitoring — unified orchestration of Databricks, Azure Data Factory and API source jobs.
  • Data profiling — trend and quality analysis, platform and application health monitoring.
  • Identity management — master patient and provider index, with ingestion of externally mastered data.
  • Data security — sensitive-data discovery, access control and activity monitoring.
  • Foundational Expert Data Collections (EDCs) — modular clinical, claims and financial data products with out-of-the-box EMR source support, usable standalone or as interoperable models.
  • Terminology — complete code sets for SNOMED, LOINC, ICD, CPT and others, plus smart mappings normalised to client data.
  • Data quality rules — upstream issue flagging.
  • Pop Analyzer — end-user cohort building and analytics on source and normalised data.
  • Data entry — client file loading into Ignite.
  • Visualization tools — bring-your-own BI and AI modelling tools.
  • 24x7 technical support, data-management support, and named account/program management.

Legacy DOS (Data Operating System). The predecessor platform. Management confirmed on the Q1 2026 call that it is "extending the availability of DOS" and abandoning the prior fixed migration timetable in favour of client-by-client transition plans, including options for clients to remain on DOS for an extended period.

5.2 Clinical Improvement applications

5.3 Revenue & Cost Improvement applications

Analyst note: the divestiture removed the three Vitalware products — the company's most consistently KLAS-recognised software line, with Chargemaster Management ranked Best in KLAS in multiple years — leaving PowerCosting and PowerLabor as the entirety of the Revenue & Cost Improvement portfolio. This is the most consequential portfolio change in the company's history and materially narrows the "cost intelligence" claim underpinning the AI strategy.

5.4 Ambulatory Operations applications

5.5 Measures & Registries applications

5.6 Data & Analytics applications

5.7 Services and improvement expertise (Professional Services segment)

Infrastructure, data and analytics expertise: data engineering services; analytics engineering services; implementation services; data science services; analytics strategy services (agile development workshops, data architecture and ETL support, documentation and training, measure reporting efficiency, staff augmentation); data governance services.

Tech-Enabled Managed Services (TEMS): outsourcing of specific functions such as data abstraction or analytics to Health Catalyst, frequently including re-badging existing health-system team members as Health Catalyst team members. This model is the source of both the segment's scale and its margin problem, and management identified in Q2 2026 that some clients are now bringing managed-services work back in-house.

Healthcare domain expertise: quality and process improvement strategy (organisational readiness assessments, opportunity analysis, clinical pathways, Lean methodology, clinical variation reduction); patient safety services; cost accounting services; population health and value-based care transformation services; abstraction data submission services; Health Catalyst University educational services.

Named flagship offerings. Ignite (platform), Healthcare.AI / Ignite Intelligence (AI layer), MeasureAble (regulatory), Ninja Universe (interoperability), PowerCosting (cost), Upfront and Twistle (engagement), Lumeon (orchestration), Intraprise (cybersecurity), CRStar and ARMUS Suite (registries).


Product Portfolio

ProductDescriptionTarget customerOrigin / year

Patient Safety Monitor

Trigger-based surveillance system on Ignite; monitors patient-level data and applies machine-learning algorithms to predict whether a patient is at risk of a safety event so clinicians can intervene

Quality and patient-safety leaders, clinicians

Internally developed; subject of the Pascal Metrics litigation settled 2023, which granted a broad IP licence

Embedded Refills

EMR-embedded medication renewal decision support delivered directly in EHR workflow, streamlining prescription renewal

Ambulatory providers and clinical staff

healthfinch acquisition, 2020 ("Charlie" practice-automation lineage)

Twistle Patient Engagement

Patient engagement SaaS automating patient-centred, personalised, multi-channel communication between care teams and patients

Care teams, service-line leaders

Twistle acquisition, 2021

Carevive

Oncology care management and patient engagement suite combining EHR data, electronic patient-reported outcomes (ePROs) and evidence-based guidelines

Cancer centres, oncology service lines

Carevive Systems acquisition, June 2024

Lumeon Care Orchestration

Personalised care orchestration platform using secure bi-directional data integration and clinical logic to drive patients to the next best clinical action across outpatient, acute and post-acute settings

Care coordination and operations leaders (US and UK)

Lumeon acquisition, August 2024

Upfront

Patient acquisition and retention; hyper-personalised patient experiences, strategic marketing analytics and content personalisation to maximise service utilisation

Marketing, access and growth leaders

Upfront Healthcare Services acquisition, January 2025

Clinical accelerators

Pre-built clinical data models with customisable visualisations for specific analytic use cases, shortening time-to-value versus building from scratch

Analytics teams

Internally developed

ProductDescriptionTarget customerOrigin / status

VitalCDM

Revenue workflow optimisation and chargemaster analytics; organises, displays and manages all chargemaster data in one connected solution

Hospital billing departments

Vitalware, 2020. Divested 31 July 2026

VitalIntegrity

Charge capture and revenue integrity; detects compliance issues and revenue leakage from under/over-charging, late or missing coding, mismatched charges and supplies

Revenue integrity, compliance

Vitalware, 2020. Divested 31 July 2026

Hospital Price Index

Price transparency solution addressing federal price-transparency mandate requirements

Finance, compliance

Vitalware, 2020. Divested 31 July 2026

PowerCosting

Activity-based costing using clinical and operational data from the platform to calculate true cost of clinical processes and patients at granular level

CFOs, physicians, service-line leaders, clinical and financial analysts

Internally developed. Retained

PowerLabor

Labour management; predicts labour needs, plans staffing changes, optimises staff-to-patient ratios

Operations and workforce leaders

Internally developed. Retained

ProductDescriptionTarget customer

Value Optimizer

Quantified view of potential financial improvement opportunities within value-based care arrangements, helping population-health leaders optimise VBC strategy and profitability

Population health leaders, ACOs, risk-bearing entities

Ambulatory Suite

Comprehensive data model plus modular data visualisations to improve the financial outlook of ambulatory practices while increasing care quality

Ambulatory operations and medical group leaders

ProductDescriptionTarget customerOrigin

MeasureAble

Foundational product integrating hundreds of financial, regulatory and quality measures and reporting them to third parties including CMS; supports proactive measures surveillance

Quality, regulatory and finance departments

Able Health, 2019. Earned ONC Health IT Certification; Able Health Registry received CMS QPP Qualified Registry approval for 2024

ARMUS Suite

Cardiology registry solution combining technology, services, clinical expertise and customer service with rapid registry development and cloud delivery

Cardiovascular service lines

ARMUS acquisition, 2022

CRStar

Cloud-based cancer registry; case-finding, abstracting, data analytics and informatics supporting accreditation, planning and cancer-program growth

