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Waystar Reports First Quarter 2025 Results

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Waystar reported strong Q1 2025 financial results with 14% year-over-year revenue growth reaching $256.4 million. The healthcare payment software provider achieved notable metrics including:

  • Net income of $29.3 million with 11% margin
  • Non-GAAP net income of $58.7 million
  • Adjusted EBITDA of $107.7 million with 42% margin
  • Cash flow from operations of $64 million

The company showed robust client growth with 1,244 customers contributing over $100,000 in LTM revenue, up 15% year-over-year. Net revenue retention rate reached 114%. Subscription revenue grew 18% to $125 million, while volume-based revenue increased 11% to $129.9 million.

Following these results, Waystar raised its 2025 guidance, projecting total revenue between $1.006-1.022 billion and adjusted EBITDA between $406-414 million. The company also launched Waystar AltitudeAI to enhance client workflows and financial performance.

Waystar ha riportato solidi risultati finanziari nel primo trimestre 2025 con una crescita dei ricavi del 14% rispetto all'anno precedente, raggiungendo 256,4 milioni di dollari. Il fornitore di software per i pagamenti sanitari ha raggiunto importanti indicatori tra cui:

  • Utile netto di 29,3 milioni di dollari con un margine dell'11%
  • Utile netto Non-GAAP di 58,7 milioni di dollari
  • EBITDA rettificato di 107,7 milioni di dollari con un margine del 42%
  • Flusso di cassa operativo di 64 milioni di dollari

L'azienda ha mostrato una solida crescita della clientela con 1.244 clienti che hanno contribuito con oltre 100.000 dollari di ricavi negli ultimi dodici mesi, in aumento del 15% su base annua. Il tasso di retention del fatturato netto ha raggiunto il 114%. I ricavi da abbonamento sono cresciuti del 18% a 125 milioni di dollari, mentre i ricavi basati sul volume sono aumentati dell'11% a 129,9 milioni di dollari.

A seguito di questi risultati, Waystar ha rivisto al rialzo le previsioni per il 2025, prevedendo ricavi totali tra 1,006 e 1,022 miliardi di dollari e un EBITDA rettificato tra 406 e 414 milioni di dollari. L'azienda ha inoltre lanciato Waystar AltitudeAI per migliorare i flussi di lavoro dei clienti e le performance finanziarie.

Waystar reportó sólidos resultados financieros en el primer trimestre de 2025 con un crecimiento interanual de ingresos del 14%, alcanzando los 256,4 millones de dólares. El proveedor de software para pagos en el sector salud logró métricas destacadas, entre ellas:

  • Ingreso neto de 29,3 millones de dólares con un margen del 11%
  • Ingreso neto Non-GAAP de 58,7 millones de dólares
  • EBITDA ajustado de 107,7 millones de dólares con un margen del 42%
  • Flujo de caja operativo de 64 millones de dólares

La compañía mostró un fuerte crecimiento en su base de clientes con 1,244 clientes que aportaron más de 100,000 dólares en ingresos en los últimos doce meses, un aumento del 15% interanual. La tasa de retención neta de ingresos alcanzó el 114%. Los ingresos por suscripciones crecieron un 18% hasta los 125 millones de dólares, mientras que los ingresos basados en volumen aumentaron un 11% hasta 129,9 millones de dólares.

Tras estos resultados, Waystar elevó sus previsiones para 2025, proyectando ingresos totales entre 1,006 y 1,022 mil millones de dólares y un EBITDA ajustado entre 406 y 414 millones de dólares. La compañía también lanzó Waystar AltitudeAI para mejorar los flujos de trabajo de los clientes y el desempeño financiero.

Waystar는 2025년 1분기 강력한 재무 실적을 보고했으며, 전년 대비 매출이 14% 증가하여 2억 5,640만 달러를 기록했습니다. 이 헬스케어 결제 소프트웨어 제공업체는 다음과 같은 주요 지표를 달성했습니다:

  • 순이익 2,930만 달러, 11% 마진
  • 비GAAP 순이익 5,870만 달러
  • 조정 EBITDA 1억 770만 달러, 42% 마진
  • 영업활동 현금흐름 6,400만 달러

회사는 지난 12개월 동안 10만 달러 이상 매출을 올린 고객이 1,244명으로 전년 대비 15% 증가하며 견고한 고객 성장을 보였습니다. 순매출 유지율은 114%에 달했습니다. 구독 매출은 18% 증가하여 1억 2,500만 달러를 기록했고, 거래량 기반 매출은 11% 증가하여 1억 2,990만 달러에 이르렀습니다.