Cancer registrars, oncology programmes

Electronic Registry Systems (ERS) acquisition, 2022

ProductDescriptionTarget customerOrigin

Ignite

See §5.1

Enterprise health systems

Internally developed

Healthcare.AI

Suite of healthcare-specific AI applications: Generative AI for coding, exploration, search and quality; Targeted Patient Communication; AI-Driven Visualization Insights; Chart Abstraction Assistance; AI Expert Services

Analytics teams, abstraction teams, executives

Internally developed

Ninja Universe

Cloud-native platform and application set purpose-built for HIEs; aggregates, normalises, enriches and optimises multi-source, multi-format healthcare data in real time

Health information exchanges

KPI Ninja acquisition, 2022

Intraprise

Cybersecurity risk-management platform converting scattered assessment data into a cohesive risk register; supports risk prioritisation, trade-off decisions and compliance

CISOs, compliance officers, healthcare technology vendors

Intraprise Health acquisition, ~Q4 2024. Recognised in 2025 MedTech Breakthrough Awards for cybersecurity

AgenTeq (in development)

Suite of proprietary AI models under development across cost management, clinical quality, consumer experience and ambulatory growth, combining machine-learning layers and LLMs, embedded in domain-specific applications

All core client segments

Announced Q1 2026; not yet a disclosed revenue line

Ignite Intelligence

The AI-enabled improvement layer sitting atop the data platform; early rollout focused on cost management

Health-system executives

Announced 2026; early-stage

Financial Narrative

All figures USD millions unless stated. Sources: Exhibit 99.1 earnings releases for FY2021/2022 (filed 28 Feb 2023), FY2023 (22 Feb 2024), FY2025 with FY2024 comparatives (12 Mar 2026), and Form 10-K FY2025.

6.1 Income statement

6.2 Margins

Note: FY2021–FY2023 GAAP gross profit was presented by the company on a "gross profit, excluding depreciation and amortization" basis; the presentation changed in FY2024 to include amortisation of acquired technology and depreciation of capitalised software in cost of revenue. GAAP gross margins for FY2021–FY2023 are therefore not comparable to FY2024–FY2025 and are flagged accordingly rather than estimated.

Revenue CAGR FY2021–FY2025: 6.5%. Technology-only CAGR: 9.0%. Professional services CAGR: 2.2%.

6.3 Balance sheet

6.4 Cash flow

6.5 Ratios

ROE and ROA computed on average balances; FY2021 excluded because FY2020 balance-sheet data was not retrieved for this dossier. ROIC and interest coverage are not meaningful in any year because GAAP EBIT was negative throughout. Cash conversion cycle is not calculable — the company carries no inventory and does not disclose the payables detail required for a meaningful DPO.

Supplementary receivables metric: days sales outstanding, computed as year-end accounts receivable divided by revenue times 365, was 74 days (FY2021), 63 (FY2022), 74 (FY2023), 68 (FY2024) and 69 (FY2025) — stable and unremarkable.

6.6 Commentary on trends, inflections and drivers

Revenue. Growth decelerated monotonically across the period: 14.2% (FY2022), 7.1% (FY2023), 3.6% (FY2024), 1.5% (FY2025). Critically, a substantial share of even that muted growth was acquired rather than organic — FY2025 revenue growth of USD 4.6 million was achieved in a year in which the company deployed USD 41.1 million on the Upfront acquisition, implying organic revenue was flat to declining. The Q2 2026 print made the underlying trajectory explicit: revenue of USD 70.5 million against USD 80.7 million in Q2 2025, a 13% decline.

Gross margin. Adjusted gross margin fell from 53.0% (FY2021–FY2022) to a trough of 48.8% (FY2024), then recovered to 51.1% (FY2025) and 51% in H1 2026. The trough was driven entirely by professional services, where adjusted gross margin collapsed from 27% to 15% between FY2021 and FY2023 as the TEMS re-badging model scaled at low incremental margin. The FY2025 recovery came from mix shift toward technology (66.9% of revenue) plus the exit of unprofitable pilot ambulatory TEMS arrangements. Technology adjusted gross margin has drifted from 69% to 63% (Q2 2026) — a genuine deterioration, attributed by management to duplicate hosting costs during Ignite migration and heavy data-loading costs for HIE client deployments.

Operating expense discipline. This is the clearest positive inflection. Sales and marketing fell from USD 87.5 million (FY2022) to USD 52.5 million (FY2025), a 40% reduction. R&D fell from USD 75.7 million to USD 49.8 million over the same period, a 34% reduction. G&A fell from USD 76.6 million (FY2023) to USD 49.6 million (FY2025). Adjusted operating expenses as a percentage of revenue improved from 40% (FY2024) to 38% (FY2025) to 37% (Q2 2026).

Stock-based compensation is the single most important normalising adjustment. SBC of USD 72.1 million in FY2022 represented 26.1% of revenue — an extraordinary figure that made Adjusted EBITDA a poor proxy for cash economics. Its reduction to USD 27.0 million (8.7% of revenue) in FY2025, with management guiding to mid-single-digit percentage of revenue for FY2026, materially improves the quality of the Adjusted EBITDA line. This is arguably the most underappreciated improvement in the five-year record.

Adjusted EBITDA trajectory is genuinely impressive in isolation: -USD 11.2 million (FY2021) to +USD 41.4 million (FY2025), a swing of USD 52.6 million on USD 69.2 million of revenue growth. Incremental Adjusted EBITDA margin of roughly 76% demonstrates real operating leverage. The counterpoint is that this was achieved while GAAP losses widened.

The impairment inflection. FY2025 carried USD 110.2 million of goodwill and intangible impairment (USD 28.8 million at 30 June 2025, USD 81.5 million at 31 December 2025). H1 2026 added a further USD 122.5 million (USD 95.5 million in Q1, USD 27.0 million in Q2, the latter triggered by the 4 June 2026 Vitalware agreement). Goodwill has therefore collapsed from USD 259.8 million (FY2024) to USD 11.1 million at 30 June 2026 — a near-total write-off of the value assigned to a decade of acquisitions. Cumulative impairment of approximately USD 232.8 million across six quarters is a definitive accounting verdict on the acquisition programme.

Cash flow is the weakest element. Operating cash flow was negative in FY2021–FY2023, briefly positive at USD 14.6 million in FY2024, and essentially nil at USD 0.7 million in FY2025 despite USD 41.4 million of Adjusted EBITDA. The reconciliation is instructive: USD 11.5 million of working-capital outflow through payables and accrued liabilities, and roughly USD 19 million of cash interest. Free cash flow was negative in all five years. Capitalised internal-use software rose steadily from USD 6.6 million to USD 19.8 million, meaning an increasing share of development spend bypasses the income statement — a legitimate but margin-flattering practice worth monitoring. H1 2026 operating cash flow of USD 18.8 million is the first genuinely strong result, though management explicitly cautioned that Q1's cash generation was atypical and driven by billing seasonality.