이러한 실적을 바탕으로 Waystar는 2025년 가이던스를 상향 조정하여 총 매출을 10억 600만 달러에서 10억 2,200만 달러 사이, 조정 EBITDA는 4억 600만 달러에서 4억 1,400만 달러 사이로 전망했습니다. 또한 고객 워크플로우와 재무 성과를 향상시키기 위해 Waystar AltitudeAI를 출시했습니다.

Waystar a annoncé de solides résultats financiers pour le premier trimestre 2025 avec une croissance du chiffre d'affaires de 14 % en glissement annuel, atteignant 256,4 millions de dollars. Le fournisseur de logiciels de paiement dans le secteur de la santé a réalisé des indicateurs notables, notamment :

  • Un bénéfice net de 29,3 millions de dollars avec une marge de 11 %
  • Un bénéfice net Non-GAAP de 58,7 millions de dollars
  • Un EBITDA ajusté de 107,7 millions de dollars avec une marge de 42 %
  • Un flux de trésorerie opérationnel de 64 millions de dollars

L'entreprise a affiché une croissance solide de sa clientèle avec 1 244 clients ayant généré plus de 100 000 dollars de revenus sur les douze derniers mois, en hausse de 15 % sur un an. Le taux de rétention nette des revenus a atteint 114 %. Les revenus d'abonnement ont augmenté de 18 % pour atteindre 125 millions de dollars, tandis que les revenus basés sur le volume ont progressé de 11 % pour atteindre 129,9 millions de dollars.

Suite à ces résultats, Waystar a relevé ses prévisions pour 2025, projetant un chiffre d'affaires total compris entre 1,006 et 1,022 milliard de dollars et un EBITDA ajusté entre 406 et 414 millions de dollars. L'entreprise a également lancé Waystar AltitudeAI pour améliorer les flux de travail clients et la performance financière.

Waystar meldete starke Finanzergebnisse für das erste Quartal 2025 mit einem Umsatzwachstum von 14 % im Jahresvergleich und erreichte 256,4 Millionen US-Dollar. Der Anbieter von Software für Gesundheitszahlungen erzielte bemerkenswerte Kennzahlen, darunter:

  • Nettoeinkommen von 29,3 Millionen US-Dollar bei einer Marge von 11 %
  • Non-GAAP-Nettoeinkommen von 58,7 Millionen US-Dollar
  • Bereinigtes EBITDA von 107,7 Millionen US-Dollar bei einer Marge von 42 %
  • Betriebsmittelzufluss von 64 Millionen US-Dollar

Das Unternehmen verzeichnete ein starkes Kundenwachstum mit 1.244 Kunden, die in den letzten zwölf Monaten über 100.000 US-Dollar Umsatz beitrugen, ein Anstieg von 15 % im Jahresvergleich. Die Netto-Umsatzbindungsrate erreichte 114 %. Die Abonnementerlöse stiegen um 18 % auf 125 Millionen US-Dollar, während die volumenbasierten Erlöse um 11 % auf 129,9 Millionen US-Dollar zunahmen.

Aufgrund dieser Ergebnisse hat Waystar seine Prognose für 2025 angehoben und erwartet einen Gesamtumsatz zwischen 1,006 und 1,022 Milliarden US-Dollar sowie ein bereinigtes EBITDA zwischen 406 und 414 Millionen US-Dollar. Außerdem hat das Unternehmen Waystar AltitudeAI eingeführt, um die Arbeitsabläufe der Kunden und die finanzielle Leistung zu verbessern.

Positive
  • Q1 revenue grew 14% YoY to $256.4M
  • Strong net income of $29.3M with 11% margin
  • Adjusted EBITDA margin of 42% with $107.7M
  • Net revenue retention rate of 114%
  • Subscription revenue up 18% YoY to $125M
  • 15% growth in clients contributing >$100k revenue
  • Raised full-year 2025 revenue and EBITDA guidance
  • Strong cash flow from operations at $64M
Negative
  • Volume-based revenue growth slower at 11% compared to subscription revenue
  • High dependence on large clients (1,244 clients contribute majority revenue)

Insights

Waystar delivers exceptional Q1 with 14% revenue growth, 42% EBITDA margins, and raised 2025 guidance signaling strong momentum.

Waystar Holding Corp. delivered impressive Q1 2025 results with revenue reaching $256.4 million, representing 14% year-over-year growth. Profitability metrics showed robust performance with net income of $29.3 million (11% margin) and adjusted EBITDA of $107.7 million translating to an exceptional 42% margin.

The company's revenue composition demonstrates healthy diversification, with subscription revenue growing faster at 18% year-over-year (reaching $125.0 million) compared to volume-based revenue growth of 11% ($129.9 million). This shift toward subscription revenue typically enhances business predictability and stability.

Customer metrics reveal strong expansion capabilities, with 1,244 clients contributing over $100,000 in LTM revenue (up 15% year-over-year) and a net revenue retention rate of 114%. This high retention rate indicates Waystar successfully expands relationships with existing clients - a critical indicator for software businesses.

Cash generation remained solid with $64 million in operating cash flow and $79 million in unlevered free cash flow for the quarter, providing financial flexibility for ongoing investments.

Management's confidence is evident in their decision to raise full-year 2025 guidance, now expecting revenue between $1.006-1.022 billion and adjusted EBITDA between $406-414 million. The launch of Waystar AltitudeAI demonstrates their commitment to innovation in healthcare payment software.

This marks Waystar's fourth consecutive quarter of double-digit revenue growth since becoming a public company, showing consistent execution and operational momentum.

Q1 revenue growth of 14% year-over-year

Q1 net income of $29.3 million and non-GAAP net income of $58.7 million

Q1 net income margin of 11%; adjusted EBITDA margin of 42%

Raising revenue and adjusted EBITDA guidance for 2025

LEHI, Utah and LOUISVILLE, Ky., April 30, 2025 /PRNewswire/ -- Waystar Holding Corp. (Nasdaq: WAY), a provider of leading healthcare payment software, today reported results for the first quarter ended March 31, 2025.

"Waystar sustained strong momentum in the first quarter of 2025, delivering net income margins exceeding 10%, adjusted EBITDA margins exceeding 40%, and our fourth consecutive quarter of double-digit revenue growth as a public company," said Matt Hawkins, Chief Executive Officer of Waystar. "We also advanced our innovation roadmap with the launch of Waystar AltitudeAI, equipping clients with powerful AI capabilities that streamline workflows and improve financial performance. With a resilient foundation and durable growth model, we have the visibility and confidence to raise our full-year revenue and adjusted EBITDA guidance."

First Quarter 2025 Financial Highlights

  • Revenue of $256.4 million, up 14% year-over-year
  • Net income of $29.3 million, GAAP net income per diluted share of $0.16, and net income margin of 11%
  • Non-GAAP net income of $58.7 million and non-GAAP net income per diluted share of $0.32
  • Adjusted EBITDA of $107.7 million and adjusted EBITDA margin of 42%
  • Cash flow from operations of $64 million and unlevered free cash flow of $79 million

Key Metrics and Revenue Disaggregation

  • 1,244 clients contributed over $100,000 in LTM revenue, up 15% year-over-year
  • Net revenue retention rate (NRR) of 114% over LTM ending March 31, 2025
  • Subscription revenue of $125.0 million, up 18% year-over-year
  • Volume-based revenue of $129.9 million, up 11% year-over-year

Financial Outlook

As of April 30, 2025, Waystar provides the following guidance for its full fiscal year 2025.1

  • Total revenue is expected to be between $1.006 billion and $1.022 billion
  • Adjusted EBITDA is expected to be between $406 million and $414 million
  • Non-GAAP net income is expected to be between $241 million and $247 million
  • Diluted non-GAAP net income per share is expected to be between $1.31 and $1.34

Webcast Information

Waystar's financial results will be discussed on a conference call scheduled at 4:30 p.m. Eastern Daylight Time today, April 30, 2025. A live audio conference call will be available on Waystar's website at https://investors.waystar.com/news-events/events. The webcast will be archived on the site for those unable to listen in real time. This earnings release and the related Current Report on Form 8-K filed April 30, 2025, can be accessed on the Investor Relations page of the company's website. We routinely post important information on our website, including corporate and investor presentations and financial information. We intend to use our website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Such disclosures will be included in the Investor Relations section of our website. Accordingly, investors should monitor this portion of our website, in addition to following our press releases, U.S. Securities and Exchange Commission ("SEC") filings, and public conference calls and webcasts.

Non-GAAP Financial Measures

To supplement the consolidated financial statements prepared and presented in accordance with U.S. generally accepted accounting principles ("GAAP"), this press release contains certain non-GAAP financial measures as defined below. We present non-GAAP financial measures as supplemental measures of financial performance that are not required by, or presented in accordance with, GAAP. We believe they assist investors and analysts in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. Management believes these non-GAAP financial measures are useful to investors in highlighting trends in our operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding capital structure, the tax jurisdictions in which we operate, and capital investments. Management uses adjusted EBITDA and adjusted EBITDA margin to supplement GAAP measures of performance in the evaluation of the effectiveness of our business strategies, to make budgeting decisions, to establish discretionary annual incentive compensation, and to compare our performance against that of other peer companies using similar measures. Management supplements GAAP results with non-GAAP financial measures to provide a more complete understanding of the factors and trends affecting the business than GAAP results alone provide.