Capital structure. The USD 230 million 2.50% convertible notes issued in 2020 matured in 2025 and were repaid, funded by the USD 152 million term loan drawn in 2024 plus balance-sheet cash. This transaction consumed the company's liquidity cushion: cash plus short-term investments fell from USD 392.0 million (FY2024) to USD 95.7 million (FY2025). The term loan carried approximately USD 19 million of annual GAAP interest expense — roughly 6% of revenue — and restrictive covenants that management cited as a constraint on investment. Its retirement on 31 July 2026 using Vitalware proceeds leaves the company debt-free with approximately USD 82 million of pro forma cash and short-term investments.

Dilution. Shares outstanding rose from 52.6 million to 72.0 million between FY2021 and FY2025, a 37% increase, driven by SBC vesting and acquisition stock consideration (5.7 million shares for Upfront; approximately 2 million for Intraprise). Buybacks totalled USD 15.2 million across the entire period — immaterial against the dilution.


Financial Detail

Segment Revenue

Segment revenue (USD M)FY2021FY2022FY2023FY2024FY2025

Technology

147.7

176.3

187.6

194.9

208.3

Professional services

94.2

99.9

108.4

111.7

102.9

Total

241.9

276.2

295.9

306.6

311.1

Segment Revenue

Segment YoY growth (%)FY2022FY2023FY2024FY2025

Technology

19.3

6.4

3.9

6.9

Professional services

6.1

8.4

3.1

-7.9

Total

14.2

7.1

3.6

1.5

Segment Revenue

Adjusted Gross Profit (USD M)FY2021FY2022FY2023FY2024FY2025

Technology

102.3

122.3

127.7

129.1

140.3

Professional services

25.5

23.6

16.3

20.4

18.8

Total

127.9

145.8

144.1

149.5

159.1

Segment Revenue

Adjusted Gross Margin (%)FY2021FY2022FY2023FY2024FY2025

Technology

69.0

69.0

68.0

66.3

67.4

Professional services

27.0

24.0

15.0

18.3

18.3

Total

53.0

53.0

49.0

48.8

51.1

Segment Revenue

GAAP segment metric (USD M)FY2024FY2025

Technology gross profit

100.8

107.2

Professional services gross profit

13.7

13.1

Total gross profit

114.5

120.4

Segment Revenue

GAAP segment margin (%)FY2024FY2025

Technology

51.7

51.5

Professional services

12.3

12.8

Total

37.3

38.7

Segment Revenue

Contribution to revenue (%)FY2021FY2022FY2023FY2024FY2025

Technology

61.1

63.8

63.4

63.6

66.9

Professional services

38.9

36.2

36.6

36.4

33.1

Segment Revenue

Client metricFY2021FY2022FY2023FY2024FY2025

DOS Subscription Clients (legacy definition)

90

98

109

130

not reported

Platform Clients (new definition)

not reported

not reported

not reported

130

162

App Clients

not reported

not reported

not reported

not reported

over 1000

Segment Revenue

Retention metric (%)FY2021FY2022FY2023FY2024FY2025

Dollar-based Retention Rate (legacy definition)

112

100

100

100

not reported

Dollar-based Retention Rate (Tech + TEMS)

not reported

not reported

not reported

102

93

Financial Analysis

Income statement (USD M)FY2021FY2022FY2023FY2024FY2025

Total revenue

241.9

276.2

295.9

306.6

311.1

Cost of revenue excl. D&A

124.4

143.0

164.1

165.8

159.5

Sales and marketing

75.0

87.5

67.3

54.4

52.5

Research and development

62.7

75.7

72.6

58.0

49.8

General and administrative

85.9

61.7

76.6

56.8

49.6

Depreciation and amortisation

37.5

48.3

42.2

41.4

50.5

Impairment of goodwill and intangibles

0.0

0.0

0.0

0.0

110.2

Total operating expenses

261.2

273.2

258.7

210.6

312.5

Loss from operations

-143.7

-140.0

-126.9

-69.8

-160.9

Interest and other income (expense), net

-16.5

-1.7

9.1

0.6

-16.4

Loss before income taxes

-160.1

-141.7

-117.8

-69.2

-177.3

Income tax provision (benefit)

-6.9

-4.3

0.4

0.3

0.7

Net loss

-153.2

-137.4

-118.1

-69.5

-178.0

Adjusted EBITDA

-11.2

-2.5

11.0

26.1

41.4

Stock-based compensation

65.1

72.1

55.8

40.1

27.0

Adjusted Net Income (Loss)

-21.5

-14.0

8.7

16.9

13.0

Financial Analysis

Per-share data (USD)FY2021FY2022FY2023FY2024FY2025

Net loss per share, basic

-3.23

-2.56

-2.09

-1.15

-2.55

Net loss per share, diluted

-3.23

-2.63

-2.09

-1.15

-2.55

Adjusted Net Income (Loss) per share, diluted

-0.45

-0.26

0.15

0.28

0.18

Dividends per share

0.00

0.00

0.00

0.00

0.00

Financial Analysis

Weighted-average shares (millions)FY2021FY2022FY2023FY2024FY2025

Basic

47.5

53.7

56.4

60.2

69.9

Financial Analysis

Margin (%)FY2021FY2022FY2023FY2024FY2025

GAAP gross margin

not comparable

not comparable

not comparable

37.3

38.7

Adjusted gross margin

53.0

53.0

49.0

48.8

51.1

Operating margin (GAAP)

-59.4

-50.7

-42.9

-22.8

-51.7

Adjusted EBITDA margin

-4.6

-0.9

3.7

8.5

13.3

Net margin

-63.3

-49.7

-39.9

-22.7

-57.2

Stock-based compensation as % of revenue

26.9

26.1

18.8

13.1

8.7

Financial Analysis

Balance sheet (USD M, at 31 December)FY2021FY2022FY2023FY2024FY2025

Cash and cash equivalents

193.2

116.3

106.3

249.6

50.8

Short-term investments

251.8

247.2

211.5

142.4

44.9

Accounts receivable, net

48.8

48.0

60.3

57.2

59.1

Total current assets

508.4

427.8

393.4

465.7

169.3

Property and equipment, net

23.3

25.9

25.7

29.4

33.8

Intangible assets, net

104.8

92.2

73.4

86.1

77.7

Goodwill

170.0

186.0

190.7

259.8

209.1

Total assets

832.1

752.3

701.8

858.9

502.6

Deferred revenue (current)

56.6

55.0

55.8

53.3

56.1

Total current liabilities

93.1

82.5

89.0

325.9

89.6

Short-term debt (current portion)