Adjusted EBITDA, adjusted EBITDA margin, non-GAAP net income, non-GAAP net income per share and unlevered free cash flow are not recognized terms under GAAP and should not be considered as an alternative to net income (loss) or net income (loss) margin as measures of financial performance or cash provided by operating activities as a measure of liquidity, or any other performance measure derived in accordance with GAAP. Additionally, these measures are not intended to be a measure of free cash flow available for management's discretionary use, as they do not consider certain cash requirements such as interest payments, tax payments, and debt service requirements. The presentations of these measures have limitations as analytical tools and should not be considered in isolation, or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentations of these measures may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company. A reconciliation is provided below for our non-GAAP financial measures 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 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.

The following non-GAAP financial measures and key performance metrics are defined below:

Adjusted EBITDA and adjusted EBITDA Margin
We define adjusted EBITDA as net income / (loss) before interest expense, net, income tax expense / (benefit), depreciation and amortization, and as further adjusted for stock-based compensation expense, acquisition and integration costs, asset and lease impairments, costs related to amended debt agreements and IPO and secondary offering costs. Adjusted EBITDA margin represents adjusted EBITDA as a percentage of revenue.

Non-GAAP Net Income / (loss) and Non-GAAP Net Income / (loss) Per Share
We define non-GAAP net income as GAAP net income / (loss) excluding the impact of stock-based compensation, acquisition and integration costs, asset and lease impairments, costs related to our IPO, and the Secondary Offering, and costs related to amended debt agreements and amortization of intangibles. The tax effects of the adjustments are calculated using a management estimated annual effective non-GAAP tax rate of 21%, which is based on our statutory federal tax rate and provides consistency across interim reporting periods by eliminating the effects of non-recurring and period specific items. Due to the differences in the tax treatment of items excluded from non-GAAP net income, our estimate tax rate on non-GAAP net income may differ from our GAAP tax rate. Non-GAAP net income per share is shown on both a basic and diluted basis and is defined as non-GAAP net income divided by the basic or diluted weighted-average shares, respectively.

Unlevered Free Cash Flow
We define unlevered free cash flow as cash from operations plus cash interest paid less capital expenses.

Net Debt
We define net debt as the sum of the current portion of long-term debt, long-term debt, and accounts receivable securitization less cash and equivalents and investment securities.

Adjusted Net Leverage Ratio
We define adjusted net leverage ratio as net debt divided by adjusted EBITDA over the preceding twelve months.

Key Performance Metrics

Net Revenue Retention Rate
Our Net Revenue Retention Rate compares twelve months of client invoices for our solutions at two period end dates. To calculate our Net Revenue Retention Rate, we first accumulate the total amount invoiced during the twelve months ending with the prior period-end or Prior Period Invoices. We then calculate the total amount invoiced to those same clients for the twelve months ending with the current period-end, or Current Period Invoices. Current Period Invoices are inclusive of upsell, downsell, pricing changes, clients that cancel or chose not to renew, and discontinued solutions with continuing clients. The Net Revenue Retention Rate is then calculated by dividing the Current Period Invoices by the Prior Period Invoices. Our total invoices included in the analysis are greater than 98% of reported revenue. We use Net Revenue Retention Rate to evaluate our ongoing operations and for internal planning and forecasting purposes. Acquired businesses are included in the last-twelve-month Net Revenue Retention Rate in the ninth quarter after acquisition, which is the earliest point that comparable post-acquisition invoices are available for both the current and prior twelve-month period.

Customer Count with >$100,000 of Revenue
We regularly monitor and review our count of clients who generate more than $100,000 of revenue.

Our count of clients who generate more than $100,000 of revenue is based on an accumulation of the amounts invoiced to clients over the preceding twelve months. The invoices for acquired clients are included starting in the first full calendar quarter after the date of acquisition.

Forward-Looking Statements

This press release contains forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995, that reflect our current views with respect to, among other things, statements regarding Waystar's expectations relating to future operating results and financial position, including full year 2025, and future periods; the performance of our new product offerings; our industry and market opportunities, business strategy, goals, and expectations concerning our market position, future operations, margins and profitability, capital expenditures, liquidity, and capital resources and other financial and operating information. Forward-looking statements include all statements that are not historical facts. These statements may include words such as "anticipate," "assume," "believe," "continue," "could," "estimate," "expect," "intend," "may," "plan," "potential," "predict," "project," "future," "will," "seek," "foreseeable," "outlook," the negative version of these words or similar terms and phrases to identify forward-looking statements in this press release, including the discussion of outlook for full fiscal year 2025.

The forward-looking statements contained in this press release are based on management's current expectations and are not guarantees of future performance. The forward-looking statements are subject to various risks, uncertainties, assumptions, or changes in circumstances that are difficult to predict or quantify. Our expectations, beliefs, and projections are expressed in good faith, and we believe there is a reasonable basis for them. However, there can be no assurance that management's expectations, beliefs, and projections will result or be achieved. The following factors are among those that may cause actual results to differ materially from the forward-looking statements: our operation in a highly competitive industry; our ability to retain our existing clients and attract new clients; our ability to successfully execute on our business strategies in order to grow; our ability to accurately assess the risks related to acquisitions and successfully integrate acquired businesses; our ability to establish and maintain strategic relationships; the growth and success of our clients and overall healthcare transaction volumes; consolidation in the healthcare industry; our selling cycle of variable length to secure new client agreements; our implementation cycle that is dependent on our clients' timing and resources; our dependence on our senior management team and certain key employees, and our ability to attract and retain highly skilled employees; the accuracy of the estimates and assumptions we use to determine the size of our total addressable market; our ability to develop and market new solutions, or enhance our existing solutions, to respond to technological changes, or evolving industry standards; the interoperability, connectivity, and integration of our solutions with our clients' and their vendors' networks and infrastructures; the performance and reliability of internet, mobile, and other infrastructure; the consequences if we cannot obtain, process, use, disclose, or distribute the highly regulated data we require to provide our solutions; our reliance on certain third-party vendors and providers; any errors or malfunctions in our products and solutions; failure by our clients to obtain proper permissions or provide us with accurate and appropriate information; the potential for embezzlement, identity theft, or other similar illegal behavior by our employees or vendors, and a failure of our employees or vendors to observe quality standards or adhere to environmental, social, and governance standards; our compliance with the applicable rules of the National Automated Clearing House Association and the applicable requirements of card networks; increases in card network fees and other changes to fee arrangements; the effect of payer and provider conduct which we cannot control; privacy concerns and security breaches or incidents relating to our platform; the complex and evolving laws and regulations regarding privacy, data protection, and cybersecurity; our ability to adequately protect and enforce our intellectual property rights; our ability to use or license data and integrate third-party technologies; our use of "open source" software; legal proceedings initiated by third parties alleging that we are infringing or otherwise violating their intellectual property rights; claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties; the heavily regulated industry in which we conduct business; the uncertain and evolving healthcare regulatory and political framework; healthcare laws and data privacy and security laws and regulations governing our processing of personal information; reduced revenues in response to changes to the healthcare regulatory landscape; legal, regulatory, and other proceedings that could result in adverse outcomes; consumer protection laws and regulations; contractual obligations requiring compliance with certain provisions of the Bank Secrecy Act and anti-money laundering laws and regulations; existing laws that regulate our ability to engage in certain marketing activities; our full compliance with website accessibility standards; any changes in our tax rates, the adoption of new tax legislation, or exposure to additional tax liabilities; limitations on our ability to use our net operating losses to offset future taxable income; losses due to asset impairment charges; restrictive covenants in the agreements governing our credit facilities; interest rate fluctuations; unavailability of additional capital on acceptable terms or at all; the impact of general macroeconomic conditions; actions of certain of our significant investors, who may have different interests than the interests of other holders of our securities; and each of the other factors discussed under the heading of "Risk Factors" in the Company's 10K filed with the Securities and Exchange Commission (the "SEC") on February 18, 2025, and in other reports filed with the SEC, all of which are available on the Investor Relations page of our website at investors.waystar.com.

Any forward-looking statements made by us in this press release speak only as of the date of this press release and are expressly qualified in their entirety by the cautionary statements included in this press release. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. You should not place undue reliance on our forward-looking statements. We undertake no obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments, or otherwise, except as may be required by any applicable securities laws.

About Waystar

Waystar's mission-critical software is purpose-built to simplify healthcare payments so providers can prioritize patient care and optimize their financial performance. Waystar serves approximately 30,000 clients, representing over 1 million distinct providers, including 16 of 20 institutions on the U.S. News Best Hospitals list.  Waystar's enterprise-grade platform annually processes over 6 billion healthcare payment transactions, including over $1.8 trillion in annual gross claims and spanning approximately 50% of U.S. patients. Waystar strives to transform healthcare payments so providers can focus on what matters most: their patients and communities. Discover the way forward at waystar.com.