0.0

0.0

0.0

231.2

1.6

Long-term debt

180.9

226.5

228.0

151.2

151.6

Total debt

180.9

226.5

228.0

382.4

153.3

Total liabilities

310.0

327.3

334.9

493.7

256.9

Total stockholders' equity

522.1

425.0

366.9

365.2

245.8

Accumulated deficit

-878.9

-999.0

-1117.2

-1186.7

-1364.6

Goodwill and intangibles combined

274.8

278.2

264.0

345.8

286.8

Working capital

415.3

345.3

304.4

139.8

79.7

Net debt / (net cash)

-264.0

-137.0

-89.7

-9.6

57.5

Shares issued and outstanding (millions)

52.6

55.3

58.3

64.0

72.0

Financial Analysis

Cash flow (USD M)FY2021FY2022FY2023FY2024FY2025

Net cash from operating activities

-23.1

-35.3

-33.1

14.6

0.7

Capitalisation of internal-use software

-6.6

-13.0

-12.0

-14.3

-19.8

Purchases of property and equipment

-10.5

-2.2

-1.2

-1.6

-1.0

Purchases of intangible assets

-1.4

-2.3

-1.1

-0.5

-0.8

Total capital expenditure (all three lines)

-18.5

-17.4

-14.3

-16.4

-21.6

Free cash flow

-41.6

-52.7

-47.4

-1.8

-20.8

Acquisitions, net of cash acquired

-46.8

-27.8

-11.4

-80.3

-41.1

Repurchase of common stock

0.0

-8.4

-1.8

0.0

-5.0

Dividends paid

0.0

0.0

0.0

0.0

0.0

Proceeds from debt issuance, net

0.0

0.0

0.0

152.3

0.0

Repayment of debt

0.0

0.0

0.0

-1.0

-232.3

Proceeds from equity offerings, net

245.2

0.0

0.0

0.0

0.0

Financial Analysis

RatioFY2021FY2022FY2023FY2024FY2025

Return on equity (%)

not meaningful

-29.1

-29.8

-19.0

-58.3

Return on assets (%)

not meaningful

-17.3

-16.2

-8.9

-26.1

Return on invested capital (%)

not meaningful

not meaningful

not meaningful

not meaningful

not meaningful

Current ratio (x)

5.46

5.18

4.42

1.43

1.89

Debt to equity (x)

0.35

0.53

0.62

1.05

0.62

Net debt to Adjusted EBITDA (x)

not meaningful

not meaningful

not meaningful

not meaningful

1.39

Interest coverage (EBIT / interest) (x)

not meaningful

not meaningful

not meaningful

not meaningful

not meaningful

Asset turnover (x)

not calculated

0.35

0.41

0.39

0.46

Cash conversion cycle (days)

not calculated

not calculated

not calculated

not calculated

not calculated

Geographic Revenue

Geographic revenue (USD M)FY2023FY2024FY2025

United States

not publicly disclosed

not publicly disclosed

not publicly disclosed

International

not publicly disclosed

not publicly disclosed

not publicly disclosed

Geographic Revenue

LineFY2025 directionDriver

Technology (fastest-growing)

+6.9%

Upfront acquisition contribution; HIE deployments; Platform Client additions (32 net new logos in FY2025)

Professional services (declining)

-7.9%

Deliberate reduction of FTE service offerings; exit of unprofitable pilot ambulatory TEMS arrangements; clients in-sourcing managed-services work

DOS-platform ARR (declining, H2 2026 onward)

Material contraction

USD 12.5 million of notified ARR down-sell and churn; USD 52 million originally identified as at-risk, of which USD 22 million now expected to be retained, leaving approximately USD 30 million at risk with an expected revenue impact of USD 20 million in 2026 and USD 10 million in 2027

Vitalware / mid-revenue cycle (removed)

Divested

Approximately USD 37 million FY2025 revenue exits from 31 July 2026

Capital Markets

Reference pointDatePrice (USD)

IPO price

July 2019

26.00

Approximate price

November 2024

8.45

Approximate price

1 October 2025

2.92

Approximate price

13 November 2025

2.35

Close following Q4 2025 print (after hours)

12 March 2026

2.01

Close

11 May 2026

1.85

Close

6 July 2026

2.29

Close

30 July 2026

2.09

Close before Q2 2026 print

6 August 2026

2.31

After-hours following Q2 2026 print

6 August 2026

1.68 (-27.2%)

Close

12 August 2026

1.79

Close

14 August 2026

1.75

Capital Markets

Performance measureValue

52-week range

approximately USD 0.96 – 3.80 (Yahoo Finance, 14 Aug 2026); USD 0.955 – 3.88 and USD 0.96 – 4.13 reported by other venues — the discrepancy reflects differing intraday versus closing conventions and is noted rather than reconciled

1-year total return

approximately -43.5% (as measured at 30 July 2026)

3-year return

Negative and severe; precise figure not verified. Reference: the shares traded around USD 8–9 in late 2024

5-year return

Negative and severe; precise figure not verified. Reference: IPO at USD 26.00 in July 2019, with a peak above USD 55 in early 2021

Beta (5-year monthly)

1.53 – 1.56

Average daily volume

approximately 1.2 – 1.65 million shares

Capital Markets

MultipleHealth Catalyst (Aug 2026)Basis

Market capitalisation

approximately USD 132 – 139 million

12–14 Aug 2026

Shares outstanding

approximately 75.3 million

CNBC, Aug 2026

Enterprise value

approximately USD 55 million

Market cap ~USD 135M less pro forma net cash of ~USD 82M and zero debt (author's calculation from the Q2 2026 pro forma disclosure)

EV / Sales (FY2026E, midpoint USD 247.5M)

approximately 0.22x

Author's calculation

EV / Sales (TTM revenue USD 292.2M)

approximately 0.19x

Author's calculation; TTM revenue per CNBC

P / Sales (FY2026E)

approximately 0.55x

Author's calculation

EV / Adjusted EBITDA (FY2026E, midpoint USD 18.25M)

approximately 3.0x

Author's calculation

P/E (TTM)

negative / not meaningful (EPS TTM approximately -USD 3.68)

GAAP loss-making

Forward P/E (NTM)

approximately 89.5x

CNBC; reflects marginal forward GAAP profitability assumptions

Price / Book (30 Jun 2026 equity USD 100.8M)

approximately 1.34x

Author's calculation

Free cash flow yield

reported at approximately 11%

InvestingPro, Aug 2026 — treat with caution given five consecutive years of negative FCF

Gross margin (TTM)

51.16%

CNBC

Net margin (TTM)

-90.61%

CNBC

ROE (TTM)

-118.12%

CNBC

Capital Markets

ItemDetail

Ratings (Aug 2026)

Citi: Hold (7 Aug 2026); Stifel Nicolaus: Hold (7 Aug 2026)

Price target actions

Citi lowered target to USD 2.00 from USD 2.50 (10 Aug 2026)

Earlier consensus (as at 11 May 2026)