1 We have not reconciled the forward-looking adjusted EBITDA, non- GAAP net income, and non-GAAP net income per share guidance included above to the most directly comparable GAAP measure because this cannot be done without unreasonable effort due to the variability and low visibility with respect to certain costs, the most significant of which are incentive compensation (including stock-based compensation), transaction-related expenses, and certain fair value measurements, which are potential adjustments to future earnings. We expect the variability of these items to have a potentially unpredictable, and a potentially significant, impact on our future GAAP financial results.

 

Waystar Holding Corp.

Unaudited Condensed Consolidated Statements of Operations

(in Thousands, Except for Share and Per Share Data)




Three months ended March 31, 



2025


2024

Revenue


$

256,435


$

224,792

Operating expenses







Cost of revenue (exclusive of depreciation and amortization expenses)



83,345



75,192

Sales and marketing



40,123



33,780

General and administrative



23,300



26,135

Research and development



11,078



10,320

Depreciation and amortization



33,380



44,174

Total operating expenses



191,226



189,601

Income from operations



65,209



35,191

Other expense







Interest expense



(18,257)



(55,812)

Related party interest expense



(643)



(1,372)

Income/(loss) before income taxes



46,309



(21,993)

Income tax expense/(benefit)



17,040



(6,061)

Net income/(loss)


$

29,269


$

(15,932)

Net income/(loss) per share:







Basic


$

0.17


$

(0.13)

Diluted


$

0.16


$

(0.13)

Weighted-average shares outstanding:







Basic



172,188,237



121,675,298

Diluted



180,691,994



121,675,298

 

Waystar Holding Corp.

Unaudited Condensed Consolidated Balance Sheets

(in Thousands, Except for Share and Per Share Data)










March 31, 2025


December 31, 2024

Assets







Current assets







Cash and cash equivalents


$

223,995


$

182,133

Restricted cash



25,723



22,449

Investment securities



24,419



Accounts receivable, net of allowance of $5,897 at March 31, 2025 and
$5,885 at December 31, 2024



147,264



145,235

Income tax receivable





2,838

Prepaid expenses



16,900



14,414

Other current assets



2,249



3,972

Total current assets



440,550



371,041

Property, plant and equipment, net



46,645



46,731

Operating lease right-of-use assets, net



9,896



10,820

Intangible assets, net



1,010,933



1,039,049

Goodwill



3,019,999



3,019,999

Deferred costs



85,088



82,815

Other long-term assets



6,067



6,549

Total assets


$

4,619,178


$

4,577,004

Liabilities and stockholders' equity







Current liabilities







Accounts payable


$

45,064


$

47,365

Accrued compensation



15,857



31,589

Aggregated funds payable



25,253



22,059

Other accrued expenses



25,646



15,930

Deferred revenue



11,348



10,527

Current portion of long-term debt



11,228



11,311

Related party current portion of long-term debt



440



357

Current portion of operating lease liabilities



5,538



5,591

Current portion of finance lease liabilities



926



904

Total current liabilities



141,300



145,633

Long-term liabilities







Deferred tax liability



104,927



100,523

Long-term debt, net, less current portion



1,174,879



1,185,411

Related party long-term debt, net, less current portion



43,356



35,211

Operating lease liabilities, net of current portion



11,785



13,133

Finance lease liabilities, net of current portion



11,049



11,290

Deferred revenue–LT



5,692



5,739

Other long-term liabilities



278



278

Total liabilities



1,493,266



1,497,218

Commitments and contingencies (Note 20)







Stockholders' equity







Preferred stock $0.01 par value - 100,000,000 shares authorized as of
March 31, 2025 and December 31, 2024, respectively; zero shares issued
or outstanding as of March 31, 2025 and December 31, 2024, respectively





Common stock $0.01 par value - 2,500,000,000 shares authorized at
March 31, 2025 and December 31, 2024, respectively; 172,963,709 and
172,108,240 shares issued and outstanding at March 31, 2025 and
December 31, 2024, respectively



1,730



1,722

Additional paid-in capital



3,315,497



3,298,083

Accumulated other comprehensive income



316



881

Accumulated deficit



(191,631)



(220,900)

Total stockholders' equity



3,125,912



3,079,786

Total liabilities and stockholders' equity


$

4,619,178


$

4,577,004

 

Waystar Holding Corp.