Average 12-month target USD 1.90; high USD 2.00; low USD 1.75; two Buy ratings, zero Sell, overall "Buy"

Covering brokers identified from earnings-call Q&A

Wells Fargo (Stan Berenshteyn), Canaccord Genuity, Stephens (Jeff Garro), Piper Sandler (Jessica Tassan), Stifel, Citi (Daniel Grosslight), William Blair, Truist Securities

Next scheduled earnings

Estimated 9 November 2026 (Q3 2026)

Capital Markets

PeriodRepurchases (USD M)

FY2021

0.0

FY2022

8.4

FY2023

1.8

FY2024

0.0

FY2025

5.0

H1 2026

0.0

Capital Markets

AgencyRatingOutlook

Moody's

Not publicly rated / not identified in sources reviewed

S&P Global Ratings

Not publicly rated / not identified in sources reviewed

Fitch Ratings

Not publicly rated / not identified in sources reviewed

Capital Markets

As ofInstrumentAmountMaturity

31 Dec 2021 – 31 Dec 2023

2.50% convertible senior notes

USD 230 million face (USD 180.9M–228.0M carrying)

2025

31 Dec 2024

Convertible senior notes (current)

USD 231.2 million carrying

April 2025 — repaid

31 Dec 2024 – 30 Jun 2026

Senior secured term loan facility (credit facility of up to USD 225 million; drawn ~USD 160 million principal)

USD 151.2M–151.9M carrying plus USD 1.6M current

Repaid and terminated 31 July 2026

From 31 Jul 2026

None

Zero

Not applicable

Analyst Conclusions

22.1 Management guidance

Supporting FY2026 guidance elements: full-year adjusted gross margin below 50%; adjusted technology gross margin finishing in the low 60s; adjusted professional services gross margin in the low-to-mid teens; new bookings of USD 22–26 million (inclusive of Vitalware bookings through the transaction date); stock-based compensation down significantly in absolute dollars and in mid-single digits as a percentage of revenue; professional services exiting the year at approximately USD 55 million annualised; migration-related churn headwinds "generally through" by end-2027.

Implied Q4 2026: revenue of approximately USD 55–58 million and Adjusted EBITDA of approximately USD 8.6–9.1 million, computed as full-year guidance less H1 actuals (USD 141.2 million revenue, USD 19.0 million Adjusted EBITDA) less Q3 guidance. The Q3 Adjusted EBITDA trough of essentially breakeven reflects the immediate loss of Vitalware's high-margin contribution before the full quarterly run-rate of Project Nexus savings lands.

22.2 Consensus growth expectations

Formal consensus revenue and EBITDA estimates for FY2027 were not retrieved for this dossier. What can be inferred: the FY2026 exit run-rate implies an annualised revenue base of approximately USD 220–232 million entering 2027, before any FY2027 churn. Management has quantified USD 10 million of residual migration-related revenue impact in 2027. Against that, professional services stabilising at USD 55 million and technology returning to growth would be required for FY2027 revenue to hold flat. No management multi-year target has been published. Sell-side price targets cluster tightly at USD 1.75–2.00 with Hold ratings.

22.3 Bull case

  1. The enterprise value is approximately USD 55 million for a business generating USD 18 million of Adjusted EBITDA and approximately USD 250 million of revenue. At roughly 3.0x EV/Adjusted EBITDA and 0.22x EV/Sales, the market is pricing terminal decline. If revenue merely stabilises at USD 230 million with a 15% Adjusted EBITDA margin and positive free cash flow, the equity is worth multiples of the current price. The company received USD 147 million for Vitalware — more than its entire market capitalisation at announcement — which establishes that discrete assets carry realisable value well above the public mark.
  2. The cost transformation is real and quantified. Adjusted operating expenses fell from 40% to 37% of revenue; SBC fell from 26.1% to 8.7% of revenue and is guided lower; Project Nexus is "on track to exceed" its USD 30 million savings target; roughly USD 16.5 million of annual cash interest has been eliminated. These are cash savings against a cash-strapped P&L, and they are largely already executed rather than promised.
  3. The balance sheet risk has been retired. Zero debt, no maturities, approximately USD 82 million of pro forma liquidity, and H1 2026 operating cash flow of USD 18.8 million. Goodwill has been written down to USD 11.1 million, eliminating further impairment overhang. The company can now fund a multi-year transition without financing risk — a materially different situation from twelve months ago.

22.4 Bear case

  1. Revenue is in outright decline and the trough is not yet visible. Q2 2026 revenue fell 13% year over year. Q3 is guided to USD 55–56 million, a further 27% sequential decline. Dollar-based retention has fallen to 93%. USD 30 million of at-risk ARR remains, and management stated in Q2 that despite client-by-client retention work "we continue to see significant pressure in this area" and that churn "has pulled forward." Cost savings cannot outrun a shrinking top line indefinitely.
  2. Adjusted EBITDA has not translated into cash in any year. Free cash flow was negative in all five fiscal years, including FY2025 with USD 41.4 million of Adjusted EBITDA. Capitalised internal-use software rose to USD 19.8 million — 28% of total technology investment — meaning reported EBITDA increasingly flatters cash economics. The FY2026 guide of USD 18–18.5 million Adjusted EBITDA against approximately USD 20 million of annual capitalised software and capex implies free cash flow near zero at best.
  3. The moat thesis is unproven and the divestiture undercut it. Management asserts that durable advantage lives in the improvement-data intelligence layer, not the platform. But AgenTeq is in development, Ignite Intelligence is in "very early innings," no AI revenue is separately disclosed, and R&D expense has been cut 34% from peak. Meanwhile, the company sold Vitalware — its Best-in-KLAS cost-and-revenue asset — narrowing the "cost intelligence" proposition at precisely the moment cost intelligence became the lead use case. The strategy requires the market to fund a multi-year rebuild from a company with USD 50 million of annual R&D expense competing against Epic, Optum and the hyperscalers.

22.5 Catalysts and monitorables — next 12 months

22.6 Concluding analyst verdict (300 words)

Health Catalyst is a genuine turnaround situation with a genuinely uncertain outcome, and the market has priced it accordingly at an enterprise value of roughly USD 55 million — less than one-quarter of forward revenue.

The bear case is straightforward and currently winning. Revenue is contracting at a double-digit rate, retention has broken below 100%, the migration that was supposed to be a platform upgrade has instead become a churn event of management's own creation, and free cash flow has been negative in every year of the company's public life despite an Adjusted EBITDA line that improved by USD 52 million. The near-total write-off of goodwill — from USD 260 million to USD 11 million in eighteen months — is an unusually blunt accounting judgment on a decade of capital allocation. Guidance moved twice in five months and in the wrong direction.