Unaudited Condensed Consolidated Statements of Cash Flows

(in Thousands)










Three months ended March 31, 



2025


2024

Cash flows from operating activities







Net income/(loss)


$

29,269


$

(15,932)

Adjustments to reconcile net income/(loss) to net cash provided by operating activities







Depreciation and amortization



33,380



44,174

Stock-based compensation



6,744



2,528

Provision for bad debt expense



1,255



556

Loss on extinguishment of debt





8,869

Deferred income taxes



4,569



(19,591)

Amortization of debt discount and issuance costs



667



1,680

Changes in:







Accounts receivable



(3,284)



(10,274)

Income tax refundable



2,838



6,811

Prepaid expenses and other current assets



(1,460)



(3,538)

Deferred costs



(2,222)



(4,230)

Other long-term assets



324



(325)

Accounts payable and accrued expenses



(8,130)



(1,280)

Deferred revenue



775



1,711

Operating lease right-of-use assets and lease liabilities



(476)



(429)

Net cash provided by operating activities



64,249



10,730

Cash flows from investing activities







Purchase of property and equipment and capitalization of internally developed software costs



(5,426)



(5,560)

Purchase of investment securities



(24,431)



Net cash used in investing activities



(29,857)



(5,560)

Cash flows from financing activities







Change in aggregated funds liability



3,194



3,538

Repurchase of shares





(225)

Proceeds from exercise of common stock options



10,686



71

Proceeds from issuances of debt, net of creditor fees





535,209

Payments on debt



(2,917)



(516,774)

Third-party fees paid in connection with issuance of new debt





(1,410)

Finance lease liabilities paid



(219)



(199)

Net cash provided by financing activities



10,744



20,210

Increase in cash and cash equivalents during the period



45,136



25,380

Cash and cash equivalents and restricted cash–beginning of period



204,582



45,428

Cash and cash equivalents and restricted cash–end of period


$

249,718


$

70,808

Supplemental disclosures of cash flow information







Interest paid


$

19,960


$

40,513

Cash taxes paid (refunds received), net



532



(54)

Non-cash investing and financing activities







Fixed asset purchases in accounts payable



56



518

Reconciliation of Balance Sheet Cash Accounts to Cash Flow Statement







Balance sheet







Cash and cash equivalents



223,995



57,337

Restricted cash



25,723



13,471

Total



249,718



70,808

 

Waystar Holding Corp.

Reconciliation of Adjusted EBITDA

(in Thousands)

(Unaudited)



Three months ended March 31,


2025


2024

Net income/(loss)

29,269


(15,932)

Interest expense

18,900


57,184

Income tax expense/(benefit)

17,040


(6,061)

Depreciation and amortization

33,380


44,174

Stock-based compensation expense

6,744


2,528

Acquisition and integration costs

229


302

Costs related to amended debt agreements


10,402

IPO and Secondary Offering expenses

1,430


164

Other (a)

754


Adjusted EBITDA

107,746


92,761

Revenue

256,435


224,792

Net income/(loss) margin

11.4 %


(7.1 %)

Adjusted EBITDA margin

42.0 %


41.3 %

 

(a) Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and executive severance totaling $0.5 million for the three months ended March 31, 2025.

 

Waystar Holding Corp.

Reconciliation of Non-GAAP Operating Expenses

(in Thousands)

(Unaudited)



Three months ended March 31,


2025


2024

Cost of revenue (exclusive of depreciation and amortization expenses)

83,345


75,192

Less: Stock-based compensation expense

(231)


(122)

Less: Acquisition and integration costs


(31)

Cost of revenue (exclusive of depreciation and amortization expenses), adjusted

83,114


75,039





Sales and marketing

40,123


33,780

Less: Stock-based compensation expense

(1,392)


(478)

Sales and marketing, adjusted

38,731


33,302





General and administrative

23,300


26,135

Less: Stock-based compensation expense

(4,106)


(1,540)

Less: Acquisition and integration costs

(107)


(83)

Less: Costs related to amended debt agreements


(10,402)

Less: IPO and Secondary Offering expenses

(1,430)


(164)

Less: Other (a)

(754)


General and administrative, adjusted

16,903


13,946





Research and development

11,078


10,320

Less: Stock-based compensation expense

(1,015)


(388)

Less: Acquisition and integration costs

(122)


(188)

Research and development, adjusted

9,941


9,744





Depreciation and amortization

33,380


44,174

Less: Intangible amortization

(28,115)


(39,080)

Depreciation and amortization, adjusted

5,265


5,094





Income tax expense/(benefit)

17,040


(6,061)

Plus: Tax effect of adjustments

7,827


11,020

Income tax expense, adjusted

24,867


4,959

 

(a) Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and executive severance totaling $0.5 million for the three months ended March 31, 2025.

 

Waystar Holding Corp.