The bull case is equally straightforward but requires patience the market has not extended. The company has done the hard, unglamorous work: four restructurings, stock compensation cut by two-thirds, operating expenses down nearly 40% from peak, and — decisively — the sale of Vitalware for more than the entire equity value, using the proceeds to retire all debt and roughly USD 16.5 million of annual cash interest. What remains is a debt-free business with USD 82 million of liquidity, approximately 13% penetration of its stated core market, real regulatory moats in registries and measures, and eighteen years of outcomes data that a new entrant cannot replicate.

The gating question is not whether Health Catalyst can cut costs — it has proven that — but whether technology revenue can return to growth once the migration churn clears in 2027, and whether the intelligence layer becomes a product rather than a narrative. Until bookings inflect, the shares are an option on execution, not an investment in a franchise. Position sizing should reflect that distinction.


End of dossier. All figures stated in USD. Fiscal years end 31 December. Data points marked "not publicly disclosed" or "not verified" were sought and not located in the primary sources reviewed; they have not been estimated. Where sources conflict — notably on Dollar-based Retention Rate (93% per filing versus 90% per transcript), on 52-week price range across data vendors, and on the count of client organisations (1,100 versus 1,200) — both figures are recorded with the discrepancy noted.

Executive Leadership

NameTitleTenure / background

Ben Albert

Chief Executive Officer and Board Member

CEO since 12 Feb 2026; President and principal operating officer since Sept 2025; COO Sept 2025–Feb 2026. Joined via the Upfront acquisition (Jan 2025), where he was CEO and Co-Founder from 2016. Previously founder and CEO of Care Team Connect (founded 2009, acquired by The Advisory Board Company 2013, where he led Population Health); Entrepreneur-in-Residence and Operating Partner, Strategic Investments Division, Cambia Health Solutions; executive roles at PatientKeeper, Inc. and Data Harbor, Inc. MBA in Entrepreneurship, University of Illinois Chicago; bachelor's degree, Western Michigan University. 25+ years in healthcare. Age not disclosed.

Jason Alger

Chief Financial Officer

CFO since 1 Mar 2024. Joined Health Catalyst April 2013; previously Chief Accounting Officer, and SVP Finance/Controller. Prior: Ernst & Young LLP. Master of Accountancy, Brigham Young University; CPA. Age reported as 41 (aggregator source; not verified in filings).

Ryan Barry

Chief Operating Officer of Professional Services

Joined 2018 via the Medicity acquisition; 20+ years in healthcare technology and services delivery

Robbie Hughes

Chief Product Officer

Joined via the Lumeon acquisition (Lumeon founder/CEO); background not further disclosed in sources reviewed

Chris Tyne

Chief Engineering Officer

Tenure not disclosed in sources reviewed

Lynne Dossey

Chief Growth Officer

Recently appointed; referenced by CEO on the Q1 2026 call as "our new Chief Growth Officer"

Carrie Kozlowski

Chief Marketing Officer

Recently promoted; referenced by CEO on the Q1 2026 call as "our new Chief Marketing Officer"

Kyle Salyers

Chief Strategy Officer and SVP, Corporate Development

Long-tenured; led the acquisition programme

Holly Rimmasch

SVP and Chief Clinical Officer

Long-tenured clinical leader

Linda Llewelyn

Chief People Officer

Joined June 2013 as HR Manager; prior experience in medical technology, healthcare and financial services HR. BSc Psychology, University of Utah

Ben Landry

General Counsel

Tenure not disclosed in sources reviewed

Kevin Scharnhorst

Chief Information Security Officer

Tenure not disclosed in sources reviewed

Scott Mattila

General Manager, Intraprise & Cybersecurity

Joined via Intraprise Health acquisition

Lisa Rhind

General Manager of Interoperability

Tenure not disclosed in sources reviewed

Allie Coronis

SVP, Tech-Enabled Managed Services, Chart Abstraction

Tenure not disclosed in sources reviewed

Jeff Selander

SVP International

Tenure not disclosed in sources reviewed

Becky Vea

Associate Chief People Officer

Tenure not disclosed in sources reviewed

Stephanie St. Clair

SVP, Finance and Investor Relations

Current IR lead; succeeded Matt Hopper (SVP Finance / Head of IR, referenced March 2026) and Adam Brown (SVP IR and FP&A, through 2024)

DateChangeContext

1 Mar 2024

Bryan Hunt CFO → Strategic Advisor; Jason Alger appointed CFO; Dan LeSueur promoted to COO

Annual planning process; Hunt had served ~10 years

Q4 2024

Dr. Daniel Samarov promoted to Chief AI Officer (per third-party reporting; not verified in filings)

AI capability build

Sept 2025

Ben Albert appointed President and COO; Dan LeSueur to part-time advisory role. Product Engineering, Technology Delivery and Support, Growth, Operations, Finance and Corporate Strategy leaders report to Albert

Board-designed accountability structure ahead of Burton's announced June 2026 retirement

12 Feb 2026

Ben Albert appointed CEO and Class III director; Dan Burton steps down as CEO and director, becoming an employee with the title of strategic advisor under a transition agreement. Justin Spencer elected Board Chair

Succession plan accelerated by four months

Through FY2025/2026

Departures of the Chief Commercial Officer and Chief Operating Officer

Disclosed in the 10-K/A Part III narrative

2026

New Chief Marketing Officer and new Chief Growth Officer installed

Cited by CEO as part of the go-to-market rebuild

NameAffiliationRole

Justin Spencer

Eko Health, Inc.

Chair of the Board (elected 12 Feb 2026); member of the Audit Committee

Ben Albert

Health Catalyst

CEO and Class III director (since 12 Feb 2026)

Steve Nelson

EVP and President of Aetna (CVS Health)

Director since 1 May 2026. Former CEO of UnitedHealthcare; former CEO of ChenMed; former leader of Duly Health and Care

Matt Arens

First Light Asset Management, LLC

Director; committee role referenced in the Feb 2026 restructuring announcement

Dr. Jill Hoggard Green

The Queen's Health System (CEO)

Director since ~November 2024

Julie Larson-Green

Independent advisor (formerly Microsoft)

Director; member of the Audit Committee

Matt Kolb

Carle Health (EVP and COO)

Director since 1 July 2023; not standing for re-election at the 2026 Annual Meeting

ItemDetail

CEO base salary (Ben Albert)

USD 600,000

CEO equity

Extensive time-based and performance-based restricted stock awards granted on appointment

Pay-at-risk

Approximately 87% of 2025 target CEO compensation and 82% for other named executive officers was at risk through bonus and equity

2025 annual bonus structure

Delivered entirely in performance RSUs (PRSUs) for all eligible team members, tied to client outcomes, growth and Adjusted EBITDA

2025 bonus outcome

Only 39% of these PRSUs vested, as many growth targets fell below threshold — a credible pay-for-performance outcome

Long-term PRSUs

Three-year performance periods based on total shareholder return relative to the Russell 3000, revenue growth, and Adjusted EBITDA margin

2025 LTIP mix (prior CEO)

50% RSUs / 50% PRSUs

Individual NEO compensation totals

Not retrieved for this dossier — see Form 10-K/A Part III, Item 11

HolderReported stakeSource and date

First Light Asset Management, LLC

Reported as largest single shareholder; a third-party source cites approximately 19.00% (not verified against a 13G/13F filing)

Third-party aggregator, 2025/2026

BlackRock, Inc.