Reconciliation of Non-GAAP Net Income

(in Thousands, Except Share and Per Share Amounts)

(Unaudited)



Three months ended March 31,


2025


2024

Net income/(loss)

29,269


(15,932)

Stock based compensation expense

6,744


2,528

Acquisition and integration costs

229


302

Costs related to amended debt agreements


10,402

IPO and Secondary Offering expenses

1,430


164

Other (a)

754


Intangible amortization

28,115


39,080

Tax effect of adjustments

(7,827)


(11,020)

Non-GAAP net income

58,714


25,524





Non-GAAP net income per share, basic

0.34


0.21

Non-GAAP net income per share, diluted

0.32


0.20





Weighted average shares used in computing basic Non-GAAP net income per share

172,188,237


121,675,298

Weighted average shares used in computing diluted Non-GAAP net income per share

180,691,994


127,095,087

 

(a) Adjustments relate to additional lease costs due to the relocation of our Louisville office totaling $0.2 million and executive severance totaling $0.5 million for the three months ended March 31, 2025.

 

 

Waystar Holding Corp.

Reconciliation of Unlevered Free Cash Flow

(in Thousands)

(Unaudited)



Three months ended March 31,


2025


2024

Net cash provided by operating activities

64,249


10,730

Interest paid

19,960


40,513

Purchase of property and equipment and capitalization of internally developed software costs

(5,426)


(5,560)

Unlevered free cash flow

78,783


45,683

 

 Waystar Holding Corp.

Reconciliation of Net Debt

(in Thousands)

(Unaudited)



March 31,


2025


2024

First lien term loan facility outstanding debt, current

11,668


22,000

First lien term loan facility outstanding debt, net of current portion

1,148,960


2,178,000

Receivables facility outstanding debt

80,000


70,000

Cash and cash equivalents

(223,995)


(57,337)

Investment securities

(24,419)


Net debt

992,214


2,212,663





Trailing Twelve Months Adjusted EBITDA

398,481


343,753





Adjusted Gross leverage ratio

3.1x


6.6x

Adjusted Net leverage ratio

2.5x


6.4x

 

Waystar Holding Corp.

Reconciliation of Trailing Twelve Months (TTM) Adjusted EBITDA

(in Thousands)

(Unaudited)



Three Months Ended


TTM


March 31,


December 31,


September 30,


June 30,


March 31,


2025


2024


2024


2024


2025

Net income/(loss)

29,269


19,079


5,413


(27,685)


26,076

Interest expense

18,900


20,086


18,459


50,541


107,986

Income tax expense/(benefit)

17,040


13,978


3,274


(14,611)


19,681

Depreciation and amortization

33,380


37,996


60,185


44,276


175,837

Stock-based compensation expense

6,744


7,037


7,903


36,969


58,653

Acquisition and integration costs

229


163


188


206


786

Costs related to amended debt agreements


1,262


106


2,368


3,736

IPO and Secondary Offering expenses

1,430


26


109


1,841


3,406

Other (a)

754


526


1,040



2,320

Adjusted EBITDA

107,746


100,153


96,677


93,905


398,481


 (a) Adjustments relate to additional lease costs due to the relocation of our Louisville office and executive severance.

 

Media Contact
Kristin Lee
kristin.lee@waystar.com

Investor Contact
Sandy Draper
investors@waystar.com
502-238-9511 

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/waystar-reports-first-quarter-2025-results-302443162.html

SOURCE Waystar

FAQ

What is Waystar's (WAY) Q1 2025 revenue growth and net income?

Waystar reported 14% year-over-year revenue growth in Q1 2025, with revenue of $256.4 million. Net income was $29.3 million with an 11% net income margin, while non-GAAP net income reached $58.7 million.

How much revenue does Waystar (WAY) expect for full year 2025?

Waystar raised its 2025 guidance and expects total revenue between $1.006 billion and $1.022 billion, with adjusted EBITDA projected between $406 million and $414 million.

What is Waystar's (WAY) customer retention rate in Q1 2025?

Waystar achieved a net revenue retention rate (NRR) of 114% over the last twelve months ending March 31, 2025, indicating strong customer retention and growth from existing clients.

How many major clients does Waystar (WAY) have in Q1 2025?

Waystar reported 1,244 clients contributing over $100,000 in last twelve months revenue, representing a 15% increase year-over-year.

What are Waystar's (WAY) Q1 2025 profit margins?

Waystar achieved a GAAP net income margin of 11% and an adjusted EBITDA margin of 42% in Q1 2025, demonstrating strong profitability metrics.

How much cash flow did Waystar (WAY) generate in Q1 2025?

Waystar generated $64 million in cash flow from operations and $79 million in unlevered free cash flow during Q1 2025.
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