1.5% (1,128,517 shares), sole voting and dispositive power

Schedule 13G/A filed 28 Jul 2026 — note this represents a substantial reduction from previously reported levels

The Vanguard Group, Inc.

0 shares / 0% as filed, following an internal realignment effective 12 Jan 2026 under which certain subsidiaries report separately

Schedule 13G/A Amendment No. 8, 2026

CDC Financial, Inc.

Top-10 holder

Fintel, 2026

Whetstone Capital Advisors, LLC

Top-10 holder

Fintel, 2026

Impax Asset Management Group plc

Top-10 holder

Fintel, 2026

Nepsis, Inc.

Top-10 holder

Fintel, 2026

PRIMECAP Odyssey Aggressive Growth Fund (POAGX)

Top-10 holder

Fintel, 2026

Geode Capital Management, LLC

Top-10 holder

Fintel, 2026

Dimensional Fund Advisors

Top-10 holder

Fintel, 2026

BlackRock Institutional Trust Company, N.A.

Holder

TradingKey, 2026

Competitive Landscape

CategoryNamed competitors

Industry-agnostic analytics companies (enabling homegrown solutions)

IBM, Databricks, Snowflake, Microsoft, Tableau CRM, Qlik

EHR companies

Oracle Health, Epic Systems

Point-solution vendors

Optum Analytics, Premier, Arcadia.io, Strata Decision Technology, Craneware, Innovaccer, InterSystems

Healthcare organisations performing their own analytics

Homegrown health-system data teams

Health Catalyst segmentPrincipal competitive threatHealth Catalyst position

Data platform (Ignite)

Databricks, Snowflake, Microsoft Fabric — named by management as the commoditising force

Weakening. Management concedes the layer is commoditised; the strategy is now to sit on top of rather than compete against these platforms

Clinical analytics and quality

Epic (Cogito, Slicer-Dicer), Oracle Health, Premier, Arcadia

Contested. Epic's expanding native analytics is the single largest structural threat, explicitly named in the 10-K as a driver of contract termination

Cost and labour analytics

Strata Decision Technology, Syntellis (Strata), Premier

Defensible niche — PowerCosting is a differentiated activity-based costing product

Registries and measures

Q-Centrix, Medisolv, specialist registry vendors

Defensible niche with high switching costs and regulatory embedding (ONC certification, CMS QPP approval)

Patient engagement

Phreesia, Luma Health, Artera, Notable, WELL Health

Crowded and undifferentiated; the Twistle/Lumeon/Upfront stack is assembled rather than architected

Interoperability / HIE

InterSystems, Rhapsody, Health Gorilla

Growing niche; Ninja Universe is winning HIE deployments but at high data-loading cost

Cybersecurity

Censinet, Clearwater, ProviderTrust

Sub-scale but growing; recognised in the 2025 MedTech Breakthrough Awards

Professional services

Optum Advisory, Chartis, Huron, Guidehouse, and client in-sourcing

Deteriorating. Clients are bringing managed-services work back in-house

Metric (FY2025 unless stated)Health Catalyst (HCAT)Definitive Healthcare (DH)Evolent Health (EVH)HealthStream (HSTM)

Revenue (USD M)

311.1

approximately 239 (computed from filed quarters; Q4 not verified)

not verified

not verified

Revenue growth (%)

1.5

approximately -6

not verified

not verified

Adjusted EBITDA (USD M)

41.4

approximately 71 (sum of Q1–Q3 USD 52.3M plus unverified Q4)

not verified

not verified

Adjusted EBITDA margin (%)

13.3

approximately 29

not verified

not verified

GAAP net margin (%)

-57.2

materially negative (goodwill impairments of USD 176.5M in Q1 2025 alone)

not verified

not verified

R&D intensity (R&D as % of revenue)

16.0

not disclosed in sources reviewed

not verified

not verified

Market capitalisation (Aug 2026, USD M)

approximately 135

not verified

not verified

not verified

Net debt position

Zero debt post-31 Jul 2026

not verified

not verified

not verified

Recent Developments

--

Company Snapshot

1,200

Employees

2011

Founded

SWOT Analysis

Strengths

    1. Debt-free balance sheet with meaningful liquidity. Approximately USD 82 million pro forma cash and short-term investments and zero debt following the 31 July 2026 term-loan retirement, eliminating ~USD 19 million of annual GAAP interest expense and restrictive covenants (Q2 2026 call, CFO Jason Alger).
    1. Demonstrated operating leverage. Adjusted EBITDA improved from -USD 11.2 million (FY2021) to +USD 41.4 million (FY2025) — an incremental Adjusted EBITDA margin of approximately 76% on the associated revenue growth.
    1. Structural reduction in stock-based compensation. SBC fell from USD 72.1 million (26.1% of revenue, FY2022) to USD 27.0 million (8.7%, FY2025), with H1 2026 at USD 6.5 million and guidance to mid-single-digit percentage of revenue — materially improving the quality of non-GAAP earnings.
    1. Genuinely differentiated regulatory and clinical assets. AHRQ-certified Patient Safety Organization; ONC Health IT Certification for MeasureAble; CMS QPP Qualified Registry approval for the Able Health Registry — barriers no horizontal analytics vendor holds.
    1. Diversified, blue-chip client base with no concentration risk. No client exceeded 10% of revenue in FY2025, FY2024 or FY2023; named clients include UPMC, Mass General Brigham, Baylor Scott & White Health and Lifepoint Health.
    1. Proprietary outcomes corpus. Over 2,000 documented, client-verified improvements and USD 2.8 billion in documented outcomes accumulated over 18 years — the specific asset underwriting the AI strategy and not reproducible retrospectively.
    1. Credible pay-for-performance governance. Only 39% of 2025 bonus PRSUs vested as growth targets fell below threshold; approximately 87% of target CEO compensation is at risk (Form 10-K/A, April 2026).

Weaknesses

    1. Free cash flow was negative in all five fiscal years — -USD 41.6 million (FY2021), -USD 52.7 million (FY2022), -USD 47.4 million (FY2023), -USD 1.8 million (FY2024), -USD 20.8 million (FY2025).
    1. Near-total goodwill write-off. Goodwill fell from USD 259.8 million (31 Dec 2024) to USD 11.1 million (30 Jun 2026), with approximately USD 232.8 million of cumulative impairment across six quarters — an accounting verdict on twelve acquisitions.
    1. Accumulated deficit of USD 1.516 billion at 30 June 2026 against total stockholders' equity of USD 100.8 million; the company has never reported a GAAP profitable year.
    1. Structurally unprofitable professional services segment. FY2025 GAAP gross margin of 12.8% and adjusted gross margin of 18.3%, with revenue down 7.9% and guided to contract to approximately USD 55 million annually — roughly half its FY2024 level.
    1. Retention deterioration. Dollar-based Retention Rate (Tech + TEMS) fell from 102% (FY2024) to 93% (FY2025), with USD 12.5 million of notified ARR down-sell and churn and USD 30 million of remaining at-risk ARR.
    1. Chronic dilution. Shares outstanding rose from 52.6 million to 75.3 million between FY2021 and August 2026 — a 43% increase — against cumulative buybacks of only USD 15.2 million.
    1. Thin intellectual property protection. Only 21 issued patents globally, and Patient Safety Monitor partly rests on IP licensed under the 2023 Pascal Metrics settlement.
    1. Extreme management discontinuity. CEO, CFO, COO, CPO, CMO, CGO and Chief Engineering Officer all changed within roughly 30 months; four of seven directors joined within twelve months; board refreshment generated legal and advisory costs booked as non-recurring restructuring.

Opportunities

    1. Technology-mix shift with quantified margin upside. Technology grew to 66.9% of revenue (FY2025) from 61.1% (FY2021) at 67.4% adjusted gross margin versus 18.3% for services; management expects overall adjusted gross margin to trend higher long-term as mix shifts.
    1. Project Nexus over-delivery. Targeted at approximately USD 30 million annualised savings; management stated in Q2 2026 it is "on track to exceed our original savings target."
    1. AI development productivity. Pod-based development with proprietary AI agents delivered "as much as 100% more story points per developer" in initial pilots — if durable, this permits reduced R&D headcount without output loss.
    1. Under-penetrated core market. 162 Platform Clients against a stated core addressable market of more than 1,200 healthcare organisations, implying roughly 13% penetration.
    1. Adjacency expansion. Life sciences, payers, HIEs and healthcare technology vendors (via Intraprise cybersecurity) — the cybersecurity offering uniquely extends the TAM beyond providers.
    1. Capital flexibility for the first time. Debt-free status plus USD 82 million of liquidity permits investment "in what we believe in" without covenant constraint, and — should the board choose — buybacks at a market capitalisation below one-half of trailing revenue.
    1. International expansion. Subsidiaries already established in the UK, India, Singapore, UAE and Australia; the Lumeon acquisition added a UK/EU commercial footprint.

Threats

    1. EHR vendor encroachment, named in the 10-K: "the increasing market share of EHR companies in data analytic services, patient engagement and other parts of our Solution at healthcare providers may cause our existing clients to terminate contracts with us."
    1. Platform commoditisation confirmed by management. Databricks and Snowflake named by the CEO as having commoditised the data-infrastructure layer on which the company's original thesis rested.
    1. Medicaid and research funding cuts, cited repeatedly in FY2025 risk factors as depressing end-market spending and as the specific reason DOS clients are retaining migration savings rather than reinvesting them.
    1. Guidance credibility risk. FY2026 revenue guidance moved from withheld (March) to USD 260–265 million (May) to USD 246–249 million (August) within five months, contributing to a 27% single-session share decline.
    1. Third-party infrastructure dependency. Microsoft Azure is named in the risk factors as a critical single point of failure for service delivery.
    1. Data-access dependency. The 10-K warns third-party data sources "could take steps to block our access to data, or increase fees or impose fees for such access."
    1. Nasdaq listing and index-inclusion risk. At approximately USD 1.75 per share with a 52-week low of USD 0.96, continued weakness raises the prospect of minimum-bid-price issues and small-cap index exclusion, which would remove passive demand — BlackRock's stake having already fallen to 1.5%.
    1. AI-specific regulatory and liability exposure. The 10-K flags that increasing reliance on AI and machine learning "may expose us to significant risks, including development and deployment challenges, regulatory uncertainties, and potential third-party claims" — directly relevant given AgenTeq is the centrepiece of the strategy.
  • --

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Wantstats Research Team

Wantstats' research desk profiles Health Catalyst Address as part of our ongoing coverage of the industry sector, drawing on public company data, filings, and market intelligence.

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Rob Kooiker

Group Product Manager HVAC & Fire Protection GMA, Rockwool

I have been reading the first document or the study, the Global HVAC and FP market report 2021 till 2026. Must say, good info! I have not gone in depth at all parts, but got a good indication of the data inside!
Jason Lee

R&D Director, Seojin

Thanks for your great support. Appreciate it. Well received report. It helps us to understand market well. We're planning other area of survey in the future, let's keep in touch.
Akif Moroglu

Strategy & Business Development Director, Dogan Holding

We got the report in time, we really thank you for your support in this process. I also thank to all of your team as they did a great job.
Noah Malgeri
Noah Malgeri

Co-Founder, Mojave Rail Fabrication Limited

This is really good guys. Excellent work on a tight deadline. I will continue to use you going forward and recommend you to others. Nice job.
Michael Robert

Manager, JavolVision

Thanks, I am so happy that we worked together. Maybe we still can work together in the future.
Joseph Aguayo
Joseph Aguayo

Sales Operations & Pricing Manager, Intel

Thanks. It's been a pleasure working with you, please use me as reference with any other Intel employees.
Bong Lau

Sales Leader, Bamberg

We bought your "2025 report" in 2020. Everything is fine and very good.
Peter Groot Koerkamp
Peter Groot Koerkamp

Account and Business Manager, EFS-Holland BV

Thanks for sending the report it gives us a good global view of the Betaïne market.
Younghwan Choi
Younghwan Choi

Senior Retail Manager, LG Chem

We found the report very insightful! we found your research firm very helpful. I'm sending this email to secure our future business.
Mark Irwin

Management Consultant, Level 21

I am very pleased with how market segments have been defined in a relevant way for my purposes (such as "Portable Freezers & refrigerators" and "last-mile"). In general the report is well structured. Thanks very much for your efforts.
Rob Kooiker

Group Product Manager HVAC & Fire Protection GMA, Rockwool

I have been reading the first document or the study, the Global HVAC and FP market report 2021 till 2026. Must say, good info! I have not gone in depth at all parts, but got a good indication of the data inside!
Jason Lee

R&D Director, Seojin

Thanks for your great support. Appreciate it. Well received report. It helps us to understand market well. We're planning other area of survey in the future, let's keep in touch.
Akif Moroglu

Strategy & Business Development Director, Dogan Holding

We got the report in time, we really thank you for your support in this process. I also thank to all of your team as they did a great job.

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